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Semin Hear 2013; 34(02): 128-140
DOI: 10.1055/s-0033-1341349
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Will My Patient Benefit from Audiologic Rehabilitation? The Role of Individual Differences in Outcomes

Harvey B. Abrams
1   Starkey Hearing Technologies, Eden Prairie, Minnesota
,
Theresa Hnath Chisolm
2   Department of Communication Sciences and Disorders, University of South Florida, Tampa Florida
› Author Affiliations
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Publication History

Publication Date:
22 April 2013 (online)

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Abstract

Postfitting audiologic rehabilitation (AR) has been a recognized component of the management of hearing-impaired adults since World War II. Despite growing evidence that such interventions as individual auditory training and counseling-based group AR are effective augmentations to amplification, these programs are not commonly implemented in the audiology community. Although research suggests that, on average, patients who engage in AR have improved outcomes compared to those who do not, clinicians have a difficult time determining which of their patients will benefit, if at all, from any particular AR intervention. This article will explore the current literature on auditory training and counseling-based AR in the context of individual variability and those individual factors that are likely to influence postintervention performance. A model of progressive AR, based on patient-identified treatment goals, is proposed to help guide the clinician in making the most appropriate rehabilitative decisions for the patient.

Keywords

Hearing loss - adults - audiologic rehabilitation - aural rehabilitation
 

  • References

  • 1 Pichora-Fuller MK, Souza PE. Effects of age on auditory processing of speech. Int J Audiol 2003; 42: 11-16
    CrossrefPubMedGoogle Scholar
  • 2 Bergman M. On the origins of audiology: American wartime military audiology. Audiol Today 2002; ; Monograph 1
    PubMedGoogle Scholar
  • 3 Sweetow R, Palmer CV. Efficacy of individual auditory training in adults: a systematic review of the evidence. J Am Acad Audiol 2005; 16: 494-504
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Chisolm T, Arnold M. Evidence for the effectiveness of aural rehabilitation programs in adults. In: Wong L, Hickson L, , eds. Evidence Based Practice in Audiology. San Diego, CA: Plural Publishing; 2012: 237-266
    Google Scholar
  • 5 Pichora-Fuller MK, Levitt H. Speech comprehension training and auditory and cognitive processing in older adults. Am J Audiol 2012; 21: 351-357
    CrossrefPubMedGoogle Scholar
  • 6 Hawkins DB. Effectiveness of counseling-based adult group aural rehabilitation programs: a systematic review of the evidence. J Am Acad Audiol 2005; 16: 485-493
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Sweetow RW, Sabes JH. Technologic advances in aural rehabilitation: applications and innovative methods of service delivery. Trends Amplif 2007; 11: 101-111
    CrossrefPubMedGoogle Scholar
  • 8 Bode DL, Oyer HJ. Auditory training and speech discrimination. J Speech Hear Res 1970; 13: 839-855
    PubMedGoogle Scholar
  • 9 Burk MH, Humes LE. Effects of long-term training on aided speech-recognition performance in noise in older adults. J Speech Lang Hear Res 2008; 51: 759-771
    CrossrefPubMedGoogle Scholar
  • 10 Humes LE, Burk MH, Strauser LE, Kinney DL. Development and efficacy of a frequent-word auditory training protocol for older adults with impaired hearing. Ear Hear 2009; 30: 613-627
    CrossrefPubMedGoogle Scholar
  • 11 Kricos P, Holmes A, Doyle D. Efficacy of a communication training program for hearing impaired elderly adults. J Acad Rehab Audiol 1992; 25: 69-80
    PubMedGoogle Scholar
  • 12 Kricos PB, Holmes AE. Efficacy of audiologic rehabilitation for older adults. J Am Acad Audiol 1996; 7: 219-229
    PubMedGoogle Scholar
  • 13 Montgomery AA, Walden BE, Schwartz DM, Prosek RA. Training auditory-visual speech reception in adults with moderate sensorineural hearing loss. Ear Hear 1984; 5: 30-36
    CrossrefPubMedGoogle Scholar
  • 14 Rubinstein A, Boothroyd A. Effect of two approaches to auditory training on speech recognition by hearing-impaired adults. J Speech Hear Res 1987; 30: 153-160
    PubMedGoogle Scholar
  • 15 Stecker GC, Bowman GA, Yund EW, Herron TJ, Roup CM, Woods DL. Perceptual training improves syllable identification in new and experienced hearing aid users. J Rehabil Res Dev 2006; 43: 537-552
    CrossrefPubMedGoogle Scholar
  • 16 Sweetow RW, Sabes JH. The need for and development of an adaptive Listening and Communication Enhancement (LACE) Program. J Am Acad Audiol 2006; 17: 538-558
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Walden BE, Erdman SA, Montgomery AA, Schwartz DM, Prosek RA. Some effects of training on speech recognition by hearing-impaired adults. J Speech Hear Res 1981; 24: 207-216
    PubMedGoogle Scholar
  • 18 Henderson Sabes J, Sweetow RW. Variables predicting outcomes on listening and communication enhancement (LACE) training. Int J Audiol 2007; 46: 374-383
    CrossrefPubMedGoogle Scholar
  • 19 Abrams HB, Hnath-Chisolm T, Guerreiro SM, Ritterman SI. The effects of intervention strategy on self-perception of hearing handicap. Ear Hear 1992; 13: 371-377
    CrossrefPubMedGoogle Scholar
  • 20 Chisolm TH, Abrams HB, McArdle R. Short- and long-term outcomes of adult audiological rehabilitation. Ear Hear 2004; 25: 464-477
    CrossrefPubMedGoogle Scholar
  • 21 Hawkins DB. Effectiveness of counseling-based adult group aural rehabilitation programs: a systematic review of the evidence. J Am Acad Audiol 2005; 16: 485-493
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Abrams HB, Chisolm TH, McArdle R. A cost-utility analysis of adult group audiologic rehabilitation: are the benefits worth the cost?. J Rehabil Res Dev 2002; 39: 549-558
    PubMedGoogle Scholar
  • 23 Andersson G, Melin L, Scott B, Lindberg P. An evaluation of a behavioural treatment approach to hearing impairment. Behav Res Ther 1995; 33: 283-292
    CrossrefPubMedGoogle Scholar
  • 24 Beynon GJ, Thornton FL, Poole C. A randomized, controlled trial of the efficacy of a communication course for first time hearing aid users. Br J Audiol 1997; 31: 345-351
    CrossrefPubMedGoogle Scholar
  • 25 Hallberg LR, Barrenäs ML. Group rehabilitation of middle-aged males with noise-induced hearing loss and their spouses: evaluation of short- and long-term effects. Br J Audiol 1994; 28: 71-79
    CrossrefPubMedGoogle Scholar
  • 26 Hickson L, Worrall L, Scarinci N. A randomized controlled trial evaluating the active communication education program for older people with hearing impairment. Ear Hear 2007; 28: 212-230
    CrossrefPubMedGoogle Scholar
  • 27 Preminger JE, Yoo JK. Do group audiologic rehabilitation activities influence psychosocial outcomes?. Am J Audiol 2010; 19: 109-125
    CrossrefPubMedGoogle Scholar
  • 28 Smaldino S, Smaldino J. The influence of aural rehabilitation and cognitive style disclosure on the perception of hearing handicap. J Am Acad Rehab Audiol 1988; 21: 57-64
    PubMedGoogle Scholar
  • 29 Chisolm TH, Noe CM, McArdle R, Abrams H. Evidence for the use of hearing assistive technology by adults: the role of the FM system. Trends Amplif 2007; 11: 73-89
    CrossrefPubMedGoogle Scholar
  • 30 Dillon H, James A, Ginis J. Client Oriented Scale of Improvement (COSI) and its relationship to several other measures of benefit and satisfaction provided by hearing aids. J Am Acad Audiol 1997; 8: 27-43
    PubMedGoogle Scholar
  • 31 Henry JA, Zaugg TL, Myers PJ, Schechter MA. The role of audiologic evaluation in progressive audiologic tinnitus management. Trends Amplif 2008; 12: 188-209
    CrossrefPubMedGoogle Scholar