ORCID Profile
0000-0002-3003-1233
Current Organisations
University of Newcastle Australia
,
Ear Science Institute Australia
,
University of Western Australia
,
The University of Newcastle - Newcastle City Campus
,
Western Australian Centre for Health and Ageing
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Publications
Relationship of age-related hearing loss with cognitive decline and dementia in Sinitic tonal language-speaking populations: protocol for a systematic review and meta-analysis
Publisher: BMJ
Date: 04-2022
DOI: 10.1136/BMJOPEN-2022-060901
Abstract: Existing research on the potential association between age-related hearing loss (ARHL) and cognitive decline and dementia in tonal language-speaking populations is limited and inconsistent. There is psychophysiological evidence suggesting a tonal language background may be linked to enhanced general cognitive functions. We aim to systematically review the current evidence on the association between hearing loss and cognitive impairment/decline and dementia in older adults who speak a Sinitic tonal language, the most commonly spoken tonal language. This systematic review will consider peer-reviewed articles that employ objective or subjective hearing measurement and cognitive impairment or diagnosis of dementia. All relevant research publications in English or Chinese and published up to March 2022 will be considered for inclusion. Embase, MEDLINE, Web of Science, PsycINFO Google Scholar, SinoMed and Chinese Biomedical Database will be used, using both medical subject heading terms and keywords. The quality of evidence of an association between ARHL and cognitive impairment and/or dementia will be evaluated by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. A random-effects meta-analysis will be carried out with the Comprehensive Meta-Analysis software. Ethical approval will not be required for this systematic review. The results will be disseminated through peer-reviewed publications and conferences. CRD42021235310.
Hearing loss and depression in older adults
Publisher: Oxford University Press (OUP)
Date: 05-03-2020
Abstract: Studies reporting an association between hearing loss and depression in older adults are conflicting and warrant a systematic review and meta-analysis of the evidence. A search of academic databases (e.g., MEDLINE) and gray literature (e.g., OpenGrey) identified relevant articles published up to July 17, 2018. Cross-sectional or cohort designs were included. Outcome effects were computed as odds ratios (ORs) and pooled using random-effects meta-analysis (PROSPERO: CRD42018084494). A total of 147,148 participants from 35 studies met inclusion criteria. Twenty-four studies were cross-sectional and 11 were cohort designs. Overall, hearing loss was associated with statistically significantly greater odds of depression in older adults (OR = 1.47, 95% confidence interval [CI] = 1.31−1.65). When studies were stratified by design, hearing loss was associated with greater odds of depression in cross-sectional studies (OR = 1.54, 95% CI = 1.31−1.80) and cohort studies (OR = 1.39, 95% CI = 1.16 − 1.67), and there was no difference between cross-sectional or cohort effect estimates (Q = 0.64, p = .42). There was no effect of moderator variables (i.e., hearing aid use) on the association between hearing loss and depression, but these findings must be interpreted with caution. There was no presence of publication bias but certainty in the estimation of the overall effect was classified as “low.” Older adults may experience increased odds of depression associated with hearing loss, and this association may not be influenced by study or participant characteristics.
The Peripheral Hearing and Central Auditory Processing Skills of Individuals With Subjective Memory Complaints
Publisher: Frontiers Media SA
Date: 21-08-2020
Artificial intelligence – challenges and opportunities for international HRM: a review and research agenda
Publisher: Informa UK Limited
Date: 06-03-2022
Teleaudiology hearing aid fitting follow-up consultations for adults
Publisher: Informa UK Limited
Date: 23-09-2020
Artificial Intelligence, Employee Engagement, Experience, and HRM
Publisher: Springer International Publishing
Date: 2022
Self-reported cochlear implant management skills: development and validation of the self-administered Cochlear Implant Management Skills (CIMS-self) survey
Publisher: Wiley
Date: 10-08-2017
DOI: 10.1111/COA.12713
Abstract: A self-administered device management survey was developed and validated to investigate the ability of cochlear implant recipients to self-report physical handling and care for their hearing implant device(s) and to identify factors that may influence self-reported management skills. Survey development and validation. A prospective convenience cohort design study. Specialist hearing implant clinic. Forty-nine post-lingually hearing impaired, adult cochlear implant recipients, at least 12 months postoperative. Survey test-retest reliability, responsiveness, criterion validity and sensitivity and specificity compared to clinician evaluation of device management skills. Correlations between self-reported management skills and participant demographic, audiometric, cognitive function, clinical outcomes and device factors. The self-administered Cochlear Implant Management Skills survey was developed, demonstrating high test-retest reliability (ICC = 0.884, P < 0.001 CI 95%: 0.721-0.952), responsiveness to intervention (management skills training) [t(20) = -3.245, P = 0.004], criterion validity (ICC = 0.765, P < 0.001 CI 95%: 0.584-0.868) and sensitivity (0.89). No associations were found between self-reported management skills and participant factors. This study demonstrated that a self-report survey is an effective method for the evaluation of skills required for cochlear implant device management.
Predicting sequential bilateral cochlear implantation performance in postlingually deafened adults; A retrospective cohort study
Publisher: Wiley
Date: 28-08-2018
DOI: 10.1111/COA.13193
Abstract: To identify which preoperative patient characteristics influence sequential bilateral cochlear implantation performance and to create a statistical model that predicts benefit. Multicentre retrospective cohort study. All patients were operated in four academic teaching hospitals in Perth, Australia, and followed up by audiologists of the Ear Science Institute Australia. A total of 92 postlingually deafened adult patients who had undergone sequential cochlear implantations between 19 June 1990 and 14 March 2016 were included. Patients were excluded if the 12-month follow-up consonant-nucleus-consonant (CNC) phoneme score was missing. The effect of 18 preoperative factors on the CNC phoneme score in quiet (at 65 dB SPL) with the second cochlear implant (CI2) one year after implantation. Two factors were positively correlated to speech understanding with CI2: Wearing a hearing aid (HA) before receiving CI2 (r = 0.46, P = 0.00) and the maximum CNC phoneme score with the first CI (CI1) (r = 0.21, P = 0.05). Two factors were negatively correlated: the length of hearing loss before CI2 in the second implanted ear (r = -0.25, P = 0.02) and preoperative pure tone average (PTA) (0.5, 1, 2 kHz) before CI2 in the second implanted ear (r = -0.27, P = 0.01). The following model could be created: predicted CNC phoneme score with CI2 (%) = 16 + (44 * HA use before CI2 (yes)) - (0.22 * length of hearing loss before CI2 (years)) + (0.23 * CNC phoneme score with CI1 (%)). Because the effect of HA use before implantation played such a major role, we also created a model after exclusion of the HA factor: Predicted CNC phoneme score with CI2 (%) = 82 - (0.17 * length of hearing loss before CI2 (years)) - (0.27 * PTA in second implanted ear before CI2 (0.5, 1, 2 kHz)) + (0.20 * CNC phoneme score with CI1 (%)). Advanced age or a long interval between implantations does not necessarily lead to poor CI2 results. Patients who are successful HA users before CI2, who have a low PTA before CI2, a high CNC phoneme score with CI1 and a limited length of hearing loss before CI2, are likely to be successful CI2 recipients.
A prospective study evaluating cochlear implant management skills: development and validation of the Cochlear Implant Management Skills survey
Publisher: Wiley
Date: 07-01-2016
DOI: 10.1111/COA.12472
Abstract: To investigate the ability of cochlear implant (CI) recipients to physically handle and care for their hearing implant device(s) and to identify factors that may influence skills. To assess device management skills, a clinical survey was developed and validated on a clinical cohort of CI recipients. Survey development and validation. A prospective convenience cohort design study. Specialist hearing implant clinic. Forty-nine post-lingually deafened, adult CI recipients, at least 12 months postoperative. Survey test-retest reliability, interobserver reliability and responsiveness. Correlations between management skills and participant demographic, audiometric, clinical outcomes and device factors. The Cochlear Implant Management Skills survey was developed, demonstrating high test-retest reliability (0.878), interobserver reliability (0.972) and responsiveness to intervention (skills training) [t(20) = -3.913, P = 0.001]. Cochlear Implant Management Skills survey scores range from 54.69% to 100% (mean: 83.45%, sd: 12.47). No associations were found between handling skills and participant factors. This is the first study to demonstrate a range in cochlear implant device handling skills in CI recipients and offers clinicians and researchers a tool to systematically and objectively identify shortcomings in CI recipients' device handling skills.
Teleaudiology Services for Rehabilitation With Hearing Aids in Adults: A Systematic Review
Publisher: American Speech Language Hearing Association
Date: 13-07-2018
DOI: 10.1044/2018_JSLHR-H-16-0397
Abstract: This review examined (a) the current evidence from studies on teleaudiology applications for rehabilitation of adults with hearing impairment with hearing aids and (b) whether it is sufficient to support the translation into routine clinical practice. A search strategy and eligibility criteria were utilized to include articles specifically related to hearing aid fitting and follow-up procedures that are involved in consultations for the rehabilitation of adults, where the service was provided by the clinician by teleaudiology. A search using key words and Medical Subject Headings (MeSH) was conducted on the main electronic databases that index health-related studies. The included studies were assessed using validated evaluation tools for methodological quality, level of evidence, and grade recommendations for application into practice. Fourteen studies were identified as being within the scope of this review. The evaluation tools showed that none of these studies demonstrated either a strong methodological quality or high level of evidence. Analysis of evidence identified 19 activities, which were classified into service outcomes categories of feasibility, barriers, efficiency, quality, and effectiveness. Recommendations could be made regarding the (a) feasibility, (b) barriers, and (c) efficiency of teleaudiology for the rehabilitation of hearing loss with hearing aids. This review provides up-to-date evidence for teleaudiology hearing aid services in new and experienced hearing aid users in different practice settings. Findings direct future research priorities to strengthen evidence-based practice. There is a need for further studies of many aspects of teleaudiology services for rehabilitation with hearing aids to support their implementation into clinical practice. 0.23641/asha.6534473
Hearing impairment and frailty in later life: The Health in Men Study (HIMS)
Publisher: Elsevier BV
Date: 02-2022
DOI: 10.1016/J.MATURITAS.2021.10.008
Abstract: To determine if hearing loss is associated with increased risk of frailty in later life. Cross-sectional study of a community s le of 4,004 men aged 70 years and above living in the metropolitan region of Perth, Western Australia. Data were retrieved from the Health in Men Study (HIMS) and the Western Australian Data Linkage System (WADLS). Frailty was assessed using the FRAIL scale and the Frailty Index. Hearing loss was defined by self-report or by diagnosis recorded in the WADLS. We also collected demographic, lifestyle and social support information. Frailty was assessed using the FRAIL scale and the Frailty Index. The prevalence of frailty in the s le population was 16.1% and 25.4% when assessed using the FRAIL scale and the Frailty Index respectively. After adjusting for participant demographic, lifestyle and social factors, hearing loss was significantly associated with the prevalence of frailty when diagnosed by either measure (FRAIL scale: odds ratio [OR] 1.59, 95 CI% 1.32 to 1.91 Frailty Index: OR 1.76, 95 CI% 1.50 to 2.05). The proportion of men with hearing loss increased with increasing severity of frailty. Hearing loss is associated with increased prevalence of frailty in older men when assessed using the FRAIL scale and the Frailty Index. Future longitudinal studies using objective measures of hearing will be helpful in determining if this association is likely to be causal.
Emotional Intelligence on Job Performance of Bank Managers in Sri Lanka
Publisher: Sri Lanka Journals Online (JOL)
Date: 16-12-2015
Validation of teleaudiology hearing aid rehabilitation services for adults
Publisher: Informa UK Limited
Date: 31-03-2022
DOI: 10.1080/09638288.2021.1900928
Abstract: To investigate outcome measurement tools for the validation of teleaudiology hearing aid rehabilitation services for adults. A search strategy was developed to identify tools used to evaluate standard and teleaudiology hearing aid rehabilitation services for adults. A seven-domain hearing-health-care service model for validation was defined and used to analyse the applicability and suitability of patient- and service-centred tools. This model and the applicability and suitability criteria were based on the literature, the International Classification of Functioning (ICF) framework, and gold standard professional practice guidelines, which together formed the validation framework used in this study. Eighteen tools were identified and assessed against the validation framework. These tools were found to primarily assess aspects in the patient communication domain and rarely in the domain of service provision. All the included tools had some applicable items for teleaudiology hearing aid services three tools were judged as suitable and four partially suitable for validating these services. Although there is a set of suitable tools available to validate teleaudiology hearing aid rehabilitation services, none of them cover all the seven domains of the validation model used by this review and few are focussed on a specific domain. Further improvement and/or development of new tools to comprehensively validate these services is still necessary. At this stage, this still limits clinical audiology practice research, especially in teleaudiology.IMPLICATIONS FOR REHABILITATIONOutcome measurement tools are crucial for assessing the validity of hearing rehabilitation services.Findings of this study inform clinicians and researchers on how and what to assess and use to evaluate teleaudiology and standard hearing aid rehabilitation services.The use of the proposed validation framework may facilitate the standardisation of validation of both face-to-face and remotely delivered audiology rehabilitation services and improve consistency of methodology and reported real-world outcomes across studies and thus, the evidence.
Hearing Impairment and Incident Frailty in Later Life
Publisher: Springer Science and Business Media LLC
Date: 20-03-2023
Association between speech and high-frequency hearing loss and depression, anxiety and stress in older adults
Publisher: Elsevier BV
Date: 04-2018
DOI: 10.1016/J.MATURITAS.2018.02.002
Abstract: Age-related hearing loss (ARHL) and depression are considered leading causes of disability in older adults. This cross-sectional study investigated the association between the severity of speech and high-frequency ARHL and depression, anxiety and stress in older adults. Cross-sectional study of a community-derived s le of adult volunteers. A hearing assessment was completed by 151 participants (73 males and 78 females M = 64.44 ± 10.77 years). Based on their better-ear speech (0.5, 1, 2, & 4 kHz) and high-frequency (6 & 8 kHz) hearing thresholds, they were ided three groups: those with normal hearing those with mild to moderate hearing loss and those with moderately severe to profound hearing loss. All participants also completed the Depression, Anxiety and Stress Scale (DASS-21). A binomial logistic regression analysis revealed that the respective odds ratios (ORs) (95% confidence interval) of clinically significant depression, anxiety and stress for participants with a moderately severe to profound hearing loss across the speech frequency range were: 27.51 (3.25, 232.95), 5.89 (1.95, 17.73) and 5.64 (1.55, 20.48). Similarly, the respective ORs of clinically significant depression, anxiety and stress were 6.54 (0.75, 57.02), 6.21 (1.52, 25.33) and 5.32 (1.02, 27.75) for participants with moderately severe to profound hearing loss across high frequencies. The non-parametric Cuzik test revealed a statistically significant positive (p < .05) trend of association between both better-ear speech and high-frequency hearing loss and DASS scores. The observed graded associations suggest that hearing loss is a causative factor for clinically significant depression, anxiety and stress symptoms.
The Development of a Pitch Training Program for Adult Cochlear Implant and Hearing Aid Users
Publisher: Georg Thieme Verlag KG
Date: 19-11-2012
Related Organisations
The University Of Newcastle - Newcastle City Campus
Location: Australia
Related Funding Activities
No related grants have been discovered for Praveena Thevisuthan.