Evidence map›Paper›PMID 41720576›Full record

ArticleJournal of the American Geriatrics Society2026

Veteran and Provider Perspectives on Rehabilitation for Severe Hearing Loss.

David R Friedmann, Arianna Winchester, Olivia Bender, Julienne Ching, Andrew Nicholson, Frankie Hamilton, Joshua Chodosh, Victoria Vaughan Dickson

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

David R FriedmannDepartment of Otolaryngology-Head and Neck Surgery, NYU Grossman School of Medicine, New York, New York, USA.ORCID 0000-0002-9136-6483
Arianna WinchesterDepartment of Otolaryngology-Head and Neck Surgery, NYU Grossman School of Medicine, New York, New York, USA.
Olivia BenderDepartment of Otolaryngology-Head and Neck Surgery, NYU Grossman School of Medicine, New York, New York, USA.
Julienne ChingDepartment of Otolaryngology-Head and Neck Surgery, NYU Grossman School of Medicine, New York, New York, USA.
Andrew NicholsonVeterans Affairs New York Harbor Healthcare System, New York, New York, USA.
Frankie HamiltonNYU Rory Meyers College of Nursing, New York, New York, USA.
Joshua ChodoshVeterans Affairs New York Harbor Healthcare System, New York, New York, USA.ORCID 0000-0001-7784-4306
Victoria Vaughan DicksonUniversity of Connecticut, Elisabeth DeLuca School of Nursing, Storrs, Connecticut, USA.

Funding

Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Mary Sherman Mittelman · 2020 to 2026
$28.4M
HSRD VA I21 HX003141NIA NIH HHS P30 AG066512U.S. Department of Veterans Affairs PPO 19-397
6 · The paper itself

Abstract

backgroundAge-related hearing loss is common and a particularly prevalent disability among Veterans. In response, comprehensive hearing services are available within the Veterans Affairs (VA) integrated healthcare system. Severe hearing loss may pose distinct communication challenges inadequately addressed by hearing aids, but data suggest severe hearing loss is often not treated differently. We sought to identify barriers and facilitators to evidence-based and individualized management of severe hearing loss from the perspectives of VA clinicians and Veterans.

methodsWe used purposeful sampling to conduct remote semi-structured video interviews with 33 current VA clinicians encompassing multiple disciplines and 39 Veterans with severe hearing loss over approximately an 18 month period (May 2022 to December 2023). We analyzed qualitative data using content thematic analysis. Coding categories were summarized within each participant; then across all participants to yield clinician-specific and Veteran themes.

resultsIn the sample of 33 VA clinicians (20 audiologists, 9 otolaryngologists and 4 primary care clinicians), the overarching theme of qualitative data is that hearing loss is undertreated in the Veteran population. Across clinician groups, the qualitative data revealed multi-level factors (system-, clinician-, and patient-level) that influence the delivery of hearing care and management for Veterans with severe hearing loss. Interviews revealed that efficient access and collaborative care facilitate evidence-based practice. Among Veterans, inadequately managed hearing loss impacts quality of life; lack of knowledge and misconceptions about hearing care options and system-level barriers influence Veterans' perceptions of their hearing care and management.

conclusionAlthough hearing care is available to Veterans, multi-level factors influence the delivery of hearing care and management for Veterans with severe hearing loss. Greater attention both in primary and specialty care is needed to ensure tailored treatments are available to Veterans with severe hearing loss across the integrated VA health care system.

Indexed as

Attitude of Health PersonnelHearing LossVeteransAgedFemaleHearing AidsHumansMaleMiddle AgedQualitative ResearchSeverity of Illness IndexUnited StatesUnited States Department of Veterans Affairshearing losshearing rehabilitationpost‐deployment healthpresbycusissensory disabilities

Identifiers

PMID41720576
PMCPMC13236391

What OpenQuestion holds

Textmetadata
LicenceTDM
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.