Abstract：
BACKGROUND: Hearing loss poses a significant public health challenge as a common chronic condition with many known side effects that are often worse when left untreated. Aural rehabilitation (AR) is an umbrella term that encompasses a range of interventions (e.g., informational counseling and perceptual training) designed to reduce deficits related to hearing loss that may stand alone or be used in combination as part of a holistic plan.
OBJECTIVE: This evidence-based clinical practice guideline is intended to inform the implementation of person-centered AR to adults with hearing loss. Given the well-known benefits of sensory management, it was not included within the scope of this guideline. The recommendations aim to help clinicians, individuals with hearing loss, and other stakeholders make evidence-informed treatment decisions and improve clinical outcomes, as well as provide payers and policymakers with information detailing a comprehensive approach to AR.
METHODS: The American Speech-Language-Hearing Association (ASHA) and a multidisciplinary panel of subject matter experts prioritized key clinical questions and outcomes that served as the foundation of the guideline. The clinical recommendations were based on a comprehensive systematic review and a meta-analysis of 85 studies published between 1978 and 2021.
CONCLUSIONS: Given the current state of the evidence, resource considerations, patient acceptability, clinical feasibility, and the overall balance of benefits and harms, ASHA developed several evidence-based recommendations for the provision of AR to adults with hearing loss. Each recommendation is accompanied by a series of key practice points to support its implementation within a person-centered framework.
OBJECTIVE: This evidence-based clinical practice guideline is intended to inform the implementation of person-centered AR to adults with hearing loss. Given the well-known benefits of sensory management, it was not included within the scope of this guideline. The recommendations aim to help clinicians, individuals with hearing loss, and other stakeholders make evidence-informed treatment decisions and improve clinical outcomes, as well as provide payers and policymakers with information detailing a comprehensive approach to AR.
METHODS: The American Speech-Language-Hearing Association (ASHA) and a multidisciplinary panel of subject matter experts prioritized key clinical questions and outcomes that served as the foundation of the guideline. The clinical recommendations were based on a comprehensive systematic review and a meta-analysis of 85 studies published between 1978 and 2021.
CONCLUSIONS: Given the current state of the evidence, resource considerations, patient acceptability, clinical feasibility, and the overall balance of benefits and harms, ASHA developed several evidence-based recommendations for the provision of AR to adults with hearing loss. Each recommendation is accompanied by a series of key practice points to support its implementation within a person-centered framework.
摘要：
背景：听力损失是一种常见的慢性疾病，具有许多已知的副作用，如果不治疗，通常会更糟。听觉康复(AR)是一个涵盖一系列干预措施的总称(例如，信息咨询和感知训练）旨在减少与听力损失有关的缺陷，这些缺陷可能是单独使用的，也可能是整体计划的一部分。
目的：本循证临床实践指南旨在为听力损失成人实施以人为中心的AR。鉴于众所周知的感官管理的好处，它不包括在本指南的范围内。这些建议旨在帮助临床医生，有听力损失的人，和其他利益相关者做出循证治疗决策并改善临床结果，以及向付款人和政策制定者提供详细说明AR综合方法的信息。
方法：美国言语-语言-听力协会（ASHA）和多学科主题专家小组优先考虑关键临床问题和结果，作为指南的基础。临床建议基于对1978年至2021年间发表的85项研究的全面系统评价和荟萃分析。
结论：鉴于证据的当前状态，资源考虑，患者可接受性,临床可行性，以及利弊的总体平衡，ASHA提出了一些基于证据的建议，为听力损失的成年人提供AR。每一项建议都附有一系列关键实践要点，以支持在以人为本的框架内实施。
目的：本循证临床实践指南旨在为听力损失成人实施以人为中心的AR。
方法：美国言语-语言-听力协会（ASHA）和多学科主题专家小组优先考虑关键临床问题和结果，作为指南的基础。
结论：鉴于证据的当前状态，
