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Semin Speech Lang 2007; 28(4): 283-290
DOI: 10.1055/s-2007-986525
© Thieme Medical Publishers

Older Adults with Acquired Hearing Impairment: Applying the ICF in Rehabilitation

Louise Hickson1 , Nerina Scarinci1
  • 1Communication Disability Centre, The University of Queensland, Brisbane, Australia
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Publication History

Publication Date:
12 October 2007 (online)

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ABSTRACT

The aim of this article is to describe the disability experienced by older people with hearing impairment using the framework provided by the World Health Organization's International Classification of Functioning, Disability and Health (ICF). The nature and prevalence of hearing impairment in the older population are outlined, along with the Activity Limitations and Participation Restrictions associated with such impairments, and the contextual factors that influence the disability. Appropriate assessments of hearing Impairments, Activity Limitations, and Participation Restrictions applicable in a rehabilitation context are also described. Hearing impairment leads to breakdowns in communication, a fact that suggests that the impairment is likely to influence frequent communication partners. It is argued here that the impact of the impairment on others is a so-called Third-Party Disability. Finally, an example of how the ICF can be applied in the rehabilitation of an older person with hearing disability is presented.

KEYWORDS

Hearing impairment - older people - ICF - third-party disability

REFERENCES

  • 1 Wilson D H, Walsh P G, Sanchez L et al.. The epidemiology of hearing impairment in an Australian adult population.  Int J Epidemiol. 1999;  28(2) 247-252
    CrossrefPubMedGoogle Scholar
  • 2 ICF .International Classification of Functioning, Disability and Health. Geneva, Switzerland; World Health Organization 2001
    Google Scholar
  • 3 Browning G G, Gatehouse S. The prevalence of middle ear disease in the adult British population.  Clin Otolaryngol Allied Sci. 1992;  17(4) 317-321
    CrossrefPubMedGoogle Scholar
  • 4 Gates G A, Cooper Jr J C, Kannel W B, Miller N J. Hearing in the elderly: the Framingham cohort, 1983-1985. Part I.  Basic audiometric test results.  Ear Hear. 1990;  11(4) 247-256
    CrossrefPubMedGoogle Scholar
  • 5 Lee F S, Matthews L J, Dubno J R, Mills J H. Longitudinal study of pure-tone thresholds in older persons.  Ear Hear. 2005;  26(1) 1-11
    CrossrefPubMedGoogle Scholar
  • 6 Jonsson R, Rosenhall U. Hearing in advanced age. A study of presbyacusis in 85-, 88- and 90-year-old people.  Audiology. 1998;  37(4) 207-218
    PubMedGoogle Scholar
  • 7 Stumer J, Hickson L, Worrall L. Hearing impairment, disability and handicap in elderly people living in residential care and in the community.  Disabil Rehabil. 1996;  18(2) 76-82
    PubMedGoogle Scholar
  • 8 Helvik A S, Jacobsen G, Wennberg S, Arnesen H, Ringdahl A, Hallberg L RM. Activity limitation and participation restriction in adults seeking hearing aid fitting and rehabilitation.  Disabil Rehab. 2006;  28(5) 281-288
    PubMedGoogle Scholar
  • 9 Stark P, Hickson L. Outcomes of hearing aid fitting for older people with hearing impairment and their significant others.  Int J Audiol. 2004;  43(7) 390-398
    CrossrefPubMedGoogle Scholar
  • 10 Stephens D, Zhao F. Hearing impairment: special needs of the elderly.  Folia Phoniatr Logop. 1996;  48(3) 137-142
    PubMedGoogle Scholar
  • 11 Dalton D S, Cruickshanks K J, Klein B E, Klein R, Wiley T L, Nondahl D M. The impact of hearing loss on quality of life in older adults.  Gerontologist. 2003;  43(5) 661-668
    CrossrefPubMedGoogle Scholar
  • 12 Morgan A, Hickson L, Worrall L. The impact of hearing impairment on quality of life of older people.  Asia Pac J Speech Lang Hear. 2002;  7(1) 39-53
    PubMedGoogle Scholar
  • 13 Horgas A L, Wilms H U, Baltes M M. Daily life in very old age: everyday activities as expression of successful living.  Gerontologist. 1998;  38(5) 556-568
    PubMedGoogle Scholar
  • 14 Bess F H, Lichtenstein M J, Logan S A, Burger M C. Comparing criteria of hearing impairment in the elderly: A functional approach.  J Speech Hear Res. 1989;  32(4) 795-802
    PubMedGoogle Scholar
  • 15 Cruice M, Worrall L, Hickson L. Quality-of-life measurement in speech pathology and audiology.  Asia Pac J Speech Lang Hear. 2000;  5 1-20
    PubMedGoogle Scholar
  • 16 Noble W. Self-Assessment of Hearing and Related Functions. London; Whurr Publishers 1998
    Google Scholar
  • 17 Worrall L, Hickson L. Communication Disability in Aging: From Prevention to Intervention. Clifton Park, NY; Delmar Learning 2003
    Google Scholar
  • 18 Ventry I M, Weinstein B E. The Hearing Handicap Inventory for the Elderly: a new tool.  Ear Hear. 1982;  3(3) 128-134
    CrossrefPubMedGoogle Scholar
  • 19 Ventry I M, Weinstein B E. Identification of elderly people with hearing problems.  ASHA. 1983;  25(7) 37-42
    PubMedGoogle Scholar
  • 20 Schow R L, Nerbonne M A. Communication screening profile; use with elderly clients.  Ear Hear. 1982;  3 135-147
    CrossrefPubMedGoogle Scholar
  • 21 Schow R L, Nerbonne M A. Assessment of hearing handicap by nursing home residents and staff.  J Acad Rehab Audiol. 1977;  10 10-12
    PubMedGoogle Scholar
  • 22 Cox R M, Alexander G C, Gray G A. Who wants a hearing aid? Personality profiles of hearing aid seekers.  Ear Hear. 2005;  26(1) 12-26
    CrossrefPubMedGoogle Scholar
  • 23 Hickson L, Timm M, Worrall L, Bishop K. Hearing aid fitting: outcomes for older adults.  Aust J Audiol. 1999;  21(1) 9-21
    PubMedGoogle Scholar
  • 24 van den Brink R HS, Wit H P, Kempen G IJM, van Heuvelen M JG. Attitude and help-seeking for hearing impairment.  Br J Audiol. 1996;  30 313-324
    CrossrefPubMedGoogle Scholar
  • 25 Humes L E, Wilson D L, Humes A C. Examination of differences between successful and unsuccessful elderly hearing aid candidates matched for age, hearing loss and gender.  Int J Audiol. 2003;  42(7) 432-441
    CrossrefPubMedGoogle Scholar
  • 26 Baumfield A, Dillon H. Factors affecting the use and perceived benefit of ITE and BTE hearing aids.  Br J Audiol. 2001;  35(4) 247-258
    PubMedGoogle Scholar
  • 27 Kiessling J, Pichora-Fuller M K, Gatehouse S et al.. Candidature for and delivery of audiological services: special needs of older people.  Int J Audiol. 2003;  42(suppl 2) S92-S101
    CrossrefPubMedGoogle Scholar
  • 28 Donaldson N, Worrall L, Hickson L. Older people with hearing impairment: a literature review of the spouse's perspective.  Aust N Z J Audiol. 2004;  26(1) 30-39
    PubMedGoogle Scholar
  • 29 Armero O E. Effects of denied hearing loss on the significant other.  Hear J. 2001;  54(5) 44-47
    PubMedGoogle Scholar
  • 30 Brooks D N, Hallam R S, Mellor P A. The effects on significant others of providing a hearing aid to the hearing-impaired partner.  Br J Audiol. 2001;  35(3) 165-171
    CrossrefPubMedGoogle Scholar
  • 31 Stephens D, France L, Lormore K. Effects of hearing impairment on the patient's family and friends.  Acta Otolaryngol. 1995;  115(2) 165-167
    CrossrefPubMedGoogle Scholar
  • 32 Scarinci N, Worrall L, Hickson L. The effect of hearing impairment in older people on the spouse.  Int J Audiol. , In press
    PubMedGoogle Scholar
  • 33 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(1) 27-43
    PubMedGoogle Scholar
  • 34 Gatehouse S. Glasgow Hearing Aid Benefit Profile: derivation and validation of a client-centered outcome measure for hearing aid services.  J Am Acad Audiol. 1999;  10 80-103
    PubMedGoogle Scholar
  • 35 Hickson L, Worrall L, Scarinci N. Measuring outcomes of a communication program for older people with hearing impairment using the International Outcome Inventory.  Int J Audiol. 2006;  45(4) 238-246
    CrossrefPubMedGoogle Scholar

Professor Louise Hickson

Co-Director, Communication Centre

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland 4030, Australia

Email: l.hickson@uq.edu.au

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