KITE-Toronto Rehabilitation Institute, University Health Network, Toronto; Ontario, Canada.
Department of Psychology, University of Toronto, Toronto; Ontario, Canada.
Ear Hear. 2020 Nov/Dec;41 Suppl 1:99S-106S. doi: 10.1097/AUD.0000000000000931.
The negative consequences of hearing loss go beyond difficulties with communication, having been identified as a major risk factor for injury and illness, social isolation, depression, overall quality of life, and mortality. Hearing loss affects the individual, their families and social network, the broader healthcare system, and the economy. Recognizing that there are multifactorial considerations associated with understanding and mitigating the consequences of hearing loss, great benefit is gained by taking an interdisciplinary, interprofessional, holistic approach to studying hearing loss in research and in developing holistic clinical strategies targeted at prevention, diagnosis, treatment, and social policy. Within the framework of this supplement focused on the role of ecological validity in hearing-related research and application, this article provides a general commentary on how ecological validity can be considered with a holistic perspective in mind. First, we consider how a holistic approach can be applied within clinical practice, how it can be applied to laboratory-based research to increase ecological validity, and how it can be applied to professional training and education within both research and clinical domains. Second, we discuss the associations between hearing loss and dementia as an example of how these holistic principles can be applied. The main goal of highlighting these approaches and principles is to motivate a change in the narrative about hearing loss from a focus in research and application on promoting healthy hearing, to a focus on living well.
听力损失的负面影响不仅限于沟通困难，它已被确定为受伤和患病、社会孤立、抑郁、整体生活质量和死亡率的主要风险因素。听力损失不仅影响个人，还影响他们的家庭和社交网络、更广泛的医疗保健系统和经济。鉴于与理解和减轻听力损失后果相关的因素很多，因此在研究和制定针对预防、诊断、治疗和社会政策的整体临床策略时，采取跨学科、跨专业、整体的方法来研究听力损失，将带来巨大的益处。在这个重点关注听力相关研究和应用中生态有效性作用的补充材料框架内，本文就如何从整体角度考虑生态有效性提供了一般性评论。首先，我们考虑如何在临床实践中应用整体方法，如何将其应用于基于实验室的研究以提高生态有效性，以及如何将其应用于研究和临床领域的专业培训和教育。其次，我们讨论听力损失与痴呆之间的关联，以此为例说明如何应用这些整体原则。强调这些方法和原则的主要目的是促使人们从关注研究和应用中促进健康听力的叙述转变为关注生活质量。
