Hearing Loss & Healthy Aging Research
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Associate Professor of Otolaryngology, Geriatric Medicine,
Associate Professor of Otolaryngology, Geriatric Medicine,
Mental Health, & Epidemiology
Mental Health, & Epidemiology
Johns Hopkins University
Johns Hopkins University
Baltimore, Maryland
Baltimore, Maryland
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Reduce the cognitive load of processing degraded sound
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Improve social engagement
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In collaboration with J. Coresh, M. Albert, N. Glynn, T. Chisolm, ARIC Study
In collaboration with J. Coresh, M. Albert, N. Glynn, T. Chisolm, ARIC Study
Team (T. Mosley, K. Bangdiwala, K. Hayden, J. Pankow)
Team (T. Mosley, K. Bangdiwala, K. Hayden, J. Pankow)
NIA R34AG064548
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$200
Carrie Nieman
Pilot Studies in
Multiple
Populations
Carrie Nieman
Outcomes in participant &
communication partner
Social Engagement
Communication
Activities
HRQL
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2014-2016
2013
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Janet Choi
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1) Hearing Loss Screening
2) Device Orientation:
- Self-fit amplification device
- Individual programming
3) Counseling:
- Expectation management
- Communication Strategies
Carrie Nieman
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Thank you!
flin1@jhmi.edu
www.accesshears.com
www.linresearch.org
Acknowledgments
K23DC011279
K23DC011279
R34AG046548
R34AG046548
R01HL096812
R01HL096812
R21DC015062
R21DC015062
P30AG048773
P30AG048773
Triological Society & American
Triological Society & American
College of Surgeons Clinician
College of Surgeons Clinician
Scientist Award
Scientist Award
Eleanor Schwartz Charitable
Eleanor Schwartz Charitable
Foundation
Foundation
NIA Intramural Research
NIA Intramural Research
Program
Program
•
Johns Hopkins
Johns Hopkins
•
Nick Reed
Nick Reed
•
Jennifer Deal
Jennifer Deal
•
Joe Coresh
Joe Coresh
•
Richey Sharrett
Richey Sharrett
•
Marilyn Albert
Marilyn Albert
•
Alden Gross
Alden Gross
•
George Rebok
George Rebok
•
Josh Betz
Josh Betz
•
NIA
NIA
•
Luigi Ferrucci
Luigi Ferrucci
•
Susan Resnick
Susan Resnick
•
Yang An
Yang An
•
Eleanor Simonsick
Eleanor Simonsick
•
ARIC Study Team
ARIC Study Team
1021
Research on age-related hearing loss, its impact on older adults, cognitive decline, and interventions to improve outcomes. Includes studies on hearing loss prevalence, treatment strategies, and community addressing efforts. Collaborative studies on cognition, hearing evaluation in elders, and initiatives promoting hearing care equality.
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Presentation Transcript
Hearing Loss & Healthy Aging 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 Impaired Cognition Hearing Loss Reduced Social Engagement Hearing loss intervention could: Reduce the cognitive load of processing degraded sound Provide increased brain stimulation Improve social engagement Role of HL as a potentially modifiable, late-life risk factor for cognitive decline & dementia Common pathological process
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) Proximal/Mediating Proximal/Mediating Outcomes Outcomes Primary Outcome Outcome Primary Secondary Secondary Outcomes Outcomes Intervention Intervention HRQL Social/Leisure Activities Audibility of speech & environmental sounds Best-Practices Hearing Rehabilitative Treatment Vs. Successful Aging Control Daily Functioning Cognitive Functioning Mobility Enhanced Verbal Communication & Social Engagement Brain structure (MRI) NIA R34AG064548
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 Older Adults with Cognitive Impairment or Dementia Sara Mamo Korean-American Older Adults Korean Martyrs Catholic Church Janet Choi Carrie Nieman Definitive Trials Licensing & Dissemination Outcomes in participant & communication partner Pilot Studies Non-profits Local government Intervention Development Multiple Communities Social Engagement Communication Activities HRQL 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
