American Speech-Language-Hearing Association Clinical Practice Guideline on Aural Rehabilitation for Adults With Hearing Loss (original) (raw)
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Evidence-Based Interventions for Adult Aural Rehabilitation: That Was Then, This Is Now
Seminars in Hearing
More than a decade after Arthur Boothroyd published “Adult Aural Rehabilitation: What Is It and Does It Work?,” the four cornerstones of adult aural rehabilitation are re-examined in terms of research that we and others in the field have undertaken. The focus is on novel advances in high-quality research relating to interventions to support self-management for hearing aids and other listening devices (sensory management), knowledge and skill (instruction), auditory and cognitive training (perceptual training), and motivational engagement (counseling). Much of this new research has a theoretical underpinning (e.g., behavior change theory) to better guide the development and evaluation of interventions, with a focus on self-management and patient-centered approaches. New and emerging technologies that support e- and m-health delivery of interventions provide greater personalization and interactivity to promote self-management of hearing loss. Looking to the future, there remains a req...
Adult Aural Rehabilitation: What Is It and Does It Work?
Trends in Amplification, 2007
of hearing-loss-induced deficits of function, activity, participation, and quality of life through sensory management, instruction, perceptual training, and counseling. This definition uses the terminology developed by the World Health Organization (WHO) in its generic attempts to conceptualize, classify, and describe the impact of disease. 1 An earlier classification system 2 used the terms impairment (what is missing or not working properly), disability (the things that could not be done because of the impairment), and handicap (the negative impact of the disability on quality of life). The emphasis was on the individual's losses. The current language is more positive. We speak of function, activity, and participation: the emphasis is on the individual's assets.
The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings, 2016
Hearing loss in adults is one of the leading disabilities globally. It is managed through aural rehabilitation for which there is a paucity of literature in South Africa. This raises the question of interest, the integrity of holistic service provision amongst audiologists and whether interest and challenges affect current practices. To describe audiologists' practices and views on aural rehabilitation services for adults, including interest and challenges experienced. A descriptive online survey was completed by 45 of 1440 invited practicing audiologists who were members of the two national professional associations in South Africa. Each association emailed the questionnaire link to all its members. Data were analysed using the Statistical Package for the Social Sciences version 21, and included the paired samples t-test and chi-squared tests. The most provided services were hearing aids (81.4%), communication strategies training (69.8%) and informational counselling (79.8%). A...
Adult Audiologic Rehabilitation: A Review of Contemporary Practices
2008
The contemporary practice of adult audiologic rehabilitation is client centered, individualized, and efficient. Audiologists recognize that audiologic rehabilitation is vital but also acknowledge the economic realities of cost-oriented hearing health care. Time is money, so rehabilitation protocols must accommodate the fast pace of today's clinical practices. In this article, current rehabilitative strategies surrounding the adult hearing aid fitting are reviewed, including clear speech, hearing aid follow-up groups, auditory training, lipreading, selfassessment tools, and treatment outcome measurement. These strategies, although not new, are discussed in a 21st-century context to allow practical approaches to providing rehabilitative treatment to adults with hearing loss and their family members and/or significant others.
Hrvatska revija za rehabilitacijska istraživanja, 2017
The aim of this paper is to provide a preliminary analysis of the reliability and validity of the Aural Rehabilitation Outcome Profile questionnaire (PIRS). This self-assessment questionnaire is used to quantify functional hearing difficulties in adults in regards to factors such as acoustic environment and interlocutor features (parts 1, 3, and 5), frequency of occurrence of different compensating communication strategies, and severity of socio-emotional consequences of acquired hearing loss (part 4), influence of acquired hearing loss (AHL) on everyday activities (part 2), and hearing aid performance and user satisfaction (part 5). An analysis of the reliability and validity of each individual part/scale of PIRS was conducted on data obtained from 47 adult participants (37 hearing aid users and 10 normal hearing individuals), including the analysis of Cronbach's reliability coefficients and intraclass correlation coefficients, factor analysis, and the Mann-Whitney U for testing the self-assessment differences between hearing participants and those with hearing loss as well as correlation analysis between hearing loss degree and self-assessment results. The results indicated that all PIRS subscales/parts show the properties of reliability and validity, warranting additional examination of psychometric properties with the goal of assessing the suitability of using PIRS as a clinical outcome measure of aural rehabilitation for acquired hearing loss.
Outcome Measurement in Adult Auditory Rehabilitation
Ear & Hearing, 2015
This review documented the range and nature of reported outcome measures in the context of adult auditory rehabilitative research. Design: A scoping review conducted as a part of the development of a systematic review of the effect of interventions to improve hearing aid use. The authors searched the Cochrane Ear, Nose and Throat Disorders Group Trials Register; the Cochrane Central Register of Controlled Trials; PubMed; EMBASE; CINAHL; Web of Science; Cambridge Scientific Abstracts; ICTRP; and additional sources for published and unpublished randomized control trials. The date of the search was November 6, 2013. Outcomes were grouped using a framework suggested by the Cochrane Effective Practice and Organization of Care group. Results: Patient outcomes included adherence to hearing aid use, daily hours of aid use, hearing handicap, hearing aid benefit, quality of life, and communication and psychological outcome. Satisfaction and speech perception were frequent secondary outcomes. There was diversity in measures used to report patient outcomes. Outcome categories other than patient health status and behavior were rarely reported. The timing of outcome measurement was often short term (<12 weeks), with a relative lack of evidence on long-term outcomes (>1 year). Conclusions: This review has highlighted considerable diversity in patient-reported outcome measurements in randomized control trials in the context of adult auditory rehabilitation. In addition, there are gaps in the literature with respect to measurement of other outcome types of potential interest to stakeholders, including policymakers and commissioners. Long-term outcome assessment is rare.
The Summer Intensive Aural Rehabilitation Conference, SIARC, is a blend of service delivery, student training, and community awareness that occurs over a 5-day period in a university setting. It is an opportunity for students to gain in-tensive experience in serving adults with hearing impairment and their commu-nication partners while all experience the benefits of cooperative learning in a social environment. The conference includes daily classes led by the students on coping with hearing loss, facilitating communication, and new technology, as well as guest lectures by a rehabilitation expert. Audiologic assessments, hear-ing aid checks, and trials with new technology allow attendees to evaluate their current hearing status and the potential benefits of new technology in a variety of social situations including dinners, plays, and tours. Participant feedback suggests that the program has far-reaching benefits as community awareness is raised regarding the needs of those with hear...