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Older Adults with Dual Sensory Loss: Prevalence, Diagnoses & Rehabilitation Services
Örebro University, School of Health Sciences.
2022 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Introduction: Globally, the population aged 65 years and older are predicted to double within 30 years. The risk of developing vision loss in combination with hearing loss – dual sensory loss (DSL) increases with age. DSL affects older adults within several aspects, and the main areas are communication, information, participation and orientation and mobility. 

Aim: The overall aim was to describe older adults with DSL regardingprevalence, diagnoses, rehabilitation and experiences with rehabilitation services in the Swedish context.

Methods: Quantitative and qualitative methods were used. Data were collected by using register data, mainly medical records (Study I), and by individual interviews with older adults with DSL (Study II). In the first study, data were analysed using descriptive statistics and chi square tests, and in the second study inductive qualitative content analysis was used. 

Results: Study I showed that the national prevalence of severe DSL was estimated to approximately 0.08%. The result also showed statisticallysignificant differences in prevalence of severe DSL between age groups and the prevalence of severe DSL increased with age. No statistically significant difference were found between women and men regarding prevalence. Older adults with DSL had been provided with several rehabilitation services and the focus of the services were mainly on one of the senses, not on the combination of sensory losses. Sensorineural hearing loss in combination with cataracts and age-related macular degeneration were the most common diagnoses. Study II presented older adults experiences of rehabilitation services and they described that several of the rehabilitation services were significant for them to be able to communicate, participate in social events and independently perform day-to-day activities.

Conclusion: It is important that rehabilitation services provided to older adults with DSL are person-centred to promote healthy aging.

Place, publisher, year, edition, pages
Örebro: Örebro University , 2022. , p. 65
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 106
Keywords [en]
Dual sensory loss, Healthy aging, Older adults, Prevalence, Rehabilitation services, Qualitative content analysis
National Category
Other Health Sciences
Research subject
Disability research
Identifiers
URN: urn:nbn:se:oru:diva-99131ISBN: 978-91-7529-437-7 (print)OAI: oai:DiVA.org:oru-99131DiVA, id: diva2:1659923
Supervisors
Available from: 2022-05-23 Created: 2022-05-23 Last updated: 2022-08-24Bibliographically approved
List of papers
1. Prevalence, diagnoses and rehabilitation services related to severe dual sensory loss (DSL) in older persons: a cross-sectional study based on medical records
Open this publication in new window or tab >>Prevalence, diagnoses and rehabilitation services related to severe dual sensory loss (DSL) in older persons: a cross-sectional study based on medical records
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2020 (English)In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 59, no 12, p. 921-929Article in journal (Refereed) Published
Abstract [en]

Objective: To estimate the prevalence of severe dual sensory loss (DSL) among older persons (aged >= 65 years) in the Swedish population, to identify the diagnoses that cause severe DSL, and to identify rehabilitation services in which the participants have been involved.

Design: A cross-sectional design was applied. Medical records from Audiological, Low Vision, and Vision clinics from two Swedish counties were used.

Study sample: 1257 adults, aged >= 65 years with severe hearing loss (HL) (>= 70 dB HL) were included, whereof 101 had decimal visual acuity <= 0.3.

Results: Based on the population size in the two counties (>= 65 years, n = 127,638), the prevalence of severe DSL was approximately 0.08% in the population. Within the group having DSL (n = 101), 61% were women and 71% were aged >= 85 years. Common diagnoses were cataract and/or age-related macular degeneration (AMD) in combination with HL. The rehabilitation services offered were mainly hearing aids and various magnifiers.

Conclusions: The study confirmed previous results, indicating that the prevalence of severe DSL increases with age and that sensorineural HL and cataract, AMD or glaucoma coexist. The identified rehabilitation services mainly focussed on either vision loss or HL but not on severe DSL as a complex health condition.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
65 years and older, prevalence, rehabilitation services, severe dual sensory loss, diagnoses
National Category
Otorhinolaryngology
Identifiers
urn:nbn:se:oru:diva-84946 (URN)10.1080/14992027.2020.1783003 (DOI)000546281900001 ()32628050 (PubMedID)2-s2.0-85087617173 (Scopus ID)
Note

Funding Agencies:

Research School of Successful Ageing, Örebro University, Örebro, Sweden  

Research Committee of Region Örebro County, Sweden 

Available from: 2020-08-21 Created: 2020-08-21 Last updated: 2022-05-23Bibliographically approved
2. Experiences of rehabilitation services from the perspective of older adults with dual sensory loss: a qualitative study
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 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

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Lundin, Elin

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