An Exploratory Study of the Impact of Hearing Handicap on Listening Fatigue During Health Care Encounters Among Older Adults.

Purpose: This exploratory study examined if hearing handicap in older adults affected listening-related fatigue during health care interactions and explored whether different face mask types worn during the coronavirus disease 2019 (COVID-19) pandemic influenced this association.

Method: A cross-sectional observational study among community-dwelling adults aged 60 years and older receiving care at an academic health care system outpatient audiology or otolaryngology clinics was conducted. Eligible participants completed and returned a mail-in self-reported packet including the Hearing Handicap Inventory for the Elderly (Screener Version; HHIE-S) and the 10-item Vanderbilt Fatigue Scale for Adults (VFS-A-10). Face masks were institutionally required during the COVID-19 pandemic, with options including (a) standard surgical face mask, (b) clear face mask, or (c) standard surgical face mask with face shield. General linear models assessed differences in VFS-A-10 by HHIE-S score.

Results: Among the 104 participants, the HHIE-S mean was 15.3 (SD = 10.4); 34.3% experienced no hearing handicap, 45.5% experienced mild to moderate handicap, and 20.2% experienced severe handicap. Higher hearing handicap scores correlated with increased listening-related fatigue (β = 0.66, SE = 0.06, p ≤ .0001). Clear masks were linked to less listening-related fatigue, especially for individuals with higher degrees of hearing handicap, compared to standard surgical masks (β = -0.30, SE = 0.10, p ≤ .01).

Conclusions: Findings from this exploratory study underscore the need for tailored communication strategies and accommodations to enhance the health care experience for individuals with hearing handicap. Future research could explore listening-related fatigue in other health care settings.