Do group audiologic rehabilitation activities influence psychosocial outcomes?

Am J Audiol. 2010 Dec;19(2):109-25. doi: 10.1044/1059-0889(2010/09-0027). Epub 2010 Jul 1.

Abstract

Purpose: To attempt to determine whether group audiologic rehabilitation (AR) content affected psychosocial outcomes.

Method: A randomized controlled trial with at least 17 participants per group was completed. The 3 treatment groups included a communication strategies training group, a communication strategies training plus psychosocial exercise group, and an informational lecture plus psychosocial exercise group. Evaluations were conducted preclass, postclass, and 6-months postclass; they included hearing loss-related and generic quality of life scales, and a class evaluation form.

Results: All treatment groups demonstrated short- and long-term improvement on the hearing loss-related quality of life scale. Minimal differences were measured across treatment groups. A significant difference was observed between the lecture plus psychosocial exercise group and the communication strategies training group for 1 hearing loss-related quality of life subscale. Better outcomes were measured for the 2 groups with psychosocial exercises versus the communication strategies training group on 1 generic quality of life subscale. The results for the class evaluation did not discriminate among the treatment groups.

Conclusions: Class content had only a minimal influence on treatment outcomes. Recommended AR class content includes a mix of interventions including information, training, and psychosocial exercises.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Communication Methods, Total
  • Female
  • Hearing Aids / psychology
  • Hearing Disorders / psychology
  • Hearing Loss / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Patient Dropouts
  • Quality of Life / psychology
  • Social Adjustment*
  • Treatment Outcome