Hearing aids for nursing home residents: Current policy and future needs

Cohen‐Mansfield, Jiska; Infeld, Donna Lind

doi:10.1016/j.healthpol.2005.11.016

Cited by 20 publications

(22 citation statements)

References 29 publications

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“…The basis of this association is unclear but may be due to a greater likelihood of Medicaid eligibility in individuals with ADL impairments. Many state Medicaid programs provide benefits for hearing aids, in contrast to the federal Medicare program . Because the data are cross‐sectional, the direction of this observed association cannot be established (whether hearing aid use is a marker of incipient ADL difficulty or vice versa).…”

Section: Discussionmentioning

confidence: 99%

Association Between Hearing Impairment and Self‐Reported Difficulty in Physical Functioning

Chen

Genther

Betz

et al. 2014

J American Geriatrics Society

102

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Objectives To determine whether hearing impairment, defined using objective audiometry, is associated with multiple categories of self-reported physical functioning in a cross-sectional, nationally representative sample of older adults. Design Multivariate secondary analysis of cross-sectional data. Setting The 2005–06 and 2009–10 cycles of the National Health and Nutrition Examination Survey. Participants Adults aged 70 and older who completed audiometric testing (N=1,669). Measurements Hearing was measured using pure-tone audiometry. Physical functioning was assessed using a structured interview. Results In a model adjusted for age and demographic and cardiovascular risk factors, greater hearing impairment (per 25 dB hearing level (HL)) was associated with greater odds of physical disability in activities of daily living (odds ratio (OR)=1.4, 95% confidence interval (CI)=1.1–1.9), instrumental activities of daily living (OR=1.6, 95% CI=1.2–2.2), leisure and social activities (OR=1.5, 95% CI=1.1–2.0), lower extremity mobility (OR=1.4, 95% CI=1.1–1.7), general physical activities (OR=1.3, 95% CI=1.1–1.6), work limitation (OR=1.4, 95% CI=1.0–1.9), walking limitation (OR=1.6, 95% CI=1.3–2.0), and limitation due to memory or confusion (OR=1.4, 95% CI=1.1–1.8). Hearing impairment was not associated with limitations in amount or type of work done (OR=1.2, 95% CI=1.0–1.6). Conclusion Hearing impairment in older adults is independently associated with greater disability and limitations in multiple self-reported categories of physical functioning.

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Section: Discussionmentioning

confidence: 99%

Association Between Hearing Impairment and Self‐Reported Difficulty in Physical Functioning

Chen

Genther

Betz

et al. 2014

J American Geriatrics Society

102

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“…Gerber et al (2010) take this argument further when they argue that untreated hearing problems are associated with poorer self-management of a variety of long-term conditions, including dementia. Although it is important to recognise that some older adults have very complex care needs, Cohen-Mansfield and Infeld (2006) warn against practitioners making the assumption that every individual has dementia. This supports the need for accurate assessment and diagnosis.…”

Section: Recognising and Working With People With Dementiamentioning

confidence: 99%

“…As such, it is anticipated that older adults seen by audiologists for hearing assessments and rehabilitation are increasingly likely to suffer from some form of cognitive difficulty and dementia (Cohen-Mansfield and Infeld, 2006).…”

Section: Introductionmentioning

confidence: 99%

Hearing loss and dementia: an exploratory study of the views of audiologists

Wright

Stickley

Mulla³

et al. 2014

Quality in Ageing and Older Adults

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Access to this document was granted through an Emerald subscription provided by emerald-srm:374558 [] For AuthorsIf you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to explore audiologists, views and experiences of working with older adults with dementia. Design/methodology/approach -An online survey was distributed to audiologists working in the UK NHS and private sector via their professional organisations. A total of 312 audiologists took part in the study. The survey collected both quantitative and qualitative data. Basic descriptive statistics summarised the quantitative responses. The qualitative data were analysed using conventional thematic approaches.Findings -The quantitative data demonstrated that the vast majority of audiologists had treated someone with dementia (96 per cent). Despite this, 65 per cent of respondents did not feel adequately supported to help this service user population. Four overarching themes were used to explain the qualitative data: integrated and individualised care; formal (including training) vs experiential knowledge; the interaction between dementia and hearing and using the technology.Research limitations/implications -The self-selecting nature of the sample is a limitation which needs to be taken into account when considering the transferability and implications of the findings. Practical implications -Given the anticipated increase in rates of dementia within the population and the potential for hearing impairment to exacerbate the symptoms; this study highlights the unique role audiologists have. The need for more training and development for this professional group is also identified. Originality/value -This is one of the first papers to explore audiologists, views and experiences of working with people with dementia. As such, it highlights some interesting areas worthy of further research using both quantitative and qualitative methods.

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“…With bilateral hearing loss, bilateral hearing aids are required. [11] If unilateral amplification will be preferred in patients with bilateral hearing loss, there are criteria of choice for which ear to be preferred. The side with a higher speech discrimination score, wider dynamic range, mean pure tone near 60 dB HL, and flat audiogram without outer or middle ear problems is chosen.…”

Section: Discussionmentioning

confidence: 99%

Age And Sex Matched Data- Two Ears Improved Social Interaction And Quality Of Life

Erkan¹,

Tuhanioğlu²

2019

ENT Updates

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Introduction: Hearing aids are electronic devices used by individuals with hearing loss to improve their quality of life. It is more useful to use bilateral hearing aids. Thus, the localization of the sound is better determined and an additional 6-10 dB increase in sound intensity can be achieved. In our study, we compared the satisfaction level of patients with hearing loss who used unilateral or bilateral devices. Methods: Patients with bilateral sensorineural hearing loss and using unilateral or bilateral hearing aids for at least 3 months and whose hearing loss cannot be treated with medical or surgical treatments were included. International Outcome Inventory for Hearing Aids Turkish Version (IOI-HA-TR) was administered to them. Results: Matched data were used to standardize age and gender between the groups. In high school bilateral fitting increased. There was no difference between the groups in terms of hearing pure tone thresholds and speech discriminations. There was a significant difference between the groups in terms of the mean score of question 5 (p=0.047), question 7 (p=0.022) and mean total scale (p=0.028) in IOI-HA-TR. Conclusion: As a result, we found that the satisfaction level of bilateral hearing aid users was higher. Bilateral hearing aid use has a positive effect on the social life of patients and increases their quality of life.

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Hearing aids for nursing home residents: Current policy and future needs

Cited by 20 publications

References 29 publications

Association Between Hearing Impairment and Self‐Reported Difficulty in Physical Functioning

Association Between Hearing Impairment and Self‐Reported Difficulty in Physical Functioning

Hearing loss and dementia: an exploratory study of the views of audiologists

Age And Sex Matched Data- Two Ears Improved Social Interaction And Quality Of Life

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