title: Interventions following hearing screening in adults: a systematic descriptive review.
abstract: OBJECTIVE
  Adult hearing screening may be a solution to the under-diagnosis and under-treatment of hearing loss in adults. Limited use and satisfaction with hearing aids indicate that consideration of alternative interventions following hearing screening may be needed. The primary aim of this study is to provide an overview of all intervention types that have been offered to adult (≥ 18 years) screen-failures.
  
  
  METHODS
  Systematic literature review. Articles were identified through systematic searches in PubMed, EMBASE, Cinahl, the Cochrane Library, private libraries, and through reference checking.
  
  
  RESULTS
  Of the initial 3027 papers obtained from the searches, a total of 37 were found to be eligible. The great majority of the screening programmes (i.e. 26) referred screen-failures to a hearing specialist without further rehabilitation being specified. Most of the others (i.e. seven) led to the provision of hearing aids. Four studies offered alternative interventions comprising communication programme elements (e.g. speechreading, hearing tactics) or advice on environmental aids.
  
  
  CONCLUSIONS
  Interventions following hearing screening generally comprised referral to a hearing specialist or hearing aid rehabilitation. Some programmes offered alternative rehabilitation options. These may be valuable as an addition to or replacement of hearing aid rehabilitation. It is recommended that this be addressed in future research.
authors: Department of ENT/Audiology, VU University Medical Center, EMGO Institute for Health and Care Research, Amsterdam, The Netherlands. m.pronk@vumc.nl
authors: Marieke
authors: M
authors: Pronk
authors: Sophia E
authors: SE
authors: Kramer
authors: Adrian C
authors: AC
authors: Davis
authors: Dafydd
authors: D
authors: Stephens
authors: Pauline A
authors: PA
authors: Smith
authors: Chryssoula
authors: C
authors: Thodi
authors: Lucien J C
authors: LJ
authors: Anteunis
authors: Marta
authors: M
authors: Parazzini
authors: Ferdinando
authors: F
authors: Grandori
mesh_terms: D000328:Adult; D001298:Audiology / Q000706:statistics & numerical data*; D006310:Hearing Aids / Q000706:statistics & numerical data; D034381:Hearing Loss / Q000175:diagnosis* / Q000534:rehabilitation*; D006320:Hearing Tests / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data*