TY - JOUR
T1 - Hearing Disabilities and the Effectiveness of Rehabilitation in Different Age Groups
AU - Jolink, Casper
AU - Lansbergen, Simon E.
AU - Dreschler, Wouter A.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - OBJECTIVE: To assess differences in hearing disabilities between different age groups and the effectiveness of rehabilitation with hearing aids. STUDY DESIGN: Retrospective chart review. SETTING: First line hearing aid dispensers. PATIENTS: First-time hearing aid users divided in a younger group aged 18 to 65 years (119 subjects) and an elderly group aged 70 years and older (213 subjects). INTERVENTION(S): Rehabilitative. MAIN OUTCOME MEASURE(S): Weighted pure tone averages (PTA) were calculated using the binaural impairment model. The patient-reported outcome measures (PROMs) Amsterdam Questionnaire for Auditory Disabilities (AVAB), and client oriented scale of improvement (COSI) were collected pre- and post-fitting. To analyze whether age group, weighted PTA, and type of auditory dimension influences AVAB, linear regression and two-way ANalysis Of VAriance models were used. RESULTS: The weighted PTA of the young group was significantly lower than of the elderly group. In the regression model differences between age groups were found to be significant for pre-AVAB and for AVAB benefit. The two-way ANalysis Of VAriance showed that the effect of age on pre- and post-AVAB scores was not influenced by PTA or the type of auditory dimension. CONCLUSIONS: Younger first-time hearing aid users experience more auditory disabilities, despite better hearing levels than their elderly counterparts. Their disabilities are rehabilitated more effectively by hearing aids.
AB - OBJECTIVE: To assess differences in hearing disabilities between different age groups and the effectiveness of rehabilitation with hearing aids. STUDY DESIGN: Retrospective chart review. SETTING: First line hearing aid dispensers. PATIENTS: First-time hearing aid users divided in a younger group aged 18 to 65 years (119 subjects) and an elderly group aged 70 years and older (213 subjects). INTERVENTION(S): Rehabilitative. MAIN OUTCOME MEASURE(S): Weighted pure tone averages (PTA) were calculated using the binaural impairment model. The patient-reported outcome measures (PROMs) Amsterdam Questionnaire for Auditory Disabilities (AVAB), and client oriented scale of improvement (COSI) were collected pre- and post-fitting. To analyze whether age group, weighted PTA, and type of auditory dimension influences AVAB, linear regression and two-way ANalysis Of VAriance models were used. RESULTS: The weighted PTA of the young group was significantly lower than of the elderly group. In the regression model differences between age groups were found to be significant for pre-AVAB and for AVAB benefit. The two-way ANalysis Of VAriance showed that the effect of age on pre- and post-AVAB scores was not influenced by PTA or the type of auditory dimension. CONCLUSIONS: Younger first-time hearing aid users experience more auditory disabilities, despite better hearing levels than their elderly counterparts. Their disabilities are rehabilitated more effectively by hearing aids.
UR - http://www.scopus.com/inward/record.url?scp=85096079846&partnerID=8YFLogxK
U2 - https://doi.org/10.1097/MAO.0000000000002719
DO - https://doi.org/10.1097/MAO.0000000000002719
M3 - Article
C2 - 33169948
SN - 1531-7129
VL - 41
SP - e982-e988
JO - Otology & neurotology
JF - Otology & neurotology
IS - 8
ER -