Miles Kelly, Barnes Scott, Kim Jae-Hyun, Ohalloran Robyn, Power Emma, Oxenham Vince, Tran Yvonne, Krause Martin, Derleth Peter, Buchholz Jörg
ECHO Lab, Macquarie University, Sydney, New South Wales, Australia
Linguistics, Macquarie University, Sydney, New South Wales, Australia.
BMJ Open. 2025 Feb 22;15(2):e093399. doi: 10.1136/bmjopen-2024-093399.
Across different populations, listening difficulties have been shown to adversely impact social interactions and work performance, and substantively contribute to poorer quality of life. Following a stroke, people also report listening difficulties in noisy, everyday environments such as cafes and workplaces. Despite the prevalence of these challenges, there is limited understanding of this issue, which means the listening needs of stroke survivors remain under-recognised and unmet. The aim of this scoping review is to map the breadth and depth of the existing literature on stroke survivors' experiences of listening in noisy environments, encompassing qualitative descriptions and quantitative assessments of listening-in-noise abilities, to identify contributing factors, knowledge gaps and potential intervention strategies.
This protocol has been registered with the Open Science Framework (protocol number: 39TCA) and follows the Joanna Briggs Institute guidelines for scoping reviews. The protocol was developed by a multidisciplinary and multiprofessional team, led by a survivor of stroke and informed by additional patient input. A mixed-methods approach will be used to generate independent narrative summaries of qualitative and quantitative studies, followed by an integrated narrative of findings across data types. We will first conduct a comprehensive search using Medline, Embase, PsycInfo, Scopus, Cumulated Index in Nursing and Allied Health Literature and Web of Science databases in February 2025. Eligible studies will include stroke survivors as participants and focus on listening-in-noise experiences or abilities. Qualitative studies must explore personal experiences or perceptions related to listening in noisy environments, and quantitative studies must assess listening-in-noise performance. Studies addressing mediating factors, such as cognition, comorbidities (eg, hearing loss, aphasia), environmental factors and intervention strategies (eg, auditory training, assistive devices) will also be included. Two independent reviewers will assess the studies for eligibility. In cases of disagreement, a third reviewer will independently compare and resolve any discrepancies, ensuring a consensus is reached. This approach aims to minimise bias and enhance the validity of the review findings. The data extraction and synthesis will adhere to established guidelines, ensuring a robust and transparent analysis.
Ethical approval is not required as this review will analyse the existing literature. The results will be published in an open-access peer-reviewed journal and presented at local and international conferences. This dissemination strategy aims to reach a wide audience, including clinicians, researchers, policymakers and people with lived experience of stroke.
Open Science Framework (https://osf.io; protocol number: 39TCA).
在不同人群中，听力困难已被证明会对社交互动和工作表现产生不利影响，并对生活质量下降有实质性影响。中风后，人们也报告在嘈杂的日常环境中存在听力困难，如咖啡馆和工作场所。尽管这些挑战普遍存在，但对这一问题的了解有限，这意味着中风幸存者的听力需求仍未得到充分认识和满足。本范围综述的目的是梳理现有关于中风幸存者在嘈杂环境中听力体验的文献广度和深度，包括对噪声环境中听力能力的定性描述和定量评估，以确定影响因素、知识空白和潜在的干预策略。
本方案已在开放科学框架注册（方案编号：39TCA），并遵循乔安娜·布里格斯研究所范围综述指南。该方案由一个多学科、多专业团队制定，由一名中风幸存者牵头，并参考了更多患者的意见。将采用混合方法生成定性和定量研究的独立叙述性总结，然后对不同数据类型的研究结果进行综合叙述。我们将于2025年2月首先使用Medline、Embase PsychInfo、Scopus、护理及相关健康文献累积索引和科学网数据库进行全面检索。符合条件的研究将包括以中风幸存者为参与者，并聚焦于噪声环境中的听力体验或能力。定性研究必须探索与在嘈杂环境中听力相关的个人经历或看法，定量研究必须评估噪声环境中的听力表现。涉及中介因素的研究，如认知、合并症（如听力损失、失语症）、环境因素和干预策略（如听觉训练、辅助设备）也将被纳入。两名独立评审员将评估研究的 eligibility。如有分歧，第三名评审员将独立比较并解决任何差异，确保达成共识。这种方法旨在尽量减少偏倚并提高综述结果的有效性。数据提取和综合将遵循既定指南，确保进行有力且透明的分析。
由于本综述将分析现有文献，因此无需伦理批准。研究结果将发表在开放获取的同行评审期刊上，并在当地和国际会议上展示。这种传播策略旨在覆盖广泛的受众，包括临床医生、研究人员、政策制定者和有中风亲身经历的人。
开放科学框架（https://osf.io；方案编号：39TCA）。
