Case Studies of Auditory Processing Assessment and Management for Veterans

Area of Science:

• Audiology and Hearing Science
• Veterans Health Administration (VHA) Research
• Auditory Processing Disorders

Background:

• Clinical care for individuals with significant hearing complaints but minimal objective hearing loss is complex and debated.
• Previous work involved a retrospective review of veterans evaluated for auditory processing disorders within the VHA.

Purpose of the Study:

• To provide an in-depth view of care approaches for veterans with hearing difficulties not explained by hearing loss.
• To identify strengths and weaknesses in current care strategies.
• To inform improvements in patient care for this population.

Main Methods:

• Analysis of five case studies of veterans receiving care for auditory complaints within the VHA.
• Information extracted from chart notes from VHA and Defense Health Agency sources.
• Selection of cases representing a range of etiologies and patient experiences.

Main Results:

• Identified etiologies including traumatic brain injury and jet fuel exposure.
• Observed variability in care coordination, with some patients facing significant barriers and requiring extensive self-advocacy.
• Noted differences in audiology and speech-language pathology approaches, including diagnostic versus self-report measures and rehabilitation strategies.

Conclusions:

• Emphasize patient-specific needs and goals for improved care.
• Enhance communication and collaboration between audiology and other medical disciplines.
• Consider auditory device-based rehabilitation even with minimal hearing loss for auditory processing deficits.