Investigating the Relationship Between Age-Related Hearing Loss and Loneliness Among Community-Dwelling Older Adults

调查社区老年人中与年龄有关的听力损失与孤独感之间的关系

• 批准号: 10688140
• 负责人: Jonathan J. Suen
• 金额: $ 1.15万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2023-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10688140
• 关键词: Academy; Address; Adult; Affect; Age; Aging; Alzheimer' s disease related dementia; Alzheimer' s disease risk; Area; Atherosclerosis Risk in Communities; Auditory; Black race; Clinical; Clinical Markers; Communication; Communities; Complex; Data; Dementia; Development; Discipline of Nursing; Distal; Doctor of Philosophy; Elderly; Emotional; Equipment and supply inventories; Ethnic Origin; Fellowship; Female; Foundations; Future; Gerontology; Goals; Guidelines; Health; Hearing; Hearing Tests; Intervention; Interview; Joints; Knowledge; Logistic Regressions; Loneliness; Measures; Mentors; Methods; Mission; Modeling; Morbidity - disease rate; Obesity; Outcome; Participant; Patient Self-Report; Perception; Persons; Population; Population Analysis; Presbycusis; Process; Proliferating; Public Health; Pure-Tone Audiometry; Race; Recommendation; Reporting; Research; Research Support; Risk; Risk Factors; Role; Sampling; School Nursing; Scientist; Secondary to; Smoking; Social Environment; Social Network; Surveys; Testing; Training; Translations; United States; United States National Institutes of Health; Visit; behavioral impairment; career; data integration; design; epidemiology study; evidence base; experience; functional disability; healthy aging; hearing impairment; high risk; improved; innovation; modifiable risk; mortality; novel; programs; prospective; screening; secondary analysis; social; social epidemiology; social relationships; social situation; standard measure; systematic review; theories; therapy development; verbal

PROPOSAL SUMMARY Significance: Loneliness has become a public health imperative given mounting evidence of associated morbidities when it is not addressed, including increased risks for Alzheimer's disease and related dementias (ADRD). Over 40% of older adults are estimated to suffer from loneliness, further underscoring the pressing need for study. In February 2020, the National Academies recommended more research into known risk factors of loneliness to inform novel screening and intervention strategies. One particular risk factor, hearing loss (HL), affects two-thirds of all adults over the age of 70 years in the United States and is projected to increase by an estimated 70% over the next four decades. The proliferation of HL can exacerbate distal outcomes like ADRD that are associated with loneliness. Current loneliness interventions have shown limited efficacy, and the vast majority do not clearly address HL. As a potentially modifiable risk factor, studying HL's relationship with loneliness will add to the evidence base and contribute to developing effective solutions. This training proposal supports the applicant's long-term goals to promote healthy aging through improving understanding of hearing health and its role in facilitating healthy social connections. The proposal will lay the groundwork for a program of research established using the NIH Stage Model for Intervention Development as a guiding framework. Specific Aims: Through a sequential explanatory mixed methods design, we aim to: (1) Examine pure tone audiometry's association with loneliness and hearing handicap as a moderator, (2A) Describe perceptions and experiences of loneliness and hearing handicap among older adults with HL, and (2B) Integrate data from aims 1-2A to explain the contributing roles of HL and hearing handicap to loneliness. Approach: Aim 1 involves multivariable adjusted logistic regression models examining additive and multiplicative interactions from hearing handicap scores reported through a validated survey on the association between a gold standard measure of HL (audiometry) and loneliness (Three-Item UCLA Loneliness). Methods include secondary analyses of population data from a community-based, racially/ethnically and regionally diverse older sample. Aim 2A involves analyses conducted via recommended guidelines for Qualitative Description with data collected from theoretically-guided interviews with purposively sampled community-dwelling older adults. Aim 2B involves using joint displays arraying quantitative and qualitative data to explain thematic findings. Fellowship Training: As the first audiologist in the PhD program at Johns Hopkins Nursing, the proposed transdisciplinary training will prepare the applicant through rigorous coursework, professional development activities, and mentored research experiences to successfully complete the aims of this proposal and advance the findings into subsequent innovative translations as a clinician scientist and leader in gerontology.

提案摘要 意义：由于越来越多的证据表明， 疾病，包括阿尔茨海默病和相关痴呆症的风险增加 （ADRD）.据估计，超过40%的老年人患有孤独症，进一步强调了 学习的需要。2020年2月，美国国家科学院建议对已知的风险因素进行更多研究。 孤独感的研究，为新的筛查和干预策略提供信息。一个特殊的风险因素，听力损失（HL）， 影响了美国70岁以上所有成年人的三分之二，预计将增加 估计在接下来的四十年里会达到70% HL的增殖可加重远端结局，如ADRD 与孤独有关的疾病目前的孤独干预措施效果有限， 大多数人都没有明确提到人道主义法。作为一个潜在的可改变的风险因素，研究HL与 孤独将增加证据基础，并有助于制定有效的解决方案。本次培训计划 支持申请人的长期目标，通过提高对听力的理解来促进健康老龄化 健康及其在促进健康的社会关系中的作用。这项建议将为一项计划奠定基础 使用NIH干预发展阶段模型作为指导框架建立的研究。 具体目的：通过一个顺序解释的混合方法设计，我们的目的是：（1）考察纯音 听力测试与孤独和听力障碍的关系作为调节因素，（2A）描述感知和 HL老年人的孤独和听力障碍经历，以及（2B）整合来自Aims的数据 1-2A解释HL和听力障碍对孤独感的贡献作用。 方法：目标1涉及多变量调整逻辑回归模型， 通过一项经验证的相关调查报告的听力障碍评分的乘法交互作用 HL（听力测量）和孤独感（加州大学洛杉矶分校孤独感三项）的黄金标准测量之间的关系。方法 包括对来自以社区为基础、种族/族裔和区域多样性 老样品目标2A涉及通过推荐的定性描述指南进行的分析， 收集的数据从理论指导的采访有目的地抽样社区居住的老年人。 目标2B涉及使用联合显示排列定量和定性数据来解释专题研究结果。 奖学金培训：作为约翰霍普金斯护理博士课程的第一位听力学家， 跨学科培训将通过严格的课程，专业发展， 活动，并指导研究经验，以成功完成本提案的目标，并推进 作为临床科学家和老年学的领导者，他将这些发现转化为随后的创新翻译。

项目成果

Mitigating End-of-Life Burden: Parallel Perspectives of Physician-Patients & Family Caregivers.

• DOI: 10.1016/j.jpainsymman.2021.11.007
• 发表时间: 2022-04
• 期刊: Journal of pain and symptom management
• 影响因子: 4.7
• 作者: Suen JJ;Vo E;Clair CA;Nolan MT;Gallo JJ;Abshire Saylor M
• 通讯作者: Abshire Saylor M

Labor Force Participation and Hearing Loss Among Adults in the United States: Evidence From the National Health and Nutrition Examination Survey.

美国成年人的劳动力参与率和听力损失：来自国家健康和营养检查调查的证据。

• DOI: 10.1044/2022_aja-21-00266
• 发表时间: 2022
• 期刊: American journal of audiology
• 影响因子: 1.8
• 作者: GarciaMorales,EmmanuelE;Lin,Haley;Suen,JonathanJ;Varadaraj,Varshini;Lin,FrankR;Reed,NicholasS
• 通讯作者: Reed,NicholasS

Improving cancer care for underserved populations in an academic and community practice setting: protocol for a community health worker pilot navigation programme.

• DOI: 10.1136/bmjopen-2022-067270
• 发表时间: 2022-12-01
• 期刊: BMJ open
• 影响因子: 2.9