Factors involved in access and utilization of adult hearing healthcare: A systematic review

Barnett, Margaret; Hixon, Brian; Okwiri, Neville; Irungu, Catherine; Ayugi, John; Thompson, Robin; Shinn, Jennifer B.; Bush, Matthew L.

doi:10.1002/lary.26234

Cited by 100 publications

(101 citation statements)

References 49 publications

(185 reference statements)

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“…This illustrates that poor hearing aid usage rates are not entirely due to unawareness of disability. Our data confirm that poor hearing aid usage is complex and multifactorial …”

Section: Discussionsupporting

confidence: 84%

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Prevalence of adult unilateral hearing loss and hearing aid use in the United States

et al. 2017

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“…This illustrates that poor hearing aid usage rates are not entirely due to unawareness of disability. Our data confirm that poor hearing aid usage is complex and multifactorial …”

Section: Discussionsupporting

confidence: 84%

“…Our data confirm that poor hearing aid usage is complex and multifactorial. [32][33][34] In children, UHL is related to lower performance in school and on intelligence tests. 16,17 Although the implications of UHL in adults is not well studied, recent data show poorer cognitive function in adults with bilateral HL.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of adult unilateral hearing loss and hearing aid use in the United States

et al. 2017

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“…For the small percentage of adults who do seek treatment, treatment is sought out late, typically 7-10 years after initial hearing loss onset (Davis et al, 2007). Access and affordability issues likely complicates the hearing healthcare landscape for aging adults in the United States and there currently exist no best practice guidelines for screening and management of ARHL (Barnett et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Cortical Neuroplasticity and Cognitive Function in Early-Stage, Mild-Moderate Hearing Loss: Evidence of Neurocognitive Benefit From Hearing Aid Use

Glick

Sharma

2020

Front. Neurosci.

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Age-related hearing loss (ARHL) is associated with cognitive decline as well as structural and functional brain changes. However, the mechanisms underlying neurocognitive deficits in ARHL are poorly understood and it is unclear whether clinical treatment with hearing aids may modify neurocognitive outcomes. To address these topics, cortical visual evoked potentials (CVEPs), cognitive function, and speech perception abilities were measured in 28 adults with untreated, mild-moderate ARHL and 13 agematched normal hearing (NH) controls. The group of adults with ARHL were then fit with bilateral hearing aids and re-evaluated after 6 months of amplification use. At baseline, the ARHL group exhibited more extensive recruitment of auditory, frontal, and pre-frontal cortices during a visual motion processing task, providing evidence of cross-modal re-organization and compensatory cortical neuroplasticity. Further, more extensive cross-modal recruitment of the right auditory cortex was associated with greater degree of hearing loss, poorer speech perception in noise, and worse cognitive function. Following clinical treatment with hearing aids, a reversal in cross-modal reorganization of auditory cortex by vision was observed in the ARHL group, coinciding with gains in speech perception and cognitive performance. Thus, beyond the known benefits of hearing aid use on communication, outcomes from this study provide evidence that clinical intervention with well-fit amplification may promote more typical cortical organization and functioning and provide cognitive benefit.

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“…[40][41][42][43][44] Hearing loss is a prevalent, chronic condition that affects tens of millions of Americans and has a significant social and professional impact. 45,46 Individuals with hearing loss wait on average a decade for an intervention after initially experiencing hearing loss. 47 In addition, acceptance and uptake of hearing aids have been demonstrated to be poor.…”

Section: Needs Statementmentioning

confidence: 99%

Biomedical device innovation methodology: applications in biophotonics

et al. 2017

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Abstract. The process of medical device innovation involves an iterative method that focuses on designing innovative, device-oriented solutions that address unmet clinical needs. This process has been applied to the field of biophotonics with many notable successes. Device innovation begins with identifying an unmet clinical need and evaluating this need through a variety of lenses, including currently existing solutions for the need, stakeholders who are interested in the need, and the market that will support an innovative solution. Only once the clinical need is understood in detail can the invention process begin. The ideation phase often involves multiple levels of brainstorming and prototyping with the aim of addressing technical and clinical questions early and in a cost-efficient manner. Once potential solutions are found, they are tested against a number of known translational factors, including intellectual property, regulatory, and reimbursement landscapes. Only when the solution matches the clinical need, the next phase of building a "to market" strategy should begin. Most aspects of the innovation process can be conducted relatively quickly and without significant capital expense. This white paper focuses on key points of the medical device innovation method and how the field of biophotonics has been applied within this framework to generate clinical and commercial success.

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Factors involved in access and utilization of adult hearing healthcare: A systematic review

Cited by 100 publications

References 49 publications

Prevalence of adult unilateral hearing loss and hearing aid use in the United States

Prevalence of adult unilateral hearing loss and hearing aid use in the United States

Cortical Neuroplasticity and Cognitive Function in Early-Stage, Mild-Moderate Hearing Loss: Evidence of Neurocognitive Benefit From Hearing Aid Use

Biomedical device innovation methodology: applications in biophotonics

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