Aural rehabilitation and challenges associated with participation and compliance
Abstract
When individuals have hearing loss, physiological changes in their brain interact with relearning of sound patterns. Some individuals utilize compensatory strategies that may result in successful hearing aid use. Others, however, are not so fortunate. Modern hearing aids can provide audibility, but may not rectify spectral and temporal resolution, susceptibility to noise interference, or degradation of cognitive skills, such as declining auditory memory and slower speed of processing associated with aging. These deficits are not identified during a typical ‘hearing aid evaluation’. Aural rehabilitation has long been advocated to enhance communication but has not been considered time or cost-effective. Home-based, interactive adaptive computer therapy programs are available which are designed to engage the adult hearing impaired listener in the hearing aid fitting process, provide listening strategies, build confidence, and address cognitive changes. Despite the availability of these programs, many patients and professionals are reluctant to engage in and complete therapy. In this presentation reasons for the lack of compliance with therapeutic options will be identified and possible solutions to maximizing participation and adherence will be offered.
References
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Anderson, S., White-Schwoch, T., Parbery-Clark, A., and Kraus, N. (2013b). “A dynamic auditory-cognitive system supports speech-in-noise perception in older adults,” Hear. Res., 300, 18-32.
Beynon G.J., Thornton, F.L., and Poole, C. (1997). “A randomized controlled trial of the efficacy of a communication course for first time hearing aid users,” Br. J. Audiol., 31, 345-351.
Cameron, C.J. (1996). “Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens,” Adv. Nurs., 24, 244-250.
Carhart, R. (1960). “Auditory Training,” in Hearing and Deafness. Edited by H. Davis and R. Silverman, 2nd ed. (Holt Rinehart and Winston, New York, NY), pp. 346-359.
Chisolm, T., Abrams, H., and McArdle, R. (2004). “Short- and long-term outcomes of adult audiological rehabilitation,” Ear. Hearing, 25, 464-477.
Crandell, C. (1991). “Individual differences in speech recognition ability: implications for hearing aid selection,” Ear. Hearing, 12, 100S-108S.
Engvig, A. (2010). “Effects of memory training on cortical thickness in the elderly,” NeuroImage, 52, 1667-1676.
Etymotic Research. (2001). QuickSIN Speech in Noise Test, v. 1.3. Elk Grove Village, IL.
Hawkins, D. (2005). “Effectiveness of counseling-based adult group aural rehabili-tation programs: a systematic review of the evidence,” J. Am. Acad. Audiol., 16, 485-493.
Henderson-Sabes, J., and Sweetow R. (2007). “Variables affecting outcome on Listening and Communication Enhancement (LACETM) training,” Int. J. Audiol., 46, 374-383.
Henshaw, H., and Ferguson, M. (2013). “Efficacy of individual computer-based auditory training for people with hearing loss: a systematic review of the evidence,” PLoS One, 8, e62836.
Hickson, L., Worrall, L., and Scarinci, N. (2007). “A randomized controlled trial evaluating the Active Communication Education program for older people with hearing impairment,” Ear. Hearing, 28, 212-230.
Kaplan, H., Bally, S., Brandt, F., Busacco, D., and Pray, J. (1997). “Communication Scale for Older Adults (CSOA),” J. Am. Acad. Audiol., 8, 203-217.
Kiessling, J., Pichora-Fuller, M.K., Gatehouse, S., Stephens, D., Arlinger, S., Chisholm, T., Davis, AC., Erber, N.P., Hickson, L., Holmes, A., Rosenhall, U., and von Wedel, H. (2003). “Candidature for and delivery of audiological services: Special needs of older people,” Int. J. Audiol., 42, S92-S101.
Killion, M. (2002). “New thinking on hearing in noise: A generalized articulation index,” Sem. Hear., 23, 57-75.
Killion, M., Niquette, P., Gudmundson, G., Revit, L., and Banerjee, S. (2004). “Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearing-impaired listeners,” J. Acoust. Soc. Am., 116, 2395-2405.
Kim, J., Gross, J., Morest, D., and Potashner, S. (2004). “Quantitative study of degeneration and new growth of axons and synaptic endings in the chinchilla cochlear nucleus after acoustic overstimulation,” J. Neurosci. Res., 15, 829-842.
Kochkin, S. (2009). “MarkeTrak VIII: 25 year trends in the hearing health market,” Hearing Review, 16, 12-31.
Kraus, N., McGee, T., Carrell, T.D., King, C., Tremblay, K., and Nicol, T. (1995). “Central auditory system plasticity associated with speech discrimination training,” J. Cogn. Neurosci., 7, 25-32.
Kraus, N., and Anderson, S. (2013). “Hearing matters: Music training: an antidote for aging?” Hearing Journal, 66, 52.
Kricos, P.B., and Holmes, A.E. (1996). “Efficacy of audiologic rehabilitation for older adults,” J. Am. Acad. Audiol., 7, 219-229.
Laplante-Lévesque, A., Hickson, L., and Worrall, L. (2012). “What makes adults with hearing impairment take up hearing aids or communication programs and achieve successful outcomes?” Ear Hearing 33, 79-93.
Lin, F., Metter, J., O’Brien, R., Resnick, S., Zonderman, A., and Ferrucci, L. (2011). “Hearing loss and incident dementia,” Arch Neurol., 68, 214-220.
Menning, H., Roberts, L.E., and Pantev, C. (2000). “Plastic changes in the auditory cortex induced by intensive frequency discrimination training,” Neuroreport, 11, 817-822.
Montgomery, A., Walden, B., Schwartz, D., and Prosek, R. (1984). “Training auditory-visual speech recognition in adults with moderate sensorineural hearing loss,” Ear Hearing, 5, 30-36.
Morest, D., Kim, J., Potashner, S., and Bohne, B. (1998). “Long-term degeneration in the cochlear nerve and cochlear nucleus of the adult chinchilla following acoustic overstimulation,” Micro. Res. Tech., 41, 205-216.
Nilsson, M., Soli, S., and Sullivan, J. (1994). “Development of the Hearing In Noise Test for the measurement of speech reception thresholds in quiet and in noise,” J. Acoust. Soc. Am., 95, 1085-1099.
Oba, S., Fu, Q., and Galvin, J. (2011). “Digit training in noise can improve cochlear implant users’ speech understanding in noise,” Ear Hearing, 32, 573-581.
Olson, A.D., Preminger, J.E., and Shinn, J.B. (2013). “The effect of LACE DVD training in new and experienced hearing aid users,” J. Am. Acad. Audiol., 24, 214-230.
Olthoff, C.M., Schouten, J.S., van de Borne, B.W., and Webers, C.A. (2005). “Non-compliance with ocular hypotensive treatment in patients with glaucoma or ocular hypertension: an evidence-based review,” Opthalmology, 112, 953-961.
Patel, A.D. (2012). “The OPERA hypothesis: assumptions and clarifications,” Ann. N. Y. Acad. Sci., 1252, 124-128.
Parbery-Clark, A., Skoe, E., and Kraus, N. (2009). “Musical experience limits the degradative effects of background noise on the neural processing of sound,” J. Neurosci., 29, 14100-14107.
Recanzone, G.H., Schreiner, C.E., and Merzenich, M.M. (1993). “Plasticity in the frequency representation of primary auditory cortex following discrimination training in adult owl monkeys,” J. Neurosci., 13, 87-103.
Ross, M. (1997). “A retrospective look at the future of aural rehabilitation,” J. Acad. Rehab. Audiol., 30, 11-28.
Rubinstein, A., and Boothroyd, A. (1987). “Effect of two approaches to auditory training on speech recognition by hearing-impaired adults,” J. Speech Hear. Res., 30, 153-160.
Song, J., Skoe, E., Banai, K., and Kraus, N. (2012). “Training to improve speech in noise: Biological mechanisms;” Cereb. Cortex, 22, 1180–1190.
Stacey, P., and Summerfield, A. (2005). “Auditory-perceptual training using a simulation of a cochlear implant system: A controlled study,” ISCA Workshop on Plasticity in Speech Perception (PSP2005), London, UK, pp. 143-145.
Stecker, G.C., Bowman, G.A., Yund, E.W., Herron, T.J., Roup, C.M., and Woods, D.L. (2006). “Perceptual training improves syllable identification in new and experienced hearing aid users,” J. Rehab. Res. Dev., 43, 537-552.
Sweetow, R.W., and Sabes, J.H. (2004). “The case for LACE, individualized listening and auditory communication enhancement training,” Hearing Journal, 57, 32-40.
Sweetow, R.W., and Palmer, C.V. (2005). “Efficacy of individual auditory training in adults: a systematic review of the evidence;” J. Am. Acad. Audiol., 16, 494-504.
Sweetow, R.W., and Sabes, J.H. (2006). “The need for and development of an adaptive Listening and Communication Enhancement (LACE) program,” J. Am. Acad. Audiol., 17, 538-558.
Sweetow, R.W., and Sabes, J.H. (2010a). “Auditory training and challenges asso-ciated with participation and compliance,” J. Am. Acad. Audiol., 21, 586-593.
Sweetow, R.W., and Sabes, J.H. (2010b). “The Communication Confidence Profile: A vital, but often overlooked domain,” Hearing Journal, 63, 17-24.
Tremblay, K., Kraus, N., Carrell, T.D., and McGee, T. (1997). “Central auditory system plasticity: generalization to novel stimuli following listening training,” J. Acoust. Soc. Am., 102, 3762–3773.
Tremblay, K., Kraus, N., and McGee, T. (1998). “The time course of auditory perceptual learning: Neurophysiological changes during speech-sound training,” Neuroreport, 9, 3557–3560.
Tremblay, K., Kraus, N., McGee, T., Ponton, C., and Otis, B. (2001). “Central auditory plasticity: Changes in the N1-P2 complex after speech-sound training,” Ear Hearing, 22, 79-90.
Vasama, J.P., and Mäkelä, J.P. (1995). “Auditory pathway plasticity in adult humans after unilateral idiopathic sudden sensorineural hearing loss,” Hear. Res., 87, 132-140.
Ventry, I., and Weinstein, B. (1982). “The hearing handicap inventory for the elderly: a new tool,” Ear Hearing, 3, 128-134.
Vincent, P. (1971). “Factors influencing patient noncompliance: a theoretical approach,” Nurs. Res., 20, 509–516.
Walden, B.E., Erdman, S.A., Montgomery, A.A., Schwartz, D.M., and Prosek, R.A. (1981). “Some effects of training on speech recognition by hearing-impaired adults,” J Speech Hear. Res., 24, 207-216.
Wayner, D.S., and Abrahamson, J.E. (1996). “Learning to hear again: An audiologic rehabilitation curriculum guide,” Hear Again, Austin, TX.
Willott, J.F., Aitkin, L.M., and McFadden, S.L. (1993). “Plasticity of auditory cortex associated with sensorineural hearing loss in adult C57BL/6J mice,” J. Comp. Neurol., 329, 402-411.
Wong, P.C., Jin, J.X., Gunasekera, G.M., Abel, R., Lee, E.R., and Dhar, S. (2009). “Aging and cortical mechanisms of speech perception in noise,” Neuropsychologia, 47, 693-703.
Wong, P.C., Ettlinger, M., Sheppard, J., Gunasekera, G., and Dhar, S. (2010). “Neuroanatomical characteristics and speech perception in noise in older adults,” Ear Hearing, 31, 471-479.
Zhang, T., Dorman, M.F., Fu, Q.J., and Spahr, A.J. (2012). “Auditory training in patients with unilateral cochlear implant and contralateral acoustic stimulation,” Ear Hearing, 33, e70-e79.
Anderson, S., White-Schwoch, T., Parbery-Clark, A., and Kraus, N. (2013b). “A dynamic auditory-cognitive system supports speech-in-noise perception in older adults,” Hear. Res., 300, 18-32.
Beynon G.J., Thornton, F.L., and Poole, C. (1997). “A randomized controlled trial of the efficacy of a communication course for first time hearing aid users,” Br. J. Audiol., 31, 345-351.
Cameron, C.J. (1996). “Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens,” Adv. Nurs., 24, 244-250.
Carhart, R. (1960). “Auditory Training,” in Hearing and Deafness. Edited by H. Davis and R. Silverman, 2nd ed. (Holt Rinehart and Winston, New York, NY), pp. 346-359.
Chisolm, T., Abrams, H., and McArdle, R. (2004). “Short- and long-term outcomes of adult audiological rehabilitation,” Ear. Hearing, 25, 464-477.
Crandell, C. (1991). “Individual differences in speech recognition ability: implications for hearing aid selection,” Ear. Hearing, 12, 100S-108S.
Engvig, A. (2010). “Effects of memory training on cortical thickness in the elderly,” NeuroImage, 52, 1667-1676.
Etymotic Research. (2001). QuickSIN Speech in Noise Test, v. 1.3. Elk Grove Village, IL.
Hawkins, D. (2005). “Effectiveness of counseling-based adult group aural rehabili-tation programs: a systematic review of the evidence,” J. Am. Acad. Audiol., 16, 485-493.
Henderson-Sabes, J., and Sweetow R. (2007). “Variables affecting outcome on Listening and Communication Enhancement (LACETM) training,” Int. J. Audiol., 46, 374-383.
Henshaw, H., and Ferguson, M. (2013). “Efficacy of individual computer-based auditory training for people with hearing loss: a systematic review of the evidence,” PLoS One, 8, e62836.
Hickson, L., Worrall, L., and Scarinci, N. (2007). “A randomized controlled trial evaluating the Active Communication Education program for older people with hearing impairment,” Ear. Hearing, 28, 212-230.
Kaplan, H., Bally, S., Brandt, F., Busacco, D., and Pray, J. (1997). “Communication Scale for Older Adults (CSOA),” J. Am. Acad. Audiol., 8, 203-217.
Kiessling, J., Pichora-Fuller, M.K., Gatehouse, S., Stephens, D., Arlinger, S., Chisholm, T., Davis, AC., Erber, N.P., Hickson, L., Holmes, A., Rosenhall, U., and von Wedel, H. (2003). “Candidature for and delivery of audiological services: Special needs of older people,” Int. J. Audiol., 42, S92-S101.
Killion, M. (2002). “New thinking on hearing in noise: A generalized articulation index,” Sem. Hear., 23, 57-75.
Killion, M., Niquette, P., Gudmundson, G., Revit, L., and Banerjee, S. (2004). “Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearing-impaired listeners,” J. Acoust. Soc. Am., 116, 2395-2405.
Kim, J., Gross, J., Morest, D., and Potashner, S. (2004). “Quantitative study of degeneration and new growth of axons and synaptic endings in the chinchilla cochlear nucleus after acoustic overstimulation,” J. Neurosci. Res., 15, 829-842.
Kochkin, S. (2009). “MarkeTrak VIII: 25 year trends in the hearing health market,” Hearing Review, 16, 12-31.
Kraus, N., McGee, T., Carrell, T.D., King, C., Tremblay, K., and Nicol, T. (1995). “Central auditory system plasticity associated with speech discrimination training,” J. Cogn. Neurosci., 7, 25-32.
Kraus, N., and Anderson, S. (2013). “Hearing matters: Music training: an antidote for aging?” Hearing Journal, 66, 52.
Kricos, P.B., and Holmes, A.E. (1996). “Efficacy of audiologic rehabilitation for older adults,” J. Am. Acad. Audiol., 7, 219-229.
Laplante-Lévesque, A., Hickson, L., and Worrall, L. (2012). “What makes adults with hearing impairment take up hearing aids or communication programs and achieve successful outcomes?” Ear Hearing 33, 79-93.
Lin, F., Metter, J., O’Brien, R., Resnick, S., Zonderman, A., and Ferrucci, L. (2011). “Hearing loss and incident dementia,” Arch Neurol., 68, 214-220.
Menning, H., Roberts, L.E., and Pantev, C. (2000). “Plastic changes in the auditory cortex induced by intensive frequency discrimination training,” Neuroreport, 11, 817-822.
Montgomery, A., Walden, B., Schwartz, D., and Prosek, R. (1984). “Training auditory-visual speech recognition in adults with moderate sensorineural hearing loss,” Ear Hearing, 5, 30-36.
Morest, D., Kim, J., Potashner, S., and Bohne, B. (1998). “Long-term degeneration in the cochlear nerve and cochlear nucleus of the adult chinchilla following acoustic overstimulation,” Micro. Res. Tech., 41, 205-216.
Nilsson, M., Soli, S., and Sullivan, J. (1994). “Development of the Hearing In Noise Test for the measurement of speech reception thresholds in quiet and in noise,” J. Acoust. Soc. Am., 95, 1085-1099.
Oba, S., Fu, Q., and Galvin, J. (2011). “Digit training in noise can improve cochlear implant users’ speech understanding in noise,” Ear Hearing, 32, 573-581.
Olson, A.D., Preminger, J.E., and Shinn, J.B. (2013). “The effect of LACE DVD training in new and experienced hearing aid users,” J. Am. Acad. Audiol., 24, 214-230.
Olthoff, C.M., Schouten, J.S., van de Borne, B.W., and Webers, C.A. (2005). “Non-compliance with ocular hypotensive treatment in patients with glaucoma or ocular hypertension: an evidence-based review,” Opthalmology, 112, 953-961.
Patel, A.D. (2012). “The OPERA hypothesis: assumptions and clarifications,” Ann. N. Y. Acad. Sci., 1252, 124-128.
Parbery-Clark, A., Skoe, E., and Kraus, N. (2009). “Musical experience limits the degradative effects of background noise on the neural processing of sound,” J. Neurosci., 29, 14100-14107.
Recanzone, G.H., Schreiner, C.E., and Merzenich, M.M. (1993). “Plasticity in the frequency representation of primary auditory cortex following discrimination training in adult owl monkeys,” J. Neurosci., 13, 87-103.
Ross, M. (1997). “A retrospective look at the future of aural rehabilitation,” J. Acad. Rehab. Audiol., 30, 11-28.
Rubinstein, A., and Boothroyd, A. (1987). “Effect of two approaches to auditory training on speech recognition by hearing-impaired adults,” J. Speech Hear. Res., 30, 153-160.
Song, J., Skoe, E., Banai, K., and Kraus, N. (2012). “Training to improve speech in noise: Biological mechanisms;” Cereb. Cortex, 22, 1180–1190.
Stacey, P., and Summerfield, A. (2005). “Auditory-perceptual training using a simulation of a cochlear implant system: A controlled study,” ISCA Workshop on Plasticity in Speech Perception (PSP2005), London, UK, pp. 143-145.
Stecker, G.C., Bowman, G.A., Yund, E.W., Herron, T.J., Roup, C.M., and Woods, D.L. (2006). “Perceptual training improves syllable identification in new and experienced hearing aid users,” J. Rehab. Res. Dev., 43, 537-552.
Sweetow, R.W., and Sabes, J.H. (2004). “The case for LACE, individualized listening and auditory communication enhancement training,” Hearing Journal, 57, 32-40.
Sweetow, R.W., and Palmer, C.V. (2005). “Efficacy of individual auditory training in adults: a systematic review of the evidence;” J. Am. Acad. Audiol., 16, 494-504.
Sweetow, R.W., and Sabes, J.H. (2006). “The need for and development of an adaptive Listening and Communication Enhancement (LACE) program,” J. Am. Acad. Audiol., 17, 538-558.
Sweetow, R.W., and Sabes, J.H. (2010a). “Auditory training and challenges asso-ciated with participation and compliance,” J. Am. Acad. Audiol., 21, 586-593.
Sweetow, R.W., and Sabes, J.H. (2010b). “The Communication Confidence Profile: A vital, but often overlooked domain,” Hearing Journal, 63, 17-24.
Tremblay, K., Kraus, N., Carrell, T.D., and McGee, T. (1997). “Central auditory system plasticity: generalization to novel stimuli following listening training,” J. Acoust. Soc. Am., 102, 3762–3773.
Tremblay, K., Kraus, N., and McGee, T. (1998). “The time course of auditory perceptual learning: Neurophysiological changes during speech-sound training,” Neuroreport, 9, 3557–3560.
Tremblay, K., Kraus, N., McGee, T., Ponton, C., and Otis, B. (2001). “Central auditory plasticity: Changes in the N1-P2 complex after speech-sound training,” Ear Hearing, 22, 79-90.
Vasama, J.P., and Mäkelä, J.P. (1995). “Auditory pathway plasticity in adult humans after unilateral idiopathic sudden sensorineural hearing loss,” Hear. Res., 87, 132-140.
Ventry, I., and Weinstein, B. (1982). “The hearing handicap inventory for the elderly: a new tool,” Ear Hearing, 3, 128-134.
Vincent, P. (1971). “Factors influencing patient noncompliance: a theoretical approach,” Nurs. Res., 20, 509–516.
Walden, B.E., Erdman, S.A., Montgomery, A.A., Schwartz, D.M., and Prosek, R.A. (1981). “Some effects of training on speech recognition by hearing-impaired adults,” J Speech Hear. Res., 24, 207-216.
Wayner, D.S., and Abrahamson, J.E. (1996). “Learning to hear again: An audiologic rehabilitation curriculum guide,” Hear Again, Austin, TX.
Willott, J.F., Aitkin, L.M., and McFadden, S.L. (1993). “Plasticity of auditory cortex associated with sensorineural hearing loss in adult C57BL/6J mice,” J. Comp. Neurol., 329, 402-411.
Wong, P.C., Jin, J.X., Gunasekera, G.M., Abel, R., Lee, E.R., and Dhar, S. (2009). “Aging and cortical mechanisms of speech perception in noise,” Neuropsychologia, 47, 693-703.
Wong, P.C., Ettlinger, M., Sheppard, J., Gunasekera, G., and Dhar, S. (2010). “Neuroanatomical characteristics and speech perception in noise in older adults,” Ear Hearing, 31, 471-479.
Zhang, T., Dorman, M.F., Fu, Q.J., and Spahr, A.J. (2012). “Auditory training in patients with unilateral cochlear implant and contralateral acoustic stimulation,” Ear Hearing, 33, e70-e79.
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2013-12-15
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Sweetow, R. (2013). Aural rehabilitation and challenges associated with participation and compliance. Proceedings of the International Symposium on Auditory and Audiological Research, 4, 189–200. Retrieved from https://proceedings.isaar.eu/index.php/isaarproc/article/view/2013-20
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2013/4. Hearing rehabilitation with hearing aids and cochlear implants
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