This document discusses the impact of hearing loss on quality of life and health. It notes that hearing loss is associated with poorer quality of life, increased fatigue, social isolation, cognitive decline, and other health issues. Hearing instruments are shown to improve quality of life by reducing listening effort and fatigue. However, more evidence is still needed on their impact on emotional perception, social integration, and third-party disabilities. The document also discusses the relationship between hearing loss and increased risk of cognitive decline, falls, and other health problems, suggesting hearing instruments could help address these issues.
Austin Otolaryngology is an open access, peer review journal publishing original research & review articles in all the fields of Otolaryngology. Otolaryngology deals with the study of ear, nose and throat. Austin Otolaryngology provides a new platform for students to publish their research work & update the latest research information in Otolaryngology.
Austin Otolaryngology is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials), Clinical Images.
Austin Otolaryngology supports the scientific modernization and enrichment in Otolaryngology research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Running Head PSYCHOLOGY1PSYCHOLOGY3.docxtoltonkendal
Scientific research is crucial in psychology to develop and test theories using empirical evidence. Research examines how behaviors are affected by various situations and contexts. Without scientific evidence, theories would be based only on intuition rather than facts. Cereal companies claim eating their products leads to healthy weight, but this is largely a marketing strategy, as cereals are high in sugar and low in protein. The Little Albert experiment in 1920 demonstrated classical conditioning by pairing a white rat with a loud noise, causing the baby to develop a lasting fear of rats and other animals.
Auditory-verbal therapy (AVT) is an approach that teaches deaf or hard of hearing children to listen and speak through making use of their residual hearing. The key principles of AVT include early identification of hearing loss, fitting with hearing aids or cochlear implants, and using listening as a major part of developing communication, social and academic skills. AVT involves weekly one-on-one sessions between the child and therapist, with activities also carried out at home with parental guidance. The goal is for children to develop spoken language through listening and ultimately enter mainstream schools.
1. Auditory-verbal therapy (AVT) is an approach that uses techniques to promote optimal language acquisition through listening for children with hearing loss using hearing aids, cochlear implants, and other technology. It emphasizes speech and listening development.
2. AVT includes early identification of hearing loss, fitting of amplification devices, guidance for parents, and one-on-one therapy to help children learn to listen and communicate through spoken language.
3. The goals of AVT are to help children develop auditory skills like sound awareness and processing of language to facilitate natural communication development and inclusion in mainstream classrooms.
Widex provides evidence-based audiological solutions to address common challenges. Their Audibility Extender uses frequency lowering techniques to make high-frequency sounds audible for those with severe-to-profound hearing loss. Studies show it improves speech perception and production. Their Speech Enhancer tailors noise reduction and speech enhancement to optimize speech understanding in noise without compromising comfort. Their Zen program uses fractal tones to help relax 70% of users and reduce tinnitus effects. Widex solutions are supported by research demonstrating benefits for speech, language development, and relaxation.
This document summarizes the effects of sensory-neural hearing deprivation on young children's language development. It discusses the parts of the nervous system involved in hearing and language, including the outer, middle, and inner ear. It describes how sensorineural hearing loss, which damages the inner ear or auditory pathways, can negatively impact a child's ability to learn sounds and language through hearing. This can inhibit the production of new neural connections needed for speech. The course helped the author better analyze child development and language acquisition, which will benefit their work as an early childhood educator and instructor by providing guidelines for effective intervention.
This document discusses the importance of early identification of hearing loss in infants. It notes that hearing loss is the most common birth defect, affecting 3 in 1000 babies, but is often not diagnosed until age 3 on average. However, studies have shown that children identified with hearing loss before 6 months who receive early intervention demonstrate better language and social skills development compared to later diagnosed children. The document advocates for universal newborn hearing screening to screen all babies before 1 month of age and diagnose hearing loss by 3 months so that appropriate intervention can begin by 6 months of age.
Austin Otolaryngology is an open access, peer review journal publishing original research & review articles in all the fields of Otolaryngology. Otolaryngology deals with the study of ear, nose and throat. Austin Otolaryngology provides a new platform for students to publish their research work & update the latest research information in Otolaryngology.
Austin Otolaryngology is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials), Clinical Images.
Austin Otolaryngology supports the scientific modernization and enrichment in Otolaryngology research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Running Head PSYCHOLOGY1PSYCHOLOGY3.docxtoltonkendal
Scientific research is crucial in psychology to develop and test theories using empirical evidence. Research examines how behaviors are affected by various situations and contexts. Without scientific evidence, theories would be based only on intuition rather than facts. Cereal companies claim eating their products leads to healthy weight, but this is largely a marketing strategy, as cereals are high in sugar and low in protein. The Little Albert experiment in 1920 demonstrated classical conditioning by pairing a white rat with a loud noise, causing the baby to develop a lasting fear of rats and other animals.
Auditory-verbal therapy (AVT) is an approach that teaches deaf or hard of hearing children to listen and speak through making use of their residual hearing. The key principles of AVT include early identification of hearing loss, fitting with hearing aids or cochlear implants, and using listening as a major part of developing communication, social and academic skills. AVT involves weekly one-on-one sessions between the child and therapist, with activities also carried out at home with parental guidance. The goal is for children to develop spoken language through listening and ultimately enter mainstream schools.
1. Auditory-verbal therapy (AVT) is an approach that uses techniques to promote optimal language acquisition through listening for children with hearing loss using hearing aids, cochlear implants, and other technology. It emphasizes speech and listening development.
2. AVT includes early identification of hearing loss, fitting of amplification devices, guidance for parents, and one-on-one therapy to help children learn to listen and communicate through spoken language.
3. The goals of AVT are to help children develop auditory skills like sound awareness and processing of language to facilitate natural communication development and inclusion in mainstream classrooms.
Widex provides evidence-based audiological solutions to address common challenges. Their Audibility Extender uses frequency lowering techniques to make high-frequency sounds audible for those with severe-to-profound hearing loss. Studies show it improves speech perception and production. Their Speech Enhancer tailors noise reduction and speech enhancement to optimize speech understanding in noise without compromising comfort. Their Zen program uses fractal tones to help relax 70% of users and reduce tinnitus effects. Widex solutions are supported by research demonstrating benefits for speech, language development, and relaxation.
This document summarizes the effects of sensory-neural hearing deprivation on young children's language development. It discusses the parts of the nervous system involved in hearing and language, including the outer, middle, and inner ear. It describes how sensorineural hearing loss, which damages the inner ear or auditory pathways, can negatively impact a child's ability to learn sounds and language through hearing. This can inhibit the production of new neural connections needed for speech. The course helped the author better analyze child development and language acquisition, which will benefit their work as an early childhood educator and instructor by providing guidelines for effective intervention.
This document discusses the importance of early identification of hearing loss in infants. It notes that hearing loss is the most common birth defect, affecting 3 in 1000 babies, but is often not diagnosed until age 3 on average. However, studies have shown that children identified with hearing loss before 6 months who receive early intervention demonstrate better language and social skills development compared to later diagnosed children. The document advocates for universal newborn hearing screening to screen all babies before 1 month of age and diagnose hearing loss by 3 months so that appropriate intervention can begin by 6 months of age.
Educational Audiology: Auditory-Verbal Therapy and Cued Speechalexandracostlow
The document discusses Auditory-Verbal Therapy (AVT) and Cued Speech. It provides information on what each approach involves, outcomes of research studies on AVT, and principles of AVT. AVT utilizes residual hearing to teach children to listen and speak without relying on visual cues. Research shows children who receive early AVT intervention achieve independence and mainstreaming. Cued Speech supplements spoken language with hand shapes and locations near the mouth to make all speech sounds visible.
This slide will guide an individual to enhance their listening skills, and make them aware about its different aspects which influence their social activities.
Noise pollution is a big issue among worldwide. It has various physical and psychological problems. Here i am giving presentation highlighting mental health problems due to noise pollution.
This document provides an overview of assessment and management of deafness in children and adults. It discusses types of hearing impairment, common causes including genetic factors and infections, methods of evaluation such as audiometry, and interventions like hearing aids, cochlear implants, education supports, and protective measures to prevent deafness.
This document provides an overview of assessment and management of deafness in children and adults. It discusses types of hearing impairment, common causes including genetic factors and infections, methods of evaluation such as audiometry, and interventions including surgery, hearing aids, cochlear implants and education supports. Protecting hearing through preventing infections and excessive noise exposure is also covered.
Communication effects of auditory deprivationLynn Royer
The document discusses binaural summation and the effects of auditory deprivation. It summarizes studies that show fitting hearing aids in both ears rather than one ear can help reduce effects of auditory deprivation over time. Specifically, one study found that veterans who were fit with a hearing aid in only one ear for five years saw their word recognition score in the unaided ear decrease by almost 18%, while those fit binaurally decreased less than 2% in each ear. The evidence suggests fitting hearing aids in both ears early can help counter effects of auditory deprivation.
This document discusses hearing impairment and cochlear implants. It provides background on a 3-year-old male patient who was born with profound sensorineural hearing loss and was approved for cochlear implantation. The document covers topics like types of hearing loss, impact of hearing loss, who is a candidate for cochlear implants, how implants work, the surgery, and factors that influence success. It emphasizes that cochlear implants are effective for severe-to-profound deafness and require a multidisciplinary team approach including programming, therapy, and parental commitment post-surgery.
All You Ever Wanted to Know About Auditory-Verbal Therapy BUT Didn't Know Who...Monika Lehnhardt PhD
The document discusses the principles and philosophy of Auditory-Verbal therapy (AVT) for children who are deaf or hard of hearing. AVT focuses on early identification, aggressive audiological management, appropriate amplification technology, favorable learning environments, and parent participation to develop spoken language through listening. Studies show that children who complete AVT programs achieve mainstream education placements and develop age-appropriate communication skills.
Psycho-educational Program for Enhancing Knowledge, Practice, and Adjustment ...halawa755
The document discusses an aim to evaluate the effectiveness of a psycho-educational program in enhancing knowledge, practice, and adjustment among family caregivers of children with hearing loss. It begins with an introduction on hearing loss prevalence and impact. It then states the study aim and specific objectives to assess caregiver knowledge, practice, and adjustment before and after the program, develop and implement the program, and evaluate its impact. A literature review follows on hearing loss overview, caregiver challenges, nursing interventions for children and caregivers, and caregiver practice and adjustment.
Zaid Hjab
The ear is the part of the body that is used for hearing. Information about the
world is acquired through hearing. Anybody that hears nothing around him, no
matter how loud the sound is should be seen as having ear problem. It is a condition
or rather an impairment which is a physical, observable condition of tissue that can
affect the function of the organ system of which that tissue is a part. Hearing
impairment is a disability that can affect the effective functioning of the total
personality no matter the period of onset. Among the earliest attempt to define
hearing impaired was the one made by the committee of Nomenclature of the
conference of Executives of American schools for the deaf (1938) which says
that the deaf are those people in whom the sense of hearing is non-functioning for
the ordinary purpose of life. According to them also, the hard-of-hearing can be
defined as those in whom the sense of hearing although defective is functional with
or without a hearing aid.
The document discusses various barriers to effective listening in communication. It identifies several types of barriers including physical barriers like tiredness or discomfort, socio-physiological barriers like emotions, linguistic barriers like use of jargon or complex vocabulary, cultural barriers, and environmental barriers like noise or uncomfortable seating. Specific barriers mentioned are ambiguity, inability to convey the message appropriately, using the wrong medium, lack of understanding cultural differences, lack of interest, listening with preconceived ideas, physical discomfort, and noise. Effective listening is important for successful communication, but these barriers can interfere with the listening process.
Children who are Hard of Hearing: Still Forgotten? Phonak
This document summarizes research from the Outcomes of Children with Hearing Loss study. The study followed over 300 children with mild to moderate hearing loss and normal hearing children for 3 years, measuring outcomes related to language, speech, academics, and family/intervention factors. Key findings include:
- Degree of hearing loss, audibility provided by hearing aids, duration of hearing aid use, and quality of linguistic input were associated with better language and speech outcomes.
- Children received inconsistent access to language due to periods without amplification and limitations of hearing aids.
- Early intervention services explained a significant portion of variability in language scores at age 3.
- Factors like milder hearing loss, better audibility, consistent aid
Teachers: Voice disorders (and what to do about them)David Kinnane
Compared to the general population, teachers are at a heightened risk of developing voice disorders. In these slides, we review some of the recent evidence about likely contributing factors, and steps teachers can take to reduce their risk of developing voice disorders.
This document provides information and tips for coping with adult-onset hearing loss. It discusses common symptoms of hearing loss and types of hearing loss. It emphasizes the importance of getting evaluated and treated for hearing loss to avoid negative health impacts like dementia. The document provides communication tips for individuals with hearing loss and their friends/family. It also discusses Americans with Disabilities Act protections and available hearing technologies like hearing aids and loops.
The document discusses hearing impairment and its inclusion in inclusive education. It defines hearing impairment according to IDEA as an impairment that adversely affects educational performance but is not considered deafness. Hearing impairment is classified based on the location and severity of loss. Challenges for students with hearing impairment include note-taking, reading comprehension, vocabulary development and understanding verbal questions. The document outlines provisions and teaching approaches that can help cater to the needs of students with hearing impairment in inclusive classrooms.
Hearing loss can have many meanings and definitions. It refers to an inability to hear sounds within a typical range without assistance. Hearing loss is measured by intensity and frequency of sounds a person can hear. There are different types of hearing loss including conductive, sensory, and mixed. Degrees range from mild to profound. Causes include ear infections, genetic conditions, aging, and loud noise exposure. Hearing loss impacts language development and academic performance in children. While many with hearing loss can speak, sign language is the primary language for some. Technologies like hearing aids and cochlear implants can help but do not restore normal hearing. Communication methods include lip reading, sign language, and assistive devices.
Auditory verbal therapy is an early intervention program that trains parents to maximize their hearing impaired child's speech and language development through normal age-appropriate communication using the auditory sense. The therapy focuses on developing listening, speech, language, and communication skills through play-based activities guided by principles of auditory development, parental guidance, and use of hearing technology to access all sounds. Auditory verbal therapists work one-on-one with parents and children to coach parents as the primary facilitators of their child's listening and spoken language development.
This document discusses barriers to effective listening in communication. It identifies several types of barriers including physical, socio-physiological, linguistic, cultural, emotional, and environmental barriers. Some specific barriers mentioned are ambiguity, inability to convey the message appropriately, inappropriate medium, lack of understanding cultural differences, lack of interest, prejudiced mindset, physical discomfort, noise, jargon, monotonous voice, tone, hesitancy, complex sentences, emotional states like anxiety and anger, tiredness, pain, discomfort, temperature, lighting, seating, smells, infrastructure, and noise. The document emphasizes that barriers can be caused by the speaker, listener, or location and hinder the listening process.
This document discusses the symptoms and causes of voice problems. It outlines several common symptoms including throat discomfort, impaired voice quality like hoarseness, changes in pitch, and difficulty projecting the voice. These symptoms can occur due to structural changes in the vocal folds or other factors. The usual causes are a combination of issues related to voice use, the physical environment, and stress levels. Improper voice use, health problems, high stress, and poor acoustic environments can all contribute to voice problems. Teachers may be at higher risk if they lack knowledge of voice anatomy, misuse their voice through behaviors like yelling, have health issues or high stress, or work in rooms with unsuitable acoustics.
Communication effects of auditory deprivationLynn Royer
The document discusses binaural summation, which is when sounds are louder when presented to both ears simultaneously rather than individually. It also discusses the effects of auditory deprivation, citing studies that found word recognition scores decreased significantly more in unaid ears compared to aided ears over time. The brain can only selectively attend to messages in a binaurally balanced state enabled by binaural summation. Early binaural fitting of hearing aids may help counter the negative effects of auditory deprivation.
Hypertension management will change more in the next 5 years than in the last...Valencell, Inc
Why will managing hypertension change more in the next 5 years than it has in the last 100?
There are several macro trends that are driving this change:
- Hypertension is a massive global health problem (over 1B people have high BP) and it is THE leading risk factor for the global burden of disease (its a comorbidity in every major chronic disease) - more of a risk factor than tobacco, obesity, poor diet, high blood glucose, etc. - according to the WHO.
- Sensor tech - there has been no meaningful innovation in BP sensors in over 100 years. The BP cuffs in use today are fundamentally the same as the first BP cuff that came to market in the early 1900's. That’s changing now with cuffless BP sensors that are being approved by regulatory bodies.
- Care delivery – healthcare "has left the building", moving out of the hospital, into the home and everyday life. This can be seen in the huge growth in remote patient monitoring, digital therapeutics, and digital health more broadly.
- Payer models – insurance coverage is moving from fee-for-service to value-based care that’s focused on prevention and monitoring. This is particularly important in hypertension management because high BP has no outward symptoms, making the frequency and ease of BP monitoring extremely important.
Blood pressure market research study - November 2020Valencell, Inc
In November 2020, Valencell conducted a research study on people with hypertension to understand the personal impact of managing the disease every day and the potential for digital health solutions to improve hypertension management.
More Related Content
Similar to Hearing loss and the associated comorbidities: A conversation with Sonova
Educational Audiology: Auditory-Verbal Therapy and Cued Speechalexandracostlow
The document discusses Auditory-Verbal Therapy (AVT) and Cued Speech. It provides information on what each approach involves, outcomes of research studies on AVT, and principles of AVT. AVT utilizes residual hearing to teach children to listen and speak without relying on visual cues. Research shows children who receive early AVT intervention achieve independence and mainstreaming. Cued Speech supplements spoken language with hand shapes and locations near the mouth to make all speech sounds visible.
This slide will guide an individual to enhance their listening skills, and make them aware about its different aspects which influence their social activities.
Noise pollution is a big issue among worldwide. It has various physical and psychological problems. Here i am giving presentation highlighting mental health problems due to noise pollution.
This document provides an overview of assessment and management of deafness in children and adults. It discusses types of hearing impairment, common causes including genetic factors and infections, methods of evaluation such as audiometry, and interventions like hearing aids, cochlear implants, education supports, and protective measures to prevent deafness.
This document provides an overview of assessment and management of deafness in children and adults. It discusses types of hearing impairment, common causes including genetic factors and infections, methods of evaluation such as audiometry, and interventions including surgery, hearing aids, cochlear implants and education supports. Protecting hearing through preventing infections and excessive noise exposure is also covered.
Communication effects of auditory deprivationLynn Royer
The document discusses binaural summation and the effects of auditory deprivation. It summarizes studies that show fitting hearing aids in both ears rather than one ear can help reduce effects of auditory deprivation over time. Specifically, one study found that veterans who were fit with a hearing aid in only one ear for five years saw their word recognition score in the unaided ear decrease by almost 18%, while those fit binaurally decreased less than 2% in each ear. The evidence suggests fitting hearing aids in both ears early can help counter effects of auditory deprivation.
This document discusses hearing impairment and cochlear implants. It provides background on a 3-year-old male patient who was born with profound sensorineural hearing loss and was approved for cochlear implantation. The document covers topics like types of hearing loss, impact of hearing loss, who is a candidate for cochlear implants, how implants work, the surgery, and factors that influence success. It emphasizes that cochlear implants are effective for severe-to-profound deafness and require a multidisciplinary team approach including programming, therapy, and parental commitment post-surgery.
All You Ever Wanted to Know About Auditory-Verbal Therapy BUT Didn't Know Who...Monika Lehnhardt PhD
The document discusses the principles and philosophy of Auditory-Verbal therapy (AVT) for children who are deaf or hard of hearing. AVT focuses on early identification, aggressive audiological management, appropriate amplification technology, favorable learning environments, and parent participation to develop spoken language through listening. Studies show that children who complete AVT programs achieve mainstream education placements and develop age-appropriate communication skills.
Psycho-educational Program for Enhancing Knowledge, Practice, and Adjustment ...halawa755
The document discusses an aim to evaluate the effectiveness of a psycho-educational program in enhancing knowledge, practice, and adjustment among family caregivers of children with hearing loss. It begins with an introduction on hearing loss prevalence and impact. It then states the study aim and specific objectives to assess caregiver knowledge, practice, and adjustment before and after the program, develop and implement the program, and evaluate its impact. A literature review follows on hearing loss overview, caregiver challenges, nursing interventions for children and caregivers, and caregiver practice and adjustment.
Zaid Hjab
The ear is the part of the body that is used for hearing. Information about the
world is acquired through hearing. Anybody that hears nothing around him, no
matter how loud the sound is should be seen as having ear problem. It is a condition
or rather an impairment which is a physical, observable condition of tissue that can
affect the function of the organ system of which that tissue is a part. Hearing
impairment is a disability that can affect the effective functioning of the total
personality no matter the period of onset. Among the earliest attempt to define
hearing impaired was the one made by the committee of Nomenclature of the
conference of Executives of American schools for the deaf (1938) which says
that the deaf are those people in whom the sense of hearing is non-functioning for
the ordinary purpose of life. According to them also, the hard-of-hearing can be
defined as those in whom the sense of hearing although defective is functional with
or without a hearing aid.
The document discusses various barriers to effective listening in communication. It identifies several types of barriers including physical barriers like tiredness or discomfort, socio-physiological barriers like emotions, linguistic barriers like use of jargon or complex vocabulary, cultural barriers, and environmental barriers like noise or uncomfortable seating. Specific barriers mentioned are ambiguity, inability to convey the message appropriately, using the wrong medium, lack of understanding cultural differences, lack of interest, listening with preconceived ideas, physical discomfort, and noise. Effective listening is important for successful communication, but these barriers can interfere with the listening process.
Children who are Hard of Hearing: Still Forgotten? Phonak
This document summarizes research from the Outcomes of Children with Hearing Loss study. The study followed over 300 children with mild to moderate hearing loss and normal hearing children for 3 years, measuring outcomes related to language, speech, academics, and family/intervention factors. Key findings include:
- Degree of hearing loss, audibility provided by hearing aids, duration of hearing aid use, and quality of linguistic input were associated with better language and speech outcomes.
- Children received inconsistent access to language due to periods without amplification and limitations of hearing aids.
- Early intervention services explained a significant portion of variability in language scores at age 3.
- Factors like milder hearing loss, better audibility, consistent aid
Teachers: Voice disorders (and what to do about them)David Kinnane
Compared to the general population, teachers are at a heightened risk of developing voice disorders. In these slides, we review some of the recent evidence about likely contributing factors, and steps teachers can take to reduce their risk of developing voice disorders.
This document provides information and tips for coping with adult-onset hearing loss. It discusses common symptoms of hearing loss and types of hearing loss. It emphasizes the importance of getting evaluated and treated for hearing loss to avoid negative health impacts like dementia. The document provides communication tips for individuals with hearing loss and their friends/family. It also discusses Americans with Disabilities Act protections and available hearing technologies like hearing aids and loops.
The document discusses hearing impairment and its inclusion in inclusive education. It defines hearing impairment according to IDEA as an impairment that adversely affects educational performance but is not considered deafness. Hearing impairment is classified based on the location and severity of loss. Challenges for students with hearing impairment include note-taking, reading comprehension, vocabulary development and understanding verbal questions. The document outlines provisions and teaching approaches that can help cater to the needs of students with hearing impairment in inclusive classrooms.
Hearing loss can have many meanings and definitions. It refers to an inability to hear sounds within a typical range without assistance. Hearing loss is measured by intensity and frequency of sounds a person can hear. There are different types of hearing loss including conductive, sensory, and mixed. Degrees range from mild to profound. Causes include ear infections, genetic conditions, aging, and loud noise exposure. Hearing loss impacts language development and academic performance in children. While many with hearing loss can speak, sign language is the primary language for some. Technologies like hearing aids and cochlear implants can help but do not restore normal hearing. Communication methods include lip reading, sign language, and assistive devices.
Auditory verbal therapy is an early intervention program that trains parents to maximize their hearing impaired child's speech and language development through normal age-appropriate communication using the auditory sense. The therapy focuses on developing listening, speech, language, and communication skills through play-based activities guided by principles of auditory development, parental guidance, and use of hearing technology to access all sounds. Auditory verbal therapists work one-on-one with parents and children to coach parents as the primary facilitators of their child's listening and spoken language development.
This document discusses barriers to effective listening in communication. It identifies several types of barriers including physical, socio-physiological, linguistic, cultural, emotional, and environmental barriers. Some specific barriers mentioned are ambiguity, inability to convey the message appropriately, inappropriate medium, lack of understanding cultural differences, lack of interest, prejudiced mindset, physical discomfort, noise, jargon, monotonous voice, tone, hesitancy, complex sentences, emotional states like anxiety and anger, tiredness, pain, discomfort, temperature, lighting, seating, smells, infrastructure, and noise. The document emphasizes that barriers can be caused by the speaker, listener, or location and hinder the listening process.
This document discusses the symptoms and causes of voice problems. It outlines several common symptoms including throat discomfort, impaired voice quality like hoarseness, changes in pitch, and difficulty projecting the voice. These symptoms can occur due to structural changes in the vocal folds or other factors. The usual causes are a combination of issues related to voice use, the physical environment, and stress levels. Improper voice use, health problems, high stress, and poor acoustic environments can all contribute to voice problems. Teachers may be at higher risk if they lack knowledge of voice anatomy, misuse their voice through behaviors like yelling, have health issues or high stress, or work in rooms with unsuitable acoustics.
Communication effects of auditory deprivationLynn Royer
The document discusses binaural summation, which is when sounds are louder when presented to both ears simultaneously rather than individually. It also discusses the effects of auditory deprivation, citing studies that found word recognition scores decreased significantly more in unaid ears compared to aided ears over time. The brain can only selectively attend to messages in a binaurally balanced state enabled by binaural summation. Early binaural fitting of hearing aids may help counter the negative effects of auditory deprivation.
Similar to Hearing loss and the associated comorbidities: A conversation with Sonova (20)
Hypertension management will change more in the next 5 years than in the last...Valencell, Inc
Why will managing hypertension change more in the next 5 years than it has in the last 100?
There are several macro trends that are driving this change:
- Hypertension is a massive global health problem (over 1B people have high BP) and it is THE leading risk factor for the global burden of disease (its a comorbidity in every major chronic disease) - more of a risk factor than tobacco, obesity, poor diet, high blood glucose, etc. - according to the WHO.
- Sensor tech - there has been no meaningful innovation in BP sensors in over 100 years. The BP cuffs in use today are fundamentally the same as the first BP cuff that came to market in the early 1900's. That’s changing now with cuffless BP sensors that are being approved by regulatory bodies.
- Care delivery – healthcare "has left the building", moving out of the hospital, into the home and everyday life. This can be seen in the huge growth in remote patient monitoring, digital therapeutics, and digital health more broadly.
- Payer models – insurance coverage is moving from fee-for-service to value-based care that’s focused on prevention and monitoring. This is particularly important in hypertension management because high BP has no outward symptoms, making the frequency and ease of BP monitoring extremely important.
Blood pressure market research study - November 2020Valencell, Inc
In November 2020, Valencell conducted a research study on people with hypertension to understand the personal impact of managing the disease every day and the potential for digital health solutions to improve hypertension management.
Best practices in using wearable biometric sensors to prove medical use casesValencell, Inc
The use of wearable devices in health and medical use cases is growing rapidly along with the number and capabilities of wearable devices. The sensor technology embedded in wearables today rivals the capabilities of regulatory-approved medical devices, and in many cases enables new and different use cases than we’ve seen possible before. This session will highlight the best practices we’ve seen emerging recently from real-world projects proving the efficacy of wearable devices in health and medical use cases in the areas of cardiovascular conditions, neurological disease, pain management, and other areas of interest. We’ll also explore the potential pitfalls to avoid and key things to consider when using wearables in proving out your medical use case.
Using biometric wearables in neuroscience & human behaviorValencell, Inc
Studies have shown human happiness substantially reduces morbidity and mortality. The neuroscience behind what brings people joy has been shown to reduce hospital and clinic visits, reduce pharmaceutical costs, and improve the quality of life. The benefits are clear, but how can we reliably know when and why people are happy?
We will explore this topic and more with Dr. Paul Zak, world-renowned expert on human behavior, neuroeconomics, and neuromanagement and co-founder of Immersion Neuroscience. After 5 years of deep science on oxytocin, Paul and his team were asked by DARPA and the CIA to find a robust way to predict actions and market outcomes using neurologic measures without the expensive medical equipment or lab environment. 12 years later, they have peer-reviewed and published science on what is known as immersion and the ability to predict outcomes with an accuracy level that exceeds EEG and fMRI.
Advanced heart rate training for at-home trainingValencell, Inc
With most gyms and workout facilities closed or limited, we’ve all had to evolve to get our training in. But the question remains - are my at-home workouts as effective as they were before quarantine? The only way to truly understand the effectiveness of our workouts is to have a glimpse into what’s actually happening inside our bodies – and more specifically, our hearts. The team at MIO Labs have created a training system that serves as an accountability partner and a guide towards the right exercise intensity based on personal training goals. MIO’s Marcelo Aller will share insights on how the system was created and why it’s different from other systems on the market today.
Webinar: Calibration-free blood pressure monitoring using biometric earbudsValencell, Inc
Valencell was scheduled to present the results of a clinical study on its groundbreaking blood pressure monitoring technology at the American College of Cardiology conference in March, but unfortunately that conference was cancelled. So we’ve decided to share that presentation and research here in a webinar format with an open Q&A session. You can find more information on Valencell's blood pressure technology here: https://valencell.com/bloodpressure/
Utilizing wearable technology in remote patient monitoring with aging populat...Valencell, Inc
Most developed nations are experiencing a dramatic aging of the population, which is putting pressure our healthcare systems to provide care outside of medical facilities and driving opportunities for remote patient monitoring systems. In fact, 90% of family caregivers want a way to monitor their loved ones, receive alerts and be involved in their care. This webinar will discuss the trends driving remote patient monitoring today and how these systems are utilizing wearable technology to elevate the level of care possible outside of medical facilities. You won’t want to miss this webinar!
Why Data Science Matters and How It Enables Impactful Health Outcomes - WebinarValencell, Inc
Valencell is transforming the science of wearable biometrics to facilitate impactful health outcomes and data science is a critical part of how we do that. The combination of accurate PPG sensor systems and the latest advancements in data science are opening up new possibilities for health and medical wearables to make an impact on people's lives. We have discovered it takes more than just sensor technology and in this webinar, Valencell offers an overview of the unique data capabilities being developed at our Biometric Data Science Lab. In this webinar, we share information on how we built our world-class data analytics team, the challenges we've overcome, and the data collection platforms and processes we employ.
Wearable technology and blood pressure monitoring: Addressing the global hype...Valencell, Inc
High blood pressure is one of the largest public health epidemics in the world, affecting over one billion people according the World Health Organization and presenting significant risk factors for stroke, heart failure, coronary artery disease, diabetes and kidney disease. Monitoring blood pressure is the first step toward improving it, but it remains challenging to consistently monitor blood pressure in ways that don’t disrupt people’s lives. There are numerous efforts underway to address some of those challenges through wearable technology and devices, from watches to earbuds to clothing and more.
In this webinar, leaders from Omron and Valencell will explore the latest technologies and initiatives designed to navigate the technical challenges, regulatory environment, consumer expectations, and opportunities to make a dent in the global hypertension epidemic.
Utilizing heart rate data to improve swimmers’ performance: A conversation wi...Valencell, Inc
The ability to track your heart rate in real-time is the most important analytic to have during a workout. The Phlex Edge is designed for all swimmers to get the most out of their training. In this webinar, Phlex shares about their journey from initial concept through prototyping, use case development, business development, and reinventing training with precise analytics, real-time heart rate, and professional workouts.
Consumers have come to expect more from their wearable devices and as the markets for hearables and hearing health devices continue to grow, biometrics have become essential. There are numerous emerging use cases for biometric hearables as a result of the ongoing convergence between the consumer wearables/hearables market and health and medical devices.
In this webinar, we'll explore hearables and the next era of augmented hearing. We will also discuss the problems being solved by biometric hearables and where this technology is headed, particularly as hearing aids get smarter and hearables gain more capabilities.
What are biometric parameters and why do they matter? Valencell, Inc
Biometric parameters are characteristics of the vascular system and blood flow dynamics that can help define or classify the system's performance, status, or condition. Key biometric parameters extracted from photoplethysmography (PPG) signals include signal quality, normalized pulsatile amplitude related to blood volume and flow, non-pulsatile amplitude indicating breathing and cardiovascular health, and ambient light levels. These parameters enable new use cases for wearables in areas like pain management, pilot monitoring, and tracking blood pressure during exercise. Valencell's motion-tolerant extraction of biometric parameters from PPG signals allows their use in applications requiring activity.
Applying heart rate data to optimize pain relief: A conversation with Sana He...Valencell, Inc
Sana is a non-invasive solution for those with severe pain problems. Learn how Sana measures and tracks users' overall state of health over time, and uses this measure to help achieve deep relaxation and pain reduction. Following clinical trials in late 2018 and early 2019 with Mount Sinai Hospital, data analysis with Stanford Sleep Labs and PTSD with the UK military, the device will be made available to the general public following FDA certification.
Artificial intelligence-powered wearable solutions for senior care: A convers...Valencell, Inc
CarePredict, a Florida-based health tech startup, aims to improve seniors’ quality of life with machine learning-driven, actionable wearables insights for care staff and management to provide peace of mind for seniors and their loved ones. By identifying changes in the daily activities and behavior patterns of seniors, predictions can be made about declines in their health, thereby enabling early intervention and adopting a proactive and preventive approach to senior care.
In this webinar, CarePredict shares about their journey from initial concept through prototyping, use case development, business development, and addressing the crisis of a widening gap in the senior to caregiver ratio.
Wearables in Clinical Trials: Opportunities and ChallengesValencell, Inc
Wearables are showing the potential to significantly impact the data available for clinical trials and medical researchers in numerous ways. While the quality and efficacy of these devices varies widely, the sensor technologies in these devices has evolved to meet the needs of many clinical research endeavors. Wearables also enable longitudinal biometric data sets that can provide unique insights into the long-term, real-world impact of pharmacotherapies and treatment protocols. There are also many challenges in using wearables in trials, including access to the raw data from wearables, validation of the data from wearable devices, processing and analysis of massive amounts of wearable data, and data security.
This webinar is an interactive discussion on the state of wearables in clinical trials and medical research, where the opportunities are and the challenges to be overcome.
Top Wearables Predictions for the Year Ahead and 2018: Year in ReviewValencell, Inc
Where is wearable technology heading and what can we expect from the wearables market? When it comes to biometric wearables and hearables, we've only scratched the surface of what's possible. In this webinar, Dr. Steven LeBoeuf takes a look back at trends and achievements in wearables in 2018 and weighs in on the outcomes of last year's predictions. We also highlight some unexpected changes you need to be ready for in 2019 and beyond.
State of Wearables Today - 2018 Consumer SurveyValencell, Inc
A new national survey released today on wearables revealed that actionable, accurate health insights from wearables will be increasingly important to the success of the industry and 63% of respondents have owned a wearable device at some point, up from 42% in 2016. The online survey polled 826 consumers from a wide range of U.S. regions, ages, and income levels on their experiences and preferences around wearables. The 2018 survey is a follow-up from the same survey conducted by Valencell in 2016.
Expanding hearables and next generation hearing health: A conversation with S...Valencell, Inc
Consumers have come to expect more from their wearable devices and as the markets for hearables and hearing health devices continue to grow, biometrics have become essential. In this webinar, Sonion, the global leader in micro-acoustic technologies for hearing instruments, joins us to explore the benefits of biometric sensors in the ear.
Hamidreza Taghavi, Senior Product Manager at Sonion, discusses the ongoing convergence between the consumer wearables/hearables market and health and medical devices and where this technology is headed, particularly as hearing aids get smarter and hearables gain more capabilities.
Solving Children’s Enuresis with an AI Biometric Wearable SolutionValencell, Inc
Most people don’t realize how pervasive the problem of pediatric enuresis (commonly known as bedwetting) is. In fact, the problem affects over 8.5 million children just in the US, and over $4 billion is spent annually by families trying to solve the problem. GOGO Band is taking a unique approach to solving this problem with a highly accurate biometric wearable device combined with the power of AI machine learning algorithms, while connecting families with mobile applications for children and parents.
In this webinar, GOGO Band Founder and CEO, Jon Coble, discusses the process of bringing a solution to market, from the earliest concepts all the way through to market introduction.
SVHealth2.0 Wearables Symposium - August 2018Valencell, Inc
Join us for an insightful and provocative discussion on what it takes to build successful wearables. Our panelists represent three leaders whose technologies make it possible for our devices do all the cool stuff we love.
Karl Etzel, Business Development Consultant, Firstbeat: the leader in heart-rate algorithms. Got a Garmin that tells you when to train hard and when to recover? Thank Firstbeat! In understanding fitness metrics, VO2max is a great place to start. Learn more at https://www.firstbeat.com/en/blog/vo2mx-ultimate-resource/
Ryan Kraudel, VP Marketing, Valencell: creator of the world's most accurate biosensor systems, found in leading brands including Jabra, Bose and Suunto. Here's a great webinar on Valencell's work in the fast-growing hearable product category: https://valencell.com/blog/2018/06/making-biometrics-universal-in-hearables-and-hearing-health/
Yao Lu, Americas Sales Director, Ambiq Micro: their low-power semiconductors help companies like Spire, Huawei and Misfit (Fossil) reduce or eliminate the need for batteries, reduce overall system power and maximize industrial design flexibility. Here's a webinar from Ambiq CTO Scott Hanson on low power consumption and its impact on wearables and use cases: https://www.youtube.com/watch?v=B8pANa85WQM
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
2. Healthy Hearing in the Context of Healthy Aging
Stefan Launer
Senior VP Science & Technology, Sonova AG, Switzerland
Adjunct Professor University of Queensland, Brisbane, Australia
Adjunct Professor University of Manchester, Manchester, UK
Ulrike Lemke, Jana Besser, Gurjit Singh, Maren Stropahl, Emily Urry, Charlotte Vercammen, Mathias Latzel, Barbra Timmer,
3. Content
1. Hearing loss – impact on quality of life beyond speech intelligibility
2. Do hearing instruments improve quality of life?
3. Hearing loss and multi-morbidities
1. Cognitive decline
2. Systemic and physical comorbidities
4. Summary
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being3
4. Role of hearing in daily life
1
Hearing Health Care - Sound foundation for well-being4
5. Hearing, communication – the social sense
Hearing Health Care - Sound foundation for well-being5 11 / 2019, Valencell Webinar, S.Launer
6. Hearing – the un-conscious sense, well-being …
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being6
7. Hearing – the emotional sense
Hearing Health Care - Sound foundation for well-being7 11 / 2019, Valencell Webinar, S.Launer
8. Hearing the under-valued sense?!
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being8
9. Hearing loss – impact on quality
of life beyond speech
intelligibility
2
Hearing Health Care - Sound foundation for well-being9
10. Ecologic Momentary Assessment
• EMA – needs Assessment (PhD thesis B Timmer)
Asses personal listening needs
Create awareness about hearing loss in the
person
and the significant others
Speech understanding is not the problem but
increased listening effort
Hearing Health Care - Sound foundation for well-being10 11 / 2019, Valencell Webinar, S.Launer
11. Impact of hearing loss on non-speech sound perception
• Music perception
• Perception of affective sounds, speech and non-speech,
Singh et al 2017, Picou et al 2017
• Identification of environmental sounds
Hearing Health Care - Sound foundation for well-being11
• Hearing impaired subjects have difficulties identifying affective speech
11 / 2019, Valencell Webinar, S.Launer
12. • Emotional vitality
High personal mastery, happiness, low depressive symptoms, low
annxiety
Subjective questionnaires to assess «emotional vitatliy»
• 3’000+ subjects from Health ABC study 70-79 years of age
• Audiometric assessment in year 5, emotional vitality year 6
• Hearing loss increases the odds of low emotional vitality
• Hearing instruments did not improve scores on emotional vitality
Study may have been underpowered, few HI users
Hearing loss & emotional vitality
Hearing Health Care - Sound foundation for well-being12 11 / 2019, Valencell Webinar,
S.Launer
13. Impact of hearing loss on quality of life
• Impact on ability to communicate easily
confusion, difficulty, focusing, distracting thoughts,
• Effort, fatigue, …
• Emotional perception
• Emotional vitality
• Emotional functioning
anger, frustration, depression, anxiety, anger, guilt, embaressment
• Social isolation, lonliness, self-esteem, distress
• Depression? Mixed results, control of confounding factors
• Impact on activities of daily living, particularly “social”
Incl eg grocery shopping…
• Impact on ability to work educational level, salary
• Third party disability (spouses - yes, children - yes, all SOs?)
Activity limitations and participation restrictions reported by significant others
Impaired relationships
• Third party disability – patient-physician communication
Hearing Health Care - Sound foundation for well-being13 11 / 2019, Valencell Webinar,
S.Launer
14. Hearing loss, depression, lonliness
• Correlation between hearing loss, lonliness, depression?
• confounding factors, multi-factorial
• LASA study in Netherlands
Longitudinal study: various health conditions incl hearing loss over several years
Considering confounding factors
• No correlation found between hearing loss and depression
• Hearing loss and lonliness yes, for specific subgroups
• Hearing loss and lonliness
depends on rate of decline of HL
Not for mild HL
Yes for decline beyond moderate HL
Hearing Health Care - Sound foundation for well-being14
Pronk, PhD thesis 2013
11 / 2019, Valencell Webinar, S.Launer
15. From «not hearing and poor speech intelligibility» to a more holistic perspective
Hearing loss – impact on quality of life
Hearing Health Care - Sound foundation for well-being15
Impact on overall quality of life
Emotional functioning
Distress, fatigue
Social isolation, lonliness
Activities of daily living
Third-party disability
11 / 2019, Valencell Webinar,
S.Launer
16. Do hearing instruments improve
quality of life beyond speech
intelligibility?
3
Hearing Health Care - Sound foundation for well-beingPage
16
17. Behavioral observation
Hearing Health Care - Sound foundation for well-being17
ISAAR 2016, Palluch, Latzel, Meis
11 / 2019, Valencell Webinar,
S.Launer
18. Mental Fatigue
Goal
• Develop a method that measures fatigue
Fatigue: reduction of function after excessive exertion
• Does hearing aid technology reduce fatigue?
Method
• Testing in a reverberation chamber (RT60 ~450 ms)
Noise: 5 speaker cafeteria babble fixed @ 55 dBA
• Listen to and repeat NU6 words in noise
(individualized SNR ~70% correct)
Present strings of 8-12 words (random length)
• Store last 5 words in memory for recall
• While doing this remain vigilant for a visual signal
Speech
108°
180°
252°
324°
36°
Hornsby, 2013
Hearing Health Care - Sound foundation for well-being18 11 / 2019, Valencell Webinar,
S.Launer
19. Trial Block
0 1 2 3 4 5 6
ReactionTime(inms)
250
300
350
400
450
500
Unaided
Aided Basic
Aided Advanced
Mental Fatigue:
• Unaided multi-task Reaction time (RT)s increased over
time
Onset of fatigue
• No change in aided RTs over time
No fatigue
• Conclusion:
Hearing aids can reduce mental fatigue from extended
listening to speech in noise
Patients less exhausted after an hour of socializing
Patients can engage more with family and friends
Hornsby, 2013
Hearing Health Care - Sound foundation for well-being19 11 / 2019, Valencell Webinar,
S.Launer
20. Working Memory Task:
After every two sentences recall name,
number or object
Parallel: Recording of EEG signal
After complete run (2*8 sentences)
Objective Measure:
Correct Answer
Subjective Measures:
Listening Effort (LE)
Memory Effort (ME)
Noise Annoyance (NA)
Working Memory paradigm
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being20
OLSA Sentences
(1)Wolfgang kauft fünf weiße Autos
(2)Nina hat zwölf nasse Sessel
INSTRUCTION
„Please repeat the numbers of the two
sentences you just have heard!“
21. Less alpha band activity
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being21
SZ (SNRHIGH) RES (SNRHIGH) SZ (SNRLOW) RES (SNRLOW)
AlphaBand
22. • Hearing instrument users report…
Understand speech in quiet and challenging
listening conditions far better
Better perceive environmental sounds
Participate more in social life
Feel less exhausted
Feel less depressed
Feel less forgetfull
Sleep better
• Hearing instruments significantly improve
quality of life
Hearing instruments improve quality of life
Hearing Health Care - Sound foundation for well-being
EuroTrak, EHIMA 2016, 2019
In the evenings I often feel physically exhausted
22 11 / 2019, Valencell Webinar,
S.Launer
23. Wearing time of the HI per day over various Generations
23
The distribution is skewed to the right. HIs mostly used somewhere between 9 to 20 hours.
650’000+ users
Hearing Health Care - Sound foundation for well-being 11 / 2019, Valencell Webinar, S.Launer
Devices in a drawer Average usage time
per day + 1.5 h
24. Impact of hearing instruments on quality of life
• Sound evidence supporting the notion that hearing instruments
improve quality of life
• Different methods
Lab studies (subjective and objective (EEG, pupillometry,
RTS) measures…)
Subjective questionnaires in daily life
• Benefit dimensions
Effort
Fatigue
Cognition
General aspects of quality of life
• Open:
Perception of emotional content?
Impact on third-party disabilities?
Social integration
….
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being24
Trial Block
0 1 2 3 4 5 6
ReactionTime(inms)
250
300
350
400
450
500
Unaided
Aided Basic
Aided Advanced
Hornsby, 2013
In the evenings I often feel physically exhausted
25. Hearing loss and multi-
morbidities
4
Hearing Health Care - Sound foundation for well-being25
26. • Hearing-well being-well
Hearing loss Ability to
communicate
Emotional
functioning &
vitality
Social
withdrawl &
lonliness
Cognitive
function &
decline
Depression?
Ability to
learn, work,
Impact on
familiy
Perception of
environmental
sounds
Emotion
perception
Increased
effort &
fatigue
Impact on
quality of life
27. Hearing loss strongly correlated with multiple health issues
11 / 2019, Valencell Webinar, S.Launer Hearing Health Care - Sound foundation for well-being27
29. 11 / 2019, Valencell Webinar, S.Launer Hearing Health Care - Sound foundation for well-being29
30. Hearing Loss precursor & potential risk factor for cognitive decline
Hearing Health Care - Sound foundation for well-being30 11 / 2019, Valencell Webinar, S.Launer
• Weak but significant correlation
• Causal relation?
• Modifiable?
• Hearing loss most likely is a pre-cursor
31. Correlation between hearing loss & various cognitive functions
Hearing Health Care - Sound foundation for well-being31
11 / 2019, Valencell Webinar,
S.Launer
32. Correlates of hearing loss and specific aspects of cognition
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being32
33. Do hearing instruments slow
down cognitive decline?
6
11 / 2019, Valencell Webinar, S.Launer Hearing Health Care - Sound foundation for well-being33
34. Hearing instruments might contribute to slowing down cognitive decline
Hearing Health Care - Sound foundation for well-being35 11 / 2019, Valencell Webinar,
S.Launer
35. Limitations of previous studies – no controlled trials
• Accurate data on hearing loss not obtained in many cases; self-report is unreliable.
• Change in hearing loss not followed over time.
• Information about treatment, ie. frequency of device use or benefit from device not collected.
• A limited number of other factors likely to influence cognitive outcomes not considered, eg. loneliness, social
isolation, cardiovascular health, exercise & diet.
• Many cohort studies not longitudinal.
• Limited tools have been used to assess cognitive function. This has been conducted in most studies using
screening tools - insensitive and verbal instructions not appropriate for people with hearing loss (eg. MMSE).
11 / 2019, Valencell Webinar, S.LaunerHearing Health Care - Sound foundation for well-being38
36. Hearing loss and systemic &
physical health issues
7
Hearing Health Care - Sound foundation for well-being39
37. Hearing Health Care - Sound foundation for well-being40 11 / 2019, Valencell Webinar,
S.Launer
38. Hearing loss – difficult patient – physician communication
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being41
Consultation content – misunderstanding 35 %
Communication breakdown – 16 %
39. Hearing Health Care - Sound foundation for well-being42 11 / 2019, Valencell Webinar,
S.Launer
40. Can hearing devices help with preventing falls?
Hearing Health Care - Sound foundation for well-being43 11 / 2019, Valencell Webinar,
S.Launer
42. Summary I
• Hearing is a very important sense for our social wellbeing
Social sense, sub-concious/monitoring sense, emotional sense
• Hearing loss has a very strong impact on quality of life extending
beyond speech intelligibility
Often hearing problems can be compensated by investing more
cognitive effort
• Hearing instruments improve quality of life: Reduce listening effort
avoid fatigue, improve quality of life
More evidence from daily life situations!
eAudiology – EMA – learn more about hearing instrument benefit in
daily life from users and significant others
• Hearing instruments turn into vital sign and health monitoring devices?
Implications for health care model in general?!
Hearing Health Care - Sound foundation for well-being45 11 / 2019, Valencell Webinar,
S.Launer
Systemic
&
physical
health
Cognitive
health
Social-
emotional
health
43. Summary II: Translational aspects for hearing health care & audiology(sts)
• Psycho-social health considerations: hearing loss contributes to psycho-social
functioning, e.g. causes depression, loneliness, …
hearing instruments contribute to improved quality of life and well-being beyond
speech intelligibility
revisit some old but still open problems, eg Tinnitus …
• Cognitive decline - dementia: strong correlation, hearing loss supposedly
accelerates cognitive decline
new indication for hearing instruments????
• Increased risk of falls in hearing impaired subjects: hearing loss is
a pre-cursor to problems with balance and posture
new service and product: screen hearing impaired for
postural stability and offer training incl. a device
• Diabetes, cardio-vascular issues: co-occur with hearing loss,
the diagnosis of one is an indicator for the other
counselling, collaborate with other HCP, help improve
communication
• Autism and speech communication problems (pediatric
and adults)
new indication for assistive listening devices (e.g. Roger)
Hearing Health Care - Sound foundation for well-being46 11 / 2019, Valencell Webinar, S.Launer
Systemic
&
physical
health
Cognitive
health
Social-
emotional
health
Put hearing & audiological rehabilitation in a
different context:
sound foundation for well being!
44. Thanks You
THANK You for your attention!
11 / 2019, Valencell Webinar,
S.Launer
Hearing Health Care - Sound foundation for well-being47
Editor's Notes
The role of hearing in daily life:
The social sense, the emotional sense, the monitoring sense
Hearing loss – impact on quality of life (beyond speech intelligibility)
Increased listening effort & fatigue
EMA study BAT
Social isolation, lonliness, depression, …
Reduced ability to socially interact – limited ability to identify affective speech correctly
Hearing instruments improve quality of life beyond speech intelligibiligy
Reduce listening effort BVST, Erin Picou’s work, reduced fatigue (Brent, Ben’s work)
Reduced risk of depression
Overall improved quality of life -> Eurotrack, study R McArdle, T Chisholm
Hearing loss, wellbeing, healthy aging – expanding the scope
Audiology – Tinnitus
Cognition & psycho-social functioning: cognitive decline, depression,
Physical health – balance, motion, risk of falls
Systemic health conditions: diabetes, cardio-vascular, hypertensio:
Impact on audiological practice
Offer more audiological services -> Tinnitus, Balance, pediatrics …
Collaborate with other health care parctitioners (lead gen)
Hearing instruments – health monitoring devices?
Integration of other sensors into hearing instruments for health and vital sign monitoring