Factors that Contribute to Hearing Handicap and Hearing Loss Treatment Decisions of Older Adults

影响老年人听力障碍和听力损失治疗决策的因素

• 批准号: 10202554
• 负责人: Katrina McClannahan
• 金额: $ 12.09万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-12 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10202554
• 关键词: Accounting; Adoption; Adult; Affect; Alzheimer' s Disease; Attention; Attitude; Auditory; Auditory Perception; Auditory Threshold; Auditory system; Behavior; Chronic; Cognition; Communication; Complex; Dementia; Development; Devices; Elderly; Equation; Exhibits; Goals; Health; Health behavior; Healthcare; Hearing; Hearing Aids; Impaired cognition; Impairment; Individual; Individual Differences; Lead; Life; Literature; Logistic Regressions; Medical; Mental Depression; Mental Health; Modeling; Modification; Motivation; Neurotic Disorders; Noise; Outcome Measure; Patient Self-Report; Patients; Pattern; Peripheral; Personal Satisfaction; Personality; Personality Traits; Play; Procedures; Psychological Factors; Quality of life; Recommendation; Rehabilitation therapy; Reporting; Research; Risk; Role; Sampling; Severities; Short-Term Memory; Social isolation; Structure; Techniques; Technology; Test Result; Training; United States; adjudicate; aural rehabilitation; cognitive ability; compliance behavior; diabetes self-management; expectation; falls; handicapped aid; hearing impairment; hearing loss treatment; human old age (65+); improved; individual variation; medication compliance; middle ear; noise perception; programs; satisfaction; speech in noise; treatment planning

PROJECT SUMMARY/ABSTRACT Recommendation for treatment of hearing loss with hearing aids is usually driven by results of tests of auditory thresholds, middle ear function, and word recognition, which provide the audiologist with an accurate picture of peripheral and central auditory system function. However, only an estimated 20- 30% of individuals identified as hearing-aid candidates, report using them 1. Hearing handicap, which is only moderately correlated with hearing loss, is a better predictor of who may need and benefit from hearing aids 2, 3. However, the factors that contribute to self-reported hearing handicap are not well understood. Research regarding hearing loss treatment is primarily focused on hearing-related (e.g., elevated thresholds, reduced speech-in-noise perception) or device-related (e.g., compression strategies, noise reduction technology) factors, with fewer studies, focused on the effects of individual differences in psychological factors, such as personality and cognitive abilities. The current study proposes to use advanced statistical techniques to investigate how individual differences in personality and cognition contribute to and define the construct of hearing handicap, and determine how hearing loss, hearing handicap, cognition, and personality influence hearing aid use. Results from this program of research will inform the development of more comprehensive and effective hearing healthcare treatment options for the growing number of older adults with hearing handicap across the United States.

项目概要/摘要 使用助听器治疗听力损失的建议通常是根据以下测试结果得出的： 听觉阈、中耳功能和单词识别，为听力学家提供了 准确了解周围和中枢听觉系统的功能。然而，估计只有 20- 30% 被确定为助听器候选者的人报告使用助听器 1. 听力障碍，这 与听力损失仅中度相关，可以更好地预测谁可能需要和受益 来自助听器 2, 3。然而，导致自我报告的听力障碍的因素并不 很好理解。关于听力损失治疗的研究主要集中在与听力相关的 （例如，提高阈值、降低噪声中的语音感知）或与设备相关（例如，压缩 策略、降噪技术）因素，研究较少，侧重于个体的影响 心理因素的差异，例如性格和认知能力。目前的研究 提议使用先进的统计技术来研究个体差异如何 人格和认知有助于并定义听力障碍的结构，并决定 听力损失、听力障碍、认知和性格如何影响助听器的使用。结果 该研究计划将为开发更全面、更有效的 为越来越多患有听力障碍的老年人提供听力保健治疗选择 遍布美国各地。