The Effect of Hearing Augmentation on Cognitive Assessment Scales at Admission to Hospital

Objectives The aim was to assess how the use of a commercially available hearing augmentation device affected performance on cognitive assessment scales on admission to hospital. Design This was a randomized controlled trial. Setting The study was conducted on all of the acute assessment wards in a...

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Published in:The American journal of geriatric psychiatry 2012-04, Vol.20 (4), p.355-361
Main Authors: MacDonald, Allan A., M.B.Ch.B, Joyson, Anu, B.Sc, Lee, Rebecca, M.B.Ch.B, Seymour, David G., M.D, Soiza, Roy L., M.B.Ch.B
Format: Article
Language:English
Subjects:
Aged, 80 and over
Cognition
Female
Geriatric Assessment - methods
Geriatric Assessment - statistics & numerical data
Hearing Aids - psychology
Humans
Internal Medicine
Male
Neuropsychological Tests - statistics & numerical data
Patient Admission
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cited_by cdi_FETCH-LOGICAL-c443t-81e5cca2517133ca3c9dadd0dbd0ab83878fcc5b8bc15fd14345cf58b18f2e833
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container_issue 4
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container_title The American journal of geriatric psychiatry
container_volume 20
creator MacDonald, Allan A., M.B.Ch.B
Joyson, Anu, B.Sc
Lee, Rebecca, M.B.Ch.B
Seymour, David G., M.D
Soiza, Roy L., M.B.Ch.B
description Objectives The aim was to assess how the use of a commercially available hearing augmentation device affected performance on cognitive assessment scales on admission to hospital. Design This was a randomized controlled trial. Setting The study was conducted on all of the acute assessment wards in a department of medicine for the elderly. Participants All patients admitted to the department from December 1, 2007, until February 28, 2008, were considered for admission to the study. Patients with delirium were excluded. Intervention A commercially available device provided hearing augmentation in the intervention group on the second day. Measurements All participants had cognitive assessments using the Mini-Mental State Examination (MMSE) and the Abbreviated Mental Test (AMT) on two consecutive days. Results A total of 192 patients (60.4% women, mean [±SD] age 82.4 [±7.0] years) were recruited and randomized into control (N = 58) or intervention groups (N = 134). Paired and unpaired t-tests were used to compare mean improvements in scores within and between groups, respectively. The mean improvement in MMSE scores was 2.00 (p
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Design This was a randomized controlled trial. Setting The study was conducted on all of the acute assessment wards in a department of medicine for the elderly. Participants All patients admitted to the department from December 1, 2007, until February 28, 2008, were considered for admission to the study. Patients with delirium were excluded. Intervention A commercially available device provided hearing augmentation in the intervention group on the second day. Measurements All participants had cognitive assessments using the Mini-Mental State Examination (MMSE) and the Abbreviated Mental Test (AMT) on two consecutive days. Results A total of 192 patients (60.4% women, mean [±SD] age 82.4 [±7.0] years) were recruited and randomized into control (N = 58) or intervention groups (N = 134). Paired and unpaired t-tests were used to compare mean improvements in scores within and between groups, respectively. The mean improvement in MMSE scores was 2.00 (p &lt;0.001) in the intervention group and 0.49 in the control group (p = 0.46), and the mean improvement in AMT scores was 0.48 (p &lt;0.001) for the intervention group and 0.24 (p = 0.04) for the control group. In comparing mean improvements between groups, unpaired t-test results were significant for MMSE (p &lt;0.001) but not for AMT (p = 0.23). These results were confirmed on repeated-measures ANOVA (group by time interaction). Conclusions Hearing augmentation significantly improves performance on MMSE scores. The use of hearing augmentation devices in routine screening for cognitive impairment merits further study.</description><identifier>ISSN: 1064-7481</identifier><identifier>EISSN: 1545-7214</identifier><identifier>DOI: 10.1097/JGP.0b013e3182107e88</identifier><identifier>PMID: 22434018</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Aged, 80 and over ; Cognition ; Female ; Geriatric Assessment - methods ; Geriatric Assessment - statistics &amp; numerical data ; Hearing Aids - psychology ; Humans ; Internal Medicine ; Male ; Neuropsychological Tests - statistics &amp; numerical data ; Patient Admission</subject><ispartof>The American journal of geriatric psychiatry, 2012-04, Vol.20 (4), p.355-361</ispartof><rights>American Association for Geriatric Psychiatry</rights><rights>2012 American Association for Geriatric Psychiatry</rights><rights>Copyright Lippincott Williams &amp; Wilkins Apr 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-81e5cca2517133ca3c9dadd0dbd0ab83878fcc5b8bc15fd14345cf58b18f2e833</citedby><cites>FETCH-LOGICAL-c443t-81e5cca2517133ca3c9dadd0dbd0ab83878fcc5b8bc15fd14345cf58b18f2e833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/963695976/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/963695976?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3549,21394,27924,27925,33611,33612,43733,45780,74221</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22434018$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MacDonald, Allan A., M.B.Ch.B</creatorcontrib><creatorcontrib>Joyson, Anu, B.Sc</creatorcontrib><creatorcontrib>Lee, Rebecca, M.B.Ch.B</creatorcontrib><creatorcontrib>Seymour, David G., M.D</creatorcontrib><creatorcontrib>Soiza, Roy L., M.B.Ch.B</creatorcontrib><title>The Effect of Hearing Augmentation on Cognitive Assessment Scales at Admission to Hospital</title><title>The American journal of geriatric psychiatry</title><addtitle>Am J Geriatr Psychiatry</addtitle><description>Objectives The aim was to assess how the use of a commercially available hearing augmentation device affected performance on cognitive assessment scales on admission to hospital. Design This was a randomized controlled trial. Setting The study was conducted on all of the acute assessment wards in a department of medicine for the elderly. Participants All patients admitted to the department from December 1, 2007, until February 28, 2008, were considered for admission to the study. Patients with delirium were excluded. Intervention A commercially available device provided hearing augmentation in the intervention group on the second day. Measurements All participants had cognitive assessments using the Mini-Mental State Examination (MMSE) and the Abbreviated Mental Test (AMT) on two consecutive days. Results A total of 192 patients (60.4% women, mean [±SD] age 82.4 [±7.0] years) were recruited and randomized into control (N = 58) or intervention groups (N = 134). Paired and unpaired t-tests were used to compare mean improvements in scores within and between groups, respectively. 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Design This was a randomized controlled trial. Setting The study was conducted on all of the acute assessment wards in a department of medicine for the elderly. Participants All patients admitted to the department from December 1, 2007, until February 28, 2008, were considered for admission to the study. Patients with delirium were excluded. Intervention A commercially available device provided hearing augmentation in the intervention group on the second day. Measurements All participants had cognitive assessments using the Mini-Mental State Examination (MMSE) and the Abbreviated Mental Test (AMT) on two consecutive days. Results A total of 192 patients (60.4% women, mean [±SD] age 82.4 [±7.0] years) were recruited and randomized into control (N = 58) or intervention groups (N = 134). Paired and unpaired t-tests were used to compare mean improvements in scores within and between groups, respectively. 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subjects Aged, 80 and over
Cognition
Female
Geriatric Assessment - methods
Geriatric Assessment - statistics & numerical data
Hearing Aids - psychology
Humans
Internal Medicine
Male
Neuropsychological Tests - statistics & numerical data
Patient Admission
title The Effect of Hearing Augmentation on Cognitive Assessment Scales at Admission to Hospital
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