Cognitive and behavioral effects of hearing loss

Babajanian, Eric; Gurgel, Richard K.

doi:10.1097/moo.0000000000000825

Cited by 9 publications

(5 citation statements)

References 62 publications

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“…[1][2][3][4][5] Cochlear implants have been shown to quality of life for both recipients and their caregivers, cognition, and psychosocial determinants of health. [6][7][8][9][10] However, from an institutional perspective, the financial margin on cochlear implantation can be quite narrow. To defray some costs, a recent trend among institutional contracts is to provide CI recipients a single external sound processor for each implant as opposed to providing two.…”

Section: Introductionmentioning

confidence: 99%

Understanding Patient Utilization Patterns of Cochlear Implant Processors

Babajanian,

Cervantes,

Gordon

et al. 2024

Ann Otol Rhinol Laryngol

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Objective: To evaluate the extent of benefit the second processor provides and to better understand utilization patterns regarding cochlear implant (CI) sound processors. Background Institutional contracts determine the external CI sound processor hardware that a patient is eligible for. Despite the high prevalence of CI worldwide, there is a paucity in the literature regarding patient preferences and how patients utilize provided external hardware. Methods: A close-ended, multiple-choice survey was mailed to all patients over the age of 18 years who underwent CI between 2016 to 2020 at a tertiary academic medical center. Patients who received their CI hardware prior to 2018 were provided 2 processors, whereas those who received their hardware in 2018 or later were provided 1 processor. Results: A total of 100/263 surveys were returned for a response rate of 38.0%. Of the cohort with 1 processor, 31.3% experienced a period without a functioning processor and access to sound compared to 5.6% of the cohort with 2 processors ( P = −.003). Of the cohort with 2 processors, 24.3% noted that they often or always utilize their second processor. When asked how important having a second processor was, 62.9% of the 2-processor group responded that it was very important ( P = .001). The most common reason for utilizing the second processor was a damaged primary processor. Patients who received 2 processors had a significantly lower number of postoperative audiology clinic visits for device troubleshooting ( P < .001). Conclusion Patients who have 2 CI external processors identify this as being very important to them and experience significantly less time without access to sound due to lack of a functioning processor. As institutional contracts often dictate whether a patient will receive 1 or 2 sound processors with their CI hardware, it is important to understand patient preferences and utilization patterns in order to guide patient-centric policies.

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Section: Introductionmentioning

confidence: 99%

Understanding Patient Utilization Patterns of Cochlear Implant Processors

Babajanian,

Cervantes,

Gordon

et al. 2024

Ann Otol Rhinol Laryngol

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“…So, if an individual cannot afford hearing aids or is too ashamed due to the stigma of wearing them, how will that impact the person’s life moving forward? Hearing loss has been linked to an increased risk of dementia and general cognitive decline, at least partly due to the additional processing required to participate in a conversation [ 24 , 25 , 26 ]. People who do not have the financial or social security required for hearing aids are at a greater disadvantage when trying to address their hearing loss.…”

Section: Introductionmentioning

confidence: 99%

Over-the-Counter (OTC) Hearing Aid Availability across the Spectrum of Human Skin Colors

Kirjava,

Faulkner

2024

Audiology Research

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Background: Over-the-counter (OTC) hearing aids were recently approved for sale in the United States. Research has shown that consumers prefer hearing devices that match their skin color because these devices are less noticeable. Colorism is discrimination against individuals with relatively darker skin that manifests in “skin-color” product offerings as products being offered primarily in relatively lighter colors. Methods: This study compared images of U.S. Food and Drug Administration (FDA)-registered over-the-counter hearing aids to a range of human skin colors. Results: Most over-the-counter hearing aids are only offered in relatively lighter beige colors. Few over-the-counter hearing aids are available in darker skin colors. Conclusions: These findings may represent structural bias, preventing equitable access to darker skin-color OTC hearing aids for individuals with darker skin.

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“…Some of the most common symptoms include depression, anxiety, sleep disturbance, fatigue, cognitive impairment, and pain [ 17 – 19 ]. While not studied in oncology patients, in the general population, recent evidence suggests that hearing loss is associated with higher levels of depression [ 20 , 21 ], anxiety [ 22 ], cognitive impairment [ 23 ], sleep disturbance [ 24 ], and fatigue [ 25 , 26 ]. Therefore, it is reasonable to hypothesize that compared to survivors without hearing loss, cancer survivors with hearing loss would report higher levels of these common symptoms.…”

Section: Introductionmentioning

confidence: 99%

Associations among hearing loss, multiple co-occurring symptoms, and quality of life outcomes in cancer survivors

et al. 2022

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Purpose Evaluate for differences in demographic and clinical characteristics, occurrence of common symptoms, symptom severity scores, and quality of life (QOL) outcomes in survivors with ( n = 155) and without ( n = 118) audiometrically confirmed hearing loss. Methods Survivors, who were recruited from throughout the San Francisco Bay area, completed the self-report questionnaires to obtain the information of demographic and clinical characteristics; the occurrence and severity of depression, anxiety, fatigue, decrements in energy, sleep disturbance, pain, and cognitive impairment; and the general and cancer-specific QOL outcomes. Parametric and non-parametric tests were used to evaluate for differences between the two survivor groups. Results Survivors with audiometrically confirmed hearing loss were older, more likely to be male, were more likely to be unemployed, report a lower annual household income, and had a higher comorbidity burden. Except for the severity of worst pain, no between-group differences were found in the occurrence rates for or severity of any of the symptoms. Survivors with hearing loss reported worse physical function and general health scores. Conclusions While no between-group differences in symptom occurrence rates and severity scores were found, across the total sample, a relatively high percentage of survivors who were over 6 years from their cancer diagnosis reported clinically meaningful levels of depression (25%), anxiety (50%), fatigue (40%), decrements in energy (70%), sleep disturbance (58%), cognitive impairment (57%), and pain (60%). Implications for Cancer Survivors Clinicians need to perform routine assessments of hearing loss, as well as common co-occurring symptoms and initiate individualized symptom management interventions.

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Cognitive and behavioral effects of hearing loss

Cited by 9 publications

References 62 publications

Understanding Patient Utilization Patterns of Cochlear Implant Processors

Understanding Patient Utilization Patterns of Cochlear Implant Processors

Over-the-Counter (OTC) Hearing Aid Availability across the Spectrum of Human Skin Colors

Associations among hearing loss, multiple co-occurring symptoms, and quality of life outcomes in cancer survivors

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