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

doi:10.1055/s-0041-1726001

Effects of hearing intervention on falls in older adults: Findings from a secondary analysis of the ACHIEVE randomized controlled trial (2025)
Journal Article
Goman, A., Tan, N., Pike, J., Bessen, S., Chen, Z. (., Huang, A., Arnold, M., Burgard, S., Chisolm, T., Couper, D., Deal, J., Glynn, N., Gmelin, T., Gravens-Mueller, L., Hayden, K., Martinez Amezcua, P., Mitchell, C., Pankow, J., Reed, N., Sanchez, V., …Lin, F. (in press). Effects of hearing intervention on falls in older adults: Findings from a secondary analysis of the ACHIEVE randomized controlled trial. The Lancet Public Health,

Background
Hearing loss is highly prevalent among older adults and has been associated with an increased likelihood of falling. We aimed to examine the effect of a hearing intervention on falls over three years among older adults in a secondary anal... Read More about Effects of hearing intervention on falls in older adults: Findings from a secondary analysis of the ACHIEVE randomized controlled trial.

Cognitive benefits of hearing intervention vary by risk of cognitive decline: A secondary analysis of the ACHIEVE trial (2025)
Journal Article
Pike, J. R., Huang, A. R., Reed, N. S., Arnold, M., Chisolm, T., Couper, D., Deal, J. A., Glynn, N. W., Goman, A. M., Hayden, K. M., Mitchell, C. M., Pankow, J. S., Sanchez, V., Sullivan, K. J., Tan, N. S., Coresh, J., & Lin, F. R. (in press). Cognitive benefits of hearing intervention vary by risk of cognitive decline: A secondary analysis of the ACHIEVE trial. Alzheimer's & Dementia: The Journal of the Alzheimer's Association,

INTRODUCTION: Results from the ACHIEVE trial suggest hearing intervention may not reduce 3-year cognitive decline in all older adults with hearing loss but may be beneficial in certain groups. This secondary analysis investigated if participants with... Read More about Cognitive benefits of hearing intervention vary by risk of cognitive decline: A secondary analysis of the ACHIEVE trial.

Effects of Hearing Intervention on Physical Activity Measured by Accelerometry: a secondary analysis of the ACHIEVE Study (2025)
Journal Article
Schrack, J. A., Wanigatunga, A. A., Glynn, N. W., Arnold, M. L., Burgard, S., Chisolm, T. H., Couper, D., Deal, J. A., Gmelin, T., Goman, A. M., Huang, A. R., Gravens-Mueller, L., Hayden, K. M., Martinez-Amezcua, P., Mitchell, C. M., Pankow, J. S., Pike, J. R., Reed, N. S., Sanchez, V. A., Sullivan, K. J., …Lin, F. R. (in press). Effects of Hearing Intervention on Physical Activity Measured by Accelerometry: a secondary analysis of the ACHIEVE Study. Journal of the American Geriatrics Society,

Background: Hearing loss is prevalent in older adults and associated with reduced daily physical activity, but whether hearing intervention attenuates declines in physical activity is unknown . We investigated the 3-year effect of a hearing intervent... Read More about Effects of Hearing Intervention on Physical Activity Measured by Accelerometry: a secondary analysis of the ACHIEVE Study.

Impact of a hearing intervention on the levels of leisure-time physical activity and T.V. viewing in older adults: results from a secondary analysis of the ACHIEVE trial (2025)
Journal Article
Martinez-Amezcua, P., Zhang, W., Assi, S., Gupta, H., Twardzik, E., Huang, A. R., Reed, N. S., Deal, J. A., Arnold, M. L., Burgard, S., Chisolm, T., Couper, D., Glynn, N. W., Gmelin, T., Goman, A. M., Gravens-Mueller, L., Hayden, K. M., Mitchell, C. M., Pankow, J. S., Russell Pike, J., …Coresh, J. (online). Impact of a hearing intervention on the levels of leisure-time physical activity and T.V. viewing in older adults: results from a secondary analysis of the ACHIEVE trial. Journals of Gerontology, Series A, https://doi.org/10.1093/gerona/glaf033

Background
Age-related hearing loss is common among older adults and may influence physical activity and sedentary behaviors, such as TV viewing. This study examined whether a hearing intervention could affect these behaviors over three years.

Me... Read More about Impact of a hearing intervention on the levels of leisure-time physical activity and T.V. viewing in older adults: results from a secondary analysis of the ACHIEVE trial.

Effect of hearing intervention on three‐year change in brain morphology (2024)
Journal Article
Pike, J. R., Huang, A. R., Deal, J. A., Reed, N. S., Burgard, S., Chisolm, T., Couper, D., Glynn, N. W., Gmelin, T., Goman, A. M., Gravens‐Mueller, L., Hayden, K. M., Mitchell, C., Pankow, J., Sanchez, V. A., Schrack, J. A., Albert, M. S., Jack, C. R., Knopman, D. S., Coresh, J., & Lin, F. R. (2024). Effect of hearing intervention on three‐year change in brain morphology. Alzheimer's & Dementia: The Journal of the Alzheimer's Association, 20(S3), Article e086740. https://doi.org/10.1002/alz.086740

Background: Prior longitudinal studies among older adults have documented associations between hearing loss and changes in brain morphology. Whether interventions involving hearing aids can reduce age‐related atrophy is unknown. A substudy within the... Read More about Effect of hearing intervention on three‐year change in brain morphology.

A Hearing Intervention and Health-Related Quality of Life in Older Adults: A Secondary Analysis of the ACHIEVE Randomized Clinical Trial (2024)
Journal Article
Huang, A. R., Morales, E. G., Arnold, M. L., Burgard, S., Couper, D., Deal, J. A., Glynn, N. W., Gmelin, T., Goman, A. M., Gravens-Mueller, L., Hayden, K. M., Mitchell, C. M., Pankow, J. S., Pike, J. R., Reed, N. S., Sanchez, V. A., Schrack, J. A., Sullivan, K. J., Coresh, J., Lin, F. R., & Chisolm, T. H. (2024). A Hearing Intervention and Health-Related Quality of Life in Older Adults: A Secondary Analysis of the ACHIEVE Randomized Clinical Trial. JAMA Network Open, 7(11), Article e2446591. https://doi.org/10.1001/jamanetworkopen.2024.46591

Importance
Health-related quality of life is a critical health outcome and a clinically important patient-reported outcome in clinical trials. Hearing loss is associated with poorer health-related quality-of-life in older adults.

Objective
T... Read More about A Hearing Intervention and Health-Related Quality of Life in Older Adults: A Secondary Analysis of the ACHIEVE Randomized Clinical Trial.

Effect of Hearing Intervention versus Health Education Control on Fatigue: A Secondary Analysis of the ACHIEVE study (2024)
Journal Article
Bessen, S. Y., Zhang, W., Huang, A. R., Arnold, M., Burgard, S., Chisolm, T. H., Couper, D., Deal, J. A., Faucette, S. P., Goman, A. M., Glynn, N. W., Gmelin, T., Gravens-Mueller, L., Hayden, K. M., Mitchell, C. M., Pankow, J. S., Pike, J. R., Reed, N. S., Sanchez, V. A., Schrack, J. A., …ACHIEVE Collaborative Research Group. (2024). Effect of Hearing Intervention versus Health Education Control on Fatigue: A Secondary Analysis of the ACHIEVE study. Journals of Gerontology, Series A, 79(11), Article glae193. https://doi.org/10.1093/gerona/glae193

Background
Fatigue is a common complaint among older adults with hearing loss. The impact of addressing hearing loss on fatigue symptoms has not been studied in a randomized controlled trial. In a secondary analysis of the ACHIEVE study, we investig... Read More about Effect of Hearing Intervention versus Health Education Control on Fatigue: A Secondary Analysis of the ACHIEVE study.

Adult-onset hearing loss and incident cognitive impairment and dementia – A systematic review and meta-analysis of cohort studies (2024)
Journal Article
Yu, R.-C., Proctor, D., Soni, J., Pikett, L., Livingston, G., Lewis, G., Schilder, A., Bamiou, D., Mandavia, R., Omar, R., Pavlou, M., Lin, F., Goman, A. M., & Gonzalez, S. C. (2024). Adult-onset hearing loss and incident cognitive impairment and dementia – A systematic review and meta-analysis of cohort studies. Ageing research reviews, 98, Article 102346. https://doi.org/10.1016/j.arr.2024.102346

Background
We comprehensively summarized the cohort evidence to date on adult-onset hearing loss as risk factor for incident cognitive impairment and dementia, and examined the evidence for dose-response, risk for various dementia subtypes, and othe... Read More about Adult-onset hearing loss and incident cognitive impairment and dementia – A systematic review and meta-analysis of cohort studies.

Hearing Impairment and Physical Activity and Physical Functioning in Older Adults: Baseline Results from the ACHIEVE Trial (2024)
Journal Article
Cai, Y., Martinez Amezcua, P., Betz, J. F., Zhang, T., Huang, A. R., Wanigatunga, A. A., Glynn, N. W., Burgard, S., Chisolm, T. H., Coresh, J., Couper, D., Deal, J. A., Gmelin, T., Goman, A. M., Gravens-Mueller, L., Hayden, K. M., Mitchell, C. M., Mosley, T., Pankow, J. S., Pike, J. R., …Schrack, J. A. (2024). Hearing Impairment and Physical Activity and Physical Functioning in Older Adults: Baseline Results from the ACHIEVE Trial. Journals of Gerontology, Series A, 79(7), Article glae117. https://doi.org/10.1093/gerona/glae117

Impact of the Covid-19 pandemic on audiology service delivery: Observational study of the role of social media in patient communication (2024)
Journal Article
Hussain, A., Hussain, Z., Gogate, M., Dashtipour, K., Ng, D., Riaz, M. S., Goman, A., Sheikh, A., & Hussain, A. (2024). Impact of the Covid-19 pandemic on audiology service delivery: Observational study of the role of social media in patient communication. PLOS ONE, 19(4), Article e0288223. https://doi.org/10.1371/journal.pone.0288223

The Covid-19 pandemic has highlighted an era in hearing health care that necessitates a comprehensive rethinking of audiology service delivery. There has been a significant increase in the number of individuals with hearing loss who seek information... Read More about Impact of the Covid-19 pandemic on audiology service delivery: Observational study of the role of social media in patient communication.

Recruitment and baseline data of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study: A randomized trial of a hearing loss intervention for reducing cognitive decline (2024)
Journal Article
Reed, N. S., Gravens‐Mueller, L., Huang, A. R., Goman, A. M., Mitchell, C. M., Arnold, M. L., Bolton, S., Burgard, S., Chisolm, T. H., Couper, D., Deal, J. A., Evans, J., Faucette, S., Glynn, N. W., Gmelin, T., Hayden, K. M., Miller, E., Minotti, M., Mosley, T., Naylor, S., …for the ACHIEVE Collaborative Research Group. (2024). Recruitment and baseline data of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study: A randomized trial of a hearing loss intervention for reducing cognitive decline. Alzheimer's and Dementia: Translational Research and Clinical Interventions, 10(1), Article e12453. https://doi.org/10.1002/trc2.12453

INTRODUCTION
Hearing loss is highly prevalent among older adults and independently associated with cognitive decline. The Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study is a multicenter randomized control trial (partially nested wit... Read More about Recruitment and baseline data of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study: A randomized trial of a hearing loss intervention for reducing cognitive decline.

Description of the Baseline Audiologic Characteristics of the Participants Enrolled in the Aging and Cognitive Health Evaluation in Elders Study (2024)
Journal Article
Sanchez, V. A., Arnold, M. L., Betz, J. F., Reed, N. S., Faucette, S., Anderson, E., Burgard, S., Coresh, J., Deal, J. A., Eddins, A. C., Goman, A. M., Glynn, N. W., Gravens-Mueller, L., Hampton, J., Hayden, K. M., Huang, A. R., Liou, K., Mitchell, C. M., Mosley, T. H., Neil, H. N., …for the ACHIEVE Collaborative Study. (2024). Description of the Baseline Audiologic Characteristics of the Participants Enrolled in the Aging and Cognitive Health Evaluation in Elders Study. American Journal of Audiology, 33(1), 122-138. https://doi.org/10.1044/2023_aja-23-00066

Purpose:
The Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study is a randomized clinical trial designed to determine the effects of a best-practice hearing intervention versus a successful aging health education control intervention on... Read More about Description of the Baseline Audiologic Characteristics of the Participants Enrolled in the Aging and Cognitive Health Evaluation in Elders Study.

Hearing loss and cognition: A protocol for ensuring speech understanding before neurocognitive assessment (2023)
Journal Article
Kolberg, E. R., Morales, E. E. G., Thallmayer, T. W., Arnold, M. L., Burgard, S., Chisolm, T. H., Coresh, J., Couper, D., Hayden, K. M., Huang, A. R., Lin, F. R., Mitchell, C. M., Mosley, T. H., Gravens‐Mueller, L., Owens, T. A., Pankow, J. S., Pike, J. R., Reed, N. S., Sanchez, V., Schrack, J. A., …ACHIEVE Collaborative Research Group. (2024). Hearing loss and cognition: A protocol for ensuring speech understanding before neurocognitive assessment. Alzheimer's & dementia : the journal of the Alzheimer's Association, 20(3), 1671-1681. https://doi.org/10.1002/alz.13552

INTRODUCTION: Many neurocognitive evaluations involve auditory stimuli, yet there are no standard testing guidelines for individuals with hearing loss. The ensuring speech understanding (ESU) test was developed to confirm speech understanding and det... Read More about Hearing loss and cognition: A protocol for ensuring speech understanding before neurocognitive assessment.

Depression and Health-Related Quality of Life Among Older Adults With Hearing Loss in the ACHIEVE Study (2023)
Journal Article
Huang, A. R., Reed, N. S., Deal, J. A., Arnold, M., Burgard, S., Chisolm, T., Couper, D., Glynn, N. W., Gmelin, T., Goman, A. M., Gravens-Mueller, L., Hayden, K. M., Mitchell, C., Pankow, J. S., Pike, J. R., Schrack, J. A., Sanchez, V., Coresh, J., Lin, F. R., & ACHIEVE Collaborative Research Group. (2024). Depression and Health-Related Quality of Life Among Older Adults With Hearing Loss in the ACHIEVE Study. Journal of Applied Gerontology, 43(5), 550–561. https://doi.org/10.1177/07334648231212291

Hearing loss is associated with cognitive/physical health; less is known about mental health. We investigated associations between hearing loss severity, depression, and health-related quality of life among older adults with unaided hearing loss. Dat... Read More about Depression and Health-Related Quality of Life Among Older Adults With Hearing Loss in the ACHIEVE Study.

Loneliness and Social Network Characteristics Among Older Adults with Hearing Loss in the ACHIEVE Study (2023)
Journal Article
Huang, A. R., Reed, N. S., Deal, J. A., Arnold, M., Burgard, S., Chisolm, T., Couper, D., Glynn, N. W., Gmelin, T., Goman, A. M., Gravens-Mueller, L., Hayden, K. M., Mitchell, C., Pankow, J. S., Pike, J. R., Sanchez, V., Schrack, J. A., Coresh, J., Lin, F. R., & ACHIEVE Collaborative Research Group. (2024). Loneliness and Social Network Characteristics Among Older Adults with Hearing Loss in the ACHIEVE Study. Journals of Gerontology, Series A, 79(2), Article glad196. https://doi.org/10.1093/gerona/glad196

Background: Hearing loss is linked to loneliness and social isolation, but evidence is typically based on self-reported hearing. This study quantifies the associations of objective and subjective hearing loss with loneliness and social network charac... Read More about Loneliness and Social Network Characteristics Among Older Adults with Hearing Loss in the ACHIEVE Study.

The use of home-based digital technology to support post-stroke upper limb rehabilitation: A scoping review (2023)
Journal Article
Gebreheat, G., Goman, A., & Porter-Armstrong, A. (2024). The use of home-based digital technology to support post-stroke upper limb rehabilitation: A scoping review. Clinical Rehabilitation, 38(1), 60-71. https://doi.org/10.1177/02692155231189257

Objective. To identify, map and synthesize the extent and nature of existing studies on the use of home-based digital technology to support post-stroke upper limb rehabilitation.
Data sources. A comprehensive literature search was completed between... Read More about The use of home-based digital technology to support post-stroke upper limb rehabilitation: A scoping review.

Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial (2023)
Journal Article
Lin, F. R., Pike, J. R., Albert, M. S., Arnold, M., Burgard, S., Chisolm, T., Couper, D., Deal, J. A., Goman, A. M., Glynn, N. W., Gmelin, T., Gravens-Mueller, L., Hayden, K. M., Huang, A. R., Knopman, D., Mitchell, C. M., Mosley, T., Pankow, J. S., Reed, N. S., Sanchez, V., …ACHIEVE Collaborative Research Group. (2023). Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial. Lancet, 402(10404), 786-797. https://doi.org/10.1016/s0140-6736%2823%2901406-x

Background
Hearing loss is associated with increased cognitive decline and incident dementia in older adults. We aimed to investigate whether a hearing intervention could reduce cognitive decline in cognitively healthy older adults with hearing loss... Read More about Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial.

Individual Life-Course Socioeconomic Position and Hearing Aid Use in the Atherosclerosis Risk in Communities Study (2021)
Journal Article
Yi, J. S., Garcia Morales, E. E., Betz, J. F., Deal, J. A., Dean, L. T., Du, S., Goman, A. M., Griswold, M. E., Palta, P., Rebok, G. W., Reed, N. S., Thorpe, R. J., Lin, F. R., & Nieman, C. L. (2022). Individual Life-Course Socioeconomic Position and Hearing Aid Use in the Atherosclerosis Risk in Communities Study. Journals of Gerontology, Series A, 77(3), 647-655. https://doi.org/10.1093/gerona/glab273

Background
To measure the association between individual life-course socioeconomic position (SEP) and hearing aid use, we examined childhood and adulthood socioeconomic variables collected at the Atherosclerosis Risk in Communities (ARIC) study base... Read More about Individual Life-Course Socioeconomic Position and Hearing Aid Use in the Atherosclerosis Risk in Communities Study.

Development and Critical Evaluation of a Condition-Specific Preference-Based Measure Sensitive to Binaural Hearing in Adults: The York Binaural Hearing–Related Quality-of-Life System (2021)
Journal Article
Summerfield, A. Q., Kitterick, P. T., & Goman, A. M. (2022). Development and Critical Evaluation of a Condition-Specific Preference-Based Measure Sensitive to Binaural Hearing in Adults: The York Binaural Hearing–Related Quality-of-Life System. Ear and Hearing, 43(2), 379-397. https://doi.org/10.1097/aud.0000000000001101

Objectives:
The widely-used generic preference-based measures of health-related quality of life—the EuroQol Descriptive System (EQ-5D) and the Health Utilities Index (HUI3)—are limited in their response to technologies that improve hearing. The EQ-... Read More about Development and Critical Evaluation of a Condition-Specific Preference-Based Measure Sensitive to Binaural Hearing in Adults: The York Binaural Hearing–Related Quality-of-Life System.

Association of Hearing Loss with Physical, Social, and Mental Activity Engagement (2021)
Journal Article
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. https://doi.org/10.1055/s-0041-1726001

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 f... Read More about Association of Hearing Loss with Physical, Social, and Mental Activity Engagement.

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