权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Feasibility of a Hearing Program in Primary Care for Underserved Older Adults

为服务不足的老年人提供初级保健听力计划的可行性

基本信息

批准号：
10727976
负责人：
David R Friedmann
金额：
$ 16.76万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-01 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10727976
关键词：
Address Adult Age Years Aging Agreement American Audiology Award Caring Cellular Phone Chronic Clinic Collection Communication Computer Assisted Counseling Data Devices Ear Elderly Eligibility Determination Ensure Equity Evaluation Feedback Future Goals Health Hearing Hearing Aids Impaired cognition Intervention Learning Logistics Measures Medical Methods Modeling Outcome Participant Pathway interactions Patients Population Preparation Presbycusis Primary Care Process Provider Public Health Public Hospitals Quality of Care Quality of life Randomized Recommendation Rehabilitation therapy Reporting Research Research Personnel Self Administration Site Social isolation Specialist Surveys Training United States Preventative Services Task Force Work biopsychosocial care delivery career career development cost design efficacy trial feasibility testing follow-up health care disparity health care service utilization healthy aging hearing impairment hearing screening implementation science improved inattention innovation insight novel patient oriented patient screening primary care clinic primary care practice primary care setting primary care visit programs rehabilitation strategy screening screening program self testing shared decision making

项目摘要

Project Summary Age related hearing loss is insidious, common and often mistaken as an inevitable part of aging. Untreated hearing loss is a public health issue, and is strongly associated with social isolation and an array of negative health effects including cognitive impairment and poor quality of life. Given its insidious and typically unrecognized onset, opportunities to address hearing-related communication difficulties are often missed in primary care where most older persons receive medical care. Primary care settings may be an effective setting to address age-related hearing loss, given that many adults have not sought hearing treatment within the current model of hearing health delivery, or ever had hearing screening. The current model of audiological care lacks efficiency and scalability to address the true burden of this chronic condition. Hearing aids are in limited use due to cost and logistics limiting access and this is particularly relevant to those with the greatest need. Newer, more innovative pathways to deliver hearing care are needed. The overall goals of this GEMSSTAR application are to: 1) test the feasibility of a hearing program including screening and alternative rehabilitation strategies to in older adults in public hospital-based primary care clinic using a convergent mixed method design. 2) establish the first steps needed for an implementation science career in hearing healthcare disparities from the perspective of an otologist/ear specialist to improve the quality and equity of hearing care for older adults. During a primary care visit, we will screen and identify participants with hearing loss and then randomize to a) counseling on accessible assistive listening devices or b) referral to traditional audiology care pathway alone. Feasibility measures will demonstrate our ability to screen patients, randomize them to interventions and complete the follow up in preparation for a larger efficacy trial on the impact of this program on hearing and communication. Future work will seek to demonstrate improvement in longer-term outcomes impacting overall biopsychosocial health.

项目总结