The Experience of Hearing Impairment

听力障碍的经历

基本信息

批准号：
7090843
负责人：
Margaret Ingrid Wallhagen
金额：
$ 45.4万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-09-15 至 2008-12-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Hearing impairment ranks among the top four chronic conditions experienced by older adults, and rapidly increases with age; 50% of those aged 85 and over report hearing impairment. Hearing impairment alters one's ability to communicate with others, and data consistently demonstrate its negative impact on psychosocial and physical functioning. However, although hearing impairment can alter long standing relationships and mandate re-negotiation of roles and communication patterns, minimal data are available on the experience of hearing impairment in older adults and their communication partners (CPs) (partner/spouse/caregiver). To address this critical gap in our understanding, this longitudinal qualitative study with a naturalistic (non-manipulated) intervention will investigate the experience and consequences (psychosocial, functional, clinical) of hearing impairment for community dwelling hearing impaired elders (aged 60 and over) and their CPs across one year. One hundred dyads will be recruited from participating audiology clinics when they make a first time appointment for a hearing assessment and evaluation for a hearing aid. Interviews will occur before the hearing assessment (T1), at 3 months post assessment and hearing aid recommendation (T2), and again at 12 months (T3). Through in-depth interviews the meaning of heating impairment, its effects on salient aspects of each partner's life, and its effects on each partner's psychosocial, functional, and clinical status will be explored at each data collection point. In addition, factors that facilitate or hinder adaptation to a hearing aid and processes by which roles and relationships are re-negotiated will also be investigated. Post hearing assessment interviews will explore the processes by which changes (if any) have occurred as a result of a hearing aid. Select quantitative data on the effects of hearing impairment will be collected to augment the qualitative data and allow for triangulation of methods. This study will fill a critical gap in our understanding of the experience of hearing impairment: it will inform health professionals regarding this meaning of hearing impairment and how older adults and their CPs manage this chronic condition within the context of their on-going lives, and will underpin the development of targeted interventions to facilitate adaptation to hearing impairment and thereby enhance quality of life.

描述（由申请人提供）：听力障碍是老年人经历的前四个慢性条件中的排名，并且随着年龄的增长而迅速增加； 85岁及以上报告听力障碍的人中有50％。听力障碍改变了一个人与他人交流的能力，数据始终显示出其对社会心理和身体机能的负面影响。但是，尽管听力障碍可以改变长期存在的关系，并要求对角色和沟通方式进行重新谈判，但对于老年人及其沟通伙伴（CPS）（合作伙伴/配偶/照顾者）的听力障碍的经验可获得最少的数据。为了解决我们理解的这一关键差距，这项纵向定性研究对自然主义（非操纵）干预措施将调查针对社区住宅听力受损的长者（60岁及60岁及以上）和CPS的经验和后果（心理社会，功能，临床，临床）。首次预约听力评估和助听器评估时，将从参与听力学诊所招募一百个二元组。访谈将在听力评估（T1）之前，评估后3个月（T2）以及12个月（T3）进行。通过深入访谈，将在每个数据收集点探索加热障碍的含义，其对每个伴侣生活显着方面的影响及其对每个伴侣的心理社会，功能和临床状况的影响。此外，还将研究促进或阻碍对助听器的适应性以及重新谈判角色和关系的过程的因素。听证后评估访谈将探讨助听器造成的变化（如果有的话）的过程。将收集有关听力障碍影响的选择定量数据，以增强定性数据并允许进行三角测量。这项研究将填补我们对听力障碍经历的理解的关键空白：它将在卫生专业人员的持续生活中为卫生专业人员提供这种听力障碍的含义，以及老年人及其CPS如何管理这种慢性状况，并将基于针对性的干预措施的发展，以促进对听力障碍的适应，并增强生活质量的质量。