Hearing Loss & Healthy Aging

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Presentation transcript:

Hearing Loss & Healthy Aging 1021 Frank R. Lin, M.D. Ph.D. Associate Professor of Otolaryngology, Geriatric Medicine, Mental Health, & Epidemiology Johns Hopkins University Baltimore, Maryland

Hearing Loss & Hearing Aid Use Prevalence in the U.S. , 1999-2006 Chien W et al, Arch Int Med, 2012

Age-Related Hearing Loss (ARHL) Basic Questions What are the consequences of ARHL for older adults? What is the impact of treating ARHL on older adults? How can ARHL be effectively addressed in the community?

Hearing Loss & Cognition Common Cause or Modifiable Risk Factor Intervention Cognitive Load Changes in brain structure Reduced Social Engagement Impaired Cognition Hearing Loss Hearing loss intervention could: Reduce the cognitive load of processing degraded sound Provide increased brain stimulation Improve social engagement Common pathological process Role of HL as a potentially modifiable, late-life risk factor for cognitive decline & dementia

Aging, Cognition, and Hearing Evaluation in Elders (ACHIEVE) RCT In collaboration with J. Coresh, M. Albert, N. Glynn, T. Chisolm, ARIC Study Team (T. Mosley, K. Bangdiwala, K. Hayden, J. Pankow) Non-pharmacologic cognitive training intervention Proximal/Mediating Outcomes Proximal/Mediating Outcomes Primary Outcome Primary Outcome Secondary Outcomes Secondary Outcomes Intervention Intervention HRQL Social/Leisure Activities Daily Functioning Mobility Brain structure (MRI) Audibility of speech & environmental sounds Best-Practices Hearing Rehabilitative Treatment Vs. Successful Aging Control Cognitive Functioning Enhanced Verbal Communication & Social Engagement NIA R34AG064548

Carrie Nieman

Carrie Nieman $200

Access HEARS: Hearing care Equality through Accessible Research & Solutions BaltimoreHEARS Low-income minority older adults inner city Baltimore HEARS Intervention 1) Hearing Loss Screening 2) Device Orientation: - Self-fit amplification device - Individual programming 3) Counseling: - Expectation management - Communication Strategies Pilot Studies in Multiple Populations Carrie Nieman Insert graphic Older Adults with Cognitive Impairment or Dementia Sara Mamo Korean-American Older Adults – Korean Martyrs Catholic Church Carrie Nieman Janet Choi Definitive Trials Licensing & Dissemination Non-profits Local government Pilot Studies Multiple Communities Outcomes in participant & communication partner Social Engagement Communication Activities HRQL Intervention Development 2016-2019 2014-2016 2013

Thank you! flin1@jhmi.edu www.accesshears.com www.linresearch.org

Acknowledgments Johns Hopkins Nick Reed Jennifer Deal Joe Coresh Richey Sharrett Marilyn Albert Alden Gross George Rebok Josh Betz NIA Luigi Ferrucci Susan Resnick Yang An Eleanor Simonsick ARIC Study Team K23DC011279 R34AG046548 R01HL096812 R21DC015062 P30AG048773 Triological Society & American College of Surgeons Clinician Scientist Award Eleanor Schwartz Charitable Foundation NIA Intramural Research Program