Longitudinal assessment of psychosocial consequences of hearing impairment and possibilities of interventions following screening (WC2009-035)
Background
Starting date: 01/06/2009
Age-related hearing loss is one of the most prevalent chronic conditions in older persons. Ample evidence shows that hearing impairment is associated with psychosocial problems such as depression and loneliness. However, most studies are cross-sectional, whilst longitudinal data are needed for conclusions on causation. In addition, consequences of deterioration in hearing have not been investigated.
More direct consequences of hearing loss can be framed within the WHO International Classification of Functioning, disability and Health (ICF) in terms of functions, structures, activities/participations and environmental factors. Short lists of ICF key categories suited for clinical use and research are absent. These ‘Core Sets’ should be developed.
Despite known negative consequences on wellbeing, under diagnosis and under treatment of hearing loss among adults is high. Problems relating to hearing aids seem important causes. Screening followed by effective alternative interventions like communication programs may be a solution but have received little attention so far.