晚年聋哑老年人的交流挑战和应对策略

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2025-03-05 DOI:10.1016/j.archger.2025.105821

Gianna Kohl, Erin M. Heniff, Maya E. Dye, Wendy A. Rogers

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Communication challenges and response strategies of late-deafened older adults

Background

A growing number of adults are aging with hearing impairments. Late-deafened individuals, who experience severe to profound hearing loss after acquiring spoken language, often face unique communication challenges in everyday activities. Despite these difficulties, little is known about the specific activities and contexts where they occur.

Objectives

To identify activities that present communication challenges for late-deafened older adults and to explore the response strategies they adopt to manage these challenges.

Methods

The Aging Concerns, Challenges, and Everyday Solution Strategies (ACCESS) study uses a mixed-methods approach to explore the daily challenges faced by individuals aging with long-term disabilities. Sixty participants (66.7 % female; M age = 69.3, SD = 6.0) with severe to profound bilateral hearing loss for at least ten years completed questionnaires and structured interviews. Qualitative data were analyzed using content analysis.

Results

The content analysis revealed communication challenges with healthcare appointments, entertainment events, interactions with unfamiliar people, and group activities. Specific difficulties included general hearing impairments, challenging listening environments, limitations of assistive technologies, reliance on auditory stimuli, and insufficient social support. To manage these challenges, participants employed various strategies, including the use of assistive technologies, personal amplification devices, communication repair techniques, adaptive communication methods, and disclosing their hearing status.

Conclusions

The findings highlight the diverse range of communication challenges faced by late-deafened older adults. The identified strategies illustrated their resilience and adaptability but also underscored areas for improvement. Enhanced assistive technologies, better environmental accommodations, and supportive policies are essential to address these challenges effectively.

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.