Research Forum  |   June 2013
The Effects and Costs of a Hearing Screening and Rehabilitation Program in Residential Care Homes for the Elderly in the Netherlands1
Author Affiliations & Notes
  • A. M. Linssen
    Maastricht University Medical Centre, Maastricht, The Netherlands
  • M. A. Joore
    Maastricht University Medical Centre, Maastricht, The Netherlands
  • E. J. J. M. Theunissen
    VieCuri Medical Centre, Venlo, The Netherlands
  • L. J. C. Anteunis
    Maastricht University Medical Centre, Maastricht, The Netherlands
Hearing Disorders / Special Populations / Older Adults & Aging / Early Identification & Intervention / Research Forum
Research Forum   |   June 2013
The Effects and Costs of a Hearing Screening and Rehabilitation Program in Residential Care Homes for the Elderly in the Netherlands1
American Journal of Audiology June 2013, Vol.22, 186-189. doi:10.1044/1059-0889(2013/12-0058)
History: Accepted 04 Mar 2013 , Received 26 Oct 2012
American Journal of Audiology June 2013, Vol.22, 186-189. doi:10.1044/1059-0889(2013/12-0058)
History: Accepted 04 Mar 2013 , Received 26 Oct 2012

Purpose: This study describes the effects and costs of hearing screening and rehabilitation in residential care homes for the elderly. It was hypothesized that offering an in-house hearing screening and rehabilitation program would be an effective strategy to increase hearing aid ownership among the residents.

Method: All 705 residents of 8 residential care homes in the Netherlands were invited to participate in a hearing screening (pure-tone audiometry) and rehabilitation (hearing aids) program. Resident participation was analyzed, and the costs were calculated.

Results: A total of 243 residents (34%) participated in the screening, 222 (91%) of whom had hearing loss. Ninety-one (41%) of the screening participants with hearing loss started rehabilitation, which was successful for 50 (55%) of them. Hearing aid ownership among the residents with hearing loss increased from 28% at the start of the program to 33% at the end. The costs were €1,896 (US $2,480) per successfully rehabilitated resident. Hearing aid trials and hearing aids together accounted for 83% of the total costs.

Conclusion: The effectiveness of the program was limited, as hearing aid ownership increased only slightly. Cost reduction measures should focus on decreasing the number of unsuccessful hearing aid trials.

Order a Subscription
Pay Per View
Entire American Journal of Audiology content & archive
24-hour access
This Article
24-hour access

Related Articles

Development of the Screening Test for Hearing Problems
American Journal of Audiology December 2011, Vol.20, 100-110. doi:10.1044/1059-0889(2011/10-0048)
Coordinator’s Column
SIG 7 Perspectives on Aural Rehabilitation and Its Instrumentation October 2010, Vol.17, 2-3. doi:10.1044/arii17.1.2
Introduction to the AJA Research Forum on Intervention and Rehabilitation Strategies for Adults and Older Adults
American Journal of Audiology December 2013, Vol.22, 321-322. doi:10.1044/1059-0889(2013/13-0004)
Introduction to the AJA Research Forum on Hearing Screening in Adults and Older Adults
American Journal of Audiology June 2013, Vol.22, 165-166. doi:10.1044/1059-0889(2012/12-0056)
Coordinator’s Column
SIG 7 Perspectives on Aural Rehabilitation and Its Instrumentation October 2013, Vol.20, 41-43. doi:10.1044/arii20.2.41