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Prevalence of hearing impairment is quite common in people with learning disabilities (double jeopardy). However, this debilitating co‐morbidity remains largely undetected by carers and professionals due to presence of additional disabilities and complex clinical presentation in this population on the one hand, and lack of specialist hearing impairment service provision and difficulty in accessing generic audiology services on the other hand. This article aims to provide practical guidance on assessment and management of hearing impairment in people with learning disabilities by offering a narrative review of available literature on gaps in service delivery.

Hearing impaired users often find it difficult to listen to voice over television, computer or public announcement systems due to background noise, music or poor sound quality. This paper presents a hearing impairment simulator that can help digital content developers to understand the auditory perception of hearing impaired users. Existing hearing impairment simulations often fail to publish results on validation or running the system on stored files. The present work describes validation result on a hearing impairment simulator and link to download the system that can simulate any sound stored as a wav file.

This work presents a simulator with a downloadable link to the software and results on a couple of user trials involving users with varying degrees of hearing impairment validating the system. The simulator also simulates frequency smearing which is not available in most online hearing impairment simulators. The simulator is part of a bigger project which also involves simulating visual, cognitive and motor impairment.

The result shows the present implementation can accurately simulate hearing perception for spoken voice. It also demonstrates that both frequency attenuation based on audiogram response and smearing are needed for accurate simulation as random frequency attenuation does not distort the sound well enough to be inaudible.

It should be noted that this simulation is not accurate enough to be used for medical purpose, rather aims to be an engineering tool to simulate approximately correct auditory perception of hearing impaired people. However, like other researches on user modelling and simulation in HCI, this simulator aims to enhance the design space where designers can optimize volume and quality of sound output and if necessary of background music or noise.

This paper presents a hearing impairment simulator that can help digital content developers to judge the sound quality of their content for hard of hearing users.

Existing literature on hearing impairment simulators either presents a software without detailed result on validation or focuses on detailed theoretical results on psychology without any easy deployable software. Most existing software also does not allow running simulation on stored file which limits their purpose. This work presents a simulator with a downloadable link to the software and results on a couple of user trials involving users with varying degrees of hearing impairment validating the system. The simulator also simulates frequency smearing which is not available in most online hearing impairment simulators.

This paper explores the findings from a recent study about the assessment and management of care for older people who may have a sensory impairment. Using qualitative research methods, the work focused on non‐specialist practitioners who are responsible for the assessment and management of care for older people and their carers. The findings are based upon the analysis of in‐depth interviews with non‐specialist practitioners, specialist workers and managers from statutory and voluntary sector agencies. Older people with a hearing impairment or a visual impairment are not a homogenous group of people with a single set of needs or service support networks. It is the existence of non‐specialist practitioners, carrying out the assessment and management of care for older people that draw together in one study the three areas of visual impairment, hearing impairment and dual impairment. The findings relate to practitioners' awareness of sensory impairment in their local community; how practitioners assess and manage care; access to services; staff training and development; and, information strategies. The interface between non‐specialists and practitioners with particular expertise in sensory impairment is also examined. The implications for policy and practice are identified.

Developing countries are endeavoring to advance into the 21st century information age. Their progress, however, is hamstrung by the dire lack of trained, skilled and knowledgeable IS workers who are able to interact with online and off‐line information sources. These countries can tap from the rich intellectual capital lying dormant within the ranks of disabled people to boost the pool of IS workers in their societies. However, before developing countries can draw on the information systems capabilities of disabled workers, these workers themselves must be able to function at par with their able‐bodied counterparts as information workers. This presupposes the availability of special‐purpose information systems devices and approaches developed for disabled users. In this paper, therefore, we examine several issues that are pertinent to IS and disabled people in developing countries, and propose an integrated infrastructure to enhance the interaction of disabled people with on‐line information sources. The study includes issues related to the suitability of different interaction methodologies and technologies for people with disabilities. Additionally, we propose the design of customized interfaces that can be used by disabled people to develop Web‐based database applications and to access and query on‐line databases.

The purpose of this paper is to address how virtual learning environments (VLEs) can be designed to include the needs of learners with multiple disabilities. Specifically, it employs AI to show how specific learning materials from a huge repository of learning materials can be recommended to learners with various disabilities. This is made possible through employing semantic web technology to model the learner and their needs.

The paper reviews personalised learning for students with disabilities, revealing the shortcomings of existing e-learning environments with respect to students with multiple disabilities. It then proceeds to show how the needs of a student with multiple disabilities can be analysed and then simple logical operators and knowledge-based rules used to personalise learning materials in order to meet the needs of such students.

It has been acknowledged in literature that designing for cases of multiple disabilities is difficult. This paper shows that existing learning environments do not consider the needs of students with multiple disabilities. As they are not flexibly designed and hence not adaptable, they cannot meet the needs of such students. Nevertheless, it is possible to anticipate that students with multiple disabilities would use learning environments, and then design learning environments to meet their needs.

This paper, by presenting various combination rules to present specific learning materials to students with multiple disabilities, lays the foundation for the design and development of learning environments that are inclusive of all learners, regardless of their abilities or disabilities. This could potentially stimulate designers of such systems to produce such inclusive environments. Hopefully, future learning environments will be adaptive enough to meet the needs of learners with multiple disabilities.

This paper, by proposing a solution towards developing inclusive learning environments, is a step towards inclusion of students with multiple disabilities in VLEs. When these students are able to access these environments with little or no barrier, they will be included in the learning community and also make valuable contributions.

So far, no study has proposed a solution to the difficulties faced by students with multiple disabilities in existing learning environments. This study is the first to raise this issue and propose a solution to designing for multiple disabilities. This will hopefully encourage other researchers to delve into researching the educational needs of students with multiple disabilities.

Hearing aid (HA) using is an option for enhancing the sound transmission. It effectively improves hearing ability during communication. In Thailand, two-third of hearing impaired persons were elders, while the utilization of an HA was low. This study aims to explore how the decision was made on the use of HA among the hearing impaired elderly.

Mixed-methods sequential explanatory design was used by starting with a retrospective study to identify the prevalence of HA use and influencing factors including demographic and clinical data. Total, 199 elders with moderate to severe hearing impairment were enrolled. Qualitative data collection for thematic analysis was conducted by interviewing 28 participants to reveal elders’ subjective reasoning.

It was found that 25.63% of elders used an HA, whereas age, types of health insurance and disability registration were significant influencing factors. Six themes of subjective reasoning emerged including social activities, disability perspective, social support, medical and personnel, rights and accessibility and benefit of HA, which determined the elders’ decisions on HA use.

This study broadened insights of the elders’ decision process on HA use, which was mutually made by both health-care professional and care recipients. The elders themselves would make the final decision. Not only objective indications but also subjective reasoning of users played significant roles on HA acquisition. To enhance HA use among hearing impaired elders, patient engagement in decision-making was crucial while hearing counselling and elimination of reimbursement barriers became essential.

The purpose of this paper is to provide insights on the most hindering barriers that sight and hearing impaired passengers face when using public transport services. Furthermore, possible convenient solutions to the identified problems shall be presented. To allow for an understanding of these propositions a short introduction and clear definition on sight and hearing impairment is provided.

First a clear definition of sight and hearing impairment is developed to delimit from blind and “normal” persons. A two phase approach was utilized where in the first step qualitative interviews were conducted and the findings were then evaluated based on a literature review.

The authors found a wide variety of different problems being imposed on impaired passengers that could be segmented into four categories (“stops and stations”, “vehicles”, “general mobility problems” and “public awareness”). Additionally multiple solutions to each of these barriers are presented and the main target group is indicated.

Further research is required in the perception of the impaired on specific barriers and solutions, which was only qualitatively provided in this study. Additionally the attitude and awareness of public transport companies towards the recognition of sight and hearing impaired as a specific target group and the implementation of solutions for them are important factors that are not investigated as of yet.

As public transport is an ever more important factor in everyday life, the responsible authorities should be made aware of the specific problems imposed on sight and hearing impaired persons. Therefore, this paper provides a first comprehensive list of barriers with convenient solutions that should be considered for a barrier‐free public transport system.

This paper provides a first introduction of barriers and possible solutions for sight and hearing impaired passengers in public transport systems. Therefore, authorities and public transport companies looking for options to improve their services can lean on these results.

The purpose of this paper is to explore audiologists, views and experiences of working with older adults with dementia.

An online survey was distributed to audiologists working in the UK NHS and private sector via their professional organisations. A total of 312 audiologists took part in the study. The survey collected both quantitative and qualitative data. Basic descriptive statistics summarised the quantitative responses. The qualitative data were analysed using conventional thematic approaches.

The quantitative data demonstrated that the vast majority of audiologists had treated someone with dementia (96 per cent). Despite this, 65 per cent of respondents did not feel adequately supported to help this service user population. Four overarching themes were used to explain the qualitative data: integrated and individualised care; formal (including training) vs experiential knowledge; the interaction between dementia and hearing and using the technology.

The self-selecting nature of the sample is a limitation which needs to be taken into account when considering the transferability and implications of the findings.

Given the anticipated increase in rates of dementia within the population and the potential for hearing impairment to exacerbate the symptoms; this study highlights the unique role audiologists have. The need for more training and development for this professional group is also identified.

This is one of the first papers to explore audiologists, views and experiences of working with people with dementia. As such, it highlights some interesting areas worthy of further research using both quantitative and qualitative methods.

The purpose of this paper is to investigate the mediating role of psychological problems (stress, anxiety, depression) between hearing impairment (HI) and tinnitus in tinnitus patients. Sample comprised of 110 patients (male, n=70; female, n=40).

The purposive sampling technique was used based on correlational design. Two scales, tinnitus handicap inventory developed by Newman et al. (1996), and depression, anxiety and stress scale developed by Lovibond and Lovibond (1995), were employed to assess tinnitus, anxiety, stress and depression among tinnitus patients.

The study revealed that tinnitus was positively significant correlated with depression (r=0.55, p<0.001), anxiety (r=0.63, p<0.001), stress (r=0.54, p<0.001) and hearing loss (r=0.81, p<0.001). The results also revealed that hearing loss was positively significant predictor for tinnitus (β=20.72, p<0.001). Further, it was revealed that tinnitus was positively significant predicted by anxiety (β=2.62, p<0.001), stress (β=2.33, p<0.001) and depression (β=2.71, p<0.001); the interaction between psychological symptoms and hearing loss was negatively significant predictor for stress (β=−0.51, p<0.001), anxiety (β=−0.57, p<0.001) and depression (β=−0.62, p<0.001). Moreover, it was revealed that female tinnitus patients were more predisposed to stress, anxiety and depression as compared to male tinnitus patients. Results also elaborated that those tinnitus patient who had profound HI were less inclined toward psychological problems as compared to those tinnitus patients who had mild to moderate level of HI. This study would be helpful for the clinical setting to tackle the psychological problems of tinnitus patients.

This study consisted on population from urban cities of Pakistan; therefore, the findings cannot be generalized on overall population. In future, descriptive as well as experimental studies will be beneficial to describe the mechanism of tinnitus across gender in detail. Native tool for measuring gender-related problems would be effective in future as it integrates cultural aspects as well.

There is a consensus across researchers that tinnitus is one of the most important biological problem which initiates various other psychological problem (Minen et al., 2014; Vogel et al., 2014). Numerous studies have been conducted to find out the relationship of tinnitus with various psychological and biological factors (Boi et al., 2012; Li et al., 2014; Marciano et al., 2003; McCormack et al., 2015; Møller et al., 2010; Udupi et al., 2013; Zöger et al., 2006).