American Journal of Audiology最新文献

{"title":"Rationale and Development of a Remote Counseling Program for Hyperacusis.","authors":"Ann Perreau, J Austin Williamson, Richard S Tyler","doi":"10.1044/2025_AJA-24-00229","DOIUrl":"10.1044/2025_AJA-24-00229","url":null,"abstract":"<p><strong>Purpose: </strong>This clinical focus article describes the development of a novel, remotely delivered counseling program for patients with hyperacusis. For many patients, seeking management of hyperacusis is limited by accessibility and affordability issues of care. By reducing these barriers, remote counseling has the potential to advance hyperacusis care and improve outcomes for many people suffering from hyperacusis.</p><p><strong>Method: </strong>We created a 4-week remote counseling program that included asynchronous videos, hands-on activities and quizzes, handouts and resources for teaching coping skills and keeping patients engaged, and synchronous discussions for coaching. Weekly content was derived from in-person therapy using hyperacusis activities treatment (HAT) and focused on five relevant topics that included (a) an overview of hyperacusis, tinnitus, hearing, and hearing loss; (b) reactions to hyperacusis and strategies to reduce negative reactions to sounds; (c) thought analysis and restructuring; (d) relaxation techniques and mindfulness; and (e) gradual sound exposure and proper use of hearing protection.</p><p><strong>Results: </strong>Our remote counseling program, HAT-Online, provides holistic education about hyperacusis, coping strategies to lessen reactions to everyday sounds and challenge thoughts and fears, and management options including customized sound therapy and relaxation exercises.</p><p><strong>Conclusion: </strong>With implementation of this remote counseling program, our team anticipates gathering early clinical evidence needed to support larger, multisite, future randomized clinical trials that will be designed to more fully evaluate the effectiveness of the remote delivery of HAT's counseling and customized sound therapy components to reduce reactions to hyperacusis.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"227-236"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Hearing Loss and Hearing Aids on the Perception of Natural Sounds and Soundscapes: A Survey of Hearing Care Professional Opinions.","authors":"Frédéric Apoux, Stéphane Laurent, Stéphane Gallego, Dina Lelic, Brian C J Moore, Christian Lorenzi","doi":"10.1044/2025_AJA-24-00171","DOIUrl":"10.1044/2025_AJA-24-00171","url":null,"abstract":"<p><strong>Purpose: </strong>The goal was to gain insight into the effects of hearing loss and hearing aids (HAs) on the perception of \"natural sounds\" and their importance in daily life by documenting the opinions of hearing care professionals (HCPs).</p><p><strong>Method: </strong>A questionnaire was designed where HCPs were asked to rate their patients' perception of natural sounds before and after receiving an HA. The online survey was conducted with 301 HCPs in France.</p><p><strong>Results: </strong>According to respondents, the incidence of hearing natural sounds increased substantially at the end of the trial period relative to the start, especially for patients living in remote rural areas. Respondents also indicated an increase in listening accuracy, pleasantness, and importance of natural sounds at the end of the trial period. The majority of respondents indicated (a) that their patients find it important to listen to natural sounds and (b) that they are satisfied with their HAs in that respect.</p><p><strong>Conclusions: </strong>This study demonstrates the importance of natural sounds for most people with hearing loss. It highlights the effects of HA on patients' awareness of natural sounds and suggests that future research should consider the patients' place of residence.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"281-295"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Speech Discrimination in Noise and Spectral Resolution, Temporal Resolution, and Melodic Contour Identification Abilities in Cochlear Implant Users.","authors":"Türkan Özlem Bayülgen, Mehmet Yaralı","doi":"10.1044/2025_AJA-24-00150","DOIUrl":"10.1044/2025_AJA-24-00150","url":null,"abstract":"<p><strong>Purpose: </strong>Speech-in-noise performance of cochlear implant (CI) users varies considerably, and understanding speech in a complex auditory environment remains challenging. It is still unclear which auditory skill is causing this difficulty. This study aimed to evaluate spectral resolution, temporal resolution, and melodic contour identification (MCI) skills to determine which of these skills is most closely related to speech understanding in noise and to investigate whether these three skills differ among CI users with varying performances in speech-in-noise tasks.</p><p><strong>Method: </strong>The three-syllable word identification test (in quiet), the Turkish Matrix Test (in quiet, at fixed +8 dB SNR, and adaptively in noise) were administered to evaluate speech perception to 24 adult CI users (18-55 years old). To evaluate auditory abilities, tests involving spectral-temporally modulated ripple, gap detection, and MCI were administered. CI recipients were separated into two groups (good and low performers) based on their adaptive matrix speech reception threshold (SRT) in noise.</p><p><strong>Results: </strong>The abilities of temporal and spectral resolution were correlated with speech understanding at +8 dB SNR. However, the effect of spectral resolution on understanding at +8 dB SN was not significant. The skill most associated with the Matrix SRT in noise was spectral resolution. The groups differed significantly in both the speech tests and spectral resolution skills.</p><p><strong>Conclusions: </strong>Varying spectral resolution skills among CI users may affect their speech perception performance in noise. The effects of spectral and temporal resolution on speech perception in noise varied across noise conditions. Thus, there may be an increased requirement for spectral resolution in more adverse listening environments.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"376-387"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Resilience, Self-Perceived Hearing Difficulty, and Demographic Factors on Psychological Distress in Adults With Hearing Loss.","authors":"Kristel Scoresby, Kelsey Klein, Elizabeth Humphrey, Lauren Cox","doi":"10.1044/2025_AJA-24-00143","DOIUrl":"10.1044/2025_AJA-24-00143","url":null,"abstract":"<p><strong>Purpose: </strong>Although hearing loss can have a substantial impact on mental health, relatively little research has focused on factors that predict mental health outcomes among adults with hearing loss. In this study, we examined the effects of self-perceived hearing difficulty and resilience on psychological distress in adults.</p><p><strong>Method: </strong>Adult patients with hearing loss (<i>N</i> = 118) completed several questionnaires, including a demographic questionnaire, the Abbreviated Profile of Hearing Aid Benefit, the Brief Resilience Scale, and Kessler 6 Psychological Distress Scale. The relationships between demographic characteristics, self-perceived hearing difficulty, resilience, and psychological distress were assessed using bivariate analyses and multiple regressions.</p><p><strong>Results: </strong>Self-perceived hearing difficulty and resilience both predict psychological distress in adults with hearing loss, while controlling for age and income.</p><p><strong>Conclusions: </strong>Findings suggest that both audiologic and mental health interventions support positive mental health outcomes in adults with hearing loss. Improving patients' resilience may be a particularly important goal for audiologists and mental health professionals who are working with adults with hearing loss.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"364-375"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Auditory Working Memory in Self-Perceived Hearing Difficulties Among Older Adults.","authors":"Christina M Roup, Devan Lander, Sherri L Smith","doi":"10.1044/2025_AJA-25-00024","DOIUrl":"https://doi.org/10.1044/2025_AJA-25-00024","url":null,"abstract":"<p><strong>Purpose: </strong>The association between working memory and the self-perception of hearing difficulties in older adults is not well understood. Therefore, the purpose of the study was to investigate the relation between auditory working memory and self-reported hearing difficulties in older adults with varying degrees of pure-tone hearing loss.</p><p><strong>Method: </strong>Twenty-four older adults with varying degrees of sensorineural hearing loss participated. Self-reported hearing difficulties were assessed using the Adult Auditory Performance Scale (AAPS). Auditory working memory was measured using the Word Auditory Recognition and Recall Measure (WARRM).</p><p><strong>Results: </strong>Results revealed significant negative correlations between the WARRM recall score and the AAPS global, easy listening, noise, and complex listening scores. Pure-tone hearing was significantly correlated with self-reported hearing difficulty in easy listening environments (e.g., quiet and ideal listening) but was not for noise or complex listening. Regression analyses revealed that pure-tone hearing accounted for a significant amount of variability associated with the AAPS easy listening, whereas WARRM recall scores accounted for a significant amount of variability associated with AAPS noise and complex listening scores.</p><p><strong>Conclusions: </strong>Findings suggest that cognitive factors, such as auditory working memory, contribute to the self-perception of hearing difficulty among older adults. Routine clinical measurement of self-reported hearing difficulties and auditory working memory may provide a more global assessment of the hearing challenges faced by older adults with pure-tone hearing loss.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vestibular Phenotype-Genotype Correlation in a Cohort of 35 European Usher Syndrome Patients.","authors":"Ana Margarida Amorim, Ana Beatriz Ramada, Ana Cristina Lopes, Hugo Barcelos Figueiredo, João Lemos, João Carlos Ribeiro","doi":"10.1044/2025_AJA-24-00194","DOIUrl":"https://doi.org/10.1044/2025_AJA-24-00194","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to investigate genotype-phenotype correlations in Usher syndrome (USH).</p><p><strong>Method: </strong>Thirty-five USH patients were included, categorized into three genetic-based groups: USH1 (<i>n</i> = 11), USH2 (<i>n</i> = 22), and USH4 (<i>n</i> = 2). The functional and emotional impact of dizziness and equilibrium was assessed using the Dizziness Handicap Inventory (DHI), the Hospital Anxiety and Depression Scale (HADS), and the Activities-Specific Balance Confidence (ABC) Scale. Participants underwent pure-tone threshold testing, bithermal caloric testing, rotary chair testing (RCT), video head impulse test (vHIT), ocular (oVEMP) and cervical (cVEMP) vestibular evoked myogenic potentials, and posturography. Genotype-phenotype associations were analyzed.</p><p><strong>Results: </strong>Total DHI could only distinguish USH1 (25.71 ± 21.04) from USH2 (50.13 ± 22.54, <i>p</i> = .024) but not between the three groups (<i>p</i> = .084). ABC and HADS could not also distinguish between the three USH subgroups (<i>p</i> = .286 and .180). Hearing loss in USH1 was significantly greater than in USH2 and USH4 (<i>p</i> < .001). USH1 showed greater caloric weakness than USH2 and USH4 (<i>p</i> < .004). RCT was not completed in USH4 but could distinguish between USH1 and USH2 (sinus 0.16 Hz, <i>p</i> = .033; sinus 0.32 Hz, <i>p</i> = .011; and sinus 0.64 Hz, <i>p</i> = .003). vHIT in USH1 demonstrated lower overall gain than in USH2 and USH4 (<i>p</i> < .001). USH1 showed higher number of absent cVEMP responses in the right and/or left ear when compared to USH2/USH4 (<i>p</i> < .001). USH1 showed a higher number of absent oVEMP responses in the right and/or left ear when compared to USH2 and USH4 (right ear, <i>p</i> < .007; left ear, <i>p</i> < .023). In posturography, no relevant differences were found between the three USH groups.</p><p><strong>Conclusions: </strong>Contemporary hearing and vestibular assessment successfully differentiated between distinct USH groups. However, varying degrees of vestibular dysfunction were observed across all groups.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-14"},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recorded Word Recognition Testing Is Worth the Time.","authors":"Allie Austin, Kathryn Ladner, Lisa Lucks Mendel","doi":"10.1044/2024_AJA-24-00080","DOIUrl":"10.1044/2024_AJA-24-00080","url":null,"abstract":"<p><strong>Purpose: </strong>The goal of this study was to provide evidence of the inherent variability associated with monitored live voice (MLV) presentation methods and encourage audiologists to more closely follow best practice of using recorded stimuli. To accomplish the goal, administration times for word recognition testing were compared between MLV and MP3 recorded stimuli presented directly from an audiometer (computer assisted, CA). Furthermore, the variability of administration time across testers was evaluated.</p><p><strong>Method: </strong>Fifty-word NU-6 lists were presented via MLV and CA to listeners with typical hearing (TH; defined as a four-frequency [500, 1000, 2000, and 4000 Hz] pure-tone average [PTA] of 20 dB HL or better) and hearing loss (HL; defined as a four-frequency PTA poorer than 20 dB HL). Audiologists and doctor of audiology students administered the word lists. Administration times were compared between the two presentation methods (MLV and CA).</p><p><strong>Results: </strong>MLV administration time was significantly shorter than CA presentation time for both the TH and HL groups. There was also a significant difference in word recognition scores (WRS) between the TH and HL groups only when using the CA method. Most notably, there was significantly more variability in the administration time for MLV presentation across testers compared to the CA method. Data were compared to Mendel and Owen (2011), and MLV administration time was found to be significantly shorter than CA and compact disk (CD) administration time.</p><p><strong>Conclusions: </strong>Despite the shorter average administration time for MLV presentation compared to CA or CD, the significant variability in administration time among individual testers limits the clinical value of the test results. In addition, WRS for those with hearing loss were significantly poorer than those with TH when using CA but not for MLV, indicating that MLV is not sensitive to the presence of sensorineural hearing loss. Thus, using recorded word recognition is strongly recommended.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"179-186"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Masseteric Vestibular Evoked Myogenic Potentials: A Comparative Study Between Children and Adults.","authors":"Sejal Somani, Anuj Kumar Neupane","doi":"10.1044/2024_AJA-24-00157","DOIUrl":"10.1044/2024_AJA-24-00157","url":null,"abstract":"<p><strong>Purpose: </strong>The present study examined masseteric vestibular evoked myogenic potential (mVEMP) responses in children and compared these results with those of adults, using both air- and bone-conduction modes of stimulation.</p><p><strong>Method: </strong>Fifteen children and fifteen adults with hearing thresholds below 15 dB HL were considered for the study. Ipsilateral 500-Hz narrow-band chirp (NB CE-chirp) evoked mVEMP responses were elicited via a zygomatic montage through both air- and bone-conduction modes of stimulation. Therefore, the recorded responses were analyzed for various mVEMP parameters, namely, absolute P11 and N21 peak latencies, the peak-to-peak amplitude of the P11-N21 complex, and the interaural asymmetry ratio.</p><p><strong>Results: </strong>NB CE-chirp-evoked mVEMPs were 100% present at 500 Hz using both air- and bone-conduction modes of stimulation. No significant differences were found in mVEMP parameters between ears, genders, or modes of stimulation in both children and adults. However, a significant P11-N21 amplitude difference was observed between the two groups.</p><p><strong>Conclusion: </strong>The findings of the study highlighted the need to incorporate age-appropriate reference values for interpreting mVEMP responses for children and adults across air- and bone-conduction modes.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"106-116"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Characteristics of Developmental Disabilities Among Children Who Receive Hearing Health Care.","authors":"Angela Yarnell Bonino, Sara F Goodwich, Deborah Mood","doi":"10.1044/2024_AJA-24-00118","DOIUrl":"10.1044/2024_AJA-24-00118","url":null,"abstract":"<p><strong>Purpose: </strong>We aim to determine the prevalence and characteristics of developmental disabilities among the clinical population of children who receive hearing health care in the United States.</p><p><strong>Method: </strong>Using electronic health records of 131,709 children (0-18 years), we identified those with a diagnosis of attention deficit/hyperactivity disorder, autism spectrum disorder, vision differences, cerebral palsy, chromosomal abnormalities, delayed milestones, Down syndrome, or intellectual disability. We determined prevalence, age of first audiology encounter, age of diagnosis for the developmental disability, and hearing status based on the specific disability and the number of diagnoses. Binomial and multinomial logistic regressions were performed.</p><p><strong>Results: </strong>One in four children had a diagnosed developmental disability. The most common disabilities were delayed milestones (11.3%), vision differences (7.4%), attention-deficit/hyperactivity disorder (6.6%), and autism spectrum disorder (6.2%). Half of the children with developmental disabilities had at least one diagnosis before their first audiology encounter. Children with developmental disabilities were more likely to have a reduced hearing or an unknown hearing status than children without developmental diagnoses. For children with reduced hearing, those with developmental disabilities had higher rates of bilateral configurations and poorer hearing severity levels.</p><p><strong>Conclusions: </strong>Developmental disabilities are common among children who seek hearing health care. Moreover, developmental disabilities often co-occur with reduced hearing. Further research and advocacy efforts are critical for creating clinical practices that are inclusive of, and equitable for, children with complex and diverse developmental profiles.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27857847.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"60-71"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing Loss, Difficulty With Activities of Daily Living, and Experience of Consequences of Related Unmet Needs in Older Adults: A Cross-Sectional Analysis.","authors":"Sarah Bessen, Emmanuel E Garcia Morales, Wuyang Zhang, Pablo Martinez-Amezcua, Mfon Umoh, Thomas K M Cudjoe, Jennifer A Schrack, Nicholas S Reed","doi":"10.1044/2024_AJA-24-00183","DOIUrl":"10.1044/2024_AJA-24-00183","url":null,"abstract":"<p><strong>Purpose: </strong>Experiencing difficulty with activities of daily living (ADLs) and instrumental ADLs (IADLs) and/or the consequences of unmet ADL/IADL-related needs is associated with adverse health-related outcomes. The association of hearing loss (HL) with experiencing the consequences of unmet ADL/IADL-related needs is not well understood. We investigated the associations of HL with experiencing ADL/IADL difficulties and the consequences of unmet ADL/IADL-related needs in older adults.</p><p><strong>Method: </strong>We investigated cross-sectional associations between audiometric HL, the number of ADL and IADL difficulties, and the number of consequences of unmet ADL/IADL-related needs among adults aged 65 years and older in the National Health and Aging Trends Study.</p><p><strong>Results: </strong>In 4,724 older adults, 30.5% (<i>n</i> = 1,736) and 30.9% (<i>n</i> = 1,727) had self-reported difficulty with ADLs and IADLs, respectively. Of the 2,289 participants who reported difficulty with at least one ADL/IADL, 14.0% (<i>n</i> = 741) reported experience of at least one consequence of an unmet ADL/IADL-related need. In multivariable ordinal regression analyses, mild (<i>OR</i> = 1.38, 95% CI [1.1, 1.73]) and moderate or greater (<i>OR</i> = 1.57, 95% CI [1.17, 2.1]) HL were associated with higher odds of difficulties with additional ADLs. Moderate or greater HL was associated with higher odds of reporting difficulties with additional IADLs (<i>OR</i> = 1.59, 95% CI [1.19, 2.12]). There was no significant association between HL and higher odds of having additional consequences of unmet needs.</p><p><strong>Conclusions: </strong>Our results show an association between HL and a higher number of ADL and IADL difficulties. Adults with HL may require increased support to address difficulties with daily activities and prevent experiencing related consequences.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28300049.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"127-138"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}