Semin Hear 2017; 38(02): 184-197
DOI: 10.1055/s-0037-1601574
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

HearCARE: Hearing and Communication Assistance for Resident Engagement

Catherine V. Palmer
1   University of Pittsburgh, Pittsburgh, Pennsylvania
2   University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania
,
Reem Mulla
1   University of Pittsburgh, Pittsburgh, Pennsylvania
2   University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania
,
Elizabeth Dervin
2   University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania
,
Kathleen Costigan Coyan
2   University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania
› Author Affiliations
Further Information

Publication History

Publication Date:
17 May 2017 (online)

Abstract

Impaired hearing is related to poor health outcomes, including compromised cognitive function, in aging individuals. Hearing loss is the third most common chronic health condition after arthritis and heart disease in older adults and the fourth most detrimental condition related to quality of life in older adults. Only 18% of aging adults who have impactful hearing loss actually use custom-fit amplification. Therefore, the majority of aging individuals entering senior living facilities will have untreated hearing loss. Older adults move to senior communities to maintain or increase their social engagement, to receive care from qualified staff, and to ultimately enhance their quality of life. We know that the majority of individuals over 65 years of age have significant hearing loss, which leaves them with complex listening needs due to low incidence of hearing aid use, group communication situations that are common for social activities, interactive dining environments, and the need for telephone use to connect with loved ones. Busy staff and family members may not be aware of the impact of decreased hearing on quality of life, as well as caregiver burden. HearCARE (Hearing and Communication Assistance for Resident Engagement) is an initiative to provide communication assistance on a day-to-day basis in senior living facilities in a cost-effective manner. This innovative model for delivering audiology services and communication assistance in senior living communities employing communication facilitators who are trained and supervised by an audiologist will be described. Data related to the communication facilitator training, daily activities, interactions with the audiologist, use of devices, and impact on residents, staff, and families will be described.

 
  • References

  • 1 Chuan-Ming L , et al. Hearing impairment associated with depression in US adults, NHANES 2005–2010. Otolaryngol Head Neck Surg 2014; 140 (4) 293-302
  • 2 Jones EM, White AJ. Mental health and acquired hearing impairment: a review. Br J Audiol 1990; 24 (1) 3-9
  • 3 Garnefski N, Kraaij V. Cognitive coping and goal adjustment are associated with symptoms of depression and anxiety in people with acquired hearing loss. Int J Audiol 2012; 51 (7) 545-550
  • 4 Mick P, Kawachi I, Lin FR. The association between hearing loss and social isolation in older adults. Otolaryngol Head Neck Surg 2014; 150 (3) 378-384
  • 5 Genther DJ, Betz J, Pratt S , et al; Health ABC Study. Association of hearing impairment and mortality in older adults. J Gerontol A Biol Sci Med Sci 2015; 70 (1) 85-90
  • 6 Genther DJ, Frick KD, Chen D, Betz J, Lin FR. Association of hearing loss with hospitalization and burden of disease in older adults. JAMA 2013; 309 (22) 2322-2324
  • 7 Lin FR, Ferrucci L. Hearing loss and falls among older adults in the United States. Arch Intern Med 2012; 172 (4) 369-371
  • 8 Lawthers AG, Pransky GS, Peterson LE, Himmelstein JH. Rethinking quality in the context of persons with disability. Int J Qual Health Care 2003; 15 (4) 287-299
  • 9 Bartlett G, Blais R, Tamblyn R, Clermont RJ, MacGibbon B. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ 2008; 178 (12) 1555-1562
  • 10 Foley DM, Frick KD, Lin FR. Association between hearing loss and healthcare expenditures in older adults. J Am Geriatr Soc 2014; 62 (6) 1188-1189
  • 11 Hoffman JM, Yorkston KM, Shumway-Cook A, Ciol MA, Dudgeon BJ, Chan L. Effect of communication disability on satisfaction with health care: a survey of Medicare beneficiaries. Am J Speech Lang Pathol 2005; 14 (3) 221-228
  • 12 Lin FR, Yaffe K, Xia J , et al; Health ABC Study Group. Hearing loss and cognitive decline in older adults. JAMA Intern Med 2013; 173 (4) 293-299
  • 13 Lin FR, Ferrucci L, An Y , et al. Association of hearing impairment with brain volume changes in older adults. Neuroimage 2014; 90: 84-92
  • 14 Mathers C , et al. Global Burden of Hearing Loss in the Year 2000. Geneva, Switzerland: World Health Organization; 2003
  • 15 Palmer CV, Adams SW, Bourgeois M, Durrant J, Rossi M. Reduction in caregiver-identified problem behaviors in patients with Alzheimer disease post-hearing-aid fitting. J Speech Lang Hear Res 1999; 42 (2) 312-328
  • 16 Chien W, Lin FR. Prevalence of hearing aid use among older adults in the United States. Arch Intern Med 2012; 172 (3) 292-293
  • 17 Retirement communities in the US. May 2009. IBISWorld, Santa Monica, CA. University of Texas at San Antonio. John Peace Library, San Antonio, TX. June 10, 2009, Available at: http://www.ibisworld.com . Accessed April 24, 2017
  • 18 American Association of Retirement Communities. Attracting retirees as an economic development strategy: looking into the future. Economic Development Quarterly 1995; 9 (4) 372-382
  • 19 Senior living executives optimistic about future. PR Newswire. University of Texas at San Antonio, John Peace Library; San Antonio, TX: , June 9, 2009. . Available at: prnewswire.com/news-releases/senior-living-executives-optomistic-about-future-61795297.html . Accessed April 24, 2017