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证据较为零散。为深化对面对面口头对话中聆听困难体验的认知，本综述旨在系统梳理当前已有的相关证据，重点聚焦行为与情感反应维度。本研究遵循PRISMA-ScR指南开展范围综述。研究通过对5个学术数据库进行系统检索，并辅以参考文献追溯筛选纳入文献。采用主题合成法对研究数据进行整理与凝练，形成明确的主题与类别体系。本次综述纳入的文献均围绕成人在面对面对话中应对聆听困难的行为和/或情感反应展开。本次文献检索共初筛得到8503项研究，最终纳入81项符合标准的研究。研究识别出听力损失人群、听力正常人群及沟通伙伴的各类应对反应，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高度重合。然而，当前关于听力正常人群应对聆听困难的相关证据仍较为匮乏，提示亟需开展更多对比研究以填补这一空白。