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Auditory rehabilitation of older people from the general population--the Leiden 85-plus study.
Br J Gen Pract. 2003 Jul; 53(492):536-40.BJ

Abstract

BACKGROUND

Very few older people with severe hearing loss use hearing aids to reduce the negative consequences of reduced hearing in daily functioning.

AIM

Assessment of a screening test and a standardised auditory rehabilitation programme for older people from the general population with untreated severe hearing loss.

DESIGN OF STUDY

Intervention study and qualitative exploration.

SETTING

Leiden 85-Plus Study, a prospective population-based study of 85-year-old inhabitants of Leiden, the Netherlands.

METHOD

Hearing loss was measured by pure-tone audiometry in 454 subjects aged 85 years. Subjects with hearing loss above 35 dB at 1, 2, and 4 kHz who did not use hearing aids were invited to participate in a standardised programme for auditory rehabilitation. In-depth interviews were held with participants to explore arguments for participating in this programme.

RESULTS

Of the 367 participants with severe hearing loss (prevalence = 81%), 66% (241/367) did not use a hearing aid. Three out of four of these participants (n = 185) declined participation in the auditory rehabilitation programme. The most common reason given for not participating was the subjects' feeling that their current hearing loss did not warrant the use of a hearing aid. Subjects who participated in the programme were found to suffer from more severe hearing loss and experienced more hearing disability. Those who did not participate in the programme felt they could cope with their disabilities and considered a hearing aid unnecessary.

CONCLUSION

Untreated hearing loss is prevalent among older people from the general population. The majority of older people decline auditory rehabilitation. For these people the use of a hearing aid is not perceived as necessary in order to function on a daily basis. Older people who have expected benefits from a hearing aid have already obtained them, marginalising the benefits of a rehabilitation (and screening) programme.

Authors+Show Affiliations

Section of Gerontology and Geriatrics, Department of General Internal Medicine, Leiden University Medical Centre, C-2-R, PO Box 9600, 2300 RC Leiden, The Netherlands. JGussekloo@LUMC.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

14694666

Citation

Gussekloo, Jacobijn, et al. "Auditory Rehabilitation of Older People From the General Population--the Leiden 85-plus Study." The British Journal of General Practice : the Journal of the Royal College of General Practitioners, vol. 53, no. 492, 2003, pp. 536-40.
Gussekloo J, de Bont LE, von Faber M, et al. Auditory rehabilitation of older people from the general population--the Leiden 85-plus study. Br J Gen Pract. 2003;53(492):536-40.
Gussekloo, J., de Bont, L. E., von Faber, M., Eekhof, J. A., de Laat, J. A., Hulshof, J. H., van Dongen, E., & Westendorp, R. G. (2003). Auditory rehabilitation of older people from the general population--the Leiden 85-plus study. The British Journal of General Practice : the Journal of the Royal College of General Practitioners, 53(492), 536-40.
Gussekloo J, et al. Auditory Rehabilitation of Older People From the General Population--the Leiden 85-plus Study. Br J Gen Pract. 2003;53(492):536-40. PubMed PMID: 14694666.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Auditory rehabilitation of older people from the general population--the Leiden 85-plus study. AU - Gussekloo,Jacobijn, AU - de Bont,L E, AU - von Faber,M, AU - Eekhof,J A, AU - de Laat,J A, AU - Hulshof,J H, AU - van Dongen,E, AU - Westendorp,R G, PY - 2003/12/26/pubmed PY - 2004/3/3/medline PY - 2003/12/26/entrez SP - 536 EP - 40 JF - The British journal of general practice : the journal of the Royal College of General Practitioners JO - Br J Gen Pract VL - 53 IS - 492 N2 - BACKGROUND: Very few older people with severe hearing loss use hearing aids to reduce the negative consequences of reduced hearing in daily functioning. AIM: Assessment of a screening test and a standardised auditory rehabilitation programme for older people from the general population with untreated severe hearing loss. DESIGN OF STUDY: Intervention study and qualitative exploration. SETTING: Leiden 85-Plus Study, a prospective population-based study of 85-year-old inhabitants of Leiden, the Netherlands. METHOD: Hearing loss was measured by pure-tone audiometry in 454 subjects aged 85 years. Subjects with hearing loss above 35 dB at 1, 2, and 4 kHz who did not use hearing aids were invited to participate in a standardised programme for auditory rehabilitation. In-depth interviews were held with participants to explore arguments for participating in this programme. RESULTS: Of the 367 participants with severe hearing loss (prevalence = 81%), 66% (241/367) did not use a hearing aid. Three out of four of these participants (n = 185) declined participation in the auditory rehabilitation programme. The most common reason given for not participating was the subjects' feeling that their current hearing loss did not warrant the use of a hearing aid. Subjects who participated in the programme were found to suffer from more severe hearing loss and experienced more hearing disability. Those who did not participate in the programme felt they could cope with their disabilities and considered a hearing aid unnecessary. CONCLUSION: Untreated hearing loss is prevalent among older people from the general population. The majority of older people decline auditory rehabilitation. For these people the use of a hearing aid is not perceived as necessary in order to function on a daily basis. Older people who have expected benefits from a hearing aid have already obtained them, marginalising the benefits of a rehabilitation (and screening) programme. SN - 0960-1643 UR - https://www.unboundmedicine.com/medline/citation/14694666/Auditory_rehabilitation_of_older_people_from_the_general_population__the_Leiden_85_plus_study_ L2 - https://bjgp.org/cgi/pmidlookup?view=long&pmid=14694666 DB - PRIME DP - Unbound Medicine ER -