American Speech-Language-Hearing Association Clinical Practice Guideline on Aural Rehabilitation for Adults With Hearing Loss

Author:

Aural Rehabilitation Clinical Practice Guideline Development ,Basura Gregory1,Cienkowski Kathleen2,Hamlin Lise3,Ray Christin4,Rutherford Cherilee5,Stamper Greta6,Schooling Tracy7,Ambrose Julie7

Affiliation:

1. Department of Otolaryngology, University of Michigan, Ann Arbor

2. Department of Speech, Language and Hearing Sciences, University of Connecticut, Storrs

3. Hearing Loss Association of America, Rockville, MD

4. Department of Otolaryngology–Head and Neck Surgery, The Ohio State University, Columbus

5. Ida Institute, Cape Town, South Africa

6. Department of Otolaryngology–Head and Neck Surgery, Mayo Clinic, Jacksonville, FL

7. National Center for Evidence-Based Practice in Communication Disorders, American Speech-Language-Hearing Association, Rockville, MD

Abstract

Background: Hearing loss poses a significant public health challenge as a common chronic condition with many known side effects that are often worse when left untreated. Aural rehabilitation (AR) is an umbrella term that encompasses a range of interventions (e.g., informational counseling and perceptual training) designed to reduce deficits related to hearing loss that may stand alone or be used in combination as part of a holistic plan. Purpose: This evidence-based clinical practice guideline is intended to inform the implementation of person-centered AR to adults with hearing loss. Given the well-known benefits of sensory management, it was not included within the scope of this guideline. The recommendations aim to help clinicians, individuals with hearing loss, and other stakeholders make evidence-informed treatment decisions and improve clinical outcomes, as well as provide payers and policymakers with information detailing a comprehensive approach to AR. Method: The American Speech-Language-Hearing Association (ASHA) and a multidisciplinary panel of subject matter experts prioritized key clinical questions and outcomes that served as the foundation of the guideline. The clinical recommendations were based on a comprehensive systematic review and a meta-analysis of 85 studies published between 1978 and 2021. Recommendations: Given the current state of the evidence, resource considerations, patient acceptability, clinical feasibility, and the overall balance of benefits and harms, ASHA developed several evidence-based recommendations for the provision of AR to adults with hearing loss. Each recommendation is accompanied by a series of key practice points to support its implementation within a person-centered framework.

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing

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