Adult aural rehabilitation: what is it and does it work?

Abstract

Adult aural rehabilitation is here defined holistically as the reduction of hearing-loss-induced deficits of function, activity, participation, and quality of life through a combination of sensory management, instruction, perceptual training, and counseling. There is a tendency for audiologists to focus on sensory management, aural rehabilitation being seen as something done by someone else after the provision of hearing aids or cochlear implants. Effective sensory management may, by itself, lead to improved activity, participation, and quality of life, but there is no guarantee that these outcomes will be automatic or optimal. In fact, there is often a disconnect between clinical measures of assisted auditory function and self-assessed benefit. Costs associated with a holistic approach can be minimized by bundling as many as possible into the cost of hearing devices, by taking advantage of computer-based perceptual training, and by capitalizing on the benefits of group counseling.

Figure 1.

The 4 components of a holistic approach to adult aural rehabilitation.

Figure 2.

The evidence of effectiveness for 4 aspects of intervention argues in favor of a holistic approach to adult aural rehabilitation