{"doi":"10.1093/gerona/glae193","title":"Effect of Hearing Intervention Versus Health Education Control on Fatigue: A Secondary Analysis of the ACHIEVE Study","abstract":"BACKGROUND: Fatigue is a common complaint among older adults with hearing loss. The impact of addressing hearing loss on fatigue symptoms has not been studied in a randomized controlled trial. In a secondary analysis of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study, we investigated the effect of hearing intervention versus health education control on 3-year change in fatigue in community-dwelling older adults with hearing loss. METHODS: Participants aged 70-84 years old with untreated hearing loss recruited across 4 study sites in the United States (Forsyth County, North Carolina; Jackson, Mississippi; Minneapolis, Minnesota; Washington County, Maryland) were randomized (1:1) to hearing intervention or health education control and followed for 3 years. Three-year change in fatigue symptoms was measured by 2 instruments (RAND-36 and PROMIS). We estimated the intervention effect as the difference in the 3-year change in fatigue between intervention and control groups using a linear mixed-effects model under the intention-to-treat principle. RESULTS: Participants (n = 977) had a mean age (SD) of 76.8 (4.0) years, were 53.5% female and 87.8% White. Over 3 years, a beneficial effect of the hearing intervention versus health education control on fatigue was observed using the RAND-fatigue score (β = -0.12 [95% CI: -0.22, -0.02]). Estimates also suggested beneficial effect of hearing intervention on fatigue when measured by the PROMIS-fatigue score (β = -0.32 [95% CI: -1.15, 0.51]). CONCLUSIONS: Our findings suggest that hearing intervention may reduce fatigue over 3 years among older adults with hearing loss.","journal":"The Journals of Gerontology Series A","year":2024,"id":501731,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9566,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1091387,"name":"Wuyang Zhang","orcid":"0009-0007-8726-6520","position":1,"is_corresponding":false},{"id":633203,"name":"Alison Huang","orcid":"0000-0003-0193-1133","position":2,"is_corresponding":false},{"id":913558,"name":"Michelle Arnold","orcid":"0000-0002-5633-3715","position":3,"is_corresponding":false},{"id":730810,"name":"Sheila Burgard","orcid":null,"position":4,"is_corresponding":false},{"id":1014063,"name":"Theresa H. Chisolm","orcid":"0000-0001-7726-1952","position":5,"is_corresponding":false},{"id":250083,"name":"David Couper","orcid":"0000-0002-4313-9235","position":6,"is_corresponding":false},{"id":482269,"name":"Jennifer A. Deal","orcid":"0000-0002-6985-048X","position":7,"is_corresponding":false},{"id":732754,"name":"Sarah P. Faucette","orcid":"0000-0003-4006-5717","position":8,"is_corresponding":false},{"id":757639,"name":"Adele M. Goman","orcid":"0000-0002-5084-0185","position":9,"is_corresponding":false},{"id":130042,"name":"Nancy W. Glynn","orcid":"0000-0003-2265-0162","position":10,"is_corresponding":false},{"id":407423,"name":"Theresa Gmelin","orcid":"0000-0003-1507-6297","position":11,"is_corresponding":false},{"id":595360,"name":"Lisa Gravens‐Mueller","orcid":null,"position":12,"is_corresponding":false},{"id":258460,"name":"Kathleen M. 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Lin","orcid":"0000-0002-6458-1196","position":22,"is_corresponding":false},{"id":663541,"name":"Pablo Martínez-Amezcua","orcid":"0000-0002-3076-0946","position":23,"is_corresponding":false},{"id":1351033,"name":"Sarah Y. Bessen","orcid":"0000-0003-4588-827X","position":0,"is_corresponding":true}],"reference_count":52,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:10:15.999370Z","pmid":"39093692","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}