Marcotti Anthony, Rivera Sebastián, Silva-Letelier Catherine, Martinez-Amezcua Pablo, Fuentes-López Eduardo
Escuela de Fonoaudiología, Facultad de Ciencias de la Rehabilitación y Calidad de Vida, Universidad San Sebastián, Santiago, Chile.
Programa de Doctorado en Psicología, Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile, Santiago, Chile.
Int J Audiol. 2025 May 5:1-12. doi: 10.1080/14992027.2025.2496749.
To assess the effectiveness of the Active Communication Education (ACE) program in improving usage, perceived benefit, and success with hearing aids (HAs).
A multicentre, double-blind, randomised parallel design clinical trial with masked outcome assessments was conducted at primary healthcare centres. Participants were randomised into either an intervention group (ACE) or a control group (social intervention). The primary outcome was HAs usage (question 1 of IOI-HA) and secondary outcomes were perceived benefit (question 2 of IOI-HA) and success with HAs (usage for at least 1 hour/day as per question 1 of IOI-HA and at least moderate perceived benefit as per question 2 of IOI-HA). Data collection occurred before, right after, and at 6 and 12 months following the intervention.
114 older adults who use HAs.
The intervention group significantly increased HAs usage compared to baseline right after the intervention, as well as at 6- and 12-month follow-ups, in comparison to the control group. Secondary outcomes also showed improvements at all follow-up measurements, although these were less consistent.
The ACE program is an effective strategy for enhancing HAs usage among older adults, with improvements that are sustainable over time.
评估主动沟通教育（ACE）项目在提高助听器（HA）的使用情况、感知益处及使用成功率方面的有效性。
在初级医疗保健中心进行了一项多中心、双盲、随机平行设计的临床试验，结果评估采用盲法。参与者被随机分为干预组（ACE）或对照组（社会干预）。主要结局是助听器的使用情况（IOI-HA问卷的问题1），次要结局是感知益处（IOI-HA问卷的问题2）以及助听器使用的成功率（根据IOI-HA问卷问题1，每天使用至少1小时；根据IOI-HA问卷问题2，至少有中度的感知益处）。在干预前、干预刚结束后以及干预后的6个月和12个月进行数据收集。
114名使用助听器的老年人。
与对照组相比，干预组在干预刚结束后以及6个月和12个月随访时，与基线相比助听器使用情况显著增加。次要结局在所有随访测量中也显示出改善，尽管这些改善不太一致。
ACE项目是提高老年人助听器使用情况的有效策略，且随着时间推移效果可持续。
