Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-22T06:25:29.178Z Has data issue: false hasContentIssue false
  • English
  • Français

Interventions for hearing and vision impairment to improve outcomes for people with dementia: a scoping review

Published online by Cambridge University Press:  24 September 2018

Piers Dawes Open the ORCID record for Piers Dawes [Opens in a new window] ,
Lucas Wolski ,
Ines Himmelsbach ,
Jemma Regan  and
Iracema Leroi Open the ORCID record for Iracema Leroi [Opens in a new window]
Piers Dawes*
Affiliation:
Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
Lucas Wolski
Affiliation:
Catholic University of Applied Sciences Freiburg, Freiburg, Baden-Württemberg, Germany
Ines Himmelsbach
Affiliation:
Catholic University of Applied Sciences Freiburg, Freiburg, Baden-Württemberg, Germany
Jemma Regan
Affiliation:
Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK Department of Neuroscience and Experimental Psychology, University of Manchester, Manchester, UK
Iracema Leroi
Affiliation:
Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK Department of Neuroscience and Experimental Psychology, University of Manchester, Manchester, UK
*
Correspondence should be addressed to: Dr. Piers Dawes, Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester M13 9PL, UK. Phone: +44-161-306-1758. Email: [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Age-related hearing and vision problems are common among people with dementia and are associated with poorer function, reduced quality of life and increased caregiver burden. Addressing sensory impairments may offer an opportunity to improve various aspects of life for people with dementia.

Methods:

Electronic databases were searched using key terms dementia, hearing impairment, vision impairment, intervention, and management. Database searches were supplemented by hand searching bibliographies of papers and via consultation with a network of health professional experts. Studies were eligible for inclusion if they included adults aged over 50 with dementia with adult-onset hearing or vision impairment who had received a hearing or vision intervention in relation to cognitive function, rate of decline, psychiatric symptoms, hearing/vision-related disability, quality of life, and/or caregiver burden outcomes. A range of study designs were included. Results were summarized descriptively according to level of evidence and effect sizes calculated where possible. Risk of bias was assessed using Downs and Black's (1998) checklist. The development of the intervention was summarized according to the CReDECI2 scheme. PROSPERO review registration number 2016:CRD42016039737.

Results:

Twelve papers describing hearing interventions and five papers describing vision interventions were included. Most were of low to moderate quality. One high quality randomized controlled trial of a hearing aid intervention was identified. Hearing interventions included provision of hearing aids, assistive listening devices, communication strategies, hearing aid trouble shooting, and cochlear implantation. Vision interventions included prism lenses, rehabilitation training, and cataract surgery. There was no consistent evidence for the positive impact of hearing/vision interventions on cognitive function, rate of cognitive decline, quality of life, or caregiver burden.

Conclusion:

Sensory interventions may promote better outcomes, but there is a need for properly powered, controlled trials of hearing and vision interventions on outcomes relevant to people living with dementia.

Keywords

hearing impairmentpresbycusisvision impairmentdementiainterventionmanagementnon-pharmacological treatment
Type
Review Article
Information
International Psychogeriatrics , Volume 31 , Issue 2: Issue Theme: Positive Psychiatry II , February 2019 , pp. 203 - 221
Copyright
Copyright © International Psychogeriatric Association 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aazh, H., Prasher, D., Nanchahal, K. and Moore, B. C. (2015). Hearing-aid use and its determinants in the UK national health service: a cross-sectional study at the Royal Surrey County Hospital. International Journal of Audiology, 54, 152–161.10.3109/14992027.2014.967367Google Scholar
Adrait, A. et al. (2017). Do hearing aids influence behavioral and psychological symptoms of dementia and quality of life in hearing impaired Alzheimer's disease patients and their caregivers? Journal of Alzheimer's Disease, 58, 123–137.10.3233/JAD-160792Google Scholar
Allen, N. H. et al. (2003). The effects of improving hearing in dementia. Age and Ageing, 32, 189–193.10.1093/ageing/32.2.189Google Scholar
Allen, N. H., Gordon, S., Hope, T. and Burns, A. (1996). Manchester and Oxford universities scale for the psychopathological assessment of dementia (MOUSEPAD). The British Journal of Psychiatry, 169, 293–307.10.1192/bjp.169.3.293Google Scholar
Alzheimer's Disease International (2016). World Alzheimer Report 2016. Improving Healthcare for People Living with Dementia. London: Alzheimer's Disease International.Google Scholar
Alzheimer's Society (2015). Finacial cost of dementia.Google Scholar
Arksey, H. and O'Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8, 19–32.10.1080/1364557032000119616Google Scholar
Barberger-Gateau, P., Commenges, D., Gagnon, M., Letenneur, L., Sauvel, C. and Dartigues, J. F. (1992). Instrumental activities of daily living as a screening tool for cognitive impairment and dementia in elderly community dwellers. Journal of the American Geriatrics Society, 40, 1129–1134.10.1111/j.1532-5415.1992.tb01802.xGoogle Scholar
Bayles, K. A. and Tomoeda, C. K. (1994). The Functional Linguistic Communication Inventory: Pro-Ed.Google Scholar
Bowen, M. et al. (2016). The Prevalence of Visual Impairment in People with Dementia (The Provide Study): A Cross Sectional Study of 60–89 Year Old People with Dementia and Qualitative Exploration of Individual, Carer and Professional Perspectives. Southampton: National Institute of Health Research.Google Scholar
Brenner, M. H., Curbow, B., Javitt, J. C., Legro, M. W. and Sommer, A. (1993). Vision change and quality of life in the elderly: response to cataract surgery and treatment of other chronic ocular conditions. Archives of Ophthalmology, 111, 680–685.10.1001/archopht.1993.01090050114040Google Scholar
Carman, K. L. et al. (2013). Patient and family engagement: a framework for understanding the elements and developing interventions and policies. Health Affairs, 32, 223–231.10.1377/hlthaff.2012.1133Google Scholar
Chao, T. K. and Chen, T. H. H. (2008). Cost-effectiveness of hearing aids in the hearing-impaired elderly: a probabilistic approach. Otology & Neurotology, 29, 776–783.10.1097/MAO.0b013e31817e5d1bGoogle Scholar
Chisolm, T. et al. (2007). A systematic review of health-related quality of life and hearing aids: final report of the American Academy of Audiology task force on the health-related quality of life benefits of amplification in adults. Journal of the American Academy of Audiology, 18, 151–183.10.3766/jaaa.18.2.7Google Scholar
Cohen-Mansfield, J. and Taylor, J. W. (2004). Hearing aid use in nursing homes, Part 1: prevalence rates of hearing impairment and hearing aid use. Journal of the American Medical Directors Association, 5, 283–288.10.1016/S1525-8610(04)70017-1Google Scholar
Cooper, C. et al. (2012). Systematic review of the effectiveness of non-pharmacological interventions to improve quality of life of people with dementia. International Psychogeriatrics, 24, 856–870.10.1017/S1041610211002614Google Scholar
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I. and Petticrew, M. (2008). Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ, 337, a1655.10.1136/bmj.a1655Google Scholar
Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A. and Gornbein, J. (1994). The neuropsychiatric inventory comprehensive assessment of psychopathology in dementia. Neurology, 44, 2308–2308.10.1212/WNL.44.12.2308Google Scholar
Davis, K., Drey, N. and Gould, D. (2009). What are scoping studies? A review of the nursing literature. International Journal of Nursing Studies, 46, 1386–1400.10.1016/j.ijnurstu.2009.02.010Google Scholar
Diener, E. D., Emmons, R. A., Larsen, R. J. and Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.10.1207/s15327752jpa4901_13Google Scholar
Douglas, S., James, I. and Ballard, C. (2004). Non-pharmacological interventions in dementia. Advances in Psychiatric Treatment, 10, 171–177.10.1192/apt.10.3.171Google Scholar
Downs, S. H. and Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health, 52, 377–384.10.1136/jech.52.6.377Google Scholar
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.10.1016/0022-3956(75)90026-6Google Scholar
Furlong, W. J., Feeny, D. H., Torrance, G. W. and Barr, R. D. (2001). The Health Utilities Index (HUI®) system for assessing health-related quality of life in clinical studies. Annals of Medicine, 33, 275–384.10.3109/07853890109002092Google Scholar
Ghiringhelli, R. and Iorio, M. C. M. (2013). Hearing aids and recovery times: a study according to cognitive status. Brazilian Journal of Otorhinolaryngology, 79 (2), 177–184.10.5935/1808-8694.20130032Google Scholar
Girard, B., Chouard, B., Levy, P., Luquel, L., Seux, M. L. and Drunat, O. (2016). Neuropsychological benefit of cataract surgery among sight impaired Alzheimers patient. Journal Francais D'optalmologie, 39, 675–686.10.1016/j.jfo.2016.05.005Google Scholar
Graham, D. P., Cully, J. A., Snow, A. L., Massman, P. and Doody, R. (2004). The Alzheimer's disease assessment scale-cognitive subscale: normative data for older adult controls. Alzheimer Disease & Associated Disorders, 18, 236–240.Google Scholar
Grober, E., Sanders, A. E., Hall, C. and Lipton, R. B. (2010). Free and cued selective reminding identifies very mild dementia in primary care. Alzheimer Disease & Associated Disorders, 24, 284–290.Google Scholar
Haque, R., Abdelrehman, N. and Alavi, Z. (2012). “There's a monster under my bed”: hearing aids and dementia in long-term care settings. Annals of Long-Term Care, 20, 28–33.Google Scholar
Helm-Estabrooks, N. (2001). Cognitive Linguistic Quick Test. San Antonio, TX: Pearson Education.Google Scholar
Heyl, V. and Wahl, H. (2012). Managing daily life with age-related sensory loss: cognitive resources gain in importance. Psychology and Aging, 27, 510.10.1037/a0025471Google Scholar
Hopper, T., Slaughter, S. E., Hodgetts, B., Ostevik, A. and Ickert, C. (2016). Hearing loss and cognitive-communication test performance of long-term care residents with dementia: effects of amplification. Journal of Speech, Language, and Hearing Research, 59, 1533–1542.10.1044/2016_JSLHR-H-15-0135Google Scholar
Horowitz, A. (2004). The prevalence and consequences of vision impairment in later life. Topics in Geriatric Rehabilitation, 20, 185–195.10.1097/00013614-200407000-00006Google Scholar
Hutchinson, B., Covan, E. K. and Bogus, J. C. (2012a). Presbycusis, Part 2: can you hear the music of life? Care Management Journals, 13, 200–208.10.1891/1521-0987.13.4.200Google Scholar
Hutchison, B., Covan, E. K. and Bogus, J. C. (2012b). Presbycusis, Part 1: can you hear the music of life? Care Management Journals, 13, 148–172.10.1891/1521-0987.13.3.148Google Scholar
Izzo, K. L., DiLorenzo, P. and Roth, A. (1986). Rehabilitation in progressive supranuclear palsy: case report. Archives of Physical Medicine Rehabilitation, 67, 473–476.Google Scholar
Lansingh, V. C., Carter, M. J. and Martens, M. (2007). Global cost-effectiveness of cataract surgery. Opthalmology, 114, 1670–1678.10.1016/j.ophtha.2006.12.013Google Scholar
Lerner, A. J. et al. (2014). Improved vision, cognition and neuropsychiatric symptoms following cataract surgery in subjects with dementia. Alzheimer's Association International Conference Copenhagen, Denmark.Google Scholar
Leroi, I. et al. (2017). Research protocol for a complex intervention to support hearing and vision function to improve the lives of people with dementia. Pilot and Feasibility Studies, 3, 38.10.1186/s40814-017-0176-1Google Scholar
Mahendra, N., Bayles, K. A. and Harris, F. P. (2005). Effect of presentation modality on immediate and delayed recall in individuals with Alzheimer's disease. American Journal of Speech-Language Pathology and Audiology, 14, 144–155.Google Scholar
Mamo, S. K. et al. (2017). Hearing care intervention for persons with dementia: a pilot study. The American Journal of Geriatric Psychiatry, 25, 91–101.10.1016/j.jagp.2016.08.019Google Scholar
Mangione, C. M., Lee, P. P., Pitts, J., Gutierrez, P., Berry, S. and Hays, R. D. (1998). Psychometric properties of the national eye institute visual function questionnaire (NEI-VFQ). Archives of Ophthalmology, 116, 1496–1504.10.1001/archopht.116.11.1496Google Scholar
Modest, M. C., Carlson, M. L., Wanna, G. B. and Driscoll, C. L. (2015). Cochlear implantation in patients with superficial siderosis: seven cases and systematic review of the literature. Otology & Neurotology, 36, 1191–1196.10.1097/MAO.0000000000000792Google Scholar
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G. and Group, Prisma (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6, e1000097.10.1371/journal.pmed.1000097Google Scholar
Möhler, R., Köpke, S. and Meyer, G. (2015). Criteria for reporting the development and evaluation of complex interventions in healthcare - revised guideline (CReDECI 2). Trials, 16, 204.10.1186/s13063-015-0709-yGoogle Scholar
Morse, A. R., Teresi, J., Rosenthal, B., Holmes, D. and Yatzkan, E. S. (2004). Visual acuity assessment in persons with dementia. Research Report. Journal of Visual Impairment & Blindness, 98, 560–577.Google Scholar
Nguyen, M. F. et al. (2017). Efficacy of hearing aids on the cognitive status of patients with Alzheimer's disease and hearing loss: a multicenter controlled randomized trial. Journal of Alzheimer's Disease, 58, 109–121.10.3233/JAD-160793Google Scholar
OCEBM Levels of Evidence Working Group (2011). The Oxford 2011 levels of evidence. Oxford Centre for Evidence-Based Medicine.Google Scholar
Palmer, C. V., Adams, S. W., Durrant, J. D., Bourgeois, M. and Rossi, M. (1998). Managing hearing loss in a patient with Alzheimer disease. Journal of the American Academy of Audiology, 9, 275–284.Google Scholar
Palmer, C. V., Adams, S. W., Bourgeois, M., Durrant, J. and Rossi, M. (1999). Reduction in caregiver-identified problem behaviors in patients with Alzheimer disease post-hearing-aid fitting. Journal of Speech, Language and Hearing Research, 42, 312–328.10.1044/jslhr.4202.312Google Scholar
Parkerson, G. R., Broadhead, W. E. and Tse, C. K. J. (1990). The duke health profile: a 17-item measure of health and dysfunction. Medical Care, 28, 1056–1072.10.1097/00005650-199011000-00007Google Scholar
Payal, A. R. et al. (2016). Visual outcomes and vision-related quality of life in veterans with dementia or cognitive impairment: results from the Veterans Affairs Ophthalmic Surgery Outcomes Data Project. ARVO Annual Meeting Seattle, Washington.Google Scholar
Petersen, R. C. (2011). Mild cognitive impairment. New England Journal of Medicine, 364, 2227–2234.10.1056/NEJMcp0910237Google Scholar
Rabins, P. V., Kasper, J. D., Kleinman, L., Black, B. S. and Patrick, D. L. (1999). Concepts and methods in the development of the ADRQL: an instrument for assessing health-related quality of life in persons with Alzheimer's disease. Journal of Mental Health and Aging, 5, 33–48.Google Scholar
Regan, J. et al. (under review). A randomised controlled trial of sensory intervention in dementia: protocol for the efficacy and cost-effectiveness of the SENSE-Cog intervention. Trials.Google Scholar
Regan, J. et al. (2017). Improving hearing and vision in dementia: protocol for a field trial of a new intervention. BMJ Open, 7, e018744.10.1136/bmjopen-2017-018744Google Scholar
Reisberg, B., Borenstein, J., Salob, S. P., Ferris, S. H., Franssen, E. and Georgotas, A. (1987). Behavioral pathology in Alzheimer's disease rating scale (BEHAVE-AD). Journal of Clinical Psychiatry, 48, 9–15.Google Scholar
Sanchez, T. G., Rocha, S. C. M., Knobel, K. A. B., Kii, M. A., Santos, R. M. R. and Pereira, C. B. (2011). Musical hallucination associated with hearing loss. Arquivos De Neuro-Psiquiatria, 69, 395–400.10.1590/S0004-282X2011000300024Google Scholar
Schow, R. L. and Nerbonne, M. A. (1977). Assessment of hearing handicap by nursing home residents and staff. Journal of the Academy of Rehabilitative Audiology, 10, 2–12.Google Scholar
Strawbridge, W. J., Wallhagen, M. I., Shema, S. J. and Kaplan, G. A. (2000). Negative consequences of hearing impairment in old age a longitudinal analysis. The Gerontologist, 40, 320–326.10.1093/geront/40.3.320Google Scholar
Teunisse, R. J., Zitman, F. G., Cruysberg, J. R. M., Hoefnagels, W. H. L. and Verbeek, A. L. M. (1996). Visual hallucinations in psychologically normal people: Charles Bonnet's syndrome. The Lancet, 347, 794–797.10.1016/S0140-6736(96)90869-7Google Scholar
Uhlmann, R. F., Rees, T. S., Psaty, B. M. and Duckert, L. G. (1989). Validity and reliabilty of auditory screening tests in dementiaed and non-demented older adults. Journal of General Internal Medicine, 4, 90–96.10.1007/BF02602346Google Scholar
Ventry, I. M. and Weinstein, B. E. (1982). The hearing handicap inventory for the elderly: a new tool. Ear and Hearing, 3, 128–134.10.1097/00003446-198205000-00006Google Scholar
Verhey, F. R. et al. (2004). Cross-national comparison and validation of the Alzheimer's disease assessment scale: results from the European Harmonization project for instruments in dementia (EURO-HARPID). International Journal of Geriatric Psychiatry, 19, 41–50.10.1002/gps.1035Google Scholar
Vitale, S., Cotch, M. F., Sperduto, R. and Ellwein, L. (2006). Costs of refractive correction of distance vision impairment in the United States, 1999–2002. Opthalmology, 113, 2163–2170.10.1016/j.ophtha.2006.06.033Google Scholar
Wechsler, D. (1997). Wechsler Adult Intelligence Scale, 3rd edn. Oxford: Pearson AssessmentGoogle Scholar
Whitson, H. E. et al. (2013). A low-vision rehabilitation program for patients with mild cognitive deficits. JAMA Ophthalmology, 131, 912–919.10.1001/jamaophthalmol.2013.1700Google Scholar
Zarit, S. H., Orr, N. K. and Zarit, J. M. (1985). The Hidden Victims of Alzheimer's Disease: Families Under Stress. New York: New York University Press.Google Scholar
Supplementary material: File

Dawes et al. supplementary material

Dawes et al. supplementary material 1

Download Dawes et al. supplementary material(File)
File 24.6 KB