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Association of Hearing Loss with Physical, Social, and Mental Activity EngagementFunding Sources The Aging, Cognition, and Health Evaluation in Elders Pilot (ACHIEVE-P) study was supported by the National Institute on Aging (1R34AG046548-01A1) and the Eleanor Schwartz Charitable Foundation. The Atherosclerosis Risk in Communities study has been funded in whole or in part with Federal funds from the National Heart, Lung, and Blood Institute; National Institutes of Health; and Department of Health and Human Services, under contract nos. HHSN268201700001I, HHSN268201700002I, HHSN268201700003I, HHSN268201700005I, and HHSN268201700004I. The authors thank the staff and participants of the ARIC study for their important contributions. T.G. was supported by an NIH Medical Student Training in Aging Research Grant. This manuscript was also supported in part by the Cochlear Center for Hearing and Public Health at the Johns Hopkins Bloomberg School of Public Health.
This article aims to evaluate a hearing loss intervention versus an aging education intervention on activity engagement in the Aging and Cognitive Health Evaluation in Elders pilot (ACHIEVE-P). Forty adults (70–84 years) with hearing loss recruited from the Atherosclerosis Risk in Communities Study and de novo participated. Participants were randomized 1:1 to a best practices hearing intervention or a successful aging intervention. Hearing was measured with pure-tone audiometry. The Community Healthy Activities Model Program for Seniors questionnaire measured self-reported time engaging in activities at baseline and 6-month follow-up. At baseline, greater hearing loss was associated with reduced time per week on mental activities (−3.0 hours per 10 dB of hearing loss, 95% confidence interval: −5.8, −0.2). Mental activity engagement increased (mean: +1.3 hours, SD = 6.6) for the hearing intervention group but decreased (mean: −1.1 hours, SD = 4.8) for the aging education group (Cohen's d: 0.41). Hearing loss may be associated with reduced engagement in mental activities. Whether hearing loss treatment impacts activity will be studied in the full-scale ACHIEVE trial.
J.B. had full access to the data and takes responsibility for the integrity of the data and accuracy of the data analysis. Study concept and design: F.R.L., J.A.D. Acquisition of data: N.S.R. Statistical analysis: T.G., J.B. Interpretation of data: T.G., A.M.G., F.R.L. Preparation of the manuscript: A.M.G. Critical review of the manuscript: T.G., J.B., N.S.R., J.A.D., F.R.L.
No sponsor had a role in the conduct of the study; collection, analysis, or interpretation of the data; or preparation of the manuscript.
* These authors contributed equally to this work.
15 April 2021 (online)
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