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        <identifier>oai:figshare.com:article/34017224</identifier>
        <datestamp>2026-09-28T17:43:41Z</datestamp>
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          <dc:title>Effect of selected components of aural rehabilitation delivered in-person versus guided internet-based modalities on quality of life in adults with hearing loss: a systematic review and meta-analyses</dc:title>
          <dc:creator>Gudambe Nellithaya Spoorthi (25132793)</dc:creator>
          <dc:creator>Usha Shastri (23251648)</dc:creator>
          <dc:creator>Kaushlendra Kumar (1437883)</dc:creator>
          <dc:creator>Mohan Kumar Kalaiah (23251651)</dc:creator>
          <dc:creator>Kavassery Venkateswaran Nisha (16987122)</dc:creator>
          <dc:creator>Nitya Sridhar (23251645)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>Biotechnology</dc:subject>
          <dc:subject>Biological Sciences not elsewhere classified</dc:subject>
          <dc:subject>Science Policy</dc:subject>
          <dc:subject>Mental Health</dc:subject>
          <dc:subject>Auditory training</dc:subject>
          <dc:subject>quality of life</dc:subject>
          <dc:subject>hearing handicap</dc:subject>
          <dc:subject>informational counselling</dc:subject>
          <dc:subject>mental health</dc:subject>
          <dc:subject>adults with hearing loss</dc:subject>
          <dc:subject>hearing loss intervention</dc:subject>
          <dc:description>&lt;p&gt;This systematic review and meta-analysis compared the effects of specific components of aural rehabilitation delivered in-person and guided internet-based modalities on the quality of life (QoL) of adults with acquired hearing loss.&lt;/p&gt; &lt;p&gt;Articles published up to August 2025 in scientific databases– PubMed, Cochrane Library, Scopus, and Web of Science were searched. A search strategy was built using terms associated with aural rehabilitation, offline, online, internet, tele-audiology, hearing loss, and adults and was tailored to the subject headings and syntax of each database.&lt;/p&gt; &lt;p&gt;Among the 6,646 studies retrieved, 49 met the inclusion criteria.&lt;/p&gt; &lt;p&gt;This systematic review included 49 studies, 12 of which were included in the meta-analyses. In-person aural rehabilitation showed a medium effect size, while internet-based aural rehabilitation showed a small but statistically significant improvement in hearing-related QoL measures. In terms of health-related QoL, only internet-based but not in-person aural rehabilitation had a small statistically significant improvement.&lt;/p&gt; &lt;p&gt;These findings indicate that adults with hearing loss benefit from both in-person and internet-based aural rehabilitation regarding hearing-related QoL outcomes. More investigations are needed to understand the effectiveness of particular components of aural rehabilitation in improving the health-related QoL of adults with hearing loss.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-28T17:43:41Z</dc:date>
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          <dc:identifier>10.6084/m9.figshare.34017224.v1</dc:identifier>
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          <dc:rights>CC BY-NC-ND 4.0</dc:rights>
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