SLPQualitativeDisability and rehabilitation2024

"We're just winging it". Identifying targets for intervention to improve the provision of hearing support for residents living with dementia in long-term care: an interview study with care staff.

Hannah Cross, Christopher J Armitage, Piers Dawes and 2 others

PMID 37641847

WHAT IT FOUND

Care staff said hearing support was “just winging it”: poor hearing aid knowledge, no training, unclear accountability, and hard access to audiology.

They still saw communication support as beneficial and wanted practical help.

Key findings

01Staff reported lacking knowledge of hearing loss and hearing support, and every participant said they had not received workplace training on hearing loss and hearing care or support.

02Staff were motivated by seeing untreated hearing loss as harmful and hearing support as beneficial, but seven said hearing support was treated as everybody’s job, which could be unproductive.

03Access to audiology and practicality of traditional hearing aids were barriers: audiologists rarely visited homes, appointments were hard to arrange, and staff were pessimistic about hearing aids for residents with advanced dementia.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only 10 staff from eight homes were interviewed, so the findings cannot show how common these views are across long-term care homes. Participants were recruited from people who had expressed interest in a follow-up interview, so they may have been more motivated to take part than staff who did not respond. The study reports staff views about barriers and facilitators, not resident outcomes. It identifies possible intervention targets, but the paper does not test them. Data collection stopped after 10 participants based on the authors’ judgement that no new information was emerging.

Declared interests

Funding was from the Alzheimer’s Society, UK; the National Institute for Health Research Manchester Biomedical Research Centre; the NIHR Greater Manchester Patient Safety Translational Research Centre; the European Union’s Horizon 2020 programme; and the Global Brain Health Institute. The supplied text lists funding sources but gives no competing-interest declaration.

The easy way to misread this

Do not conclude that training, hearing champions, or care-home audiology appointments improve hearing support. This study only reports staff views and suggested targets; it did not test these interventions or measure resident outcomes.

Read it on PubMed →