Hearing Loss and Its Association with Clinical Practice at Dental University Students Through Mobile APP: A Longitudinal Study

The COVID-19 pandemic has significantly impacted daily activities worldwide. University students may have experienced substantial changes in daily living as a result of restrictions on university attendance. The return to normalcy may take a long time, and understanding the influence that shifts in daily routines have had on the lifestyles of university students may inform approaches to support overall well-being. We analyzed changes in the lifestyles of students enrolled at a health sciences university during the COVID-19 pandemic. This longitudinal study took place at the Faculty of Medicine and Nursing in the University of the Basque Country in Spain, and the final sample consisted of 113 nursing students, 109 medical students, and 45 physiotherapy students. Our results demonstrate changes in lifestyles of university students during the pandemic. MedDiet adherence scores and the percentage of students with high adherence increased during the pandemic. This increase was due to the increased consumption of vegetables and nuts. In terms of physical activity, the practice of moderate and intense physical activity was maintained. These results provide important information for both public health authorities and educational institutions to guide strategies to maintain the well-being of students and enhance opportunities for young adults to lead a healthy lifestyle.

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Service Delivery to Children With Mild Hearing Loss: Current Practice Patterns and Parent Perceptions

American Journal of Audiology ◽

10.1044/2016_aja-16-0063 ◽

2017 ◽

Vol 26 (1) ◽

pp. 38-52 ◽

Cited By ~ 8

Author(s):

Elizabeth A. Walker ◽

Meredith Spratford ◽

Sophie E. Ambrose ◽

Lenore Holte ◽

Jacob Oleson

Keyword(s):

Hearing Loss ◽

Clinical Practice ◽

Early Intervention ◽

Service Delivery ◽

Current Practice ◽

Practice Patterns ◽

Parent Perceptions ◽

Parent Perception ◽

Newborn Hearing ◽

Mild Hearing Loss

Purpose This study investigates clinical practice patterns and parent perception of intervention for children with mild hearing loss (HL). Method Ages at and delays between service delivery steps (first diagnostic evaluation, confirmation of HL, hearing aid [HA] fitting, entry into early intervention) were investigated for 113 children with mild HL. Comparisons were made to children with moderate-to-severe HL. Parents of children with mild HL reported reasons for delays and their perceptions of intervention and amplification for their children. Results Seventy-four percent of children with mild HL were identified through the newborn hearing screen; 26% were identified later due to passing or not receiving a newborn hearing screen. Ninety-four percent of children with mild HL were fit with HAs, albeit at significantly later ages than children with moderate-to-severe HL. Most parents indicated that their children benefited from HA use, but some parents expressed ambivalence toward the amount of benefit. Conclusions Audiologists appear to be moving toward regularly providing amplification for children with mild HL. However, delays in HA fittings indicate that further educating professionals and parents about the benefits of early amplification and intervention is warranted to encourage timely fitting and consistent use of HAs.

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Analysis of Mobile App Usage Preferences of University Students in Eastern Bhutan

SSRN Electronic Journal ◽

10.2139/ssrn.3808491 ◽

2020 ◽

Author(s):

Pavan Kumar P ◽

Deepika Gowlikar

Keyword(s):

University Students ◽

Mobile App

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Bidirectional Association Between Depression and Hearing Loss: Evidence From the China Health and Retirement Longitudinal Study

Journal of Applied Gerontology ◽

10.1177/07334648211042370 ◽

2021 ◽

pp. 073346482110423

Author(s):

Chao Wu

Keyword(s):

Hearing Loss ◽

Longitudinal Study ◽

Cognitive Decline ◽

Age Related ◽

Bidirectional Association ◽

Health Related ◽

Clinically Significant ◽

Using Data ◽

Bidirectional Associations ◽

Age Related Hearing Loss

The relationship between depression and age-related hearing loss (ARHL) is not fully understood. This study tested the bidirectional associations between clinically significant depressive symptoms (CSDSs) and ARHL in middle-aged and older adults using data from the China Health and Retirement Longitudinal Study. Among 3,418 participants free of baseline ARHL, baseline CSDS was associated with an increased odds of incident ARHL (odds ratio [OR]: 1.51). Cognitive decline, BMI, and arthritis partially mediated the longitudinal CSDS–ARHL association and explained 24% of the variance in the total effect. Among 4,921 participants without baseline CSDS, baseline ARHL was associated with an increased odds of incident CSDS (OR: 1.37). The bidirectional associations remained significant after adjustments for baseline demographic factors, comorbidities, and other health-related covariates. Depression may contribute to the development of ARHL, and vice versa. Interventions in depression, cognitive decline, and arthritis may delay the onset of ARHL and break the vicious circle between them.

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Adherence to evidence-based pressure injury prevention guidelines in routine clinical practice: a longitudinal study

International Wound Journal ◽

10.1111/iwj.12798 ◽

2017 ◽

Vol 14 (6) ◽

pp. 1290-1298 ◽

Cited By ~ 4

Author(s):

Wendy Chaboyer ◽

Tracey Bucknall ◽

Brigid Gillespie ◽

Lukman Thalib ◽

Elizabeth McInnes ◽

...

Keyword(s):

Clinical Practice ◽

Longitudinal Study ◽

Injury Prevention ◽

Routine Clinical Practice ◽

Evidence Based ◽

Pressure Injury ◽

Prevention Guidelines ◽

Pressure Injury Prevention

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Longitudinal Study of Hearing Aid Effectiveness. I

Journal of Speech Language and Hearing Research ◽

10.1044/jshr.3604.808 ◽

1993 ◽

Vol 36 (4) ◽

pp. 808-819 ◽

Cited By ~ 30

Author(s):

Ruth A. Bender ◽

Diane P. Niebuhr ◽

Janet P. Getta ◽

Charles V. Anderson

Keyword(s):

Hearing Loss ◽

Longitudinal Study ◽

Nonsense Syllable ◽

Hearing Aid ◽

Aid Effectiveness ◽

Training Effect ◽

Speech Perception In Noise ◽

Objective Tests ◽

Recognition Testing

This report is the first of two detailing a longitudinal follow-up of hearing aid users. Sixty-five subjects were followed for 12 months post-hearing aid fitting. Objective tests included insertion gain, the Speech Perception in Noise (SPIN) test (Kalikow, Stevens & Elliott, 1977; Bilger, Neutzel, Rabinowitz, & Rzeczkowski, 1984) and the Nonsense Syllable Test (NST) (Levitt & Resnick, 1978) presented in quiet and noise backgrounds. Initially each subject’s hearing aid was fit to the revised National Acoustic Laboratories prescriptive formula (NAL-R) (Byrne & Dillon, 1986) using insertion gain measures. Use gain, measured at 6 and 12 months post-fitting, indicated that subjects generally used those prescribed values, except for subjects in the steeply sloping configuration subgroup. The NST and SPIN tests were administered at the fitting and at 1, 3, 6, and 12 months post-fitting. No change in performance, or training effect, was found for the group or for factors of experience, degree of hearing loss, configuration of hearing loss, use time, or circuit type. Failure to demonstrate a training effect may be attributed, in part, to the fact that initial speech recognition testing was done with the hearing aid volume set at the prescribed values. None of the circuits used showed performance superiority, except when comparing scores for the NST obtained in a quiet background to those obtained in a background of speech-weighted noise. In that comparison, the users of adaptive filter circuits exhibited less deterioration of performance in a noise background.

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Comparing a Mobile Decision Support System Versus the Use of Printed Materials for the Implementation of an Evidence-Based Recommendation: Protocol for a Qualitative Evaluation (Preprint)

10.2196/preprints.9827 ◽

2018 ◽

Author(s):

Jhon Camacho ◽

Ana María Medina Ch. ◽

Zach Landis-Lewis ◽

Gerald Douglas ◽

Richard Boyce

Keyword(s):

Clinical Practice ◽

Decision Support ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Mobile App ◽

Second Phase ◽

Evidence Based ◽

Clinical Algorithm ◽

Qualitative Evidence ◽

Printed Materials

BACKGROUND The distribution of printed materials is the most frequently used strategy to disseminate and implement clinical practice guidelines, although several studies have shown that the effectiveness of this approach is modest at best. Nevertheless, there is insufficient evidence to support the use of other strategies. Recent research has shown that the use of computerized decision support presents a promising approach to address some aspects of this problem. OBJECTIVE The aim of this study is to provide qualitative evidence on the potential effect of mobile decision support systems to facilitate the implementation of evidence-based recommendations included in clinical practice guidelines. METHODS We will conduct a qualitative study with two arms to compare the experience of primary care physicians while they try to implement an evidence-based recommendation in their clinical practice. In the first arm, we will provide participants with a printout of the guideline article containing the recommendation, while in the second arm, we will provide participants with a mobile app developed after formalizing the recommendation text into a clinical algorithm. Data will be collected using semistructured and open interviews to explore aspects of behavioral change and technology acceptance involved in the implementation process. The analysis will be comprised of two phases. During the first phase, we will conduct a template analysis to identify barriers and facilitators in each scenario. Then, during the second phase, we will contrast the findings from each arm to propose hypotheses about the potential impact of the system. RESULTS We have formalized the narrative in the recommendation into a clinical algorithm and have developed a mobile app. Data collection is expected to occur during 2018, with the first phase of analysis running in parallel. The second phase is scheduled to conclude in July 2019. CONCLUSIONS Our study will further the understanding of the role of mobile decision support systems in the implementation of clinical practice guidelines. Furthermore, we will provide qualitative evidence to aid decisions made by low- and middle-income countries’ ministries of health about investments in these technologies.

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