scholarly journals Evaluation of General Practitioners' awareness of hearing screening in the elderly

2021 ◽  
Author(s):  
Jianli Ge ◽  
Shasha Geng ◽  
Qingqing Li ◽  
Hua Jiang ◽  
Xiaoming Sun
Keyword(s):  
General Practitioners ◽  
Pure Tone Audiometry ◽  
The Elderly ◽  
Hearing Screening ◽  
Screening Methods ◽  
Further Training ◽  
Suburban Areas ◽  
High Risk Factors ◽  
Hearing Handicap ◽  
Clinical Benefits

Abstract Objectives The aim of this study is to assess the awareness of community general practitioners on hearing screening for the elderly. Methods From January to February 2019, 367 general practitioners from 12 community health service centers, distributed in urban and suburban areas of Pudong District, Shanghai, were investigated with self-designed questionnaires. Results The general practitioners had poor understandings of the definition and onset of presbycusis. The accuracy of answers regarding the high-risk factors of presbycusis was zero. The top-three common hearing screening methods selected by general practitioners were screening version of the Hearing Handicap Inventory for the Elderly (HHIE-s) (94.55%), self-auditory assessment (83.65%), and pure-tone audiometry (77.66%). As for the attitudinal evaluation of hearing screening, 49.59% of the participants thought it was highly meaningful, 48.77% thought that early intervention would have clinical benefits. However, 52.59% of the participants believed it was necessary for specialists to complete the auditory screening in the community, and 13.62% thought hearing screening was impracticable in community. Conclusion Our questionnaire suggested that general practitioners were aware of the knowledge of hearing screening and agreed with its significance. But further training is highly demanded to promote the professional skills for general practitioners in community.

The Effects and Costs of a Hearing Screening and Rehabilitation Program in Residential Care Homes for the Elderly in the Netherlands1

2013 ◽  
Vol 22 (1) ◽  
pp. 186-189 ◽  
Author(s):  
A. M. Linssen ◽  
M. A. Joore ◽  
E. J. J. M. Theunissen ◽  
L. J. C. Anteunis
Keyword(s):  
Hearing Loss ◽  
Residential Care ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Pure Tone Audiometry ◽  
The Elderly ◽  
Rehabilitation Program ◽  
Hearing Screening ◽  
Care Homes ◽  
Homes For The Elderly

Purpose This study describes the effects and costs of hearing screening and rehabilitation in residential care homes for the elderly. It was hypothesized that offering an in-house hearing screening and rehabilitation program would be an effective strategy to increase hearing aid ownership among the residents. Method All 705 residents of 8 residential care homes in the Netherlands were invited to participate in a hearing screening (pure-tone audiometry) and rehabilitation (hearing aids) program. Resident participation was analyzed, and the costs were calculated. Results A total of 243 residents (34%) participated in the screening, 222 (91%) of whom had hearing loss. Ninety-one (41%) of the screening participants with hearing loss started rehabilitation, which was successful for 50 (55%) of them. Hearing aid ownership among the residents with hearing loss increased from 28% at the start of the program to 33% at the end. The costs were €1,896 (US $2,480) per successfully rehabilitated resident. Hearing aid trials and hearing aids together accounted for 83% of the total costs. Conclusion The effectiveness of the program was limited, as hearing aid ownership increased only slightly. Cost reduction measures should focus on decreasing the number of unsuccessful hearing aid trials.

Tablet-based tele-audiometry: Automated hearing screening for schoolchildren

2018 ◽  
Vol 26 (3) ◽  
pp. 140-149 ◽  
Author(s):  
Alessandra G Samelli ◽  
Camila M Rabelo ◽  
Seisse G Gandolfi Sanches ◽  
Ana C Martinho ◽  
Carla G Matas
Keyword(s):  
Screening Method ◽  
Pure Tone Audiometry ◽  
Hearing Screening ◽  
Screening Methods ◽  
Predictive Values ◽  
Screening Protocol ◽  
Diagnostic Values ◽  
Comparison Of The Results ◽  
Sensitivity Specificity ◽  
Screening Approaches

Introduction To assess the performance of a tablet-based tele-audiometry method for automated hearing screening of schoolchildren through a comparison of the results of various hearing screening approaches. Methods A total of 244 children were evaluated. Tablet-based screening results were compared with gold-standard pure-tone audiometry. Acoustic immittance measurements were also conducted. To pass the tablet-based screening, the children were required to respond to at least two out of three sounds for all the frequencies in each ear. Several hearing screening methods were analysed: exclusively tablet-based (with and without 500 Hz checked) and combined tests (series and parallel). The sensitivity, specificity, positive and negative predictive values and accuracy were calculated. Results A total of 9.43% of children presented with mild to moderate conductive hearing loss (unilateral or bilateral). Diagnostic values varied among the different hearing screening approaches that were evaluated: sensitivities ranged from 60 to 95%, specificities ranged from 44 to 91%, positive predictive values ranged from 15 to 44%, negative predictive values ranged from 95 to 99%, accuracy values ranged from 49 to 88%, and area under curve values ranged from 0.690 to 0.883. Regarding diagnostic values, the highest results were found for the tablet-based screening method and for the series approach. Discussion Compared with the results obtained by conventional audiometry and considering the diagnostic values of the different hearing screening approaches, the highest diagnostic values were generally obtained using the automated hearing screening method (including 500 Hz). Thus, this application, which was developed for the tablet computer, was shown to be a valuable hearing screening tool for use with schoolchildren. Therefore, we suggest that this hearing screening protocol has the potential to improve asynchronous tele-audiology service delivery.

Validity and Reliability of the Hearing Handicap Inventory for Elderly: Version Adapted for Use on the Portuguese Population

2016 ◽  
Vol 27 (08) ◽  
pp. 677-682 ◽  
Author(s):  
Sofia Margarida Marques de Paiva ◽  
João Simões ◽  
António Paiva ◽  
Craig Newman ◽  
Francisco Castro e Sousa ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
The Elderly ◽  
Original Version ◽  
Control Group ◽  
Validity And Reliability ◽  
Portuguese Population ◽  
Significant Difference ◽  
Hearing Handicap

Background: The use of the Hearing Handicap Inventory for the Elderly (HHIE) questionnaire enables us to measure self-perceived psychosocial handicaps of hearing impairment in the elderly as a supplement to pure-tone audiometry. This screening instrument is widely used and it has been going through adaptations and validations for many languages; all of these versions have kept the validity and reliability of the original version. Purpose: To validate the HHIE questionnaire, translated into Portuguese of Portugal, on the Portuguese population. Research Design: This study is a descriptive correlational qualitative study. The authors performed the translation from English into Portuguese, the linguistic adaptation, and the counter translation. Study Sample: Two hundred and sixty patients from the Ear, Nose, and Throat (ENT) Department of Coimbra University Hospitals were divided into a case group (83 individuals) and a control group (177 individuals). Intervention: All of the 260 patients completed the 25 items in the questionnaire and the answers were reviewed for completeness. Data Collection and Analysis: The patients volunteered to answer the 25-item HHIE during an ENT appointment. Correlations between each individual item and the total score of the HHIE were tested, and demographic and clinical variables were correlated with the total score, as well. The instrument’s reproducibility was assessed using the internal consistency model (Cronbach’s alpha). Results: The questions were successfully understood by the participants. There was a significant difference in the HHIE-10 and HHIE-25 total scores between the two groups (p < 0.001). Positive correlations can be seen between the global question and HHIE-10 and HHIE-25. In the regression study, a relationship was observed between the pure-tone average and the HHIE-10 (p < 0.001). Reliability of the instrument was proven by a Cronbach alpha index of 0,79. Conclusions: The HHIE translation into Portuguese of Portugal maintained the validity of the original version and it is useful to assess the psychosocial handicap of hearing impairment in the elderly.

scholarly journals HEARING HANDICAP IN OLDER ADULTS: A MULTI-CENTER STUDY

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S590-93
Author(s):  
Gul -e- Zahra ◽  
Ghulam Saqulain ◽  
Nazia Mumtaz
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
General Hospital ◽  
Pure Tone Audiometry ◽  
The Elderly ◽  
Cross Sectional ◽  
Hearing Handicap ◽  
Gender Association ◽  
Sensory Neural ◽  
High Level

Objective: To determine the level of hearing handicap and its age and gender association in older adults. Study Design: Cross sectional analytical study. Place and Duration of Study: Study conducted at Ear, Nose & Throat outpatients of Yusra General Hospital, National Institute of Rehabilitation Medicine Islamabad and Cantonment General Hospital Rawalpindi, from Jul to Sep 2017. Methodology: We recruited two hundred cases of self-reported hearing difficulty, using non-probability consecutive sampling, who fulfilled inclusion criteria. After recording demographic details including history, subjects were screened by the Screening Version of Hearing Handicap Inventory for the Elderly (HHIE-S). Followed by otoscopy and pure tone audiometry. Analysis was done using SPSS-24. Results: Study revealed 133 (65.5%) males and 67 (33.5%) females with mean age of 65.45 ± 7.50 years. Out of 179 (89.5%) had significantly high level of hearing handicap with HHIE-S score >43, while 21 (10.5%) revealed mild to moderate handicap with score of 17-42. Hearing handicap was significantly associated with aging (p<0.001), while no significant gender association was noted. Hearing loss was mainly of sensory-neural type 192 (96%). Conclusion: In older adults with self-reported hearing loss, high level of hearing handicap was present in majority (89.5%) and mild to moderate in 10.5%, with significant association with aging and hearing loss was predominantly sensory- neural type.

A new medical Internet system in healthcare: innovation of Telegeriatrics and healthcare demands of older patients of different age groups (Preprint)

2020 ◽  
Author(s):  
Yu Gong ◽  
Jianyuan Zhou
Keyword(s):  
Cardiovascular Diseases ◽  
General Practitioners ◽  
Older Patients ◽  
Metabolic Diseases ◽  
Treatment Plan ◽  
Age Groups ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
World Health ◽  
New Model

BACKGROUND Healthcare for older patients is a worldwide challenge for public health system. A new medical Internet system in healthcare which is a new model of telegeriatrics system has been established. The key innovation is the new telegeriatrics system was conducted jointly by general practitioners in the Community Health Service Center and specialists in university teaching hospital. Unlike the typical telemedicine that has been practiced in other countries, the new model provides a solution for the key issues in telemedicine where a doctor is unable to conduct a direct physical examination and the associated potential diagnostic error. OBJECTIVE This study is to introduce the operation mechanism of the new Telegeriatrics system and analyze healthcare demands of older patients in different age groups applying the new Telegeriatrics system. METHODS 472 older patients (aged≥60) were enrolled and divided into the young older group (aged 60 to 74), the old older group (aged 75 to 89) and the very old group (aged≥90) according to the age stratification of World Health Organization. Proportion of the top 10 diseases of older patients of different age groups was analyzed. RESULTS The process of older patients’ diagnosis and treatment made by specialist and general practitioners formed a closed loop. It ensures the timeliness and effectiveness of diagnosis and treatment of older patients. The treatment effect can be observed by general practitioners and specialist can adjust the treatment plan in time. In this study, it was found that older patients in different age groups have different healthcare demands. Coronary heart disease and type 2 diabetes mellitus were found to be the main diseases of the older patients and the young older patients as well as the old older patients applying Telegeriatrics. CONCLUSIONS The new telegeriatrics system can provide convenient and efficient healthcare services for older patients and overcome the disadvantage of currently used models of telegeriatrics. Older patients in different age groups have different medical care demands. Cardiovascular diseases and metabolic diseases have become the main diseases of the elderly applying the new Telegeriatrics system. Healthcare policy makers should invest more medical resources to the prevention of cardiovascular diseases and metabolic diseases in the elderly.

French patterns of psychotropic drug use

1990 ◽  
Vol 5 (5) ◽  
pp. 301-308
Author(s):  
V Kovess ◽  
M Ortun
Keyword(s):  
Drug Use ◽  
General Practitioners ◽  
Psychotropic Drug ◽  
Psychotropic Drugs ◽  
Elderly Population ◽  
The Elderly ◽  
Population Surveys ◽  
Minor Tranquilizers ◽  
French People ◽  
Few Data

SummaryFrench publications on psychotropics are curiously few. Data are available and French consumption of psychotropics, at least minor tranquilizers has been consistently reported as being higher than that found in other countries. The authors attempt to answer three questions: is French consuption of psychotropics really higher than other countries? Who is consuming those drugs? In which context? After having reviewed comparative data on sales, data from population surveys are analysed together with samples of prescriptions by different categories of physicians. It seems likely that French people consume more anxiolytics but this does not apply to other psychotropic drugs. Given the fact that drugs are almost free of charge in France, it is always difficult to discriminate between what has been prescribed and what has been taken. Overconsumption of anxiolytics is due to the overconsumption of the elderly population (over 60). Minor tranquilizers are mainly prescribed by general practitioners for psychological reasons.

Audiometric Correlates of the Hearing Handicap Inventory for the Elderly

1983 ◽  
Vol 48 (4) ◽  
pp. 379-384 ◽  
Author(s):  
Barbara E. Weinstein ◽  
Ira M. Ventry
Keyword(s):  
The Elderly ◽  
Hearing Handicap

Reliability and Stability of Various Hearing-Aid Outcome Measures in a Group of Elderly Hearing-Aid Wearers

1996 ◽  
Vol 39 (5) ◽  
pp. 923-935 ◽  
Author(s):  
Larry E. Humes ◽  
Dan Halling ◽  
Maureen Coughlin
Keyword(s):  
Outcome Measures ◽  
Hearing Aids ◽  
Repeated Measures ◽  
Nonsense Syllable ◽  
Hearing Aid ◽  
Objective Measure ◽  
The Elderly ◽  
Elderly Persons ◽  
Hearing Aid Use ◽  
Hearing Handicap

Twenty elderly persons with hearing impairment were fit with binaural in-the-ear hearing aids and followed for a 6-month period post-fit. Several hearing-aid outcome measures were obtained at 0, 7, 15, 30, 60, 90, and 180 days post-fit. Outcome measures included (a) objective measures of benefit obtained with nonsense-syllable materials in quiet (CUNY Nonsense Syllable Test, NST) and sentences in multitalker babble (Hearing in Noise Test, HINT); (b) two subjective measures of benefit, one derived from pre-fit/post-fit comparisons on a general scale of hearing handicap (Hearing Handicap Inventory for the Elderly, HHIE) and the other based on a subjective scale of post-fit hearing-aid benefit (Hearing Aid Performance Inventory, HAPI); (c) a questionnaire on hearing-aid satisfaction; (d) an objective measure of hearing-aid use; and (e) a subjective measure of hearing-aid use. Reliability and stability of each measure were examined through repeated-measures analyses of variance, a series of test-retest correlations, and, where possible, scatterplots of the scores against their corresponding 95% critical differences. Many of the measures were found to be both reliable and stable indicators of hearing-aid outcome.

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