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Functional Consequences of Impaired Hearing in Older Adults and Implications for Intervention

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Aging and Hearing

Part of the book series: Springer Handbook of Auditory Research ((SHAR,volume 72))

Abstract

This chapter considers the consequences of aging on communication and the ability to age well in terms of participation in everyday life. Interventions designed to reduce the negative effects of age-related hearing impairment on communication and participation are also described. These interventions span technological, behavioral, and environmental approaches. Based on correlations between measured speech-recognition or self-report surveys of communication and pure-tone thresholds, it is estimated that the inaudibility of speech may fully explain the speech-communication difficulties experienced by about half of older adults. For these individuals, hearing aids compensating for this inaudibility may be sufficient to remediate the speech-communication problems they experience. For the remainder of older adults, however, their problems are more complex and may be attributable to auditory neural, central-auditory, or cognitive deficits, with or without accompanying pure-tone hearing loss. Furthermore, psychological and social adjustment to hearing loss may require nontechnological solutions. Such adjustment may be complicated by the interface between hearing loss and other age-related comorbidities that affect optimal participation and aging well. Devices such as hearing aids in and of themselves are likely to be insufficient to remediate the difficulties experienced by these older adults. Complementary or supplementary interventions are needed to fully address their functional deficits and to reduce the participation restrictions or activity limitations experienced by older adults with hearing loss and speech-communication difficulties.

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Acknowledgments

The deidentified data used for in Figs. 11.5, 11.6, and 11.7 were made available to one of the authors (LEH) by B. Gopinath for the Blue Mountains Hearing Study and Richard Wilson for the Wilson-2011 VA dataset. Their assistance is gratefully acknowledged.

Compliance with Ethics Requirements

Larry Humes declares that he has no conflict of interest and received no financial support for the preparation of this chapter.

M. Kathleen Pichora-Fuller declares that she has no conflict of interest and received no financial support for the preparation of this chapter. She has received funding for research projects related to ARHI from the Canadian Institutes of Health Research, Phonak, Oticon, and Unitron.

Louise Hickson declares that she has no conflict of interest and received no financial support for the preparation of this chapter. She has received funding for research projects related to ARHI from the Australian Government, Sonova, and the Oticon Foundation.

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Authors and Affiliations

  1. Department of Speech and Hearing Sciences, Indiana University Bloomington, Bloomington, IN, USA

    Larry E. Humes

  2. Department of Psychology, University of Toronto, Mississauga, ON, Canada

    M. Kathleen Pichora-Fuller

  3. School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia

    Louise Hickson

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  1. Larry E. Humes
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  2. M. Kathleen Pichora-Fuller
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Correspondence to Larry E. Humes .

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Editors and Affiliations

  1. Department of Communication Disorders, University of Massachusetts, Amherst, MA, USA

    Karen S. Helfer

  2. Department of Biological Sciences and the Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA

    Edward L. Bartlett

  3. Department of Biology, University of Maryland, Silver Spring, MD, USA

    Arthur N. Popper

  4. Department of Psychology, Loyola University Chicago, Chicago, IL, USA

    Richard R. Fay

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Humes, L.E., Pichora-Fuller, M.K., Hickson, L. (2020). Functional Consequences of Impaired Hearing in Older Adults and Implications for Intervention. In: Helfer, K.S., Bartlett, E.L., Popper, A.N., Fay, R.R. (eds) Aging and Hearing. Springer Handbook of Auditory Research, vol 72. Springer, Cham. https://doi.org/10.1007/978-3-030-49367-7_11

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