Effectiveness of the active communication education program in improving the general quality of life of older adults who use hearing aids: a randomized clinical trial

被引:1
作者
Marcotti, Anthony [1 ]
Rivera, Sebastian [2 ]
Silva-Letelier, Catherine [3 ]
Galaz-Mella, Javier [4 ]
Fuentes-Lopez, Eduardo [5 ]
机构
[1] Univ San Sebastian, Escuela Fonoaudiol, Fac Odontol & Ciencias Rehabil, Santiago, Chile
[2] Univ Santo Tomas, Escuela Fonoaudiol, Fac Salud, Vina Del Mar, Chile
[3] Pontificia Univ Catolica Chile, Escuela Salud Publ, Fac Med, Programa Magister Epidemiol, Santiago, Chile
[4] Univ Andres Bello, Exercise & Rehabil Sci Inst, Fac Rehabil Sci, Sch Speech Therapy, Santiago 7591538, Chile
[5] Pontificia Univ Catolica Chile, Escuela Ciencias Salud, Fac Med, Dept Fonoaudiol, Vicuna Mackenna 4860, Macul, Region Metropol, Chile
关键词
Older adults; Hearing loss; Hearing aids; Group communication programs; Quality of life; IMPAIRMENT; HEALTH; REHABILITATION; PEOPLE; WHOQOL; ASSOCIATION; STIGMA;
D O I
10.1186/s12877-024-05424-0
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
BackgroundHearing loss in older adults affects general, generic health-related and disease-specific quality of life (QoL). The conventional strategy to address it is through hearing aids, which have been shown to improve disease-specific QoL. However, the long-term results regarding general quality of life are unknown, and communication problems and stigma associated with hearing loss may persist. An effective intervention strategy to address these problems is group communication programs, most notably Active Communication Education (ACE). This program has been shown to increase communication strategies and reduce communication activity limitations and participation restrictions. These precedents allow us to hypothesize that this program could improve general QoL.MethodsA randomized clinical trial was conducted on 114 older adult hearing aid users. Fifty-four subjects composed the intervention group that received the ACE program, while 60 subjects composed the control group that received an informational-lectures type intervention. The WHOQOL-BREF questionnaire was used to measure general QoL. Measurements were taken before and right after the intervention, with follow-ups at 6 and 12 months. Multilevel linear mixed models were estimated, considering the WHOQOL-BREF dimension scores and total score as the outcomes, and an interaction term between time since intervention and group as the predictor. Within- and between-group comparisons were made.ResultsCompared to the baseline time-point, the ACE group showed significant improvements right after the intervention, and at the 6-month and 12-month follow-ups for the dimensions of psychological health, social relationships, environment, and total score. Compared to the control group, the ACE group exhibited significantly greater improvements in the social dimension at all postintervention assessments, as well as in the environment dimension and total score at the 12-month follow-up.ConclusionsThe ACE program improved general QoL in terms of social relationships and environment dimensions, which lasted up to 12 months after the intervention. Therefore, ACE is positioned as an effective complement for HA users, enhancing and delivering new benefits related to broader aspects of QoL not necessarily tied to health.Trial registrationISRCTN54021189 (retrospectively registered on 18/07/2023).
引用
收藏
页数:12
相关论文
共 63 条
  • [1] Akmal Shafie A., 2014, Encyclopedia of Quality of Life and Well-Being Research
  • [2] Patterns of Prevalence of Multiple Sensory Impairments Among Community-dwelling Older Adults
    Armstrong, Nicole M.
    Wang, Hang
    Jian-Yu, E.
    Lin, Frank R.
    Abraham, Alison G.
    Ramulu, Pradeep
    Resnick, Susan M.
    Tian, Qu
    Simonsick, Eleanor
    Gross, Alden L.
    Schrack, Jennifer A.
    Ferrucci, Luigi
    Agrawal, Yuri
    [J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2022, 77 (10): : 2123 - 2132
  • [3] A simplified guide to randomized controlled trials
    Bhide, Amar
    Shah, Prakesh S.
    Acharya, Ganesh
    [J]. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2018, 97 (04) : 380 - 387
  • [4] Randomization in Clinical Trials Permuted Blocks and Stratification
    Broglio, Kristine
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2018, 319 (21): : 2223 - 2224
  • [5] Consistent hearing aid use is associated with lower fall prevalence and risk in older adults with hearing loss
    Campos, Laura
    Prochazka, Allan
    Anderson, Melinda
    Kaizer, Alexander
    Foster, Carol
    Hullar, Timothy
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2023, 71 (10) : 3163 - 3171
  • [6] Cesnales N.I., 2014, Encyclopedia of Quality of Life and Well-Being Research
  • [7] Influence of Hearing Loss on Social Participation in Older Adults: Results From a Scoping Review
    Chaintre, Agathe Prieur
    Couturier, Yves
    Nguyen, T. H. Trang
    Levasseur, Melanie
    [J]. RESEARCH ON AGING, 2024, 46 (01) : 72 - 90
  • [8] The impact of hearing loss on the quality of life of elderly adults
    Ciorba, Andrea
    Bianchini, Chiara
    Pelucchi, Stefano
    Pastore, Antonio
    [J]. CLINICAL INTERVENTIONS IN AGING, 2012, 7 : 159 - 163
  • [9] Association of Hearing Impairment and Mortality in the National Health and Nutrition Examination Survey
    Contrera, Kevin J.
    Betz, Josh
    Genther, Dane J.
    Lin, Frank R.
    [J]. JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2015, 141 (10) : 944 - 946
  • [10] A comparative review of generic quality-of-life instruments
    Coons, SJ
    Rao, S
    Keininger, DL
    Hays, RD
    [J]. PHARMACOECONOMICS, 2000, 17 (01) : 13 - 35