Hearing loss and cognition: A protocol for ensuring speech understanding before neurocognitive assessment-Reference-Cited by-同舟云学术

Hearing loss and cognition: A protocol for ensuring speech understanding before neurocognitive assessment

Published:2023-12-11 Issue: Volume: Page:
ISSN:1552-5260
Container-title:Alzheimer's & Dementia
language:en
Short-container-title:Alzheimer's & Dementia

Author:

Kolberg Elizabeth R.¹²^ORCID,Morales Emmanuel E. Garcia¹³,Thallmayer Tara W.¹,Arnold Michelle L.⁴,Burgard Sheila⁵,Chisolm Theresa H.⁴,Coresh Josef³⁶⁷,Couper David⁵,Hayden Kathleen M.⁸,Huang Alison R.¹³,Lin Frank R.¹²³⁹,Mitchell Christine M.¹³,Mosley Thomas H.¹⁰,Gravens‐Mueller Lisa⁵,Owens Tiffany A.¹⁰,Pankow James S.¹¹,Pike James Russell⁵¹²,Reed Nicholas S.¹³,Sanchez Victoria⁴,Schrack Jennifer A.³,Deal Jennifer A.¹²³,Goman Adele M.¹³¹³,

Affiliation:

1. Cochlear Center for Hearing and Public Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA

2. Department of Otolaryngology‐Head and Neck Surgery Johns Hopkins School of Medicine Baltimore Maryland USA

3. Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA

4. Department of Communication Sciences and Disorders University of South Florida Tampa Florida USA

5. Collaborative Studies Coordinating Center University of North Carolina Chapel Hill North Carolina USA

6. George W. Comstock Center for Public Health Research and Prevention Johns Hopkins Bloomberg School of Public Health Hagerstown Maryland USA

7. Department of General Internal Medicine Johns Hopkins School of Medicine Baltimore Maryland USA

8. Department of Social Sciences and Health Policy Wake Forest School of Medicine Winston‐Salem North Carolina USA

9. Department of Mental Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA

10. Memory Impairment and Neurodegenerative Dementia Center University of Mississippi Medical Center Jackson Mississippi USA

11. Division of Epidemiology University of Minnesota School of Public Health Minneapolis Minnesota USA

12. Department of Biostatistics Gillings School of Global Public Health Chapel Hill North Carolina USA

13. School of Health and Social Care Edinburgh Napier University Edinburgh UK

Abstract

AbstractINTRODUCTIONMany neurocognitive evaluations involve auditory stimuli, yet there are no standard testing guidelines for individuals with hearing loss. The ensuring speech understanding (ESU) test was developed to confirm speech understanding and determine whether hearing accommodations are necessary for neurocognitive testing.METHODSHearing was assessed using audiometry. The probability of ESU test failure by hearing status was estimated in 2679 participants (mean age: 81.4 ± 4.6 years) using multivariate logistic regression.RESULTSOnly 2.2% (N = 58) of participants failed the ESU test. The probability of failure increased with hearing loss severity; similar results were observed for those with and without mild cognitive impairment or dementia.DISCUSSIONThe ESU test is appropriate for individuals who have variable degrees of hearing loss and cognitive function. This test can be used prior to neurocognitive testing to help reduce the risk of hearing loss and compromised auditory access to speech stimuli causing poorer performance on neurocognitive evaluation.

Funder

National Heart, Lung, and Blood Institute

National Institute on Aging

Publisher

Wiley

Subject

Psychiatry and Mental health,Cellular and Molecular Neuroscience,Geriatrics and Gerontology,Neurology (clinical),Developmental Neuroscience,Health Policy,Epidemiology

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