9-10 October 2015
Gallaudet University, Washington, D.C.
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Abstract Details
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10/10/2015 |
8:30 AM - 9:45 AM
| Andrew Foster Auditorium
HEARS: A Community-Delivered, Affordable, Accessible Hearing Care Intervention for Older Adults
Age-related hearing impairment is highly prevalent, but few older adults use hearing aids. The current care model demands resources beyond the means of many, especially low-income and minority older adults. The HEARS intervention is a theory-driven, evidence-based approach developed through a phased, pilot study. The program integrates constructs from Bandura’s Social Cognitive Theory along with principles from a human factors approach to design. Preliminary efficacy was assessed through a randomized, 3-month waitlist control and primary outcomes included communication, social engagement, loneliness, depression, and quality of life. Older adults with hearing loss and their communication partners were recruited with a community organization that provides subsidized independent housing for low-income older adults in Baltimore City. We developed a 2-hour training session delivered in the community that incorporates low-cost amplification devices and communication strategies. A total of 30 older adults completed the training and results document acceptability and feasibility. This study is the first to report a community-delivered intervention to provide affordable, accessible hearing care for older adults, designed to be delivered by community health workers, which may provide an important adjunct to expand the delivery of hearing care to underserved older adults locally and internationally.
- Apply established knowledge of health disparities and barriers to care for older adults to hearing health care
- Integrate established public health research approaches, including community health workers, to the evolving field of hearing care delivery
- Propose a first-in-kind, community-delivered hearing care intervention for older adults
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Carrie Nieman (POC,Primary Presenter,Author), Johns Hopkins University School of Medicine Dept. Otolaryngology-HNS, cnieman1@jhmi.edu;
Carrie Nieman MD, MPH is an Assistant Professor in the Johns Hopkins University School of Medicine and a core faculty member in the Cochlear Center for Hearing and Public Health at the Johns Hopkins University Bloomberg School of Public Health. Dr. Nieman is also the co-founder of Access HEARS, a social enterprise committed to affordable, accessible hearing care. As a clinician, researcher, and social entrepreneur, her commitment to social justice is inseparable from her drive to provide innovative solutions to address disparities in the nascent field of community-delivered hearing care and develop a sustainable model to provide accessible and affordable hearing care. Her work translates research in gerontology, social design, intervention development, community-based participatory research, and a human factors approach to design to advance research in hearing care disparities and bring innovation to underserved communities.
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ASHA DISCLOSURE:
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
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Frank Lin (Co-Author), Johns Hopkins University, flin1@jhmi.edu;
Frank Lin, MD, PhD, is an Associate Professor of Otolaryngology and Epidemiology at the Johns Hopkins University School of Medicine and the Bloomberg School of Public Health. He is the Director of the Cochlear Center for Hearing and Public Health. Dr. Lin's clinical practice is dedicated to otology and the medical and surgical management of hearing loss. His research is primarily focused on studying the interface between hearing loss and aging. In particular, Dr. Lin has established multiple collaborations with gerontologists, cognitive scientists, epidemiologists, and auditory scientists that form the basis for his current research program studying the impact of hearing loss on the cognitive and physical functioning of older adults and the potential role of aural rehabilitative strategies in mitigating these effects.
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Sara Mamo (Co-Author), Johns Hopkins University School of Medicine Dept. Otolaryngology-HNS, smamo1@jhmi.edu;
Dr. Mamo completed her AuD and PhD at the University of North Carolina-Chapel Hill. She is currently a postdoctoral fellow at Johns Hopkins University in the Department of Otolaryngology Head/Neck Surgery. Her research interests include age-related hearing loss from a public health perspective and affordable access to hearing health care.
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Nicole Marrone (Co-Author), University of Arizona Department of Speech, Language, and Hearing Sciences, nmarrone@email.arizona.edu;
Nicole Marrone, PhD, CCC-A holds the James S. and Dyan Pignatelli/Unisource Clinical Chair in Audiologic Rehabilitation for Adults at the University of Arizona and is an Assistant Professor of Speech, Language, and Hearing Sciences. Her research investigates hearing loss and rehabilitation in adults. Her specialty is how interventions, including hearing aids and group audiologic rehabilitation, can improve people’s quality of life and communication in everyday environments.
Part of Dr. Marrone’s research focuses on increasing access to hearing healthcare in rural communities. This interdisciplinary work is in collaboration with faculty in the Mel and Enid Zuckerman College of Public Health and the Department of Spanish and Portuguese, as well as with community health providers at the Mariposa Community Health Center in Nogales, Arizona. Dr. Marrone and her collaborators were recently awarded a phased innovation grant (R21/R33) from NIH/NIDCD for this work: “Reducing Disparities in Access to Hearing Healthcare on the U.S.-Mexico Border”.
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Sarah Szanton (Co-Author), Johns Hopkins University School of Nursing, Sszanto1@ jhu.edu;
A number of years ago, while making house calls as a nurse practitioner to homebound, low-income elderly patients in West Baltimore, Dr. Sarah Szanton noticed that their environmental challenges were often as pressing as their health challenges. Since then she has developed a program of research at the Johns Hopkins University School of Nursing on the role of the environment and stressors in health disparities in older adults, particularly those trying to “age in place” or stay out of a nursing home. Through a Robert Wood Johnson funded grant, a National Institutes of Health grant and a cooperative agreement from the Innovations office at the Center on Medicaid and Medicare Services, she is examining whether a program which combines handyman services with nursing and occupational therapy can improve mobility, reduce stress hormones, and decrease health care costs.
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Elizabeth Tanner (Co-Author), Johns Hopkins University, School of Nursing - Department of Community-Public Health, etanner3@jhu.edu;
Dr. Elizabeth (Ibby) Tanner holds joint appointments in the Johns Hopkins University schools of Nursing and Medicine, Division of Geriatrics and Gerontology, and is core faculty in the Center on Aging and Health. She brings to Hopkins more than 25 years experience working in community settings with underserved older adults, teaching nursing students, and conducting community-based participatory research. She has led curriculum development of the School’s gerontology nursing program, teaches across all program levels, and created a Geriatric Interest Group for Nursing, Public Health, and Medicine students. She is a Hartford Institute Geriatric Nursing Research Scholar, serves on committees of the National Gerontological Nurses Association, the Gerontological Society of America, and Sigma Theta Tau, and is a member of the Baltimore City Commission on Aging and Retirement Education. In China, Germany, and Australia she provides nursing consultation in designing and implementing methods that prepare nurses to care for the aging population and conduct community-based research. As a researcher, she is a co-investigator on several interdisciplinary research teams focusing on older adults' hospital transitions, promoting independent living in community settings, and health promotion.
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