Hearing Rehabilitation for Older Adults: An Update on Hearing Aids, Hearing Assistive Technologies, and Rehabilitation Services
Notice bibliographique
Résumé
Hearing Rehabilitation for Older Adults: An Update on Hearing Aids, Hearing Assistive Technologies, and Rehabilitation Services Mary Beth Jennings, PhD, Reg. CASLPO, Aud(C), FAAA, Audiologist, Assistant Professor, National Centre for Audiology, Faculty of Health Sciences, University of Western Ontario, London, ON. Frances Richert, MSc, Reg. CASLPO, Audiologist, H.A. Leeper Speech and Hearing Clinic, School of Communication Sciences and Disorders; National Centre for Audiology, Faculty of Health Sciences, University of Western Ontario, London, ON. TECHNOLOGY IN MEDICINE A Rehabilitative Approach to Hearing Loss in Aging Persons over the age of 65 years are the fastest-growing age group in Canada. The number of adults in this age bracket is expected to grow from 3.5 million in 1996 to an estimated 6.9 million by the year 2021.1 Older Canadians are working later in life than ever before, and good communication is essential to their continued involvement in the workplace and the wider social sphere.2,3 Hearing loss is one of the most common chronic disabilities for older adults, and the prevalence of hearing loss increases with age.4 Based on self-report, 41.1% of adults over the age of 65 who are not institutionalized have hearing loss.5 The typical hearing loss for older adults is permanent and involves a gradual decrease in hearing sensitivity for higher frequencies.6 In suboptimal listening conditions of noise interference, even persons with only mild hearing losses will have difficulty understanding speech.7 An acquired sensorineural hearing loss affects speech understanding, and has significant social and psychological implications.4,8,9 Only 27% of persons of all ages in Canada who report having a hearing loss also report using hearing aids.10 In the past, stigma attached to hearing loss was a main reason for not purchasing a hearing instrument.11,12 Current reasons for not using hearing instruments include the costs outweighing the perceived benefits, the amplification of noise, a lack of physical comfort, performance problems, and difficulty with adjusting or handling the instrument.13,14 Benefits of using hearing aids include improved relationships within the family and greater independence and security, but even those who wear hearing aids on a consistent basis may still have socially disabling levels of communicative difficulty.4,15,16 Comprehensive postfitting rehabilitation programs that are designed specifically for this population can support successful adaptation to the use of hearing assistive technologies.17,18,19 Older adults today are more technologically savvy than ever before. As such, they are more comfortable with the use of technology and may be less intimidated by the use of hearing aids or other hearing assistive technologies (HATS). Older adults are most receptive to the use of technology when there is a high level of concern for the problem that can be alleviated through the use of technology, when there is social support for using technology, and when technology is geared toward enhancing quality of life.20 Today’s older adults use computers to Older adults are the fastest-growing age group in Canada. Hearing loss is highly prevalent among this population. Of those persons who would benefit from the use of hearing aids, only a small number actually own and use them. Digital hearing aids now constitute the majority of hearing aids on the market. Technological advances in hearing aids and hearing assistive technologies have expanded the range of options available to improve the success of device use. Matching the needs and optimizing performance of older adults with the broad range of devices available requires appropriate assessment, selection, verification, and follow-up by the audiologist.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,005 | 0,005 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,002 | 0,004 |
| Science ouverte | 0,002 | 0,001 |
| Intégrité de la recherche | 0,003 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,008 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».