A home education program for older adults with hearing impairment and their significant others: a randomized trial evaluating short- and long-term effects

Int J Audiol. 2005 May;44(5):255-64. doi: 10.1080/14992020500060453.


This paper addresses the development and effectiveness of a home education program. The program, designed for hearing-impaired elders and their significant others (SO), deals with communication strategies and speech reading. Participants were randomly assigned to a training group (hearing aid fitting+home education program) or a control group (hearing aid fitting). The training group included 24 hearing-impaired subjects and 24 SO's. Controls were 24 affected individuals and 22 SO's. Questionnaires addressing emotional response, communication strategies and the IOI-HA, IOI-AI and IOI-SO were used. A repeated measures analysis of variance was applied to test group differences between pre, post, and 6-months follow-up measures. Increased awareness of benefits of speech reading and improved interaction with the SO were observed in the training group only (p < 0.05). No group difference on 'emotional response' was found. IOI-AI and IOI-SO demonstrated favorable attitudes towards the program. Follow-up measures showed improved quality of life and satisfaction in the training group, while a decrease was observed among the controls (p < 0.05). Some effects differed between first-time and experienced hearing aid users. Addition of services to amplification and involvement of the SO are relevant in aural rehabilitation.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Communication
  • Correction of Hearing Impairment / methods*
  • Counseling / methods*
  • Education of Hearing Disabled*
  • Female
  • Hearing Aids
  • Hearing Loss / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Patient Education as Topic / methods*
  • Spouses / education*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Videotape Recording