Evidence map›Paper›PMID 30608511›Full record

ArticleAge and ageing2019

Assessing and managing concurrent hearing, vision and cognitive impairments in older people: an international perspective from healthcare professionals.

Iracema Leroi, Ines Himmelsbach, Lucas Wolski, Jenna Littlejohn, Francine Jury, Angela Parker, Anna Pavlina Charalambous, Piers Dawes, Fofi Constantinidou, Chryssoula Thodi and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Age and ageing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Support for Older People With Vision Impairment: A Rapid Realist Review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  4. Article
  5. Article
  6. Article
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  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Impact of Hearing Loss on Geriatric Assessment.Clinical interventions in aging · 2020
    Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Iracema LeroiDivision of Neuroscience and Experimental Psychology, University of Manchester, Manchester, UK.
Ines HimmelsbachInstitute of Applied Research, Development and Further Education, Catholic University of Freiburg, Freiburg, Germany.
Lucas WolskiInstitute of Applied Research, Development and Further Education, Catholic University of Freiburg, Freiburg, Germany.
Jenna LittlejohnManchester Centre for Audiology and Deafness, University of Manchester, Manchester, UK.
Francine JuryDivision of Neuroscience and Experimental Psychology, University of Manchester, Manchester, UK.
Angela ParkerGreater Manchester NIHR Clinical Research Network, Manchester University NHS Foundation Trust, 2nd Floor City Labs, Nelson Steer, Manchester, UK.
Anna Pavlina CharalambousDepartment of Health Sciences, School of Sciences, European University Cyprus, 6 Diogenes Str, Nicosia, Cyprus.
Piers DawesManchester Centre for Audiology and Deafness, University of Manchester, Manchester, UK.
Fofi ConstantinidouDepartment of Psychology & Center for Applied Neuroscience, University of Cyprus, Kallipoleos 75, Nicosia, Cyprus.
Chryssoula ThodiDepartment of Health Sciences, School of Sciences, European University Cyprus, 6 Diogenes Str, Nicosia, Cyprus.
(SENSE-Cog Expert Reference Group)
University of Manchester · GBEuropean University Cyprus · CYUniversity of Freiburg · DENIHR Clinical Research Network · GBUniversity of Cyprus · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundthere is a significant gap in the understanding, assessment and management of people with dementia and concurrent hearing and vision impairments.

objectivefrom the perspective of professionals in dementia, hearing and vision care, we aimed to: (1) explore the perceptions of gaps in assessment and service provision in ageing-related hearing, vision and cognitive impairment; (2) consider potential solutions regarding this overlap and (3) ascertain the attitudes, awareness and practice, with a view to implementing change.

methodsour two-part investigation with hearing, vision, and dementia care professionals involved: (1) an in-depth, interdisciplinary, international Expert Reference Group (ERG; n = 17) and (2) a wide-scale knowledge, attitudes and practice survey (n = 653). The ERG involved consensus discussions around prototypic clinical vignettes drawn from a memory centre, an audiology clinic, and an optometry clinic, analysed using an applied content approach.

resultsthe ERG revealed several gaps in assessment and service provision, including a lack of validated assessment tools for concurrent impairments, poor interdisciplinary communication and care pathways, and a lack of evidence-based interventions. Consensus centred on the need for flexible, individualised, patient-centred solutions, using an interdisciplinary approach. The survey data validated these findings, highlighting the need for clear guidelines for assessing and managing concurrent impairments.

conclusionsthis is the first international study exploring professionals' views of the assessment and care of individuals with age-related hearing, vision and hearing impairment. The findings will inform the adaptation of assessments, the development of supportive interventions, and the new provision of services.

Indexed as

AgedCognitive DysfunctionConsensusDementiaHealth Care SurveysHealth Knowledge, Attitudes, PracticeHearing LossHumansInterdisciplinary CommunicationInternationalityMemory DisordersVision Disorderscognitive impairmentdementiaexpert reference grouphearingolder peoplevision

Identifiers

PMID30608511
PMCPMC6593321
OpenAlexW2908229276

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.