Hearing Screening
                                      for Elderly People -
                                      feasibl...
It is time to pay more attention
to the elderly.
                           It took a decade of lobbying until in early 20...
Early Identification and Intervention
- from birth to seniority
‣   Despite the fact, that we have statistics about the
   ...
The world is aging.

Demographic development on a global perspective
  Country           Raw            Life        Shape
...
Hearing Loss is highly associated
with aging

‣ 1 in 5 adults have hearing problems
‣ 1 in 10 would probably benefit from g...
Unmanaged sensory impairment is
a major public health problem

‣ 75% of people over 60 have a hearing problem
‣ Mean age o...
Motivate elderly
to maintain their hearing
‣ People in the „third trimester“ stay more active and
   feel younger, as long...
Setting the tone.

                           Lorin Maazel (80)
                           Composer and conductor




www....
Setting the trend.

                           Sepp Blatter (74)
                           FIFA President




www.monika-...
Leadership.

                           Edzard Reuter (82)
                           CEO Daimler-Benz AG
                ...
Carpe diem!




www.monika-lehnhardt.net
Hearing Impairment -
frequently not detected
‣ Official hearing screening programs for elderly –
   comparable to NHS – do n...
The new way:
Mobile!"#$%&"'()'*+,-"%./012 is fun
       screening that
            !3"%456+,%7-'"",5,8%9+*&+58,


        ...
The new way:
Mobile screening that is fun
‣ Interactive test with portable device
‣ Integrated in activities at homes for
...
SUN. Speech Understanding in Noise.
The test.




www.monika-lehnhardt.net
SUN. Speech Understanding in Noise.
The test.

‣ Three alternative multiple-choice
‣ Set of 12 VCVs in speech-shaped noise...
SUN. Speech Understanding in Noise.
The hand-held device.

‣ Ultra-mobile
‣ Easy-to-use
‣ Innovative touch-screen
‣ Differe...
SUN. Speech Understanding in Noise.
Summary.

                           ‣ Very high acceptance by
                       ...
Now it is your turn!

               Download and look up my presentation at
               www.monika-lehnhardt.net
     ...
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Hearing screening for elderly people - feasible and enjoyable? - Dr. Dr. h.c. Monika Lehnhardt

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Hearing screening for elderly people - feasible and enjoyable? - Dr. Dr. h.c. Monika Lehnhardt

  1. 1. Hearing Screening for Elderly People - feasible and enjoyable? Cernobbio – June 12th, 2010 Dr. Dr. h.c. Monika Lehnhardt Founder of Lehnhardt Academy and Chairwoman of Prof. Ernst Lehnhardt-Foundation
  2. 2. It is time to pay more attention to the elderly. It took a decade of lobbying until in early 2009 neonatal hearing screening was made obligatory by law in Germany. In view of an aging population in the majority of developed countries there would clearly be a need to introduce hearing screening for this growing part of the population. This is particularly important, as the hearing loss is progressive in many cases and the person affected tends to accommodate to the situation, tries to compensate and does not want to admit that problems in communicating with family members and friends are due to presbyacusis. Once the loss is at a stage that the hard of hearing person retires from social life, it is almost too late for hearing aids to be really effective. www.monika-lehnhardt.net
  3. 3. Early Identification and Intervention - from birth to seniority ‣ Despite the fact, that we have statistics about the high incidence of hearing loss in very young children and the availability of suitable screening equipment, the necessity of hearing screening for children in pre-school age is unfortunately not yet discussed seriously in many countries.  NHS     HS pre-school HS elderly      www.monika-lehnhardt.net
  4. 4. The world is aging. Demographic development on a global perspective Country Raw Life Shape Death Rate Expectation Germany 10,80 / 1000 79,01 yrs Urn (2008) Mexiko 4,78 / 1000 75,84 yrs Pyramid (2008) China 7,03 / 1000 73,18 yrs Beehive (2008) Russia 16,06 / 1000 65,94 yrs Urn (2008) www.monika-lehnhardt.net
  5. 5. Hearing Loss is highly associated with aging ‣ 1 in 5 adults have hearing problems ‣ 1 in 10 would probably benefit from good intervention ‣ Only 1 in 33 possess a hearing aid, of whom many (25%) do not use it at all – (and who knows who benefits?) ‣ ~20 million people in EU aged 55-74 would benefit greatly from a hearing aid ‣ Only ~2 million use a hearing aid www.monika-lehnhardt.net
  6. 6. Unmanaged sensory impairment is a major public health problem ‣ 75% of people over 60 have a hearing problem ‣ Mean age of hearing aid users = ~75 y + ‣ Mean age at which consult professional = 72 y ‣ Duration of hearing impairment when 1st consult = 15 - 20 years ‣ Degree of hearing loss = ~45dBHL Source: Davis et al 2007 www.monika-lehnhardt.net
  7. 7. Motivate elderly to maintain their hearing ‣ People in the „third trimester“ stay more active and feel younger, as long as they live self-sufficient ‣ Interaction with their environment and participation in social life is fundamental for self-esteem and well- being ‣ Hearing and understanding are fundamental to „social competence“ www.monika-lehnhardt.net
  8. 8. Setting the tone. Lorin Maazel (80) Composer and conductor www.monika-lehnhardt.net
  9. 9. Setting the trend. Sepp Blatter (74) FIFA President www.monika-lehnhardt.net
  10. 10. Leadership. Edzard Reuter (82) CEO Daimler-Benz AG 1987 - 1995 www.monika-lehnhardt.net
  11. 11. Carpe diem! www.monika-lehnhardt.net
  12. 12. Hearing Impairment - frequently not detected ‣ Official hearing screening programs for elderly – comparable to NHS – do not exist ‣ Shame, fear of cost, lack of personal mobility or    insecurity whom to contact in many cases impede detection and therapy ‣ The outcome is fatal: Risk of injury through reduced recognition of warning signals, less ability for dialog, less social interaction www.monika-lehnhardt.net
  13. 13. The new way: Mobile!"#$%&"'()'*+,-"%./012 is fun screening that !3"%456+,%7-'"",5,8%9+*&+58, ‣ Ambient noise 2009: Milano ~ 65More than 1,500 dB A subjects tested www.monika-lehnhardt.net
  14. 14. The new way: Mobile screening that is fun ‣ Interactive test with portable device ‣ Integrated in activities at homes for the aged, public facilities (e.g. libraries) and specialized stores ‣ Reliable results as a basis for continued examination www.monika-lehnhardt.net
  15. 15. SUN. Speech Understanding in Noise. The test. www.monika-lehnhardt.net
  16. 16. SUN. Speech Understanding in Noise. The test. ‣ Three alternative multiple-choice ‣ Set of 12 VCVs in speech-shaped noise ‣ Touch-screen interface ‣ Speech level: User selectable, decreasing SNR ‣ Result: clear green / yellow / red score www.monika-lehnhardt.net
  17. 17. SUN. Speech Understanding in Noise. The hand-held device. ‣ Ultra-mobile ‣ Easy-to-use ‣ Innovative touch-screen ‣ Different programs for different target groups within one single device ‣ High connectivity for automated processing www.monika-lehnhardt.net
  18. 18. SUN. Speech Understanding in Noise. Summary. ‣ Very high acceptance by target group and test staff ‣ Enthusiastic participation through playful approach ‣ Reinforcement effect if done together with partner ‣ Encourages subject to seek treatment Enjoyable! www.monika-lehnhardt.net
  19. 19. Now it is your turn! Download and look up my presentation at www.monika-lehnhardt.net and write a comment Find more detailed information about SUN at www.pathme.de Do you have any ideas about adult hearing screening, new strategies and technologies? Please share them with us at www.monika-lehnhardt.net www.pathme.de Thank you! www.monika-lehnhardt.net

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