Effect of Hearing Intervention Versus Health Education Control on Fatigue: A Secondary Analysis of the ACHIEVE Study.

The journals of gerontology. Series A, Biological sciences and medical sciences Pub Date : 2024-11-01 DOI:10.1093/gerona/glae193

Sarah Y Bessen, Wuyang Zhang, Alison R Huang, Michelle Arnold, Sheila Burgard, Theresa H Chisolm, David Couper, Jennifer A Deal, Sarah P Faucette, Adele M Goman, Nancy W Glynn, Theresa Gmelin, Lisa Gravens-Mueller, Kathleen M Hayden, Christine M Mitchell, James S Pankow, James R Pike, Nicholas S Reed, Victoria A Sanchez, Jennifer A Schrack, Kevin J Sullivan, Josef Coresh, Frank R Lin, Pablo Martinez-Amezcua

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引用次数: 0

Abstract

Background: Fatigue is a common complaint among older adults with hearing loss. The impact of addressing hearing loss on fatigue symptoms has not been studied in a randomized controlled trial. In a secondary analysis of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study, we investigated the effect of hearing intervention versus health education control on 3-year change in fatigue in community-dwelling older adults with hearing loss.

Methods: Participants aged 70-84 years old with untreated hearing loss recruited across 4 study sites in the United States (Forsyth County, North Carolina; Jackson, Mississippi; Minneapolis, Minnesota; Washington County, Maryland) were randomized (1:1) to hearing intervention or health education control and followed for 3 years. Three-year change in fatigue symptoms was measured by 2 instruments (RAND-36 and PROMIS). We estimated the intervention effect as the difference in the 3-year change in fatigue between intervention and control groups using a linear mixed-effects model under the intention-to-treat principle.

Results: Participants (n = 977) had a mean age (SD) of 76.8 (4.0) years, were 53.5% female and 87.8% White. Over 3 years, a beneficial effect of the hearing intervention versus health education control on fatigue was observed using the RAND-fatigue score (β = -0.12 [95% CI: -0.22, -0.02]). Estimates also suggested beneficial effect of hearing intervention on fatigue when measured by the PROMIS-fatigue score (β = -0.32 [95% CI: -1.15, 0.51]).

Conclusions: Our findings suggest that hearing intervention may reduce fatigue over 3 years among older adults with hearing loss.

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听力干预与健康教育对照对疲劳的影响：ACHIEVE 研究的二次分析。

背景：疲劳是患有听力损失的老年人的常见症状。随机对照试验尚未研究解决听力损失对疲劳症状的影响。在对 ACHIEVE 研究的二次分析中，我们调查了听力干预与健康教育对照对社区听力损失老年人疲劳症状 3 年变化的影响：在美国 4 个研究地点（北卡罗来纳州福塞斯县、密歇根州杰克逊市、明尼苏达州明尼阿波利斯市、马里兰州华盛顿县）招募的 70-84 岁听力损失未接受治疗的参与者被随机（1:1）分配到听力干预或健康教育对照组，并随访 3 年。疲劳症状的三年变化通过两种工具（RAND-36 和 PROMIS）进行测量。根据意向治疗原则，我们使用线性混合效应模型估算了干预效果，即干预组和对照组三年疲劳症状变化的差异：参与者（977 人）的平均年龄（标清）为 76.8 (4.0)岁，53.5% 为女性，87.8% 为白人。使用 RAND 疲劳评分法（β= -0.12 [95% CI -0.22, -0.02]）观察到，在 3 年的时间里，听力干预与健康教育对照组相比对疲劳产生了有益的影响。用 PROMIS 疲劳评分进行的估计也表明，听力干预对疲劳有有益影响（β= -0.32 [95% CI -1.15, 0.51]）：我们的研究结果表明，听力干预可在 3 年内减轻听力损失老年人的疲劳感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The journals of gerontology. Series A, Biological sciences and medical sciences

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