The knowledge, experience, and awareness of professionals working with older adults on the auditory-cognitive interactions
- Author
- Katrien Kestens (UGent) , Fiona Verbrugghe, Louise Van Goylen (UGent) and Hannah Keppler (UGent)
- Organization
- Abstract
- Introduction: Hearing loss is a commonly occurring condition with dementia. Research already presented a theoretical framework for the auditory-cognitive interactions, though it is still unclear if and how professionals beyond audiologists act upon this interactions in clinical practice. Methods: An online 64-item questionnaire was developed and evaluated respondents' work setting as well as their knowledge, experience, and awareness regarding hearing loss, cognitive decline, and the auditory-cognitive link. The questionnaire was sent to Dutch professionals working with older adults. Respondents were surveyed from May to September 2022. Results: Two hundred and six non-physicians with a mean work experience of 16 years (range: 6 months - 42 years) and 25 physicians with a mean work experience of 13 years (range: 8 months 42 years) filled in the entire questionnaire. There was a prevailing tendency to treat hearing and cognitive impairment as distinct entities, overlooking their coexistence and interactions. Results also showed a deficiency in assessing the hearing and cognitive status of older adults, with most relying on the older adult's self-report or indirect (non)verbal cues. Those strategies are strongly dependent on the professional's awareness and knowledge which were, especially for the hearingrelated aspects, considered limited. For example, effortful listening was barely reported by the respondents as an important hearing-related complaint. Last, communication strategies fall short, with professionals adapting general approaches but lacking specificity. Conclusion: Specific information for professionals beyond audiologists regarding the auditorycognitive interactions as well as guidelines how to acted upon in clinical practice are needed to optimise person-centered care for older adults.
- Keywords
- Ageing, Cognition, Dementia, Hearing loss, Professionals, HEARING-LOSS, DEMENTIA PREVENTION, INTERVENTION, IMPAIRMENT
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-01JK63VRJ95QPSE2DG82JX5RZ5
- MLA
- Kestens, Katrien, et al. “The Knowledge, Experience, and Awareness of Professionals Working with Older Adults on the Auditory-Cognitive Interactions.” JOURNAL OF COMMUNICATION DISORDERS, vol. 113, 2025, doi:10.1016/j.jcomdis.2024.106492.
- APA
- Kestens, K., Verbrugghe, F., Van Goylen, L., & Keppler, H. (2025). The knowledge, experience, and awareness of professionals working with older adults on the auditory-cognitive interactions. JOURNAL OF COMMUNICATION DISORDERS, 113. https://doi.org/10.1016/j.jcomdis.2024.106492
- Chicago author-date
- Kestens, Katrien, Fiona Verbrugghe, Louise Van Goylen, and Hannah Keppler. 2025. “The Knowledge, Experience, and Awareness of Professionals Working with Older Adults on the Auditory-Cognitive Interactions.” JOURNAL OF COMMUNICATION DISORDERS 113. https://doi.org/10.1016/j.jcomdis.2024.106492.
- Chicago author-date (all authors)
- Kestens, Katrien, Fiona Verbrugghe, Louise Van Goylen, and Hannah Keppler. 2025. “The Knowledge, Experience, and Awareness of Professionals Working with Older Adults on the Auditory-Cognitive Interactions.” JOURNAL OF COMMUNICATION DISORDERS 113. doi:10.1016/j.jcomdis.2024.106492.
- Vancouver
- 1.Kestens K, Verbrugghe F, Van Goylen L, Keppler H. The knowledge, experience, and awareness of professionals working with older adults on the auditory-cognitive interactions. JOURNAL OF COMMUNICATION DISORDERS. 2025;113.
- IEEE
- [1]K. Kestens, F. Verbrugghe, L. Van Goylen, and H. Keppler, “The knowledge, experience, and awareness of professionals working with older adults on the auditory-cognitive interactions,” JOURNAL OF COMMUNICATION DISORDERS, vol. 113, 2025.
@article{01JK63VRJ95QPSE2DG82JX5RZ5,
abstract = {{Introduction: Hearing loss is a commonly occurring condition with dementia. Research already presented a theoretical framework for the auditory-cognitive interactions, though it is still unclear if and how professionals beyond audiologists act upon this interactions in clinical practice. Methods: An online 64-item questionnaire was developed and evaluated respondents' work setting as well as their knowledge, experience, and awareness regarding hearing loss, cognitive decline, and the auditory-cognitive link. The questionnaire was sent to Dutch professionals working with older adults. Respondents were surveyed from May to September 2022. Results: Two hundred and six non-physicians with a mean work experience of 16 years (range: 6 months - 42 years) and 25 physicians with a mean work experience of 13 years (range: 8 months 42 years) filled in the entire questionnaire. There was a prevailing tendency to treat hearing and cognitive impairment as distinct entities, overlooking their coexistence and interactions. Results also showed a deficiency in assessing the hearing and cognitive status of older adults, with most relying on the older adult's self-report or indirect (non)verbal cues. Those strategies are strongly dependent on the professional's awareness and knowledge which were, especially for the hearingrelated aspects, considered limited. For example, effortful listening was barely reported by the respondents as an important hearing-related complaint. Last, communication strategies fall short, with professionals adapting general approaches but lacking specificity. Conclusion: Specific information for professionals beyond audiologists regarding the auditorycognitive interactions as well as guidelines how to acted upon in clinical practice are needed to optimise person-centered care for older adults.}},
articleno = {{106492}},
author = {{Kestens, Katrien and Verbrugghe, Fiona and Van Goylen, Louise and Keppler, Hannah}},
issn = {{0021-9924}},
journal = {{JOURNAL OF COMMUNICATION DISORDERS}},
keywords = {{Ageing,Cognition,Dementia,Hearing loss,Professionals,HEARING-LOSS,DEMENTIA PREVENTION,INTERVENTION,IMPAIRMENT}},
language = {{eng}},
pages = {{9}},
title = {{The knowledge, experience, and awareness of professionals working with older adults on the auditory-cognitive interactions}},
url = {{http://doi.org/10.1016/j.jcomdis.2024.106492}},
volume = {{113}},
year = {{2025}},
}
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