Self-assessed hearing handicap in the elderly: a pilot study on Iranian population
-
Fatemeh Heidari
,
Mansoureh Adel Ghahraman
,
Elham Tavanai
,
Shohreh Jalaie
,
Farzaneh Zamiri Abdollahi
Abstract
Background and Aim: Presbycusis is a prevalent chronic condition in the elderly which may have potential adverse effects on social and emotional aspects of their life. There is no one to one relationship between audiogram and the perceived handicap in elderly. A good way to measure hearing handicap are self-assessment tools. This study was aimed to translate, adapt and establish face validity of Short form of Hearing Handicap Inventory for the Elderly (HHIE-S) and the correlation with pure-tone and speech audiometry results as well as score of the other self-assessmnet tool (Self-Assessment of Communication: SAC) in the Iranian elderly.
Methods: HHIE-S was translated into Persian and face validity was established. It was administered in 80 elderly participants. Correlation of their scores with their pure tone averages of 3 and 4 frequencies (PTA0.5-1-2 and PTA0.5-1-2-4), word recognition score (WRS) in quiet, and SAC scores was determined.
Results: The experts mean scores to PHHIE-S was 99.63%. There were significant correlations between PHHIE-S with SAC (r = 0.89; p < 0.001), PTA0.5-1-2 (r = 0.4; p < 0.001), PTA0.5-1-2-4 (r = 0.6; p <0.001) and WRS (r = -0.4; p < 0.001). There was no significant gender effect on any of the measures (p > 0.05).
Conclusion: Simply evaluation of the hearing levels is not adequate in elderly. Self-assessment tools can shed light on the specific disability induced by hearing loss. PHHIE-S appears to be an easy and fast tool that may helpful to distinguish patients who might need rehabilitative services.
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23. Purnami N, Mulyaningsih EF, Ahadiah TH, Utomo B, Smith A. Score of Hearing Handicap Inventory for the Elderly (HHIE) compared to whisper test on presbycusis. Indian J Otolaryngol Head Neck Surg. 2020. doi: 10.1007/s12070-020-01997-5
24. Lycke M, Lefebvre T, Cool L, Van Eygen K, Boterberg T, Schofield P, et al. Screening methods for age-related hearing loss in older patients with cancer: a review of the literature. Geriatrics (Basel). 2018;3(3):48. doi: 10.3390/geriatrics3030048
25. Wang Y, Mo L, Li Y, Zheng Z, Qi Y. Analysing use of the Chinese HHIE-S for hearing screening of elderly in a northeastern industrial area of China. Int J Audiol. 2017;56(4):242-7. doi: 10.1080/14992027.2016.1263399
26. Everett A, Wong A, Piper R, Cone B, Marrone N. Sensitivity and specificity of pure-tone and subjective hearing screenings using Spanish-language questions. Am J Audiol. 2020;29(1):35-49. doi: 10.1044/2019_AJA-19-00053
27. Wiley TL, Cruickshanks KJ, Nondahl DM, Tweed TS. Self-reported hearing handicap and audiometric measures in older adults. J Am Acad Audiol. 2000;11(2):67-75.
28. American Speech-Language-Hearing Association. Guidelines for Audiologic Screening [Guidelines]. 1997. Available from: www.asha.org/policy. doi: 10.1044/policy.GL1997-00199
29. McCarthy PA, Sapp JV. Rehabilitative needs of the aging population. In: Alpiner JG, McCarthy PA, editor. Rehabilitative audiology: children and adults. 3rd ed. Baltimore: Lippincott Williams & Wilkins; 2000. p. 402-34.
30. Garstecki D, Hutton CL, Nerbonne MA, Newman CW, Smoski WJ. Case study examples using self-assessment. Ear Hear. 1990;11(5 Suppl):48S-56S.
2. Eckert MA, Matthews LJ, Dubno JR. Self-assessed hearing handicap in older adults with poorer-than-predicted speech recognition in noise. J Speech Lang Hear Res. 2017;60(1):251-262. doi: 10.1044/2016_JSLHR-H-16-0011
3. Ho-Yee Ng J, Loke AY. Determinants of hearing-aid adoption and use among the elderly: A systematic review. Int J Audiol. 2015;54(5):291-300. doi: 10.3109/14992027.2014.966922
4. Monini S, Filippi C, Baldini R, Barbara M. Perceived disability from hearing and voice changes in the elderly. Geriatr Gerontol Int. 2015;15(2):147-55. doi: 10.1111/ggi.12242
5. Degeest S, Keppler H, Corthals P. The effect of age on listening effort. J Speech Lang Hear Res. 2015;58(5):1592-600. doi: 10.1044/2015_JSLHR-H-14-0288
6. Sindhusake D, Mitchell P, Smith W, Golding M, Newall P, Hartley D, et al. Validation of self-reported hearing loss. The Blue Mountains hearing study. Int J Epidemiol. 2001;30(6):1371-8. doi: 10.1093/ije/30.6.1371
7. Gates GA, Murphy M, Rees TS, Fraher A. Screening for handicapping hearing loss in the elderly. J Fam Pract. 2003;52(1):56-62.
8. Chang HP, Ho CY, Chou P. The factors associated with a self-perceived hearing handicap in elderly people with hearing impairment—results from a community-based study. Ear Hear. 2009;30(5):576-83. doi: 10.1097/AUD.0b013e3181ac127a
9. Wright K, English K, Elkayam J. Reliability of the Self-Assessment of Communication-Adolescent (SAC-A). Journal of Educational Audiology. 2010;16:4-10.
10. Weinstein BE, Ventry IM. Hearing impairment and social isolation in the elderly. J Speech Hear Res. 1982;25(4):593-9. doi: 10.1044/jshr.2504.593
11. Tomioka K, Ikeda H, Hanaie K, Morikawa M, Iwamoto J, Okamoto N, et al. The Hearing Handicap Inventory for Elderly-Screening (HHIE-S) versus a single question: reliability, validity, and relations with quality of life measures in the elderly community, Japan. Qual Life Res. 2013;22(5):1151-9. doi: 10.1007/s11136-012-0235-2
12. Jupiter T, Palagonia CL. The Hearing Handicap Inventory for the Elderly screening version adapted for use with elderly Chinese American individuals. Am J Audiol. 2001;10(2):99-103. doi: 10.1044/1059-0889(2001/010)
13. de Paiva SM, Simões J, Paiva A, Newman C, Castro e Sousa F, Bébéar JP. Validity and reliability of the Hearing Handicap Inventory for Elderly: version adapted for use on the Portuguese population. J Am Acad Audiol. 2016;27(8):677-82. doi: 10.3766/jaaa.15146
14. Parthasarathy S, Mathai JP. Translation of hearing handicap inventory (adults and elderly) to Kannada. J Indian Speech Language Hearing Assoc. 2017;31(1):5-22. doi: 10.4103/jisha.JISHA_23_17
15. Lichtenstein MJ, Hazuda HP. Cross‐cultural adaptation of the Hearing Handicap Inventory for the Elderly‐Screening Version (HHIE‐S) for use with Spanish‐speaking Mexican Americans. J Am Geriatr Soc. 1998;46(4):492-8. doi: 10.1111/j.1532-5415.1998.tb02473.x
16. Kramer S, Brown DK. Audiology: science to practice. 3rd ed. San Diego: Plural Publishing Inc; 2019.
17. Lawson GD, Peterson ME. Speech audiometry. 1st ed. San Diego: Plural Publishing Inc; 2011.
18. Schow RL, Nerbonne MA. Introduction to audiologic rehabilitation. 5th ed. Boston: Pearson Education Inc.; 2007.
19. Weinstein BE. Outcome measures in the hearing aid fitting/selection process. Trends Amplif. 1997;2(4):117-37. doi: 10.1177/108471389700200402
20. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-91. doi: 10.1097/00007632-200012150-00014
21. Dawes P, Cruickshanks KJ, Fischer ME, Klein BEK, Klein R, Nondahl DM. Hearing-aid use and long-term health outcomes: Hearing handicap, mental health, social engagement, cognitive function, physical health, and mortality. Int J Audiol. 2015;54(11):838-44. doi: 10.3109/14992027.2015.1059503
22. Servidoni AB, Conterno LO. Hearing Loss in the elderly: Is the Hearing Handicap Inventory for the Elderly-Screening version effective in diagnosis when compared to the audiometric test? Int Arch Otorhinolaryngol. 2018;22(1):1-8. doi: 10.1055/s-0037-1601427
23. Purnami N, Mulyaningsih EF, Ahadiah TH, Utomo B, Smith A. Score of Hearing Handicap Inventory for the Elderly (HHIE) compared to whisper test on presbycusis. Indian J Otolaryngol Head Neck Surg. 2020. doi: 10.1007/s12070-020-01997-5
24. Lycke M, Lefebvre T, Cool L, Van Eygen K, Boterberg T, Schofield P, et al. Screening methods for age-related hearing loss in older patients with cancer: a review of the literature. Geriatrics (Basel). 2018;3(3):48. doi: 10.3390/geriatrics3030048
25. Wang Y, Mo L, Li Y, Zheng Z, Qi Y. Analysing use of the Chinese HHIE-S for hearing screening of elderly in a northeastern industrial area of China. Int J Audiol. 2017;56(4):242-7. doi: 10.1080/14992027.2016.1263399
26. Everett A, Wong A, Piper R, Cone B, Marrone N. Sensitivity and specificity of pure-tone and subjective hearing screenings using Spanish-language questions. Am J Audiol. 2020;29(1):35-49. doi: 10.1044/2019_AJA-19-00053
27. Wiley TL, Cruickshanks KJ, Nondahl DM, Tweed TS. Self-reported hearing handicap and audiometric measures in older adults. J Am Acad Audiol. 2000;11(2):67-75.
28. American Speech-Language-Hearing Association. Guidelines for Audiologic Screening [Guidelines]. 1997. Available from: www.asha.org/policy. doi: 10.1044/policy.GL1997-00199
29. McCarthy PA, Sapp JV. Rehabilitative needs of the aging population. In: Alpiner JG, McCarthy PA, editor. Rehabilitative audiology: children and adults. 3rd ed. Baltimore: Lippincott Williams & Wilkins; 2000. p. 402-34.
30. Garstecki D, Hutton CL, Nerbonne MA, Newman CW, Smoski WJ. Case study examples using self-assessment. Ear Hear. 1990;11(5 Suppl):48S-56S.
| Files | ||
| Issue | Vol 30 No 1 (2021) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v30i1.5309 | |
| Keywords | ||
| Elderly presbycusis self-assessment handicap | ||
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How to Cite
1.
Heidari F, Adel Ghahraman M, Tavanai E, Jalaie S, Zamiri Abdollahi F. Self-assessed hearing handicap in the elderly: a pilot study on Iranian population. Aud Vestib Res. 2021;30(1):33-41.
