HearCARE: Hearing and Communication Assistance for Resident Engagement

Palmer, Catherine V.; Mulla, Reem; Dervin, Elizabeth; Coyan, Kathleen Costigan

doi:10.1055/s-0037-1601574

Cited by 13 publications

(7 citation statements)

References 15 publications

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“…The coexistence of hearing loss in patients living with dementia could cause adverse patientrelated outcomes due to difficulties in participating in daily social activities and to breakdowns in communication between patients and caregivers and between patients and professionals. These challenges, in turn, can lead to social exclusion, increase stress and fatigue, and exacerbate neuropsychiatric behaviors, such as apathy, depression, and aggression (Slaughter et al, 2014;Palmer et al, 2017). All of these are related to a lower health-related quality of life.…”

Section: Discussionmentioning

confidence: 99%

Association Between Hearing and Vision Impairment and Risk of Dementia: Results of a Case-Control Study Based on Secondary Data

Michalowsky

Hoffmann

Kostev³

2019

Front. Aging Neurosci.

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Introduction: Hearing and vision loss are highly prevalent in elderly adults, and thus frequently occur in conjunction with cognitive impairments. Studies have shown that hearing impairment is associated with a higher risk of dementia. However, evidence concerning the association between vision loss and dementia, as well as the co-occurrence of vision and hearing loss and dementia, has been inconclusive. Objectives: To assess the association between: (i) either hearing or vision loss and the risk of dementia, as well as between; and (ii) the combination of both sensory impairments and the risk of dementia. Methods: This case-control study was based on a 5-year data set that included patients aged 65 years and older who had initially been diagnosed with dementia diseases by one of 1,203 general practitioners in Germany between January 2013 and December 2017. In total, 61,354 identified dementia cases were matched to non-dementia controls, resulting in a sample size of 122,708 individuals. Hearing loss and vision loss were identified using the ICD-10 diagnoses documented in the general practitioners' files prior to the initial dementia diagnosis. Multivariate logistic regression models were fitted to evaluate the associations between visual and/or hearing impairment and the risk of dementia and controlled for sociodemographic and clinical variables. Results: Hearing impairment was documented in 11.2% of patients with a dementia diagnosis and 9.5% of patients without such a diagnosis. Some form of vision impairment was documented in 28.4% of patients diagnosed with dementia and 28.8% of controls. Visual impairment was not significantly associated with dementia (OR = 0.97, CI = 95% 0.97-1.02, p = 0.219). However, patients with hearing impairment were at

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Section: Discussionmentioning

confidence: 99%

Association Between Hearing and Vision Impairment and Risk of Dementia: Results of a Case-Control Study Based on Secondary Data

Michalowsky

Hoffmann

Kostev³

2019

Front. Aging Neurosci.

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“…Although the results are promising, hearing aid use is rare in the US. Only 18% of older adults with impactful hearing loss actually use custom-fit amplification [ 8 ]. This may be due to cost barriers and low coverage by health insurance and Medicaid, so that hearing aids are only accessible to individuals with a high socioeconomic status [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Hearing impairment, or hearing loss often occurs with aging and is common among older adults - approximately one-third of people over 65 years of age are affected by disabling hearing loss [ 7 ]. Hearing loss is the third most common chronic condition and the fourth most detrimental condition that affects quality of life in older adults [ 8 ]. Evidence has shown that hearing impairment is more common in patients with dementia than in healthy older adults [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Hearing Impairment, Mild Cognitive Impairment, and Dementia: A Meta-Analysis of Cohort Studies

Wei

Zhang

et al. 2017

Dement Geriatr Cogn Disord Extra

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Background: To estimate a pooled association between hearing impairment and risk of mild cognitive impairment and dementia. Methods: PubMed, Embase, and Web of Science were searched for prospective cohort studies that examined the association between hearing impairment and risk of mild cognitive impairment and/or dementia. Random-effects models were fitted to estimate the summary risk ratios (RRs) and 95% confidence interval (CIs), which represents the pooled association between hearing impairment with risk of mild cognitive impairment and dementia, compared to subjects free of hearing impairment. Results: Four studies on hearing impairment with mild cognitive impairment and 7 studies on hearing impairment with dementia were included in the meta-analysis. A total of 15,521 subjects were studied with follow-up periods between 2 and 16.8 years. Hearing impairment was associated with a greater risk of mild cognitive impairment (RR = 1.30, 95% CI: 1.12, 1.51) and dementia (RR = 2.39, 95% CI: 1.58, 3.61). Conclusions: The meta-analysis showed that hearing impairment is associated with a higher risk of mild cognitive impairment and dementia among older adults.

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“…Despite evidence showing that hearing loss increases the risk of cognitive impairment and that it is somewhat modifiable, in most cases, hearing loss remains untreated. 10,11 It has been shown that older adults with peripheral hearing loss have a 24% higher risk of mild cognitive impairment than those without. 12 The number of older adults with visual and/or hearing loss is growing worldwide, and China, with a rapidly aging population, is no exception.…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, hearing impairment is increasingly common among older adults. Despite evidence showing that hearing loss increases the risk of cognitive impairment and that it is somewhat modifiable, in most cases, hearing loss remains untreated . It has been shown that older adults with peripheral hearing loss have a 24% higher risk of mild cognitive impairment than those without …”

Section: Introductionmentioning

confidence: 99%

Association of Sensory Impairments With Cognitive Decline and Depression Among Older Adults in China

et al. 2020

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IMPORTANCE Sensory impairments may heighten the risk of premature brain aging. Little is known regarding the association of sensory impairments with cognitive function and depression in China. OBJECTIVE To examine the association of visual and/or hearing impairments with cognitive decline and depression. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study used the data from 18 038 respondents to the 2015 survey of the China Health and Retirement Longitudinal Study, a nationally representative survey of adults aged 45 years or older and their spouses. EXPOSURES The presence of sensory impairments was identified by self-reported assessment of visual and/or hearing functions. MAIN OUTCOMES AND MEASURES Overall, 3 composite measures were used to assess the respondents' cognitive performance, including episodic memory, mental intactness, and global cognitive function. Depression was examined using the 10-item Center for Epidemiological Studies-Depression scale score. Multiple generalized linear regression models, adjusting for self-reported sociodemographic characteristics, health behaviors, chronic conditions, and participants' overall health, were used. RESULTS Of 18 038 respondents, 9244 (51.2%) were women. The mean (SD) age was 59.9 (9.7) years. Respondents with visual impairment had poorer episodic memory (β =-0.12; 95% CI,-0.19 to-0.05) and global cognition (β =-0.16; 95% CI,-0.31 to-0.02) and a greater risk of depression (odds ratio, 1.78; 95% CI, 1.59 to 1.99) than those without visual impairment. Respondents with hearing impairment had poorer episodic memory (β =-0.24; 95% CI,-0.30 to-0.18), mental intactness (β =-0.19; 95% CI,-0.28 to-0.10), and global cognition (β =-0.43; 95% CI,-0.55 to-0.31) as well as a greater risk of depression (odds ratio, 1.57; 95% CI, 1.44 to 1.70) than those without hearing impairment. People who reported dual sensory impairment performed worse on all of the aforementioned outcome measures (episodic memory: β =-0.23; 95% CI,-0.31 to-0.14; mental intactness: β =-0.13; 95% CI,-0.27 to-0.0003; global cognition: β =-0.37; 95% CI,-0.55 to-0.19; depression: odds ratio, 2.19; 95% CI, 1.90 to 2.52). CONCLUSIONS AND RELEVANCE In this study, visual and hearing impairments were independently and together associated with poorer cognitive and depression outcomes. A more comprehensive and integrated system of care, covering vision, hearing, and cognition, is needed in China's health care system to address age-related sensory impairments.

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HearCARE: Hearing and Communication Assistance for Resident Engagement

Cited by 13 publications

References 15 publications

Association Between Hearing and Vision Impairment and Risk of Dementia: Results of a Case-Control Study Based on Secondary Data

Association Between Hearing and Vision Impairment and Risk of Dementia: Results of a Case-Control Study Based on Secondary Data

Hearing Impairment, Mild Cognitive Impairment, and Dementia: A Meta-Analysis of Cohort Studies

Association of Sensory Impairments With Cognitive Decline and Depression Among Older Adults in China

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