- Hearing Loss and Rehabilitation
- Noise Effects and Management
- Hearing, Cochlea, Tinnitus, Genetics
- Hearing Impairment and Communication
- Dementia and Cognitive Impairment Research
- Delphi Technique in Research
- Traumatic Brain Injury Research
- Speech and Audio Processing
- Vestibular and auditory disorders
- Assistive Technology in Communication and Mobility
- Ear Surgery and Otitis Media
- Health Systems, Economic Evaluations, Quality of Life
- Resilience and Mental Health
- Geriatric Care and Nursing Homes
- Musicians’ Health and Performance
- Healthcare Systems and Public Health
- Health Policy Implementation Science
- Ophthalmology and Visual Impairment Studies
- Aesthetic Perception and Analysis
- Consumer Perception and Purchasing Behavior
- Phonetics and Phonology Research
- Cultural and Historical Studies
- Communication in Education and Healthcare
- Speech Recognition and Synthesis
- Injury Epidemiology and Prevention
University of South Florida
2016-2025
University of South Florida Sarasota–Manatee
2019-2025
Google (United States)
2012-2024
Starkey Hearing Technologies (United States)
2018
Bay Pines VA Healthcare System
2003-2013
Donaldson (United States)
2009
James H. Quillen VA Medical Center
2007
East Tennessee State University
2007
Veterans Health Administration
2005
(2003). Candidature for and delivery of audiological services: special needs older people. International Journal Audiology: Vol. 42, No. sup2, pp. 92-101.
Hearing impairment is highly prevalent and independently associated with cognitive decline. The Aging Cognitive Health Evaluation in Elders study a multicenter randomized controlled trial to determine efficacy of hearing treatment reducing decline older adults. Clinicaltrials.gov Identifier: NCT03243422.
Hearing loss (HL) is prevalent and independently related to cognitive decline dementia. There has never been a randomized trial test if HL treatment could reduce in older adults.
Over the last century, research in area of age-related hearing loss has provided a vast amount knowledge regarding effects on anatomy and physiology auditory system. As we enter new millennium, researchers are beginning to shift their attention towards developing methods modulating development efficacious intervention strategies meet all an individual's hearing-related rehabilitative needs. The purpose this review is provide framework for considering how biological aspects aging system...
The World Health Organization's (WHO) Disability Assessment Scale II (WHO-DAS II) is a generic health-status instrument firmly grounded in the WHO's International Classification of Functioning, and (WHO-ICF). As such, it assesses functioning for six domains: communication, mobility, self-care, interpersonal, life activities, participation. Domain scores aggregate to total score. Because WHO-DAS contains questions relevant hearing has good face validity use as an outcome measure audiologic...
Vast numbers of blast-injured Operation Iraqi Freedom/Operation Enduring New Dawn personnel report postconcussive symptoms that include headache, dizziness, poor memory, and difficulty concentrating. In addition, many hearing problems, such as understanding speech in noise, yet have no measureable peripheral auditory deficits. this article, self-report performance-based measures were used to assess 99 blast-exposed Veterans. All participants reported problems difficult listening situations...
To examine the effectiveness of Listening and Communication Enhancement (LACE) program as a supplement to standard-of-care hearing aid intervention in Veteran population.A multisite randomized controlled trial was conducted compare outcomes following supplemented with (1) LACE training using 10-session DVD format, (2) 20-session computer-based (3) placebo auditory (AT) consisting actively listening 10 hr digitized books on computer, (4) educational counseling-the control group. The study...
To examine short- and long-term subjective benefits of providing a counseling-oriented audiological rehabilitation (AR) program as an adjunct to hearing aid intervention for individuals with adult-onset loss.One hundred six veterans (68 men 38 women), fit binaurally digitally programmable analog aids, participated. The Communication Profile the Hearing Impaired (CPHI; ) was administered all participants before fitting. Half patients were randomly assigned receive aids alone (i.e., control);...
Background: Despite evidence suggesting inaccuracy in the default fittings provided by hearing aid manufacturers, use of probe-microphone measures for verification fitting accuracy is routinely used fewer than half practicing audiologists. Purpose: The present study examined whether self-perception benefit, as measured through Abbreviated Profile Hearing Aid Benefit (APHAB; Cox and Alexander, 1995), differed a function method, specifically, manufacturer's initial-fit approach versus verified...
Hearing loss is highly prevalent in the rapidly growing and aging Hispanic/Latino population United States. However, little known or understood about hearing aid use among US adults from backgrounds.To describe prevalence factors associated with of backgrounds.Cross-sectional data were collected between 2008 2011 4 field centers (Bronx, New York; Chicago, Illinois; Miami, Florida; San Diego, California) as part multisite Hispanic Community Health Study/Study Latinos. Included individuals...
Age-related hearing loss affects nearly thirty million older adults in the United States and is associated with increased risk of several other adverse health outcomes. Although aids are most common efficacious treatment, Medicaid coverage not federally mandated, cost has been cited as a barrier to access. In this first (to our knowledge) comprehensive review state-level services for age-related loss, we found that twenty-eight states offer some degree coverage-which varies substantially...
Abstract Background Hearing loss is linked to loneliness and social isolation, but evidence typically based on self-reported hearing. This study quantifies the associations of objective subjective hearing with network characteristics among older adults untreated loss. Methods uses baseline data (N = 933) from Aging Cognitive Health Evaluation in Elders (ACHIEVE) study. was quantified by better ear, speech-frequency pure tone average (PTA), Quick Speech-in-Noise test, hearing-related quality...
Abstract Background Age-related hearing loss is common among older adults and may influence physical activity sedentary behaviors, such as TV viewing. This study examined whether a intervention could affect these behaviors over three years. Methods 977 participants (mean age of 76.8, 53.5% female, 11.5% Black), recruited from the ARIC (n=238) de novo (n=739) with (pure-tone average=39.4 dB), were randomized to or health education control group. Physical activity, leisurely walking, viewing...
ABSTRACT Background Hearing loss is prevalent in older adults and associated with reduced daily physical activity, but whether hearing intervention attenuates declines activity unknown. We investigated the 3‐year effect of a versus health education control on accelerometer‐measured loss. Methods This secondary analysis ACHIEVE randomized controlled trial included 977 aged 70–84 years Participants were to either group or group. Physical was measured using wrist‐worn accelerometers at...
The World Health Organization's Disability Assessment Scale II (WHO-DAS II) is a generic health-status instrument that provides six domain scores and total, aggregate score. Two of the scores, communication participation, total score, have good validity, internal-consistency reliability, test-retest stability in individuals with adult-onset hearing loss. As such, these two WHO-DAS score may be useful as outcome measures to assess effectiveness aid intervention for this population. Before use...
Cochlear implant (CI) users typically report that speech recognition becomes substantially more difficult in the presence of background noise. This perception is consistent with objective measures showing CI require favorable signal-to-noise ratios than normal-hearing (NH) listeners to achieve equivalent recognition. However, recent research hearing aid suggests noise tolerance or "willingness listen noise" may also influence perceived communication ability. Therefore, purpose this study was...
Purpose To examine the role of compliance in outcomes computer-based auditory training with Listening and Communication Enhancement (LACE) program Veterans using hearing aids. Method The authors examined available LACE data for 5 tasks (i.e., speech-in-babble, time compression, competing speaker, memory, missing word) from 50 hearing-aid users who participated a larger, randomized controlled trial designed to efficacy training. goals were determine: (a) whether there changes performance over...
The decision to fit one or two hearing aids in individuals with binaural loss has been debated for years. Although some 78% of U.S. aid fittings are (Kochkin , 2010), Walden and (2005) presented data showing that 82% (23 28 patients) their sample obtained significantly better speech recognition noise scores when wearing as opposed two.To conduct new experiments fuel the monaural/binaural debate. first experiment was a replication (2005), whereas second examined use cues improve noise.A...
This work describes the development of a manualized best-practice hearing intervention for older adults participating in Aging and Cognitive Health Evaluation Elders (ACHIEVE) randomized controlled clinical trial. Manualization interventions trials is critical assuring fidelity quality, especially large multisite studies. The ACHIEVE trial designed to assess efficacy on rates cognitive decline adults. We describe through an iterative process that included addressing implementation questions...
Hearing loss is associated with cognitive/physical health; less known about mental health. We investigated associations between hearing severity, depression, and health-related quality of life among older adults unaided loss. Data ( N = 948) were from the Aging Cognitive Health Evaluation in Elders Study. was measured by pure-tone average (PTA), Quick Speech-in-Noise (QuickSIN) test, Handicap Inventory for Elderly (HHIE-S). Outcomes validated measures depression life. Associations assessed...