Counseling Adolescents With Hearing Loss Using a Narrative Therapy Approach

2009 ◽  
Vol 19 (2) ◽  
pp. 72-78
Author(s):  
Rebecca L. Nelson Crowell ◽  
Julie Hanenburg ◽  
Amy Gilbertson
Keyword(s):  
Hearing Loss ◽  
Process Evaluation ◽  
Narrative Therapy ◽  
Daily Life ◽  
Hearing Aid ◽  
Self Esteem ◽  
Therapy Approach ◽  
Self Worth ◽  
Counseling Adolescents

Abstract Audiologists have a responsibility to counsel patients with auditory concerns on methods to manage the inherent challenges associated with hearing loss at every point in the process: evaluation, hearing aid fitting, and follow-up visits. Adolescents with hearing loss struggle with the typical developmental challenges along with communicative challenges that can erode one's self-esteem and self-worth. The feeling of “not being connected” to peers can result in feelings of isolation and depression. This article advocates the use of a Narrative Therapy approach to counseling adolescents with hearing loss. Adolescents with hearing loss often have problem-saturated narratives regarding various components of their daily life, friendships, amplification, academics, etc. Audiologists can work with adolescents with hearing loss to deconstruct the problem-saturated narratives and rebuild the narratives into a more empowering message. As the adolescent retells their positive narrative, they are likely to experience increased self-esteem and self-worth.

Longitudinal Study of Hearing Aid Effectiveness. I

1993 ◽  
Vol 36 (4) ◽  
pp. 808-819 ◽  
Author(s):  
Ruth A. Bender ◽  
Diane P. Niebuhr ◽  
Janet P. Getta ◽  
Charles V. Anderson
Keyword(s):  
Hearing Loss ◽  
Longitudinal Study ◽  
Nonsense Syllable ◽  
Hearing Aid ◽  
Aid Effectiveness ◽  
Training Effect ◽  
Speech Perception In Noise ◽  
Objective Tests ◽  
Recognition Testing

This report is the first of two detailing a longitudinal follow-up of hearing aid users. Sixty-five subjects were followed for 12 months post-hearing aid fitting. Objective tests included insertion gain, the Speech Perception in Noise (SPIN) test (Kalikow, Stevens & Elliott, 1977; Bilger, Neutzel, Rabinowitz, & Rzeczkowski, 1984) and the Nonsense Syllable Test (NST) (Levitt & Resnick, 1978) presented in quiet and noise backgrounds. Initially each subject’s hearing aid was fit to the revised National Acoustic Laboratories prescriptive formula (NAL-R) (Byrne & Dillon, 1986) using insertion gain measures. Use gain, measured at 6 and 12 months post-fitting, indicated that subjects generally used those prescribed values, except for subjects in the steeply sloping configuration subgroup. The NST and SPIN tests were administered at the fitting and at 1, 3, 6, and 12 months post-fitting. No change in performance, or training effect, was found for the group or for factors of experience, degree of hearing loss, configuration of hearing loss, use time, or circuit type. Failure to demonstrate a training effect may be attributed, in part, to the fact that initial speech recognition testing was done with the hearing aid volume set at the prescribed values. None of the circuits used showed performance superiority, except when comparing scores for the NST obtained in a quiet background to those obtained in a background of speech-weighted noise. In that comparison, the users of adaptive filter circuits exhibited less deterioration of performance in a noise background.

Physical self-esteem – a ten-year follow-up study from early adolescence to early adulthood

2015 ◽  
Vol 27 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Anders Raustorp ◽  
Magnus Lindwall
Keyword(s):  
Physical Activity ◽  
Longitudinal Design ◽  
Early Adulthood ◽  
Self Esteem ◽  
Physical Strength ◽  
Body Attractiveness ◽  
Significant Difference ◽  
Self Worth ◽  
The Impact

Abstract Introduction: One variable that has been consistently associated with adolescents’ physical activity is perceived activity competence. Perceived physical (or sport) competence is considered a sub-domain to the physical self-esteem or self-worth (i.e., a person’s valuation of what is good and worthy in their self-description). Objective: This study aimed to describe levels of and inter-correlations among physical self-esteem, physical activity, and body mass index in a longitudinal design spanning adolescence to early adulthood. Materials and methods: At mean ages of 12.7, 15.7, 17.7 and 22.7 years, we measured perceived physical self-esteem in 39 (22 boys) Swedish adolescents. Physical activity (steps/day) for four consecutive schooldays, height, and weight were also measured. Results: No significant difference between the four time points for any variable of perceived physical self-esteem was seen, neither in boys nor girls. In general, all physical self-variables revealed non-linear trajectories across time, where the general trend was an increase during the younger ages followed by a decrease during older ages. At ages 12 and 15 years in boys and girls physical condition and physical strength as well as body attractiveness and physical strength, respectively, had the strongest correlations to physical self-esteem. At age 17 and 22 years sports competence had the strongest correlation to self-esteem in girls, while body attractiveness and physical strength had the strongest correlation to self-esteem in boys. Conclusion: An overall stability in physical self-esteem was found. However the impact of a sub-domain upon physical self-esteem vary during adolescence and early adulthood. Such information may be useful when creating physical activity programs that support and develop physical self-esteem.

scholarly journals Auditory rehabilitation based on auditory verbal therapy approach on children with bilateral sensory-neural hearing loss

2020 ◽  
Author(s):  
Majid Haddadi Aval ◽  
Fatemeh Abdollahi ◽  
Sadegh Jafarzadeh
Keyword(s):  
Hearing Loss ◽  
Hearing Aid ◽  
Receptive Language ◽  
Therapy Approach ◽  
Auditory Rehabilitation ◽  
Developmental Scale ◽  
Children With Hearing Loss ◽  
Sensory Neural ◽  
Auditory Verbal Therapy ◽  
Sensory Neural Hearing Loss

Background and Aim: Auditory rehabilitation is an essential step after hearing aid fitting for children with hearing loss. The aim of this study was to evaluate the auditory rehabilitation results based on auditory verbal therapy approach in children with severe to profound sensory-neural hearing loss. Auditory verbal therapy is a popular approach for rehabilitation children with hearing loss. Methods: This is a retrospective study that eva­luates the results of auditory rehabilitation of 19 children with severe to profound hearing loss. Most children were about three years old at the beginning of the rehabilitation process. They were received bilateral hearing aid and auditory rehabilitation based on auditory verbal therapy (AVT) approach. Each case progress was meas­ured by Newsha developmental scale. Results: All of the children showed progress during the AVT program (p < 0.05). The Newsha developmental scale showed that hearing and receptive language categories had more progress. The progress was similar between male and female participants and there was no difference in all of categories (p > 0.05). Conclusion: The AVT approach is beneficial for rehabilitation of older children with bilateral sev­ere to profound sensory-neural hearing loss.  The progress was observed in all categories of Newsha developmental scale. Keywords: Auditory rehabilitation; auditory verbal therapy approach; hearing-impaired

scholarly journals Longitudinal Tracking of Sound Exposure and Hearing Aid Usage through Objective Data Logs

2018 ◽  
Vol 159 (1) ◽  
pp. 110-116
Author(s):  
John B. Doyle ◽  
Rohit R. Raghunathan ◽  
Ilana Cellum ◽  
Gen Li ◽  
Justin S. Golub
Keyword(s):  
Hearing Loss ◽  
Pure Tone ◽  
Hearing Aid ◽  
Medical Center ◽  
Academic Medical Center ◽  
Case Series ◽  
Data Logging ◽  
Sound Exposure ◽  
Pure Tone Average

Objective To use data-logging technology to objectively track and identify predictors of hearing aid (HA) usage and aided sound exposure. Study Design Case series with planned data collection. Setting Tertiary academic medical center. Subjects and Methods Individuals with HAs between 2007 and 2016 were included (N = 431; mean, 74.6 years; 95% CI, 73.1-76.0). Data-logging technology intrinsic to new-generation HAs was enabled to track usage and sound exposure. With multivariable linear regression, age, sex, number of audiology visits, duration of audiologic follow-up, pure tone average, and HA side were assessed as predictors of usage (hours/day) and aided sound exposure (dB-hours/day; ie, “dose” of sound per day). Results Mean follow-up was 319 days (95% CI, 277-360). Mean HA usage was 8.4 hours/day (95% CI, 8.0-8.8; N = 431). Mean aided sound exposure was 440 dB-hours/day (95% CI, 385-493; n = 110). HA use (β < 0.001, P = .45) and aided sound exposure (β = −0.006, P = .87) were both stable over time. HA usage was associated only with hearing loss level (pure tone average; β = 0.030, P = .04). Aided sound exposure was associated only with duration of audiologic follow-up (β = 0.100, P = .02). Conclusion While measurement of HA use has traditionally relied on subjective reporting, data logging offers an objective tool to longitudinally track HA use and sound exposure. We demonstrate the feasibility of using this potentially powerful research tool. Usage and sound exposure were stable among patients throughout the study period. Use was greater among subjects with greater hearing loss. Maximizing aided sound exposure might be possible through continued audiology follow-up visits.

Follow-Up Care for Pediatric Hearing Aid Users at an Audiology Clinic in Malawi

2020 ◽  
Vol 5 (6) ◽  
pp. 1809-1812
Author(s):  
Helen Brough ◽  
Tiwaope Kachaje
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Low Income ◽  
Negative Impact ◽  
Hearing Aid ◽  
Face To Face ◽  
Low Income Country ◽  
Follow Up Care ◽  
Children With Hearing Loss

Purpose Hearing loss can have a negative impact on a child's development. Hearing aids, if fitted appropriately, maintained well, and used regularly, can offer benefit to children with hearing loss. Regular reviews of hearing aid users can help to monitor a child's progress and provide timely intervention when problems arise or needs change. This study investigates the follow-up care received by children fitted with hearing aids at a clinic in Malawi. Method A clinical audit was done of the frequency of face-to-face follow-up appointments, following which all pediatric hearing aid users who had not recently received follow-up care were called to invite them for a review, and then a re-audit was conducted. Results Of the 47 children in the audit, 46 had not had a recent face-to-face follow-up appointment. Strenuous efforts were made to call those 46 children to the clinic for review: 20 caregivers agreed to bring their child for review, 10 of whom attended. It was not possible to contact 24 caregivers. Conclusions Reasons for low attendance for review at this service are not known, but may be related to the financial circumstances of the patients' families as well as difficulty in maintaining contact with families. It has not yet been possible to establish a system for routine follow-up care for pediatric hearing aid users at this well-established clinic in a low-income country.

SHORT TERM DURABILITY OF A COGNITIVE BEHAVIOURAL INTERVENTION IN PSYCHOSIS: EFFECTS FROM A PILOT STUDY

2004 ◽  
Vol 32 (1) ◽  
pp. 117-121 ◽  
Author(s):  
Pauline L. Hall ◽  
Nicholas Tarrier
Keyword(s):  
Pilot Project ◽  
Self Esteem ◽  
Psychotic Symptoms ◽  
Future Research ◽  
Small Scale ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Self Worth ◽  
Cognitive Behavioural Intervention

Low self-esteem in psychosis is common and has been found to be significantly related to a number of clinical variables and to symptom severity. This report describes the follow-up evaluation of a simple time-limited cognitive behavioural intervention aimed to improve feelings of low self-worth in the treatment of psychotic symptoms. A previous small scale pilot project found encouraging results for the efficacy of the novel intervention following its delivery and at 3-month follow-up. This report examines the benefits of the technique at 12 months following delivery of the intervention. These preliminary results suggest that the intervention may promote improved levels of self-esteem, psychotic symptomatology and social functioning over the longer term. Implications for practice and future research are discussed.

Counseling Adolescents with Hearing Loss with the Use of Self-Assessment/Significant Other Questionnaires

2003 ◽  
Vol 14 (09) ◽  
pp. 485-499 ◽  
Author(s):  
Judy Elkayam ◽  
Kris English
Keyword(s):  
Hearing Loss ◽  
Peer Relationships ◽  
Social Impact ◽  
Significant Other ◽  
Use Of Self ◽  
Self Assessment ◽  
Item Questionnaire ◽  
Age Appropriate ◽  
Counseling Adolescents

After adapting a pair of adult Self-Assessment/Significant Other questionnaires, the first author explored the value of the modified questionnaires in providing counseling to adolescents with hearing loss. Twenty adolescents with hearing loss served as subjects; peers with normal hearing were selected as their Significant Other to capitalize on the importance of peer relationships and opinions during adolescence. Each dyad completed a 12-item questionnaire designed to explore the communicative, emotional, and social impact of hearing loss. Responses to each pair of questionnaires were reviewed by the adolescent and the audiologist and served as a basis for counseling. Subsequent dialogues revealed recurring themes as the teens attempted to face age-appropriate developmental challenges as individuals with hearing loss. Based on their responses to a follow-up questionnaire, most of the adolescents found the counseling process beneficial.

Adult Hearing Screening: Follow-Up and Outcomes1

2013 ◽  
Vol 22 (1) ◽  
pp. 183-185 ◽  
Author(s):  
C. Thodi ◽  
M. Parazzini ◽  
S. E. Kramer ◽  
A. Davis ◽  
S. Stenfelt ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Pure Tone ◽  
Hearing Aid ◽  
Pure Tone Audiometry ◽  
Hearing Screening ◽  
Community Dwelling ◽  
The People ◽  
Medical Evaluation ◽  
Cerumen Removal

Purpose To screen hearing and evaluate outcomes in community-dwelling older adults. Method Three thousand and twenty-five adults responded to an invitation to be screened by questionnaire, otoscopy, and pure-tone audiometry. Pure-tone average (PTA) >35 dB HL in the worse ear, unilateral hearing loss, or otoscopic findings were the criteria for referral for services. A questionnaire related to compliance with referral recommendations was completed by telephone interview for 160 randomly selected participants after 1–2 years from referral. Results The referral rate for audiologic/hearing aid evaluation was 46%, and referral for cerumen removal/medical evaluation was 17%. Of the people referred for audiologic/hearing aid evaluation, 18% tried a hearing aid; 2 years later, 11% were using a hearing aid. Screening recommendations affected participants' decision to seek help. Study participants stated that the screening was helpful, it should be offered to everybody, and they would participate in future screenings. Conclusion Although adult hearing screening offered timely identification of hearing loss for adults seeking help, follow-up with hearing aid treatment was low.

Factors Affecting Hearing Aid Adoption and Use: A Qualitative Study

2018 ◽  
Vol 29 (04) ◽  
pp. 300-312 ◽  
Author(s):  
Nicola E. Gallagher ◽  
Jayne V. Woodside
Keyword(s):  
Hearing Loss ◽  
Older People ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Categorical Variables ◽  
Factors Affecting ◽  
Hearing Aid Use ◽  
Age Related ◽  
The Difference

AbstractDespite a high prevalence of age-related hearing loss in older people, there is an unexplained low level of hearing aid adoption and use. Further research is required to determine the reason because hearing aids can vastly improve the quality of life for those with hearing loss.The aim of this study was to explore factors associated with hearing aid adoption and use, and to determine whether these differed between groups with different hearing aid use behaviors.Individual face-to-face semistructured interviews.Three groups of older people with hearing loss in Northern Ireland were recruited: (1) regular hearing aid users (n = 12), (2) irregular hearing aid users (n = 10), and (3) hearing aid nonowners (n = 10).Qualitative thematic analysis, using principles of grounded theory, was used to code the data and extract emerging themes for each of the three groups to distinguish similarities and differences between the groups. One-way analysis of variance and χ 2 tests were used to determine the difference in continuous and categorical variables, respectively, between the three groups.Similar themes emerged across the three groups: the complexity of low hearing aid use and attitudes to hearing loss/hearing aid use. A third theme, inadequacy of audiology services, was identified in both groups using hearing aids. Older age people having more severe hearing loss and longer duration of hearing aid ownership were associated with greater hearing aid adoption and use.Similar themes emerged from qualitative analysis across groups of people with hearing loss. More information for those with hearing loss and those with hearing aids and scheduled follow-up appointments for those with hearing aids are essential to improve hearing aid adoption and use in older people. Further research should focus on the most suitable methods of distributing this information and how often follow-up appointments should take place to achieve optimal hearing aid adoption and use.

Paternal Bereavement in Older Men

1996 ◽  
Vol 33 (4) ◽  
pp. 303-322 ◽  
Author(s):  
Marcene Goodman ◽  
Helen K. Black ◽  
Robert L. Rubinstein
Keyword(s):  
Life History ◽  
Support Groups ◽  
Daily Life ◽  
Adult Child ◽  
Older Men ◽  
Self Esteem ◽  
Bereavement Support ◽  
Ethnographic Interviews ◽  
Self Worth ◽  
Self Potential

Styles of coping with the death of an adult child were explored in a study that examined the behavioral and affective aftermath of loss in older men. Twenty-five fathers aged sixty to eighty-eight who had lost an adult child were studied through ethnographic interviews based on life history review. Three general styles of adjustment to loss were identified. Men who described themselves and their careers in superlative terms appeared most likely to adjust well to the loss. These men tended to “conquer” the loss by intellectualizing it, psychologically relegating the loss to the periphery of daily life, or capitalizing on their self-esteem to reestablish control over life. A second group of men used avoidance, denial, or a dependence on others as primary agents of adjustment. While this latter group presented as only slightly less self-complacent than the above, they were less able to diffuse or appease accompanying feelings of helplessness through self-aggrandizement. For them, recovery from the death of a child seemed more tied to external than to self-affirming mechanisms. Immersion in second marriages, bereavement support groups, or religion became outlets for relief and sources of regeneration. Two men who candidly described their lives with regret and disappointment, constituted a third group. Lacking the conviction of self-worth that lead other men in the sample to triumph over the loss, they displayed no determination to rescue themselves or be rescued from grief. For both men, mourning was a continuing process that seemed to relate to the futility of unrealized self-potential as well as the loss of a child. Results suggest that, for men, narcissism may be a potent antidote for loss that can buffer, neutralize, and even erase the pain of losing a child.

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