National Academies Press: OpenBook
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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Hearing Loss and
Healthy Aging

WORKSHOP SUMMARY

Tracy A. Lustig and Steve Olson, Rapporteurs

Forum on Aging, Disability, and Independence

Board on Health Sciences Policy

Division of Behavioral and Social Sciences and Education

     INSTITUTE OF MEDICINE AND
NATIONAL RESEARCH COUNCIL
                           OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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THE NATIONAL ACADEMIES PRESS    500 Fifth Street, NW    Washington, DC 20001

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This activity was supported by contracts between the National Academy of Sciences and the Academy of Doctors of Audiology; the American Academy of Audiology; the American Academy of Otolaryngology–Head and Neck Surgery; American Geriatrics Society; the American Speech-Language-Hearing Association; Cochlear Americas; the European Hearing Instrument Manufacturers Association; the Gerontological Society of America; the Hearing Industries Association; the Hearing Loss Association of America; Hi HealthInnovations; LeadingAge; MED-EL Corporation, USA; the National Institute on Aging (Contract No. HHSN26300038); the National Institutes of Health’s National Institute on Aging and National Institute on Deafness and Other Communication Disorders (Contract No. HHSN26300048); The SCAN Foundation (Contract No. 12-004), Sound World Solutions; United HealthCare; the U.S. Department of Education’s National Institute on Disability and Rehabilitation Research (Contract No. ED-OSE-12-P-0066); and the U.S. Department of Veterans Affairs (Contract No. VA268-12-P-0014). The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

International Standard Book Number-13: 978-0-309-30226-5
International Standard Book Number-10: 0-309-30226-9

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2014 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine) and NRC (National Research Council). 2014. Hearing loss and healthy aging: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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PLANNING COMMITTEE FOR A WORKSHOP ON HEARING LOSS AND HEALTHY AGING1

ALAN M. JETTE (Co-Chair), Professor of Health Policy and Management and Director, Health and Disability Research Institute, Boston University School of Public Health

FRANK R. LIN (Co-Chair), Assistant Professor of Otolaryngology–Head and Neck Surgery, Geriatric Medicine, Mental Health, and Epidemiology, Johns Hopkins University

BRENDA BATTAT, Executive Director (retired), Hearing Loss Association of America

LUCILLE B. BECK, National Program Director, Audiology and Speech Pathology, and Chief Consultant, Rehabilitation and Prosthetic Services, Patient Care Services, U.S. Department of Veterans Affairs

NIKOLAI BISGAARD, Vice President, Intellectual Property Rights and Industry Relations, GN ReSound A/S

KAREN J. CRUICKSHANKS, Professor of Ophthalmology and Visual Sciences and Population Health Sciences, University of Wisconsin School of Medicine and Public Health

LUIGI FERRUCCI, Scientific Director and Chief, Longitudinal Studies Section, National Institute on Aging

JAMES FIRMAN, President and Chief Executive Officer, National Council on Aging

CAROLE M. ROGIN, President, Hearing Industries Association

____________________

1 Institute of Medicine and National Research Council planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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FORUM ON AGING, DISABILITY, AND INDEPENDENCE1

ALAN M. JETTE (Co-Chair), Boston University School of Public Health, MA

JOHN W. ROWE (Co-Chair), Columbia University, New York, NY

KELLY BUCKLAND, National Council on Independent Living, Washington, DC

JOE CALDWELL, National Council on Aging, Washington, DC

MARGARET L. CAMPBELL, National Institute on Disability and Rehabilitation Research, Washington, DC

EILEEN M. CRIMMINS, University of Southern California, Los Angeles

PEGGYE DILWORTH-ANDERSON, Gillings School of Global Public Health, University of North Carolina, Chapel Hill

STEVEN C. EDELSTEIN, PHI, Bronx, NY

THOMAS E. EDES, U.S. Department of Veterans Affairs, Washington, DC

TERRY FULMER, Bouvé College of Health Sciences, Northeastern University, Boston, MA

NAOMI L. GERBER, Center for the Study of Chronic Illness and Disability, George Mason University, Fairfax, VA

ROBERT HORNYAK, Administration for Community Living, Washington, DC

LISA I. IEZZONI, Harvard Medical School, Boston, MA

JUDITH D. KASPER, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD

KATHY KREPCIO, John J. Heldrich Center for Workforce Development, Rutgers, The State University of New Jersey, New Brunswick, NJ

NANCY LUNDEBJERG, American Geriatrics Society, New York, NY

RHONDA MEDOWS, United HealthCare, Washington, DC

LARRY MINNIX, LeadingAge, Washington, DC

ARI NE’EMAN, National Council on Disability, Washington, DC

RENÉ SEIDEL, The SCAN Foundation, Long Beach, CA

JACK W. SMITH, U.S. Department of Defense, Falls Church, VA

RICHARD SUZMAN, National Institute on Aging, Bethesda, MD

____________________

1 Institute of Medicine and National Research Council forums do not issue, review, or approve individual documents. The responsibility for the published summary rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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IOM and NRC Staff

TRACY A. LUSTIG, Forum Director

GOOLOO WUNDERLICH, Senior Program Officer, Division of Behavioral and Social Sciences and Education, National Research Council

Y. CRYSTI PARK, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy, Institute of Medicine

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

JUDY R. DUBNO, Medical University of South Carolina

NOREEN GIBBENS, Hi HealthInnovations

ELLEN MORGENSTERN, The Foundation of the National Committee to Preserve Social Security and Medicare

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by DAVID B. REUBEN, University of California, Los Angeles. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Hearing Loss and Healthy Aging: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18735.
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Being able to communicate is a cornerstone of healthy aging. People need to make themselves understood and to understand others to remain cognitively and socially engaged with families, friends, and other individuals. When they are unable to communicate, people with hearing impairments can become socially isolated, and social isolation can be an important driver of morbidity and mortality in older adults. Despite the critical importance of communication, many older adults have hearing loss that interferes with their social interactions and enjoyment of life. People may turn up the volume on their televisions or stereos, miss words in a conversation, go to fewer public places where it is difficult to hear, or worry about missing an alarm or notification. In other cases, hearing loss is much more severe, and people may retreat into a hard-to-reach shell. Yet fewer than one in seven older Americans with hearing loss use hearing aids, despite rapidly advancing technologies and innovative approaches to hearing health care. In addition, there may not be an adequate number of professionals trained to address the growing need for hearing health care for older adults. Further, Medicare does not cover routine hearing exams, hearing aids, or exams for fitting hearing aids, which can be prohibitively expensive for many older adults.

Hearing Loss and Healthy Aging is the summary of a workshop convened by the Forum on Aging, Disability, and Independence in January 2014 on age-related hearing loss. Researchers, advocates, policy makers, entrepreneurs, regulators, and others discussed this pressing social and public health issue. This report examines the ways in which age-related hearing loss affects healthy aging, and how the spectrum of public and private stakeholders can work together to address hearing loss in older adults as a public health issue.

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