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Association of Hearing Loss with Physical, Social, and Mental Activity Engagement

Goman, Adele M.; Gao, Tess; Betz, Joshua; Reed, Nicholas S.; Deal, Jennifer A.; Lin, Frank R.; for the ACHIEVE-P Study Group


Tess Gao

Joshua Betz

Nicholas S. Reed

Jennifer A. Deal

Frank R. Lin

for the ACHIEVE-P Study Group


This article aims to evaluate a hearing loss intervention versus an aging education intervention on activity engagement in the Aging and Cognitive Health Evaluation in Elders pilot (ACHIEVE-P). Forty adults (70–84 years) with hearing loss recruited from the Atherosclerosis Risk in Communities Study and de novo participated. Participants were randomized 1:1 to a best practices hearing intervention or a successful aging intervention. Hearing was measured with pure-tone audiometry. The Community Healthy Activities Model Program for Seniors questionnaire measured self-reported time engaging in activities at baseline and 6-month follow-up. At baseline, greater hearing loss was associated with reduced time per week on mental activities (−3.0 hours per 10 dB of hearing loss, 95% confidence interval: −5.8, −0.2). Mental activity engagement increased (mean: +1.3 hours, SD = 6.6) for the hearing intervention group but decreased (mean: −1.1 hours, SD = 4.8) for the aging education group (Cohen's d: 0.41). Hearing loss may be associated with reduced engagement in mental activities. Whether hearing loss treatment impacts activity will be studied in the full-scale ACHIEVE trial.


Goman, A. M., Gao, T., Betz, J., Reed, N. S., Deal, J. A., Lin, F. R., & for the ACHIEVE-P Study Group, . (2021). Association of Hearing Loss with Physical, Social, and Mental Activity Engagement. Seminars in Hearing, 42(1), 59-65.

Journal Article Type Article
Online Publication Date Apr 15, 2021
Publication Date 2021-02
Deposit Date Oct 7, 2021
Journal Seminars in Hearing
Print ISSN 0734-0451
Electronic ISSN 1098-8955
Publisher Thieme Publishing
Peer Reviewed Peer Reviewed
Volume 42
Issue 1
Pages 59-65
Keywords hearing loss, activity engagement, mental, social, physical
Public URL