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Hearing Aids and Auditory Rehabilitation
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
While some are completely satisfied with the help provided by hearing aids, others have needs which cannot be fully met by them. Support for people with hearing loss may be provided by an aural rehabilitation specialist such as a hearing therapist or specialist clinical psychologist. For many, the experience of losing hearing goes far beyond the frustration of mishearing speech. It can necessitate changes in lifestyle, both at work and at leisure, make conversation effortful and tiring and profoundly alter one's sense of identity. Couples often feel that hearing loss places a strain on their relationship. Those having difficulty adjusting to life with hearing loss may well benefit from an opportunity to discuss their feelings and explore ways of coping with a rehabilitation specialist. A group in particular need of urgent referral to rehabilitation services are those who develop sudden hearing loss; they often report feelings of utter bewilderment and confusion. In a medical emergency, it is easy for emotional needs to be neglected, but timely emotional support is just as important as prompt medical treatment.
The Role of the Audiologist in Life Care Planning
Published in Roger O. Weed, Debra E. Berens, Life Care Planning and Case Management Handbook, 2018
William D. Mustain, Carolyn Wiles Higdon
For the vast majority of hearing impaired individuals successful aural rehabilitation includes the fitting of a personal hearing aid of a type previously described. However, for a small segment of the hearing impaired population, the degree of hearing loss and/or the presence of certain ear anomalies may preclude the use of a traditional hearing aid. For these individuals an implantable hearing device such as a cochlear implant, a brain stem implant, or a bone anchored hearing device may be indicated.
Beyond Hearing Aids: An overview of Adult Audiological Rehabilitation
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Hearing aids are often seen as the mainstay of adult audiological rehabilitation, and their benefits are undeniable. However, they are far from being a panacea. While some patients attend hearing services seeking hearing aids and are satisfied with the help they provide, others have needs which cannot be met by amplification alone. This chapter gives an overview of approaches to aural rehabilitation other than hearing aid fitting and provides guidelines about when they may be needed.
A randomised controlled clinical trial to assess the benefits of a telecare tool delivered prior to the initial hearing assessment
Published in International Journal of Audiology, 2023
D. W. Maidment, E. Heffernan, M. A. Ferguson
Adult aural rehabilitation typically involves an initial hearing assessment followed by the fitting of hearing aids (i.e. sensory management). Hearing aids have been shown to effectively improve listening abilities and quality of life in adults with hearing loss (Ferguson et al. 2017). Nevertheless, hearing aid take-up and adherence is low; it is estimated that two out of three adults who would benefit from hearing aids do not access them (Chia et al. 2007; Davis et al. 2007; Hartley et al. 2010). In addition, up to 24% of individuals with mild to moderate hearing loss who take-up hearing aids do not use them (Ferguson et al. 2017). Reasons for hearing aid non-use and suboptimal-use include poor attitudes towards and acceptance of hearing loss, low self-reported activity limitations and participation restrictions, reduced self-efficacy to manage hearing loss and use hearing aids, as well as a lack of financial and social support (Knudsen et al. 2010; Meyer and Hickson 2012; McCormack and Fortnum 2013; Bennett et al. 2018). Given that the factors influencing hearing aid take-up and adherence are diverse and multifaceted, it has been argued that a holistic, patient-centred approach to hearing healthcare should be adopted, as opposed to one that focuses solely on sensory management (Boothroyd 2007). As such, it is advocated that additional strategies, such as patient education, auditory-cognitive training, and counselling are also necessary to help individuals successfully manage their hearing loss (Boothroyd 2007; Davis et al. 2016; Ferguson et al. 2019).
Cost-effectiveness analysis on implementing newborn hearing screening programmes in a low- to middle-income country
Published in International Journal of Audiology, 2023
Pittayapon Pitathawatchai, Sitthichok Chaichulee, Wirawan Wannaro, Patchanok Pongprawat
A decision tree model (Supplementary material) was created with an Excel spreadsheet (Microsoft, Redmond, WA). Three protocols were created, including UNHS, targeted newborn hearing screening (TNHS) for high-risk infants and no screening protocols. Screening, diagnostic and intervention stages were constructed following the UNHS and TNHS protocols. In the diagnostic stage, auditory brainstem response with auditory steady-state response (ABR/ASSR) tests, tympanometry and diagnostic otoacoustic emissions were used. In the intervention stage, hearing aids and a cochlear implant with ongoing aural rehabilitation were the main treatments. The time horizon for the calculation of all costs and health effects from a societal perspective in the model was 78 years based on the average life expectation of a Thai citizen in 2019 (WHO 2020).
Speech perception abilities of adult cochlear implant listeners with single-sided deafness vs. bilateral hearing loss
Published in Cochlear Implants International, 2022
Douglas P. Sladen, Daniel M. Zeitler
The aim of this study was to compare speech perception abilities between adult CI listeners implanted for BSNHL to those implanted for SSD. The outcomes of this research are important to the field since they inform our counseling related to expectations of prospective patients. In other words, the results of this study provide objective evidence for speech perception outcomes patients might expect following cochlear implantation. Data from this study are also important to guide aural rehabilitation. That is, data from this study may be useful in building aural rehabilitation strategies to remediate perceptual difficulties of patients with SSD who undergo CI. Having a deeper understanding of the systematic feature errors seen in these patients may assist aural rehabilitation providers in developing goals and activities to repair those errors.