Abstract
The purpose of this study was to investigate how non-verbal visual reinforcement provided by the audiologist during speech testing influences performance in the elderly. Thirty-two volunteers with age-related hearing loss with or without dual sensory-impairment (DSI), were administered a speech audiometry test in which they repeated lists of ten disyllabic words in two different conditions, namely with and without visual reinforcement. In the conditions of “with visual reinforcement”, the tester provided non-verbal cues to acknowledge the response of each participant. The “visual reinforcement” condition did not apparently provide any significant variation in the results. However, when we considered the group of patients without DSI, the non-verbal “visual reinforcement” resulted in better scores (p < 0.001). Non-verbal visual reinforcement may influence speech audiometry results in the elderly. During speech testing of elderly people with age-related hearing loss, audiologists should always remember to administer visual reinforcement to the patients in order to remove a possible confounding factor from audiological evaluation.
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References
Davis AC (1989) The prevalence of hearing impairment and reported hearing disability among adults in Great Britain. Int J Epidemiol 18(4):911–917
Gates GA, Cooper JC Jr, Kannel WB, Miller NJ (1990) Hearing in the elderly: the Framingham cohort, 1983–1985. Part I. Basic audiometric test results. Ear Hear 11(4):247–256
Martini A, Mazzoli M, Rosignoli M, Trevisi P, Maggi S, Enzi G, Crepaldi G (2001) Hearing in the elderly: a population study. Audiology 40(6):285–293
Egan JP (1948) Articulation testing methods. Laryngoscope 58(9):955–991
Salthouse TA (1996) The processing-speed theory of adult age differences in cognition. Psychol Rev 103(3):403–428
Craik F, Byrd M (1982) Aging and cognitive deficits: the role of attentional resources. In: Craik F, Trehub S (eds) Aging and cognitive processes. Plenum Press, New York, pp 191–211
Kausler DM (1994) Learning and memory in normal aging. Academic Press, San Diego
Tun PA, McCoy S, Wingfield A (2009) Aging, hearing acuity, and the attentional costs of effortful listening. Psychol Aging 24(3):761–766
Saunders GH, Echt KV (2007) An overview of dual sensory impairment in older adults: perspectives for rehabilitation. Trends Amplif 11(4):243–258
Crews JE, Campbell VA (2004) Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning. Am J Public Health 94(5):823–829
Golding M, Mitchell P, Cupples L (2005) Risk markers for the graded severity of auditory processing abnormality in an older Australian population: the Blue Mountains Hearing Study. JAAA 16(6):348–356
Gordon MS, Allen S (2009) Audiovisual speech in older and younger adults: integrating a distorted visual signal with speech in noise. Exp Aging Res 35(2):202–219
Brennan M, Bally SJ (2007) Psychosocial adaptations to dual sensory loss in middle and late adulthood. Trends Amplif 11(4):281–300
Bocca E, Pellegrini A (1950) Statistical study of the phonetic composition of the Italian language and its practical application to audiometry of words. Archivio italiano di otologia, rinologia e laringologia 61(Suppl. 5):116–141
Neville HJ, Lawson DS (1987) Attention to central and peripheral visual space in a movement decision task: III. Separate effects of auditory deprivation and acquisition of a visual language. Brain Res 405:284–294
Munro KJ, Lutman ME (2005) The influence of visual feedback on closed-set word test performance over time. Int J Audiol 44(12):701–705
Davenport SLH (2007) Minnesota deafblind technical assistance project: the five senses and communication. In: Project MDTA (ed) Minneapolis
Pearman A, Friedman L, Brooks JO, Yesavage JA (2000) Hearing impairment and serial word recall in older adults. Exp Aging Res 26(4):383–391
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The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.
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Di Berardino, F., Forti, S., Mattei, V. et al. Non-verbal visual reinforcement affects speech audiometry in the elderly. Eur Arch Otorhinolaryngol 267, 1367–1370 (2010). https://doi.org/10.1007/s00405-010-1254-7
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DOI: https://doi.org/10.1007/s00405-010-1254-7