Targeting the psychosocial and functional fitness challenges of older adults with hearing loss: a participatory approach to adaptation of the walk and talk for your life program

Int J Audiol. 2018 Jul;57(7):519-528. doi: 10.1080/14992027.2018.1448945. Epub 2018 Mar 20.

Abstract

Objective: Explore the acceptability of a socialisation, health education and falls prevention programme (Walk and Talk for Your Life: WTL) as an adjunct to group auditory rehabilitation (GAR) and how it might be adapted for older adults with hearing loss (HL).

Design: Content theme analysis (CTA) of guided interviews explored the experience of HL, the acceptability of a WTL programme and suggestions on how to adapt the WTL programme to better suit the needs of older adults with HL.

Study sample: Twenty-eight (20 women, 8 men) adults (>55 years of age) with HL were interviewed. Seventeen had participated in past WTL programmes and eleven were sampled from the community.

Results: Interviewees reported difficulty socialising and a tendency to withdraw from social interactions. Addition of GAR to a WTL programme was found to be highly acceptable. Interviewees suggested that to best suit their needs, sessions should take place in a location with optimal acoustics; include small groups integrating hearing-impaired and hearing-intact participants; include appropriate speaking ground rules; and include an option for partner involvement.

Conclusions: The adapted WTL programme provides a holistic and unique approach to the treatment of HL that has the potential to positively impact the hearing-impaired elderly.

Keywords: Functional fitness; exercise; older adults; participatory; programme.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Correction of Hearing Impairment / methods
  • Correction of Hearing Impairment / psychology*
  • Female
  • Hearing Loss / psychology*
  • Hearing Loss / rehabilitation*
  • Humans
  • Interpersonal Relations
  • Male
  • Middle Aged
  • Physical Fitness / psychology*
  • Program Evaluation
  • Psychotherapy, Group / methods*
  • Quality of Life