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Published on: January 24, 2020
CI decision making and expectations by older adults.
Angelika Illg1, Timo Bräcker2, Cornelia Batsoulis1
1Department of Otolaryngology, Hannover Medical University, Hannover, Germany.
Older adults seeking cochlear implants (CI) need better support. Professionals should provide realistic expectations to improve the CI decision-making process for seniors.
Area of Science:
- Audiology
- Gerontology
- Medical Decision Making
Background:
- Hearing loss significantly impacts older adults.
- Cochlear implantation is an option for severe to profound hearing loss.
- The decision-making process for cochlear implants in older adults requires investigation.
Purpose of the Study:
- To document and analyze the cochlear implant (CI) decision-making process in hearing-impaired older adults.
- To identify support needs for older adults undergoing the CI decision process.
- To enhance care delivery for this demographic.
Main Methods:
- Interviews conducted with 32 cochlear implant recipients aged 60 years and older.
- Participants had severe to profound sensorineural hearing loss.
- Interviews focused on the CI decision-making journey, 3-12 months post-implantation.
Main Results:
- Limited information was provided by hearing aid acousticians and patient associations.
- Patients reported high expectations regarding outcomes beyond basic hearing improvement.
- Despite unmet expectations, nearly all users would recommend a CI after six months of use.
Conclusions:
- Hearing care professionals can enhance their role in supporting older CI candidates.
- A collaborative network between hearing care professionals and CI clinics is recommended.
- Training for professionals is crucial to manage patient expectations and reduce anxiety.
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