{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:02:55Z","timestamp":1793754175328,"version":"4.6.1"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T00:00:00Z","timestamp":1687996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T00:00:00Z","timestamp":1687996800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medical Protection Society Foundation"},{"DOI":"10.13039\/501100001636","name":"University College Cork","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001636","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The prevalence of age-related hearing loss (ARHL) significantly increases in people aged 60 and older. Medical errors are frequently reported because of communication breakdown, especially for patients with ARHL.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aims<\/jats:title>\n                <jats:p>This qualitative study focuses on identifying the communication challenges faced by people aged over 65 with ARHL and potential ameliorative strategies based on the participants\u2019 personal experiences.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Thirteen participants, attending a support service for older adults with hearing loss in the South of Ireland, were recruited using convenience sampling. Semi-structured interviews were conducted with participants. Interviews were audio-recorded and transcribed using NVivo 12 software. Braun and Clarke\u2019s thematic analysis methodology was used to identify themes arising from two main study domains: difficulties faced during the most recent healthcare interaction and suggestions for improving overall healthcare communication.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Older adults with hearing loss identified general mishearing, lack of awareness and use of medical terminology to be the cause of ineffective communication. Raising awareness of the impact of presbycusis on clinical interaction among healthcare professionals was cited as being of crucial importance. Other helpful strategies include repeat and rephrase, use of written information, providing context, minimizing ambient noise, continuity of care, longer consultation length and good body language.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Effective clinical communication can be achieved through a clear understanding of the patient\u2019s perspective. Healthcare providers should be made aware of the hearing issues and associated communication difficulties posed, within the context of the development of patient-centred strategies to improve patient safety.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11845-023-03432-4","type":"journal-article","created":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T18:02:16Z","timestamp":1688061736000},"page":"277-284","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Patient\u2013healthcare provider communication and age-related hearing loss: a qualitative study of patients\u2019 perspectives"],"prefix":"10.1007","volume":"193","author":[{"given":"Lorita Lee Mei","family":"Lu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Henn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1365-1606","authenticated-orcid":false,"given":"Colm","family":"O\u2019Tuathaigh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"key":"3432_CR1","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1097\/00011363-199502000-00005","volume":"15","author":"J Kaakinen","year":"1995","unstructured":"Kaakinen J (1995) Talking among elderly nursing home residents. Top Lang Disorders 15:36\u201346","journal-title":"Top Lang Disorders"},{"issue":"5","key":"3432_CR2","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1093\/ageing\/afaa041","volume":"49","author":"S Smith","year":"2020","unstructured":"Smith S, Manan NSIA, Toner S et al (2020) Age-related hearing loss and provider-patient communication across primary and secondary care settings: a cross-sectional study. Age Ageing 49(5):873\u2013877","journal-title":"Age Ageing"},{"key":"3432_CR3","doi-asserted-by":"publisher","first-page":"860","DOI":"10.1007\/s00415-020-10208-8","volume":"268","author":"PH Croll","year":"2021","unstructured":"Croll PH, Vinke EJ, Armstrong NM et al (2021) Hearing loss and cognitive decline in the general population: a prospective cohort study. J Neurol 268:860\u2013871","journal-title":"J Neurol"},{"issue":"2","key":"3432_CR4","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1016\/j.pmr.2009.12.011","volume":"21","author":"KM Yorkston","year":"2010","unstructured":"Yorkston KM, Bourgeois MS, Baylor CR (2010) Communication and aging. Phys Med Rehabil Clin N Am 21(2):309\u2013319","journal-title":"Phys Med Rehabil Clin N Am"},{"issue":"9 Pt 3 Suppl 11","key":"3432_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/01.mlg.0000236089.44566.62","volume":"116","author":"EG Nelson","year":"2006","unstructured":"Nelson EG, Hinojosa R (2006) Presbycusis: a human temporal bone study of individuals with downward sloping audiometric patterns of hearing loss and review of the literature. Laryngoscope 116(9 Pt 3 Suppl 112):1\u201312","journal-title":"Laryngoscope"},{"key":"3432_CR6","unstructured":"Deafness and hearing loss (2021) Who.int [cited 29 January 2021]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/deafness-and-hearing-loss"},{"key":"3432_CR7","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1146\/annurev-publhealth-032013-182510","volume":"35","author":"KE Bainbridge","year":"2014","unstructured":"Bainbridge KE, Wallhagen MI (2014) Hearing loss in an aging American population: extent, impact, and management. Annu Rev Public Health 35:139\u2013152","journal-title":"Annu Rev Public Health"},{"issue":"12","key":"3432_CR8","doi-asserted-by":"publisher","first-page":"1555","DOI":"10.1503\/cmaj.070690","volume":"178","author":"G Bartlett","year":"2008","unstructured":"Bartlett G, Blais R, Tamblyn R et al (2008) Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ 178(12):1555\u20131562","journal-title":"CMAJ"},{"key":"3432_CR9","unstructured":"Seniorsonline.vic.gov.au (2021) [cited 29 January 2021]. Available from: https:\/\/www.seniorsonline.vic.gov.au\/-\/media\/seniors\/files\/commissioner-for-senior-victorians\/ageing-is-everyones-businessweb.pdf?la=en&hash=E7A9C37DB2DEA4D1ACDA9EE2D52670C644B24635"},{"issue":"11","key":"3432_CR10","doi-asserted-by":"publisher","first-page":"2207","DOI":"10.1111\/jgs.13113","volume":"62","author":"P Mick","year":"2014","unstructured":"Mick P, Foley DM, Lin FR (2014) Hearing loss is associated with poorer ratings of patient-physician communication and healthcare quality. J Am Geriatr Soc 62(11):2207\u20132209","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"3432_CR11","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1111\/j.1748-3743.2012.00318.x","volume":"8","author":"A Bennion","year":"2013","unstructured":"Bennion A, Forshaw MJ (2013) Insights from the experiences of older people with hearing impairment in the United Kingdom: recommendations for nurse-led rehabilitation. Int J Older People Nurs 8(4):270\u2013278","journal-title":"Int J Older People Nurs"},{"key":"3432_CR12","doi-asserted-by":"publisher","first-page":"159","DOI":"10.2147\/CIA.S26059","volume":"7","author":"A Ciorba","year":"2012","unstructured":"Ciorba A, Bianchini C, Pelucchi S, Pastore A (2012) The impact of hearing loss on the quality of life of elderly adults. Clin Interv Aging 7:159\u2013163","journal-title":"Clin Interv Aging"},{"issue":"10","key":"3432_CR13","doi-asserted-by":"publisher","first-page":"1055","DOI":"10.1001\/jamaoto.2017.1242","volume":"143","author":"HM Weinreich","year":"2017","unstructured":"Weinreich HM (2017) Hearing loss and patient-physician communication: the role of an otolaryngologist. JAMA Otolaryngol Head Neck Surg 143(10):1055\u20131057","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"3432_CR14","unstructured":"Healthyagingpoll.org (2021) [cited 29 January 2021]. Available from: https:\/\/www.healthyagingpoll.org\/sites\/default\/files\/2017-11\/NPHA_Drug-Interactions-Report_111417.pdf"},{"key":"3432_CR15","unstructured":"Deepblue.lib.umich.edu (2021) [cited 29 January 2021]. Available from: https:\/\/deepblue.lib.umich.edu\/bitstream\/handle\/2027.42\/143213\/NPHA%20Overuse%20Report.pdf?sequence=1&isAllowed=y"},{"key":"3432_CR16","unstructured":"RWJF - Qualitative Research Guidelines Project | Semi-structured Interviews | Semi-structured Interviews\u00a0(2021) Qualres.org [cited 29 January 2021]. Available from: http:\/\/www.qualres.org\/HomeSemi-3629.html"},{"key":"3432_CR17","unstructured":"Presbycusis\u00a0(2021) Fgcsic.es [cited 29 January 2021]. Available from: http:\/\/fgcsic.es\/lychnos\/en_EN\/articles\/presbycusis"},{"issue":"2","key":"3432_CR18","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77\u2013101","journal-title":"Qual Res Psychol"},{"issue":"10","key":"3432_CR19","doi-asserted-by":"publisher","first-page":"1054","DOI":"10.1001\/jamaoto.2017.1248","volume":"143","author":"V Cudmore","year":"2017","unstructured":"Cudmore V, Henn P, O\u2019Tuathaigh CMP, Smith S (2017) Age-related hearing loss and communication breakdown in the clinical setting. JAMA Otolaryngol Head Neck Surg 143(10):1054\u20131055","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"3432_CR20","unstructured":"Presbycusis and its effects on speech understanding - Davidson Hearing Aid Centres\u00a0(2021) Davidson Hearing Aid Centres [cited 29 January 2021]. Available from: https:\/\/davidsonhearingaids.com\/presbycusis-effects-speech-understanding\/"},{"issue":"17","key":"3432_CR21","doi-asserted-by":"publisher","first-page":"2085","DOI":"10.1001\/archinte.163.17.2085","volume":"163","author":"LI Iezzoni","year":"2003","unstructured":"Iezzoni LI, Davis RB, Soukup J, O\u2019Day B (2003) Quality dimensions that most concern people with physical and sensory disabilities. Arch Intern Med 163(17):2085\u20132092","journal-title":"Arch Intern Med"},{"issue":"3","key":"3432_CR22","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1207\/s15327027hc0803_1","volume":"8","author":"EB Ryan","year":"1996","unstructured":"Ryan EB, Butler RN (1996) Communication, aging and health: toward understanding health provider relationships with older clients. Health Commun 8(3):191\u2013198","journal-title":"Health Commun"},{"key":"3432_CR23","unstructured":"Yasgur B (2021) Tips on improving communication with older patients - MPR. MPR. [cited 29 January 2021]. Available from: https:\/\/www.empr.com\/home\/features\/tips-on-improving-communication-with-older-patients\/"},{"issue":"4","key":"3432_CR24","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/S0001-6519(07)74896-3","volume":"58","author":"T Cervera","year":"2007","unstructured":"Cervera T, Soler MJ, Dasi C et al (2007) Difficulties understanding compressed speech in elderly listeners with mild-to-moderate hearing loss. Acta Otorrinolaringol Esp 58(4):123\u2013128","journal-title":"Acta Otorrinolaringol Esp"},{"issue":"2","key":"3432_CR25","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1121\/1.4906270","volume":"137","author":"S Gordon-Salant","year":"2015","unstructured":"Gordon-Salant S, Yeni-Komshian GH, Fitzgibbons PJ, Cohen JI (2015) Effects of age and hearing loss on recognition of unaccented and accented multisyllabic words. J Acoust Soc Am 137(2):884\u2013897","journal-title":"J Acoust Soc Am"},{"issue":"5","key":"3432_CR26","doi-asserted-by":"publisher","DOI":"10.5867\/medwave.2018.05.7264","volume":"18","author":"A Rodriguez Torres","year":"2018","unstructured":"Rodriguez Torres A, Jarillo Soto EC, Casas PD (2018) Medical consultation, time and duration. Medwave 18(5):e7266","journal-title":"Medwave"},{"key":"3432_CR27","doi-asserted-by":"crossref","unstructured":"Oxtoby K (2010) Consultation times. BMJ c2554","DOI":"10.1136\/bmj.c2554"},{"issue":"11","key":"3432_CR28","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.1001\/archinte.161.11.1437","volume":"161","author":"CT Lin","year":"2001","unstructured":"Lin CT, Albertson GA, Schilling LM et al (2001) Is patients\u2019 perception of time spent with the physician a determinant of ambulatory patient satisfaction? Arch Intern Med 161(11):1437\u20131442","journal-title":"Arch Intern Med"},{"issue":"11","key":"3432_CR29","doi-asserted-by":"publisher","first-page":"842","DOI":"10.1038\/sj.bdj.2017.991","volume":"223","author":"E Hayes","year":"2017","unstructured":"Hayes E, Dua R, Yeung E, Fan K (2017) Patient understanding of commonly used oral medicine terminology. Brit Dent J 223(11):842\u2013845","journal-title":"Brit Dent J"},{"key":"3432_CR30","unstructured":"Bodenheimer T (2021) Teach-back: a simple technique to enhance patients\u2019 understanding. Aafp.org [cited 29 January 2021]. Available from: https:\/\/www.aafp.org\/fpm\/2018\/0700\/p20.html"},{"key":"3432_CR31","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1001\/jama.1995.03520270061032","volume":"273","author":"DA Ebert","year":"1995","unstructured":"Ebert DA, Heckerling PS (1995) Communication with deaf patients: knowledge, beliefs, and practices of physicians. JAMA 273:227\u2013229","journal-title":"JAMA"},{"issue":"1","key":"3432_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/S0749-0690(05)70004-5","volume":"16","author":"R Adelman","year":"2000","unstructured":"Adelman R, Greene M, Ory M (2000) Communication between older patients and their physicians. Clin Geriatr Med 16(1):1\u201324","journal-title":"Clin Geriatr Med"},{"key":"3432_CR33","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n1382","volume":"373","author":"HIF Grote","year":"2021","unstructured":"Grote HIF, Izagaren F, O\u2019Brien V (2021) How to communicate with patients who are D\/deaf or have hearing loss. BMJ 373:n1382","journal-title":"BMJ"},{"issue":"6","key":"3432_CR34","doi-asserted-by":"publisher","first-page":"38","DOI":"10.5604\/01.3001.0010.7196","volume":"71","author":"LR Reis","year":"2017","unstructured":"Reis LR, Escada P (2017) Effect of speechreading in presbycusis: do we have a third ear? Otolaryngol Pol 71(6):38\u201344","journal-title":"Otolaryngol Pol"},{"issue":"5","key":"3432_CR35","first-page":"e33","volume":"14","author":"E Montague","year":"2013","unstructured":"Montague E, Chen P, Xu J et al (2013) Nonverbal interpersonal interactions in clinical encounters and patient perceptions of empathy. J Participat Med 14(5):e33","journal-title":"J Participat Med"}],"container-title":["Irish Journal of Medical Science (1971 -)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11845-023-03432-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11845-023-03432-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11845-023-03432-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T05:47:51Z","timestamp":1706075271000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11845-023-03432-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,29]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["3432"],"URL":"https:\/\/doi.org\/10.1007\/s11845-023-03432-4","relation":{},"ISSN":["0021-1265","1863-4362"],"issn-type":[{"value":"0021-1265","type":"print"},{"value":"1863-4362","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,29]]},"assertion":[{"value":"15 February 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 June 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 June 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was obtained from the School of Medicine sub-committee for the Social Research Ethics Committee (SREC) of University College Cork.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Written informed consent was obtained from the participants before the study commenced.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All study participants are aware of the planned publication and gave their written informed consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}