A home education program for older adults with hearing impairment and their significant others: A randomized trial evaluating short- and long-term effects

Sophia E. Kramer, G. Hella M Allessie, Agaath W. Dondorp, Adriana A. Zekveld, Theo S. Kapteyn

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98 Citations (Scopus)


This paper addresses the development and effectiveness of a home education program. The program, designed for hearing-impaired elders and their significant others (SO), deals with communication strategies and speech reading. Participants were randomly assigned to a training group (hearing aid fitting + home education program) or a control group (hearing aid fitting). The training group included 24 hearing-impaired subjects and 24 SO's. Controls were 24 affected individuals and 22 SO's. Questionnaires addressing emotional response, communication strategies and the IOI-HA, IOI-AI and IOI-SO were used. A repeated measures analysis of variance was applied to test group differences between pre. post, and 6-months follow-up measures. Increased awareness of benefits of speech reading and improved interaction with the SO were observed in the training group only (p < 0.05). No group difference on 'emotional response' was found. IOI-AI and IOI-SO demonstrated favorable attitudes towards the program. Follow-up measures showed improved quality of life and satisfaction in the training group, while a decrease was observed among the controls (p < 0.05). Some effects differed between first-time and experienced hearing aid users. Addition of services to amplification and involvement of the SO are relevant in aural rehabilitation.

Original languageEnglish
Pages (from-to)255-264
Number of pages10
JournalInternational Journal of Audiology
Issue number5
Publication statusPublished - 1 May 2005


  • Communication strategies
  • Emotional response
  • Follow-up
  • Hearing loss
  • Home education program
  • IOI
  • Rehabilitation
  • Significant other
  • Treatment effectiveness

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