ORCID Profile
0000-0003-2753-3491
Current Organisations
University of Melbourne
,
University of Queensland
,
Sonova Holding AG
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In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Psychology | Discourse and Pragmatics | Social and Community Psychology
Social Structure and Health | Allied Health Therapies (excl. Mental Health Services) |
Publisher: Informa UK Limited
Date: 09-06-2021
DOI: 10.1080/14992027.2021.1930206
Abstract: Adult cochlear implant (CI) candidates seeking to make an informed decision about cochlear implantation can find themselves needing to quickly understand large volumes of complex information provided by different professionals in different formats. This study investigates the suitability, within a health literacy context, of one of those sources of information: the CI brochure. A single-observation design. Thirty English passages of approximately 100-words each were s led from 15 sections of seven CI brochures. All brochures were readily available to the general public on the Australian websites of four CI manufacturers at the time of the analysis (June 2019). Analyses by two examiners using the Suitability Assessment of Materials (SAM) classified all 15 sections from all seven CI brochures as being "not suitable" for general, adult readers. Analyses by the same examiners using four readability formulae (Flesch Reading Ease Scale, Fry Readability Graph, Flesch-Kincaid Readability Formula, and the Fog index) showed s led passages from the 15 sections were written at a level best suited for persons with 10 to 14 years of schooling. Brochures intended for adult CI candidates should be revised to improve their suitability and readability for adult CI candidates. Specific recommendations are suggested.
Publisher: American Speech Language Hearing Association
Date: 12-10-2017
Abstract: This research assessed the feasibility and construct validity of ecological momentary assessment in capturing the hearing experiences of adults with mild hearing impairment in natural environments. Twenty-nine adults between the ages of 55 and 79 years ( M = 69 years) answered multiple surveys on a smartphone app over a 2-week trial. Participants also wore 1 environmental classifier and a streamer allowing bidirectional communication between smartphone and classifier. Surveys were triggered based on defined criteria, or by the participants. A paper-based self-report questionnaire was administered before and after the trial. Feasibility was indicated by high compliance rates, with a total of 1,128 surveys completed. Of these, 72% were completed during a listening event, 26% within 1 hr, and only 2% of the surveys more than 1 hr after the listening event. The mean survey completion time was 1 min 40 s. Mean pre- and post-trial self-report scores were not significantly different, indicating no reactivity. Construct validity was indicated by the close agreement between subjective ratings of listening situations and objective data from the hearing aid classifier. Ecological momentary assessment is a feasible and valid research methodology for older adults with mild hearing impairment. The methodology has potential as a clinical counseling and outcome tool.
Publisher: Human Kinetics
Date: 10-2022
Abstract: There is little evidence of the concurrent validity of commercially available wrist-worn long battery life activity monitors to measure steps in older adults at slow speeds and with real-world challenges. Forty adults aged over 60 years performed a treadmill protocol at four speeds, a 50-m indoor circuit, and a 200-m outdoor circuit with environmental challenges while wearing a Garmin Vivofit®4, the activPAL3™, and a chest-worn camera angled at the feet. The Garmin Vivofit®4 showed high intraclass correlation coefficients 2,1 (.98–.99) and low absolute percentage error rates ( %) at the fastest treadmill speeds and the outdoor circuit. Step counts were underestimated at the slowest treadmill speed and the indoor circuit. The Garmin Vivofit®4 is accurate for older adults at higher walking speeds and during outdoor walking. However, it underestimates steps at slow speeds and when walking indoors with postural transitions.
Publisher: Informa UK Limited
Date: 02-08-2022
Publisher: Informa UK Limited
Date: 08-06-2015
DOI: 10.3109/14992027.2015.1046504
Abstract: Acquired hearing impairment is recognized by the World Health Organization as the third leading cause of disability, with a mild impairment being the most prevalent. The aim of this study was to review research literature concerned with adults with acquired mild hearing impairment the definitions and prevalence, the resulting activity limitations and participation restrictions, and hearing-aid interventions. This study involved a systematized review of research literature identified through searches in citation databases and through reference checking. A total of 151 papers were identified and of these, 33 papers were included in this review. Prevalence rates are significantly influenced by the definition used for mild hearing impairment, and range from 1 in 3 to 1 in 5 adults. The weak correlations between audiological assessments and self-reported difficulties suggest that further assessment of in iduals with mild hearing impairment is warranted. The most common intervention is the provision of hearing aids with varying rates of use, benefit, and satisfaction. The development of appropriate audiological assessment in the clinic, and further evaluation of the real-world listening needs and performance of people with mild hearing impairment is required to provide a more effective pathway for this clinical population.
Publisher: Informa UK Limited
Date: 08-07-2023
Publisher: Informa UK Limited
Date: 24-03-2023
Publisher: Informa UK Limited
Date: 11-11-2020
Publisher: MDPI AG
Date: 27-10-2022
DOI: 10.3390/AUDIOLRES12060059
Abstract: This study aimed to explore the perceptions and experiences of adults with hearing impairment (HI), their significant others (SOs), and clinicians regarding the use and provision of wireless microphone systems (WMS). A qualitative descriptive methodology was used, with a total of 43 participants across three groups: (1) 23 adults with HI who used WMS (2) 7 SOs of adults who used WMS and (3) 13 clinicians who provided WMSs to adults with HI. Participants completed an in idual semi-structured in-depth interview to explore their experiences, with the data analysed using thematic analysis. The analysis revealed five themes encompassing the perceptions and experiences of WMSs: (1) with experience and clear expectations, users believe that WMS can make a difference (2) the trial and decision-making process is important (3) clients’ experiences using WMS (4) issues with WMS and technology and (5) users require ongoing training and support to use WMS. These findings highlight the complexities of providing and using WMS with adults with HI. However, clients, SOs, and clinicians all reported that, with appropriate experience, expectations, training, and support, WMS can make a real difference in listening and communicating in different situations. There is also an opportunity to involve SOs more throughout the rehabilitation process.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 2019
Publisher: Georg Thieme Verlag KG
Date: 08-2020
Abstract: In iduals with severe to profound hearing loss are likely to present with complex listening needs that require evidence-based solutions. This document is intended to inform the practice of hearing care professionals who are involved in the audiological management of adults with a severe to profound degree of hearing loss and will highlight the special considerations and practices required to optimize outcomes for these in iduals.
Publisher: Informa UK Limited
Date: 11-11-2021
Publisher: Georg Thieme Verlag KG
Date: 08-06-2023
Abstract: Audiology is experiencing exponential growth in technology, service, and provision options. These advancements give hearing care professionals the opportunity to revise, potentially improve, and adapt to the modern hearing care landscape to better serve the modern consumer. Consumer needs guide care planning and delivery, with the goal of achieving outcomes that are important to both the consumer and the clinician. The changes available to the hearing care industry can also enable consumers' needs to be identified and served in a more holistic and personalized manner than has previously been possible. The purpose of this article is to explain and encourage hearing care professionals to adopt a mindset of doing whatever is reasonable and clinically appropriate to meet the need and desires of the consumer by implementing choice in service, technology, and channel across whichever model of care adopted by a provider.
Publisher: Informa UK Limited
Date: 04-2021
Publisher: SAGE Publications
Date: 2018
Abstract: Current approaches to the measurement of hearing aid benefit typically use clinical or laboratory-based speech perception tests or retrospective self-report surveys. However, when assessing hearing aid outcomes in adults with mild hearing impairment, the traditional outcome measures may not be sufficiently sensitive. An alternative to these techniques are approaches that capture data about real-world experiences as they are experienced, such as ecological momentary assessment. This single-subject experimental design pilot study investigated the feasibility of using ecological momentary assessment in assessing whether hearing aids make a difference to the real-world listening experiences of adults with mild hearing impairment. Ten participants with an average age of 70 years and no previous lification experience answered survey questions on their listening experiences over a 4-week period (1 week without hearing aids, 2 weeks with hearing aids, and 1 week without hearing aids). A total of 860 surveys were collected. Participants reported significantly better speech understanding and less listening effort during the 2-week trial with hearing aids compared to baseline conditions. In addition, they reported that they were significantly less h ered by their hearing difficulties and had greater enjoyment of listening events with wearing hearing aids. In idual variation in hearing aid benefit was evident. This pilot study showed that ecological momentary assessment has potential to quantify self-reported aided benefit for in iduals with mild hearing impairment fitted with hearing aids. This research also highlighted that a real-world approach is needed to explore in idualized outcomes and provide different insights to standardized questionnaires.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 06-09-2023
Publisher: Elsevier BV
Date: 11-2018
DOI: 10.1016/J.HEARES.2018.06.012
Abstract: To obtain real-world insights into the hearing difficulties of in iduals, the field of hearing research has recently started to adopt ecological momentary assessment. Using this approach, study participants describe their experiences in real time, in their own natural environment. This paper describes the use of ecological momentary assessment in hearing research to date. Several studies have shown the approach is feasible and has good construct validity for use with adults with hearing impairment and/or tinnitus. Two recent studies conducted by the authors are described. The first study investigated the listening experiences of older adults with mild hearing impairment and concluded that ecological momentary assessment provided group and in idual data which highlighted the between-subject variability in this clinical population. The second study investigated the difference that the provision of hearing aids could make for older adults with mild hearing impairment. The pilot study indicated that ecological momentary assessment could be successfully used in intervention studies to measure, for ex le, in idual hearing aid benefit, which may extend beyond improved speech understanding. The study also revealed the potential for ecological momentary assessment as a tool for clinical practice and decision-making. Ecological momentary assessment can result in a rich array of research data if specific study design guidelines, presented in this paper, are followed. The development of a clinical ecological momentary assessment tool would provide clinicians an in idualized outcome measure and facilitate the adoption of a greater degree of client- and family-centeredness, thereby improving rehabilitation outcomes.
Publisher: Georg Thieme Verlag KG
Date: 09-2017
DOI: 10.3766/JAAA.16104
Abstract: Previous research, mostly reliant on self-reports, has indicated that hearing aid (HA) use is related to the degree of hearing impairment (HI). No large-scale investigation of the relationship between data-logged HA use and HI has been conducted to date. This study aimed to investigate if objective measures of overall daily HA use and HA use in various listening environments are different for adults with mild HI compared to adults with moderate HI. This retrospective study used data extracted from a database of fitting appointments from an international group of HA providers. Only data from the participants’ most recent fitting appointment were included in the final dataset. A total of 8,489 bilateral HA fittings of adults over the age of 18 yr, conducted between January 2013 and June 2014, were included. Participants were subsequently allocated to HI groups, based on British Society of Audiology and American Speech-Language-Hearing Association audiometric descriptors. Fitting data from participating HA providers were regularly transferred to a central server. The data, with all personal information except age and gender removed, contained participants’ four-frequency average (at 500, 1000, 2000, and 4000 Hz) as well as information on HA characteristics and usage. Following data cleaning, bivariate and post hoc statistical analyses were conducted. The total s le of adults’ average daily HA use was 8.52 hr (interquartile range [IQR] = 5.49–11.77) in the left ear and 8.51 hr (IQR = 5.49–11.72) in the right ear. With a few exceptions, there were no statistical differences between hours of HA use for participants with mild HI compared to those with moderate impairment. Across all mild and moderate HI groups, the most common overall HA usage was between 8 and 12 hr per day. Other factors such as age, gender, and HA style also showed no relationship to hours of use. HAs were used, on average, for 7 hr (IQR = 4.27–9.96) per day in quiet and 1 hr (IQR = 0.33–1.41) per day in noisy listening situations. Clinical populations with mild HI use HAs as frequently as those with a moderate HI. These findings support the recommendation of HAs for adults with milder degrees of HI.
Publisher: Informa UK Limited
Date: 21-08-2023
Publisher: Wiley
Date: 08-10-2018
DOI: 10.1002/BERJ.3481
Publisher: Informa UK Limited
Date: 19-10-2023
Publisher: Informa UK Limited
Date: 03-12-2020
Publisher: Informa UK Limited
Date: 17-09-2020
Publisher: Informa UK Limited
Date: 04-04-2020
Publisher: SAGE Publications
Date: 2022
DOI: 10.1177/23312165221144155
Abstract: There is growing evidence linking hearing impairment to higher falls risk through alterations in postural stability, with studies showing mixed results. The primary aim of this systematic review and meta-analysis was to determine the association between hearing impairment and postural instability in older adults, including differences based on severity of hearing impairment. This review was pre-registered in PROSPERO and performed in accordance with PRISMA guidelines across six databases. Primary research on adults aged 60 years and older with hearing loss and an objective measure of postural stability or gait were eligible for inclusion. Methodological quality was assessed using the modified Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. Data were analysed using meta-analyses and a narrative synthesis. Inclusion in the meta-analyses required clearly defined audiometrically-assessed hearing impairment, and two subgroups of participants: mild (25–40 dB HL) and moderate to-severe ( dB HL) hearing impairment. Twenty-five eligible studies (n = 27,847) were included in the narrative synthesis, with quality ratings ranging from unsatisfactory to very good on the modified NOS. Eight studies were included in the meta-analysis which showed in iduals with moderate to-severe hearing impairment were significantly slower on the 5 x sit-to-stand test (mean difference[95%CI] = 0.50 s [0.04, 0.97], p = .03), had a slower gait speed (mean difference[95%CI] = −0.11 s [−0.16, −0.05], p .001) and had lower total Short Physical Performance Battery scores (mean difference[95%CI] = −0.79[−1.17, −0.41], p .001) than those with normal hearing. This review provides evidence there is an inverse association between increasing severity of hearing impairment and poorer postural stability across both the meta-analysis and narrative synthesis.
Publisher: American Speech Language Hearing Association
Date: 05-12-2022
DOI: 10.1044/2022_AJA-22-00054
Abstract: The purpose of this study was to explore the perspectives of audiologists to provide input into development of a smartphone application (app) to document the real-life listening difficulties and the listening environment of hearing aid candidates and users. Two focus groups were conducted. Facilitators utilized a topic guide to generate participants' input and perspectives. The focus groups were audio-recorded and transcribed verbatim. The transcripts were then qualitatively analyzed using content analysis. The study s les were 10 audiologists (seven females) with 2- to 10-plus years of hearing aid fitting experience. Three main categories were identified: (a) The mobile device app could provide meaningful information to help audiologists to counsel their clients, (b) the app could give clients an insight into their hearing difficulties, and (c) the app could help clients to self-manage their hearing condition. These findings suggest that audiologists may better understand their clients' real-life listening difficulties through the use of a mobile device app however, further research is required to harness the benefits of such an app.
Publisher: SAGE Publications
Date: 2022
DOI: 10.1177/23312165221121014
Abstract: This preregistered systematic review examined the peer-reviewed scientific literature to determine the effect of hearing aids (HAs) on static and dynamic balance in adults with Hearing Impairment (HI). A search of the English language literature in seven academic databases identified 909 relevant articles published prior to July 2021. Ten articles contained studies that met the inclusion criteria for this review. Seven studies had measured static balance with five reporting improvements and one reporting no changes in balance with HA use. Two studies had measured dynamic balance with both reporting no changes with HA use. One study had measured both dynamic and static balance and reported no changes with HA use. For adults with HI, the evidence was equivocal that lification from HAs improves balance. High quality studies investigating the effect of HAs on balance in adults with HI are needed given this field is likely to develop in response to the growing population of adults with hearing and balance impairment worldwide.
Publisher: JMIR Publications Inc.
Date: 26-03-2023
Abstract: here is scope to improve clinical care for people with hearing loss, empowering these consumers and supporting shared decision making and problem solving with their audiologists, by enabling in iduals to collect their own hearing data in their personal real-world settings. Previous research has indicated clinician receptivity to this approach. o explore consumer perspectives regarding their listening difficulties and the potential of using a mobile app for documenting listening difficulties in real-world environments. hree focus groups involved 27 adults who self-reported hearing impairment. Most were fitted with hearing devices. A facilitator used a topic guide to generate discussion, which was video- and audio-recorded. Verbatim transcriptions were analysed using inductive content analysis. onsumers supported the concept of a mobile app which would facilitate real-time self-assessment and tracking of listening difficulties in real-world situations. Consumers provided information about early or missed indicators of listening difficulties and prompts for seeking hearing device fitting, as well as descriptions of their listening difficulties, the factors which made listening difficult, and the impacts and consequences of their difficulties. Consumers desired a flexible, visual-based app that provided options for data collection and entry and that could be tailored for use in the listening situations important to the in idual. hese findings provide design directions for prototyping and piloting a mobile app to provide data that is useful for increasing both the user’s and their clinician’s understanding of the in idual’s difficulties. /a
Start Date: 2021
End Date: 2021
Funder: Australian Research Council
View Funded ActivityStart Date: 2021
End Date: 2023
Funder: National Health and Medical Research Council
View Funded ActivityStart Date: 03-2022
End Date: 03-2025
Amount: $355,000.00
Funder: Australian Research Council
View Funded Activity