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Primary care intervention programme to improve early detection of hearing loss in the elderly

  • N Bentur (a1), L Valinsky (a2) (a3), J Lemberger (a2), Y Ben Moshe (a4) and A D Heymann (a2) (a3)...

To improve audiology screening in general practice, using an intervention programme aiming to empower older adults and their general practitioners.


We conducted a quasi-experimental community study comparing 206 patients and two control groups (the first being 101 people registered with the same general practitioner, and the second 87 people registered with another general practitioner). Outcome measures were: rates of hearing tests in the six months before interview, and screening recommendation by the general practitioner.


Amongst patients, there was a significant increase in numbers undergoing a hearing test, from 19 per cent before the intervention to 49 per cent two years later, while in the two control groups there was little change. Twenty-two per cent of patients and 19 per cent of the first control group reported that their physicians suggested undergoing a hearing test; the second control group subjects (whose general practitioners received no specific educational intervention) showed no change.


The two crucial factors for improving hearing screening uptake in the elderly are general practitioner education and patient empowerment.

Corresponding author
Address for correspondence: Dr Anthony Heymann, Maccabi Healthcare Services, 27 Ha Mered St, Tel Aviv 68125, Israel Fax: 97235143920 E-mail:
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1Sox HC. Disease prevention guidelines from the U.S. Preventive Services Task Force. Ann Intern Med 2002;136:155–6
2Dalton DS, Cruickshanks KJ, Klein BE, Klein R, Wiley TL, Nondahl DM. The impact of hearing loss on quality of life in older adults. Gerontologist 2003;43:661–8
3Presbycusis (Age-Related Hearing Loss) Market Opportunities for Pharmaceutical and Biotechnology Companies. In:
4Reuben DB, Walsh K, Moore AA, Damesyn M, Greendale GA. Hearing loss in community-dwelling older persons: national prevalence data and identification using simple questions. J Am Geriatr Soc 1998;46:1008–11
5Wallhagen MI, Strawbridge WJ, Shema SJ, Kurata J, Kaplan GA. Comparative impact of hearing and vision impairment on subsequent functioning. J Am Geriatr Soc 2001;49:1086–92
6Strawbridge WJ, Wallhagen MI, Shema SJ, Kaplan GA. Negative consequences of hearing impairment in old age: a longitudinal analysis. Gerontologist 2000;40:320–6
7Cigolle CT, Langa KM, Kabeto MU, Tian Z, Blaum CS. Geriatric conditions and disability: the Health and Retirement Study. Ann Intern Med 2007;147:156–64
8Bogardus ST Jr, Yueh B, Shekelle PG. Screening and management of adult hearing loss in primary care: clinical applications. JAMA 2003;289:1986–90
9Edwards M, Davies M, Edwards A. What are the external influences on information exchange and shared decision-making in healthcare consultations: a meta-synthesis of the literature. Patient Educ Couns 2009;75:3752
10Nakasato YR, Carnes BA. Health promotion in older adults. Promoting successful aging in primary care settings. Geriatrics 2006;61:2731
11Kochkin S. ‘Baby Boomers’ spur growth in potential market, but penetration rate declines. Hear J 1999;52:3347
12Robinson BE, Barry PP, Renick N, Bergen MR, Stratos GA. Physician confidence and interest in learning more about common geriatric topics: a needs assessment. J Am Geriatr Soc 2001;49:963–7
13Brotons C, Bjorkelund C, Bulc M. Prevention and health promotion in clinical practice: the views of general practitioners in Europe. Prev Med 2005;40:595601
14Danhauer JL, Celani KL, Johnson CE. Use of a hearing and balance screening survey with local primary care physicians. Am J Audiol 2008;17:313
15Wetzels R, Harmsen M, Van Weel C, Grol R, Wensing M. Interventions for improving older patients' involvement in primary care episodes. Cochrane Database Syst Rev 2007;(24):CD004273
16Bentur N, Citron D, Chekhmir S, Lemberger J, Valinsky L, Ben-Moshe Y. “Health Passport” – a Health-Maintenance Program for the Elderly in the Community: Evaluation Study [in Hebrew]. Jerusalem: Myers-JDC-Brookdale Institute, 2008
17Hickson L. Rehabilitation approaches to promote successful unilateral and bilateral fittings and avoid inappropriate prescription. Int J Audiol 2006;45(suppl 1):S72–7
18Scherer MJ, Sax C, Vanbierviet A, Cushman LA, Scherer JV. Predictors of assistive technology use: the importance of personal and psychosocial factors. Disabil Rehabil 2005;27:1321–31
19Cohen SM, Labadie RF, Haynes DS. Primary care approach to hearing loss: the hidden disability. Ear Nose Throat J 2005;84:26, 29–31, 44
20Rosenstock IM. Why people use health services. Milbank Fund Quar 1966:44; 94127
21Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: applications to addictive behaviors. Am Psychol 1992;47:1102–14
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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