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Elmazoska, I., Mäki-Torkko, E., Granberg, S. & Widén, S. (2024). Associations Between Recreational Noise Exposure and Hearing Function in Adolescents and Young Adults: A Systematic Review. Journal of Speech, Language and Hearing Research
Open this publication in new window or tab >>Associations Between Recreational Noise Exposure and Hearing Function in Adolescents and Young Adults: A Systematic Review
2024 (English)In: Journal of Speech, Language and Hearing Research, ISSN 1092-4388, E-ISSN 1558-9102Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: There is an increasing concern regarding hazardous recreational noise exposure among adolescents and young adults. Daily exposure to loud sound levels over a long period of time can increase the risk of noise-induced hearing loss. The full extent of the impact of recreational noise on hearing is not yet fully understood. The purpose of this review was to synthesize research that investigated hearing function in relation to recreational noise exposure in adolescents and young adults.

METHOD: A systematic literature search of five databases covering the years 2000-2023 was performed. The articles included investigated audiological measurements of hearing function in relation to recreational noise exposure.

RESULTS: Four hundred sixty records were identified, of which 20 met the inclusion criteria and were included in the results. This review showed that although some recreational noise activities can be potentially harmful, there is an unclear relationship between exposure and outcome. Some findings indicated hearing threshold shifts or reduced otoacoustic emission amplitudes after recreational noise exposure, but most changes were short term and in the extended high-frequency range.

CONCLUSIONS: There seemed to be inconsistencies regarding the utilization of methods of measuring exposure and outcome between studies. This might be one reason for the differing results in studies on the reported impact on hearing function from recreational noise exposure. To draw more certain conclusions about long-term effects, there is a need for longitudinal research that utilizes sound level measurements to assess low and high degrees of recreational noise exposure in relation to hearing function.

SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.25114193.

Place, publisher, year, edition, pages
American Speech-Language-Hearing Association, 2024
National Category
Otorhinolaryngology
Identifiers
urn:nbn:se:oru:diva-111467 (URN)10.1044/2023_JSLHR-23-00397 (DOI)38324255 (PubMedID)
Available from: 2024-02-08 Created: 2024-02-08 Last updated: 2024-02-23Bibliographically approved
Badache, A., Rehnberg, J., Mäki-Torkko, E., Widén, S. & Fors, S. (2024). Longitudinal associations between sensory and cognitive functioning in adults 60 years or older in Sweden and Denmark. Archives of gerontology and geriatrics (Print), 121, Article ID 105362.
Open this publication in new window or tab >>Longitudinal associations between sensory and cognitive functioning in adults 60 years or older in Sweden and Denmark
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2024 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 121, article id 105362Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: The objective of this study is to explore the bidirectional, longitudinal associations between self-reported sensory functions (hearing/vision) and cognitive functioning among older adults in Sweden and Denmark during the period 2004-2017.

METHODS: The study is based on data from The Survey of Health, Ageing and Retirement in Europe and consists of 3164 persons aged 60 to 93 years. Within-person associations between sensory and cognitive functions were estimated using random intercept cross-lagged panel models.

RESULTS: The results indicated that cognitive and sensory functions were associated within their respective domains over time. The results on the bidirectional associations between sensory functions and cognition over time showed weak and statistically non-significant estimates.

CONCLUSION: Our study showed no clear evidence for cross-lagged effects between sensory functions and cognitive functioning. Important to note, however, is that using longitudinal data to estimate change within persons is a demanding statistical test and various factors may have contributed to the absence of conclusive evidence in our study. We discuss several of these factors.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Cognition, Hearing, Older adults, Scandinavia, Sensory functions, Vision
National Category
Gerontology, specialising in Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-111831 (URN)10.1016/j.archger.2024.105362 (DOI)38382171 (PubMedID)
Funder
EU, Horizon 2020, 754285
Available from: 2024-02-22 Created: 2024-02-22 Last updated: 2024-02-22Bibliographically approved
Karlsson, E., Mäki-Torkko, E., Granberg, S., Widén, S., Manchaiah, V., Swarnalatha Nagaraj, V., . . . Gustafsson, J. (2023). Hearing and Functioning in Everyday Life Questionnaire: Development and Validation of an ICF-Based Instrument. Ear and Hearing, 44(6), 1498-1506
Open this publication in new window or tab >>Hearing and Functioning in Everyday Life Questionnaire: Development and Validation of an ICF-Based Instrument
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2023 (English)In: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 44, no 6, p. 1498-1506Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Self-assessment instruments are commonly used in audiological rehabilitation. However, several studies highlight the lack of multidimensionality in existing outcome measures, with the consequence that they only partially capture aspects of functioning in everyday life for people living with hearing loss. This study aimed to develop and investigate the content validity of a self-assessment instrument based on the validated Brief International Classification of Functioning, Disability, and Health Core Set for Hearing Loss.

DESIGN: The design was a two-part instrument development study. The first part focused on the item-generation process of the instrument, named the Hearing and Functioning in Everyday Life Questionnaire (HFEQ) during an experts' workshop. The second part focused on international content validation of the instrument using group interviews. Strategic sampling was used and 30 adults with hearing loss from India, South Africa, and the United States participated in the group interviews.

RESULTS: The expert's workshop resulted in the first version of the HFEQ containing 30 items. The results from group interviews show that the content of the HFEQ was considered to be valid concerning its relevance, comprehensiveness, and comprehensibility. A majority (73%) of the HFEQ items were perceived by the participants as relevant and easy to comprehend. For the remaining 27% of the items, the content was perceived to be relevant in all countries, but some terms and expressions were reported to require rewording or clearer examples. These modifications will be made in the next step of the development process.

CONCLUSION: Content validation of the HFEQ demonstrates promising results, with participants perceiving the content as relevant and comprehensible. Further psychometric validation is required to investigate other psychometric properties, such as construct validity and reliability. The HFEQ has the potential to become a valuable new instrument for assessing everyday functioning in people with hearing loss in audiological rehabilitation and in research.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2023
Keywords
Audiological rehabilitation, Content validity, Cross-cultural validation, Cross-national, Hearing loss, International Classification of Functioning Disability and Health, Outcome measures, Survey instruments, Validation
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-106579 (URN)10.1097/AUD.0000000000001391 (DOI)001086366300018 ()37340534 (PubMedID)2-s2.0-85174642335 (Scopus ID)
Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2024-01-15Bibliographically approved
Fredriksson, S., Li, H., Söderberg, M., Gyllensten, K., Widén, S. & Persson Waye, K. (2023). Occupational noise exposure, noise annoyance, hearing-related symptoms, and emotional exhaustion: a participatory-based intervention study in preschool and obstetrics care. Archives of Environmental & Occupational Health, 78(7-8), 423-434
Open this publication in new window or tab >>Occupational noise exposure, noise annoyance, hearing-related symptoms, and emotional exhaustion: a participatory-based intervention study in preschool and obstetrics care
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2023 (English)In: Archives of Environmental & Occupational Health, ISSN 1933-8244, E-ISSN 2154-4700, Vol. 78, no 7-8, p. 423-434Article in journal (Refereed) Published
Abstract [en]

A participatory-based intervention was performed in Sweden, aimed at improving the sound environment in one preschool (n = 20) and one obstetric ward (n = 50), with two controls each (n = 28, n = 66). Measured sound levels, and surveys of noise annoyance, hearing-related symptoms and emotional exhaustion were collected before, and three and nine months after the interventions, comparing intervention and control groups over time. The results of this first implementation in a limited number of workplaces showed significantly worsening of hyperacusis, sound-induced auditory fatigue, emotional exhaustion and increased sound levels in the preschool, and worsening of noise annoyance in both intervention groups. Increased risk awareness, limited implementation support and lack of psychosocial interventions may explain the worsening in outcomes, as might the worse baseline in the intervention groups. The complexity of the demands in human-service workplaces calls for further intervention studies.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2023
Keywords
Auditory fatigue, burnout, emotional exhaustion, hearing loss, hyperacusis, intervention, noise annoyance, occupational intervention, occupational noise exposure, participatory method, speech perception, tinnitus
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:oru:diva-109967 (URN)10.1080/19338244.2023.2283010 (DOI)001117955000002 ()38018749 (PubMedID)2-s2.0-85178196070 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07193
Available from: 2023-11-30 Created: 2023-11-30 Last updated: 2024-01-23Bibliographically approved
Gyllensten, K., Fredriksson, S., Widén, S. & Persson-Waye, K. (2023). The experience of noise in communication-intense workplaces: a qualitative study. PLOS ONE, 18(1), Article ID e0280241.
Open this publication in new window or tab >>The experience of noise in communication-intense workplaces: a qualitative study
2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 1, article id e0280241Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of the study was to explore and describe how workers in communication-intenseworkplaces in health care and preschools experience the sound environment. The depen-dence on vocal communication and social interaction poses a challenge using hearing pro-tection in these working environments.

Method: A qualitative method was used, more specifically inductive thematic analysis was used, asthis approach was deemed suitable to explore the staff’s experiences of the sound environ-ment. Data were collected by interviews and to increase trustworthiness, several researcherswere involved in the data collection and analysis.

Study sample: Workers from two preschools, one obstetrics ward and one intensive care unit took part inthe study.

Results: Four main themes emerged from the thematic analysis: A challenging and harmful soundenvironment; Health-related effects of a challenging and harmful sound environment; Agood sound environment is not prioritised; and Resourceful and motivated staff.

Conclusions: Workers in communication-intense workplaces in preschools, obstetrics care and intensivecare reported that there was a relationship between the sound environment and negativehealth effects. In addition, the results suggests that the high motivation for change amongstaff should be utilised together with an increased prioritization from the management toreach innovative context specific improvements to the sound environment in communicationintense working environments.

Place, publisher, year, edition, pages
PLOS, 2023
National Category
Work Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Disability research
Identifiers
urn:nbn:se:oru:diva-102875 (URN)10.1371/journal.pone.0280241 (DOI)000945546700001 ()36622846 (PubMedID)2-s2.0-85145956673 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07193
Available from: 2022-12-29 Created: 2022-12-29 Last updated: 2023-03-30Bibliographically approved
Hjaldahl, J., Granberg, S., Widén, S. & Anderzen-Carlsson, A. (2023). Utilization of Audiological Rehabilitation Interventions: Contextual Factors that Matter. In: : . Paper presented at American Academy of Audiology (AAA) HearTech), Seattle, USA, April 19-22, 2023.
Open this publication in new window or tab >>Utilization of Audiological Rehabilitation Interventions: Contextual Factors that Matter
2023 (English)Conference paper, Oral presentation with published abstract (Other academic)
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:oru:diva-107006 (URN)
Conference
American Academy of Audiology (AAA) HearTech), Seattle, USA, April 19-22, 2023
Available from: 2023-07-06 Created: 2023-07-06 Last updated: 2023-07-06Bibliographically approved
Badache, A. C., Mäki-Torkko, E., Widén, S. & Fors, S. (2023). Why are old-age disabilities decreasing in Sweden and Denmark? Evidence on the contribution of cognition, education, and sensory functions. The journals of gerontology. Series B, Psychological sciences and social sciences, 78(3), 483-495
Open this publication in new window or tab >>Why are old-age disabilities decreasing in Sweden and Denmark? Evidence on the contribution of cognition, education, and sensory functions
2023 (English)In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 78, no 3, p. 483-495Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Improvements in educational attainment, cognitive and sensory functions, and a decline in the prevalence of disabilities have been observed in older adults in Sweden and Denmark. In the present study, it was investigated whether better cognition, higher educational attainment, and improved sensory function among older adults aged 60 and older in these countries have contributed to decreasing rates of old-age disabilities.

METHODS: The analyses were based on repeated cross-sectional data from the Survey of Health, Ageing, and Retirement in Europe, for 2004-2017 period. Descriptive data was used to benchmark the declining prevalence of disabilities, improving cognitive and sensory function, and increased educational level. The association between time and disabilities was analyzed with logistic regression models and the contribution of the improved cognitive, education and sensory function to the declining prevalence of old-age disabilities was estimated using the Karlson-Holm-Breen (KHB) method for mediation analysis.

RESULTS: The analysis suggests that the declining prevalence of old-age disabilities in Sweden and Denmark between 2004 and 2017, can largely be attributed to improved cognitive function and vision, and to a lesser extent by education and hearing ability.

DISCUSSION: These findings raise important questions about the causal mechanisms producing the associations between cognition, education, and sensory functions and disability in older age. Future studies should explore the causal nature of the associations between these mediators, and old-age disabilities. In addition, they should explore whether these findings differ across regional and cultural contexts and over different time periods.

Place, publisher, year, edition, pages
Oxford University Press, 2023
Keywords
ADL limitations, IADL limitations, Nordic countries, older adults, sensory function
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-101428 (URN)10.1093/geronb/gbac118 (DOI)000871449100001 ()36112366 (PubMedID)2-s2.0-85149999047 (Scopus ID)
Funder
European Commission, 754285
Available from: 2022-09-23 Created: 2022-09-23 Last updated: 2024-01-15Bibliographically approved
Lundin, E., Widén, S. E., Wahlqvist, M., Granberg, S. & Anderzen-Carlsson, A. (2022). Experiences of rehabilitation services from the perspective of older adults with dual sensory loss: a qualitative study. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2052559.
Open this publication in new window or tab >>Experiences of rehabilitation services from the perspective of older adults with dual sensory loss: a qualitative study
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2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2052559Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To describe the rehabilitation service experiences of older adults with dual sensory loss (DSL).

METHODS: Twenty older adults aged ≥65 years with DSL participated in semistructured interviews. Inductive qualitative content analysis was conducted.

RESULTS: The participants' experiences were classified into three main categories: 1. Maintaining and regaining function included experiences regarding interventions compensating for loss of function and medical corrections; 2. Mastering the situation described the individuals' competence of DSL, skills acquisition and taking control; and 3. Delivery of rehabilitation services included experiences of encounters with professionals, their attitudes and the organizational impact on accessibility and collaboration.

CONCLUSIONS: It was important for participants to regain function and compensate for loss in function and to meet others in group rehabilitation. The professionals' attitudes were an important factor that affected the participants' approach to rehabilitation services. Rehabilitation services mainly focused on either VL or HL, not DSL. Based on the participants' experiences, the rehabilitation services seemed to contribute to the older adults' well-being, participation in activities and life roles, which is consistent with the WHO's definition of healthy ageing. The findings can contribute to the development of rehabilitation services for older adults with DSL to meet the diversity of these individuals' needs.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Dual sensory loss, healthy ageing, older adults, qualitative content analysis, rehabilitation services
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-98364 (URN)10.1080/17482631.2022.2052559 (DOI)000775620500001 ()35350956 (PubMedID)2-s2.0-85127258502 (Scopus ID)
Note

Funding agency:

Research School of Successful Aging, Örebro University, Örebro Sweden

Research Committee of Region Örebro County, Sweden

Available from: 2022-04-06 Created: 2022-04-06 Last updated: 2022-05-23Bibliographically approved
Lundin, E., Widén, S., Wahlqvist, M., Granberg, S. & Anderzen-Carlsson, A. (2022). Experiences of rehabilitation services from the perspective of older adults with dual sensory loss: a qualitative study. International Journal of Qualitative Research on Health and Well-being., 17(1), Article ID 2052559.
Open this publication in new window or tab >>Experiences of rehabilitation services from the perspective of older adults with dual sensory loss: a qualitative study
Show others...
2022 (English)In: International Journal of Qualitative Research on Health and Well-being., ISSN 1748-2623, Vol. 17, no 1, article id 2052559Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe the rehabilitation service experiences of older adults with dual sensoryloss (DSL).

Methods: Twenty older adults aged ≥65 years with DSL participated in semistructuredinterviews. Inductive qualitative content analysis was conducted.

Results: The participants’ experiences were classified into three main categories: 1.Maintaining and regaining function included experiences regarding interventions compensat-ing for loss of function and medical corrections; 2. Mastering the situation described theindividuals’ competence of DSL, skills acquisition and taking control; and 3. Delivery ofrehabilitation services included experiences of encounters with professionals, their attitudesand the organizational impact on accessibility and collaboration.

Conclusions: It was important for participants to regain function and compensate for loss infunction and to meet others in group rehabilitation. The professionals’ attitudes were animportant factor that affected the participants’ approach to rehabilitation services.Rehabilitation services mainly focused on either VL or HL, not DSL. Based on the participants’experiences, the rehabilitation services seemed to contribute to the older adults’ well-being,participation in activities and life roles, which is consistent with the WHO’s definition ofhealthy ageing. The findings can contribute to the development of rehabilitation services forolder adults with DSL to meet the diversity of these individuals’ needs.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Dual sensory loss, healthy ageing, older adults, rehabilitation services, qualitative content analysis
National Category
Other Health Sciences
Research subject
Disability research
Identifiers
urn:nbn:se:oru:diva-101542 (URN)10.1080/17482631.2022.2052559 (DOI)000775620500001 ()35350956 (PubMedID)2-s2.0-85127258502 (Scopus ID)
Available from: 2022-09-29 Created: 2022-09-29 Last updated: 2022-10-07Bibliographically approved
Gyllensten, K., Fredriksson, S., Widén, S., Söderberg, M. & Waye, K. P. (2022). Nurses' and preschool teachers' experiences of taking part in a participatory intervention project in communication-intense working environments. Work: A journal of Prevention, Assessment and rehabilitation, 73(3), 857-869
Open this publication in new window or tab >>Nurses' and preschool teachers' experiences of taking part in a participatory intervention project in communication-intense working environments
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2022 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 73, no 3, p. 857-869Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Noise is a common workplace problem that can affect health and performance. High sound levels have been found in sectors that largely has been overlooked in noise research such as health care and education. In these communication-intense environments the work requires speech communication, thus making it difficult to wear hearing protection.

OBJECTIVE: To explore nurses' and preschool teachers' experiences of taking part in a participatory intervention project aiming to improve the sound environment and the psychosocial work environment.

METHODS: One preschool and one obstetrics ward took part in the study, and a qualitative design was used to evaluate the experience of the participatory intervention approach.

RESULTS: Five main themes were found in the analysis: Awareness, Taking control of the sound environment, Influence of the building and interior design, Circumstances influencing the intervention process and Motivation to maintain change.

CONCLUSIONS: Despite demanding working situations and lack of financial resources, preschool and obstetrics staff described being creative in planning and implementing several different solutions to improve the sound environment at their workplaces, while interventions specifically improving the psychosocial work environment were fewer. Hence, our study suggest that a participatory intervention approach may facilitate participation and motivation, but resources and support are needed for a comprehensive and effective implementation.

Place, publisher, year, edition, pages
IOS Press, 2022
Keywords
Occupational noise, communication-intense working environment, participatory interventions, qualitative analysis, sound environment
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-100731 (URN)10.3233/WOR-211009 (DOI)000886958900012 ()35988249 (PubMedID)2-s2.0-85141935694 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07193
Available from: 2022-08-22 Created: 2022-08-22 Last updated: 2022-12-19Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-9184-6989

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