Adults with mild hearing impairment: Are we meeting the challenge?

Timmer, Barbra H B; Hickson, Louise; Launer, Stefan

doi:10.3109/14992027.2015.1046504

Cited by 40 publications

(35 citation statements)

References 74 publications

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“…We defined mild HI to be a four-frequency average (4FAHL) between 20 and 40 dB HL, averaged across 500, 1000, 2000 and 4000 Hz. Our focus was on this population since we identified a paucity of evidence about the everyday difficulties of those with mild HI and they therefore present a clinical challenge in that it is not always clear whether or not they need intervention such as HAs (Timmer et al, 2015).…”

Section: The Use Of Ecological Momentary Assessment In Hearing Researchmentioning

confidence: 99%

“…However, both methods have limitations. Objective measures, such as pure-tone audiometry and speech perception testing, allow for classification or quantification of hearing function however testing in the laboratory or clinical setting may have little ecological validity (Keidser, 2016;Smeds et al, 2015) and has only a moderate correlation, at best, with self-reported hearing difficulties (Lutman, 1991;Timmer et al, 2015). Therefore, self-reports measures are recommended to complement the commonly used audiological assessments.…”

Section: Introductionmentioning

confidence: 99%

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The use of ecological momentary assessment in hearing research and future clinical applications

2018

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To obtain real-world insights into the hearing difficulties of individuals, the field of hearing research has recently started to adopt ecological momentary assessment. Using this approach, study participants describe their experiences in real time, in their own natural environment. This paper describes the use of ecological momentary assessment in hearing research to date. Several studies have shown the approach is feasible and has good construct validity for use with adults with hearing impairment and/or tinnitus. Two recent studies conducted by the authors are described. The first study investigated the listening experiences of older adults with mild hearing impairment and concluded that ecological momentary assessment provided group and individual data which highlighted the between-subject variability in this clinical population. The second study investigated the difference that the provision of hearing aids could make for older adults with mild hearing impairment. The pilot study indicated that ecological momentary assessment could be successfully used in intervention studies to measure, for example, individual hearing aid benefit, which may extend beyond improved speech understanding. The study also revealed the potential for ecological momentary assessment as a tool for clinical practice and decision-making. Ecological momentary assessment can result in a rich array of research data if specific study design guidelines, presented in this paper, are followed. The development of a clinical ecological momentary assessment tool would provide clinicians an individualized outcome measure and facilitate the adoption of a greater degree of client- and family-centeredness, thereby improving rehabilitation outcomes.

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Section: The Use Of Ecological Momentary Assessment In Hearing Researchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The use of ecological momentary assessment in hearing research and future clinical applications

2018

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“…Sensorineural hearing loss (SNHL) is one of the most common long term disabilities in humans (Blackwell et al, 2014; Timmer et al, 2015). The vast majority of SNHL results from the loss of sensory hair cells (HCs), which, in mature mammalian cochleae, do not regenerate (McGill and Schuknecht, 1976; Soucek et al, 1986).…”

Section: Introductionmentioning

confidence: 99%

In Vivo Interplay between p27Kip1, GATA3, ATOH1, and POU4F3 Converts Non-sensory Cells to Hair Cells in Adult Mice

Walters¹,

Coak²,

Dearman³

et al. 2017

Cell Reports

127

164

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SUMMARY Hearing loss is widespread and persistent because mature mammalian auditory hair cells (HCs) are nonregenerative. In mice, the ability to regenerate HCs from surrounding supporting cells (SCs) declines abruptly after postnatal maturation. We find that combining p27Kip1 deletion with ectopic ATOH1 expression surmounts this age-related decline, leading to conversion of SCs to HCs in mature mouse cochleae and after noise damage. p27Kip1 deletion, independent of canonical effects on Rb-family proteins, upregulated GATA3, a co-factor for ATOH1 that is lost from SCs with age. Co-activation of GATA3 or POU4F3 and ATOH1 promoted conversion of SCs to HCs in adult mice. Remarkably, activation of POU4F3 alone also converted mature SCs to HCs in vivo. These data illuminate a genetic pathway that initiates auditory HC regeneration and suggest p27Kip1, GATA3, and POU4F3 as additional therapeutic targets for Atoh1-mediated HC regeneration.

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“…Noise‐induced hearing loss (NIHL) is one of the most common occupational illnesses in the United States, with nearly 22 million workers noise‐exposed workers in the United States . While hearing loss in itself is a disability, even workers with mild hearing loss experience reduced audibility (loudness) and dynamic range (range of softest to loudest sound capable of being heard) and often have difficulty understanding speech, especially in noisy environments . Preventing or reducing worker exposure to noise is imperative to preventing NIHL.…”

Section: Introductionmentioning

confidence: 99%

Safety climate, hearing climate and hearing protection device use among transportation road maintainers

Cavallari

Burch

Hanrahan

et al. 2019

American J Industrial Med

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Background: It is important to understand workplace factors including safety climate that influence hearing protection device (HPD) use. We sought to investigate the association between HPD use, safety climate, and hearing climate, a new measure specific to hearing.Methods: A survey was developed and distributed among transportation "maintainers" who perform road maintenance and repair. A new hearing climate measure was designed by adapting a safety climate measure. HPD use was assessed by asking workers how often they wear HPD while in noise. The differences in safety climate and hearing climate were compared by the frequency of HPD use using analysis of variance.Results: Among 166 maintainers, 54% reported always or almost always wearing HPD while noise exposed. High-frequency HPD users reported a statistically significant higher safety climate (P = 0.004) and hearing climate (P = 0.003). Conclusions:Hearing climate predicts the frequency of HPD use and may be a useful measure when assessing and improving hearing conservation programs.

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Adults with mild hearing impairment: Are we meeting the challenge?

Abstract: The development of appropriate audiological assessment in the clinic, and further evaluation of the real-world listening needs and performance of people with mild hearing impairment is required to provide a more effective pathway for this clinical population.

Cited by 40 publications

References 74 publications

The use of ecological momentary assessment in hearing research and future clinical applications

The use of ecological momentary assessment in hearing research and future clinical applications

In Vivo Interplay between p27Kip1, GATA3, ATOH1, and POU4F3 Converts Non-sensory Cells to Hair Cells in Adult Mice

Safety climate, hearing climate and hearing protection device use among transportation road maintainers

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