Scoping review of aural rehabilitation based on communication partnership for older adults with hearing loss

Abstract

ObjectivesThis scoping review provides an overview of aural rehabilitation with communication partners and analyses it using the Dyadic Regulation Connectivity Model.DesignA scoping reviewMethodsOf 2,808 studies retrieved from five electronic databases up to August 2025, 17 were selected. These studies were analysed for aural rehabilitation content, implementation strategies, and partner roles. A theory-based analysis further examined Representations, Coping Behaviours, and Outcome hubs within the Dyadic Regulation Connectivity Model.ResultsFamily members were the most common communication partners of older adults with hearing loss. Aural rehabilitation programs included auditory training, communication strategy training, and individual or group lectures. Most aural rehabilitation interventions were multimodal, with varying levels of partnership (Representations). In terms of Coping Behaviours, patients and their partners developed strategies to manage hearing loss and adapted their behaviours accordingly. Aural rehabilitation interventions improved patients' communication ability despite hearing loss and related challenges. Although aural rehabilitation improved partners' knowledge, attitudes, and responses towards hearing loss, few studies examined interaction or interdependence (Outcomes).ConclusionsTheory-based aural rehabilitation may foster effective communication partnerships for older adults. Future research should define the active roles of partners, incorporate dyadic aural rehabilitation components, and evaluate partners' outcomes.