Description, Normative Data, and Utility of the Hearing Aid Skills and Knowledge Test

Saunders, Gabrielle H.; Morse-Fortier, Charlotte; McDermott, Daniel; Vachhani, Jay; Grush, Leslie D.; Griest, Susan; Lewis, Martyn

doi:10.3766/jaaa.16153

Cited by 23 publications

(16 citation statements)

References 17 publications

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“…Participant diaries and SST logbooks : These included free‐text spaces for feedback, and Likert‐style ratings of the SI, on (a) level of engagement of the PwD (study partner and SST rated: 1 = strongly disagree to 5 = strongly agree) and (b) perceived helpfulness (dyad rated: 1 = “not at all helpful” to 5 = “very helpful”). The SST logbook also included measures of the PwD's hearing aid use skill and ability (Hearing Aid Skills and Knowledge Questionnaire; HASK) and glasses use skill and ability (a bespoke Glasses/Vision Skills and Knowledge Test).…”

Section: Methodsmentioning

confidence: 99%

Impact of an intervention to support hearing and vision in dementia: The SENSE‐Cog Field Trial

Leroi

Simkin

Hooper

et al. 2019

Int J Geriat Psychiatry

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Objectives Hearing, vision, and cognitive impairment commonly co‐occur in older adults. Improving sensory function may positively impact outcomes in people with dementia (PwD). We developed a “sensory intervention” (SI) to support hearing and vision in PwD. Here, we report the findings of an international open‐label field trial, and nested case series, to explore the impact of the SI on dementia‐related outcomes. Methods This was a home‐based trial conducted in France, England, and Cyprus. Participants were people with mild‐to‐moderate dementia and hearing and/or vision impairment (n = 19) and their study partners (unpaid carers; n = 19). The “basic” SI included a hearing and vision assessment and provision of glasses and/or hearing aids. A subsample received the “extended” SI with additional weekly visits from a sensory support therapist (SST). Exploratory analyses of dementia‐related, health utility and resource utilisation outcomes were performed. Results Quality of life (QoL) and sensory functional ability improved. Change in QoL exceeded the threshold for a minimum clinically important difference. There was a modest improvement (in absolute terms) post intervention in behavioural disturbance, self‐efficacy, and relationship satisfaction. Study partner time assisting instrumental activities of daily living (iADL) and supervision decreased by about 22 and 38 hours per month, respectively, although time for personal ADL support increased. Qualitative data supported effectiveness of the intervention: PwD were more socially engaged, less isolated, less dependent on study partners, and had improved functional ability and communication. Conclusions These findings support the need for a definitive randomised controlled trial (RCT) to evaluate the effectiveness of the intervention.

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Section: Methodsmentioning

confidence: 99%

Impact of an intervention to support hearing and vision in dementia: The SENSE‐Cog Field Trial

Leroi

Simkin

Hooper

et al. 2019

Int J Geriat Psychiatry

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“…The SST will support correct wear and care of participant’s glasses and hearing aids (for example, cleaning and storage, battery changing, and frequency of use). The Hearing Aid Skills and Knowledge (HASK) test [37] and SENSE-Cog Glasses Skills and knowledge test for vision alongside a SENSE-Cog functional assessment (a non-standardised assessment developed by the research team) [27] will be completed to monitor participant abilities to manage their sensory equipment.…”

Section: Methodsmentioning

confidence: 99%

Individualised sensory intervention to improve quality of life in people with dementia and their companions (SENSE-Cog trial): study protocol for a randomised controlled trial

Regan

Frison

Collin

et al. 2019

Trials

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BackgroundHearing and vision impairments are highly prevalent in people with dementia and may have a negative impact on quality of life and other dementia-related outcomes. Intervening to optimise sensory impairment and support sensory function may be a means of improving dementia-related outcomes. The SENSE-Cog trial will test whether a home-based multi-part sensory intervention is effective in improving quality of life and other key outcomes in people with dementia and hearing or vision problems (or both) and their companions.MethodsThis is an European, multi-centre, observer-blind, pragmatic, randomised controlled trial. Three hundred fifty four people with dementia and hearing or vision impairment (or both) and their companions will be randomly assigned to receive either “care as usual” or a multi-component sensory intervention including assessment and correction of hearing or vision impairments (or both), home-based (maximum 10 visits over 18 weeks), therapist-delivered sensory support (that is, adherence to devices; improving the sensory environment (that is, lighting), communication training, and sign-posting to other support agencies). Change from baseline to intervention end (18 weeks) and post-intervention (36 weeks) will be compared between the two arms in the following outcomes: quality of life (primary endpoint), sensory and cognitive functional ability, relationships, mental well-being, health resource utilisation and cost-effectiveness.DiscussionThis is one of two articles outlining the SENSE-Cog trial. Here, we describe the protocol for the effectiveness of the SENSE-Cog intervention. A parallel and complementary process evaluation will be described elsewhere. If the SENSE-Cog trial demonstrates that the sensory intervention improves outcomes in dementia, we will make a toolkit of training materials, resources and information available to health and social care providers to implement the intervention in routine practice. This will be a significant contribution to the therapeutic management of people with dementia and sensory impairment.Trial registrationISRCTN (Trial ID: ISRCTN17056211) on 19 February 2018.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2973-0) contains supplementary material, which is available to authorized users.

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“…The principal aim of the intervention is to improve quality of life and functional ability by improving sensory function through devices and behavioural change. Dementia-related quality of life comprises the domains of daily activities (activities of daily living and self-care), physical health and wellbeing, cognitive functioning and [22], Bangor The Bangor Goal-Setting interview [23], DEMQoL Dementia Quality of Life [24], FCS Family Caregiving Role Scale [25], HADS Hospital Anxiety and Depression Scale [26], HASK Hearing Aid Skills and Knowledge test [27], HHIE-25 Hearing Handicap Inventory for the Elderly [28], GHQ-12 General Health Questionnaire [29], MoCA Montreal Cognitive Assessment [30], NPI-12 Neuropsychiatric Inventory [31], RSS Relationship Satisfaction Scale [32], SF-12 Short Form Health Survey [33], VA LV-VFQ-20 Veterans Affairs Low vision Visual Functioning Questionnaire [34] social relationships [35]. To influence these domains, we have adopted the COM-B component of the Behaviour Change Wheel [36] as our framework for how the intervention might work.…”

Section: Causal Assumptions About How Change Will Be Producedmentioning

confidence: 99%

A randomised controlled trial of hearing and vision support in dementia: Protocol for a process evaluation in the SENSE-Cog trial

Leroi

Armitage

Collin

et al. 2020

Trials

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Background: Optimising hearing and vision function may be important in improving a range of outcomes for people living with dementia (PwD) and their companions. The SENSE-Cog cross-national randomised controlled trial (RCT) is evaluating the effectiveness of a sensory intervention (SI) to improve quality of life for PwD with concurrent hearing and/or vision impairment, in five European countries. To ascertain how or why the intervention will, or will not, achieve its outcomes, we have designed a process evaluation to explore potential discrepancies between expected and observed outcomes. This will also help us to understand how context may influence the outcomes. Here we describe the protocol for this process evaluation, which is embedded within the RCT. Methods/design: We will use a mixed methods approach with a theoretical framework derived from the UK Medical Research Council's' guidance on process evaluations. It will include the following: (1) evaluating how key aspects of the intervention will be delivered, which will be important to scale the intervention in real world populations; (2) characterising the contextual issues, which may shape the delivery and the impact of the intervention in different countries; and (3) investigating possible causal mechanisms through analyses of potential moderators and mediators. To avoid bias, we will analyse the process data before the analysis of the main effectiveness outcomes. Discussion: This evaluation will provide insight into how the complex SENSE-Cog SI will be tailored, enacted and received across the different European contexts, all of which have unique health and social care economies. The findings will provide insight into the causal mechanisms effecting change, and will determine whether we should implement the intervention, if effective, on a wider scale for PwD and concurrent sensory impairment.

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Description, Normative Data, and Utility of the Hearing Aid Skills and Knowledge Test

Cited by 23 publications

References 17 publications

Impact of an intervention to support hearing and vision in dementia: The SENSE‐Cog Field Trial

Impact of an intervention to support hearing and vision in dementia: The SENSE‐Cog Field Trial

Individualised sensory intervention to improve quality of life in people with dementia and their companions (SENSE-Cog trial): study protocol for a randomised controlled trial

A randomised controlled trial of hearing and vision support in dementia: Protocol for a process evaluation in the SENSE-Cog trial

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