![]() However, interest in these services for adult clients has been reported to be on a decline since the 1970s (Schow, Balsara, Smedley & Whitcomb, 1993). ![]() These services were organised into three main components of a comprehensive aural rehabilitation programme, including sensory management, communication training and counselling ( Figure 1) (Boothroyd, 2007). In accordance with this definition, the current study adapted a list of services from the study conducted by Prendergast and Kelly ( 2002), who investigated the provision of various aspects of aural rehabilitation services by audiologists. Aural rehabilitation may help reduce participation limitation and facilitate better personal and environmental strategies to reduce the disabling effects of hearing loss (WHO, 2001).Īural rehabilitation is defined as ‘any device, procedure, information, interaction, or therapy which lessens the communicative and psychosocial consequences of a hearing loss’ (Ross, cited in Bally & Bakke, 2007, p. Such difficulties may be effectively managed through aural rehabilitation provided by audiologists (Tye-Murray, 2009). These adults are at risk of experiencing hearing-related communication difficulties such as poor speech discrimination and reduced access to environmental sounds (Heine & Browning, 2002), emotional withdrawal (Pronk et al., 2011) and poor quality of life (Joore, Potjewijd, Timmerman & Anteunis, 2002). Adult South Africans are exposed to many possible causes of hearing loss such as excessive noise, ototoxic medication and diseases such as HIV-AIDs that lead to hair cell damage (Khoza & Ross, 2002). It was reportedly the third most prevalent disability in 2007 in South Africa (Statistic South Africa, 2007). Hearing loss in adults is one of the most common disabilities globally (World Health Organization, 2011), especially in countries in sub-Saharan Africa (Adoga, Nimkur & Silas, 2010).
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