International Practice Recommendations for the Recognition and Management of Hearing and Vision Impairment in People with Dementia

Jenna Littlejohn; Michael Bowen; Fofi Constantinidou; Piers Dawes; Christine Dickinson; Patricia Heyn; Emma Hooper; Tammy Hopper; Isabel Hubbard; Donna Langenbahn; Carrie L Nieman; Manoj Rajagopal; Chryssoula Thodi; Barbara Weinstein; Walter Wittich; Iracema Leroi

doi:10.1159/000515892

International Practice Recommendations for the Recognition and Management of Hearing and Vision Impairment in People with Dementia

Jenna Littlejohn, Michael Bowen, Fofi Constantinidou, Piers Dawes, Christine Dickinson, Patricia Heyn, Emma Hooper, Tammy Hopper, Isabel Hubbard, Donna Langenbahn, Carrie L Nieman, Manoj Rajagopal, Chryssoula Thodi, Barbara Weinstein, Walter Wittich, Iracema Leroi

Research output: Contribution to journal › Article › peer-review

Abstract

INTRODUCTION: Hearing, vision, and cognitive impairment commonly co-occur in older people. However, the rate of recognition and appropriate management of combined hearing and vision impairment in people with dementia impairment is low. The aim of this work was to codevelop internationally relevant, multidisciplinary practice recommendations for professionals involved in the diagnosis, care, and management of older people with these concurrent conditions.

METHODS: We applied consensus methods with professional and lay expert stakeholders, using an adapted version of the World Health Organization Handbook for Guideline Development. The development involved 4 phases and included: (1) collating existing evidence, (2) filling the gaps in evidence, (3) prioritising evidence, and (4) refining the final list of recommendations. Each phase encompassed various methodologies including a review of existing guidelines within the 3 clinical domains, systematic reviews, qualitative studies, a clinical professional consortium, surveys, and consensus meetings with interdisciplinary domain experts.

RESULTS: The task force evaluated an initial list of 26 recommendations, ranking them in the order of priority. A consensus was reached on 15 recommendations, jwhich are classified into 6 domains of "awareness and knowledge," "recognition and detection," "evaluation," "management," "support," and "services and policies." Pragmatic options for implementation for each domain were then developed.

CONCLUSION: This is the first set of international, interdisciplinary practice recommendations that will guide the development of multidisciplinary services and policy to improve the lives of people with dementia and hearing and vision impairment.

Original language	English
Pages (from-to)	1-15
Number of pages	15
Journal	Gerontology
Early online date	4 Jun 2021
DOIs	https://doi.org/10.1159/000515892
Publication status	Published - 4 Jun 2021

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10.1159/000515892Licence: CC BY-NC

Manchester Centre for Audiology and Deafness (ManCAD)
Munro, K. (PI), Millman, R. (PI), Lamb, W. (Support team), Dawes, P. (PI), Plack, C. (PI), Stone, M. (PI), Kluk-De Kort, K. (PI), Moore, D. (PI), Morton, C. (PI), Prendergast, G. (PI), Couth, S. (PI), Schlittenlacher, J. (PI), Chilton, H. (PI), Visram, A. (Researcher), Dillon, H. (PI), Guest, H. (Researcher), Heinrich, A. (PI), Jackson, I. (Researcher), Littlejohn, J. (Researcher), Jones, L. (PI), Lough, M. (Researcher), Morgan, R. (Researcher), Perugia, E. (Researcher), Roughley, A. (Researcher), Whiston, H. (Researcher), Wright, C. (Support team), Saunders, G. (PI), Kelly, C. (PI), Cross, H. (Researcher), Loughran, M. (Researcher), Hoseinabadi, R. (PI) & Vercammen, C. (PI)
Project: Research

1 Other contribution

Understanding hearing and sight problems and their link to dementia
Littlejohn, J., Jun 2022, 8 p.
Research output: Other contribution

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Littlejohn, J., Bowen, M., Constantinidou, F., Dawes, P., Dickinson, C., Heyn, P., Hooper, E., Hopper, T., Hubbard, I., Langenbahn, D., Nieman, C. L., Rajagopal, M., Thodi, C., Weinstein, B., Wittich, W., & Leroi, I. (2021). International Practice Recommendations for the Recognition and Management of Hearing and Vision Impairment in People with Dementia. Gerontology, 1-15. https://doi.org/10.1159/000515892

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title = "International Practice Recommendations for the Recognition and Management of Hearing and Vision Impairment in People with Dementia",

abstract = "INTRODUCTION: Hearing, vision, and cognitive impairment commonly co-occur in older people. However, the rate of recognition and appropriate management of combined hearing and vision impairment in people with dementia impairment is low. The aim of this work was to codevelop internationally relevant, multidisciplinary practice recommendations for professionals involved in the diagnosis, care, and management of older people with these concurrent conditions.METHODS: We applied consensus methods with professional and lay expert stakeholders, using an adapted version of the World Health Organization Handbook for Guideline Development. The development involved 4 phases and included: (1) collating existing evidence, (2) filling the gaps in evidence, (3) prioritising evidence, and (4) refining the final list of recommendations. Each phase encompassed various methodologies including a review of existing guidelines within the 3 clinical domains, systematic reviews, qualitative studies, a clinical professional consortium, surveys, and consensus meetings with interdisciplinary domain experts.RESULTS: The task force evaluated an initial list of 26 recommendations, ranking them in the order of priority. A consensus was reached on 15 recommendations, jwhich are classified into 6 domains of {"}awareness and knowledge,{"} {"}recognition and detection,{"} {"}evaluation,{"} {"}management,{"} {"}support,{"} and {"}services and policies.{"} Pragmatic options for implementation for each domain were then developed.CONCLUSION: This is the first set of international, interdisciplinary practice recommendations that will guide the development of multidisciplinary services and policy to improve the lives of people with dementia and hearing and vision impairment.",

author = "Jenna Littlejohn and Michael Bowen and Fofi Constantinidou and Piers Dawes and Christine Dickinson and Patricia Heyn and Emma Hooper and Tammy Hopper and Isabel Hubbard and Donna Langenbahn and Nieman, {Carrie L} and Manoj Rajagopal and Chryssoula Thodi and Barbara Weinstein and Walter Wittich and Iracema Leroi",

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Littlejohn, J, Bowen, M, Constantinidou, F, Dawes, P , Dickinson, C, Heyn, P, Hooper, E, Hopper, T, Hubbard, I, Langenbahn, D, Nieman, CL, Rajagopal, M, Thodi, C, Weinstein, B, Wittich, W & Leroi, I 2021, 'International Practice Recommendations for the Recognition and Management of Hearing and Vision Impairment in People with Dementia', Gerontology, pp. 1-15. https://doi.org/10.1159/000515892

TY - JOUR

T1 - International Practice Recommendations for the Recognition and Management of Hearing and Vision Impairment in People with Dementia

AU - Littlejohn, Jenna

AU - Bowen, Michael

AU - Constantinidou, Fofi

AU - Dawes, Piers

AU - Dickinson, Christine

AU - Heyn, Patricia

AU - Hooper, Emma

AU - Hopper, Tammy

AU - Hubbard, Isabel

AU - Langenbahn, Donna

AU - Nieman, Carrie L

AU - Rajagopal, Manoj

AU - Thodi, Chryssoula

AU - Weinstein, Barbara

AU - Wittich, Walter

AU - Leroi, Iracema

PY - 2021/6/4

Y1 - 2021/6/4

N2 - INTRODUCTION: Hearing, vision, and cognitive impairment commonly co-occur in older people. However, the rate of recognition and appropriate management of combined hearing and vision impairment in people with dementia impairment is low. The aim of this work was to codevelop internationally relevant, multidisciplinary practice recommendations for professionals involved in the diagnosis, care, and management of older people with these concurrent conditions.METHODS: We applied consensus methods with professional and lay expert stakeholders, using an adapted version of the World Health Organization Handbook for Guideline Development. The development involved 4 phases and included: (1) collating existing evidence, (2) filling the gaps in evidence, (3) prioritising evidence, and (4) refining the final list of recommendations. Each phase encompassed various methodologies including a review of existing guidelines within the 3 clinical domains, systematic reviews, qualitative studies, a clinical professional consortium, surveys, and consensus meetings with interdisciplinary domain experts.RESULTS: The task force evaluated an initial list of 26 recommendations, ranking them in the order of priority. A consensus was reached on 15 recommendations, jwhich are classified into 6 domains of "awareness and knowledge," "recognition and detection," "evaluation," "management," "support," and "services and policies." Pragmatic options for implementation for each domain were then developed.CONCLUSION: This is the first set of international, interdisciplinary practice recommendations that will guide the development of multidisciplinary services and policy to improve the lives of people with dementia and hearing and vision impairment.

AB - INTRODUCTION: Hearing, vision, and cognitive impairment commonly co-occur in older people. However, the rate of recognition and appropriate management of combined hearing and vision impairment in people with dementia impairment is low. The aim of this work was to codevelop internationally relevant, multidisciplinary practice recommendations for professionals involved in the diagnosis, care, and management of older people with these concurrent conditions.METHODS: We applied consensus methods with professional and lay expert stakeholders, using an adapted version of the World Health Organization Handbook for Guideline Development. The development involved 4 phases and included: (1) collating existing evidence, (2) filling the gaps in evidence, (3) prioritising evidence, and (4) refining the final list of recommendations. Each phase encompassed various methodologies including a review of existing guidelines within the 3 clinical domains, systematic reviews, qualitative studies, a clinical professional consortium, surveys, and consensus meetings with interdisciplinary domain experts.RESULTS: The task force evaluated an initial list of 26 recommendations, ranking them in the order of priority. A consensus was reached on 15 recommendations, jwhich are classified into 6 domains of "awareness and knowledge," "recognition and detection," "evaluation," "management," "support," and "services and policies." Pragmatic options for implementation for each domain were then developed.CONCLUSION: This is the first set of international, interdisciplinary practice recommendations that will guide the development of multidisciplinary services and policy to improve the lives of people with dementia and hearing and vision impairment.

U2 - 10.1159/000515892

DO - 10.1159/000515892

M3 - Article

C2 - 34091448

SN - 0304-324X

SP - 1

EP - 15

JO - Gerontology

JF - Gerontology

ER -

International Practice Recommendations for the Recognition and Management of Hearing and Vision Impairment in People with Dementia

Abstract

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Projects

Manchester Centre for Audiology and Deafness (ManCAD)

Research output

Understanding hearing and sight problems and their link to dementia

Cite this