Responses to listening difficulty in in-person conversation: a scoping review of primary evidence

Existing evidence regarding the ways in which people with hearing loss respond to listening difficulty in verbal conversation is fragmented. To advance understanding of the experience of listening difficulty in in-person verbal conversation, this review seeks to map the current evidence, focusing on behavioural and affective responses. Scoping review following PRISMA-ScR guidelines. Articles were identified through systematic searches in five reference databases, and through reference checking. Thematic synthesis was used to collate and condense data into distinct themes and categories. Literature examining adults’ behavioural, and/or affective responses to listening difficulty in in-person conversation. The literature search identified 8503 studies, and 81 were selected for inclusion. Responses from people with hearing loss, people with normal hearing, and communication partners were identified, and were assembled into five themes, each consisting of multiple categories. People with hearing loss and their communication partners respond to listening difficulty in conversation in a wide range of ways, covering diverse aspects of communication. People with normal hearing report most of the same response types as people with hearing loss. Nevertheless, there is a paucity of evidence regarding responses of people with normal hearing, indicating a need for more comparative studies.

现有关于听力损失人群在口头对话中应对聆听困难的相关研究证据仍较为零散。为加深人们对面对面口头对话中聆听困难体验的理解，本综述旨在梳理当前相关证据，重点关注行为与情感层面的应对反应。本研究为遵循PRISMA-ScR指南的范围综述。研究通过在5个参考文献数据库中开展系统性检索，并结合参考文献追溯的方式筛选文献。本研究采用主题合成法对数据进行整理与凝练，将其归纳为不同的主题与类别。纳入文献均聚焦于成年人在面对面对话中应对聆听困难时的行为及/或情感反应。文献检索共检出8503项研究，最终纳入81项。研究梳理了听力损失人群、听力正常人群及沟通伙伴的应对反应，并将其归纳为5个主题，每个主题下设多个子类别。听力损失人群及其沟通伙伴在对话中应对聆听困难的方式多样，涵盖沟通活动的多个维度。听力正常人群报告的应对反应类型与听力损失人群基本一致。然而，目前关于听力正常人群应对反应的相关证据仍较为匮乏，提示未来需开展更多对比性研究。