scholarly journals A Utilização do Questionário HHIE-S Associado à Avaliação Audiológica e Vocal num Grupo de Idosos

2007 ◽  
Vol 12 ◽  
Author(s):  
Mauriceia Cassol ◽  
Maria Inês Dornelles da Costa Ferreira ◽  
Deise Maria De Azevedo Poglia
Keyword(s):  
Hearing Loss ◽  
Early Identification ◽  
Voice Quality ◽  
The Elderly ◽  
Use Of Self ◽  
Elderly Individuals ◽  
Self Evaluation ◽  
Hearing Handicap ◽  
Keywords Hearing Loss ◽  
Aging Health

Resumo: Este estudo objetiva identificar a importância do questionário Hearing Handicap Inventory for the Elderly — Screening Version (HHIE-S) como indicador da necessidade de avaliação audiológica em um grupo de idosos, relacionando as perdas auditivas às possíveis alterações vocais. Fizeram parte deste estudo cinco indivíduos idosos do gênero feminino, na faixa etária de 57 a 75 anos. Primeiramente, foi aplicado o questionário HHIE-S seguido da avaliação audiológica básica e da avaliação perceptivo-auditiva da voz. Nos resultados, os cinco indivíduos idosos apresentaram alteração em um ou mais aspectos vocais. As alterações das características vocais puderam ser correlacionadas às perdas auditivas em três dos cinco casos. Salienta-se a importância da avaliação vocal e da utilização de escalas de auto-avaliação, como o questionário HHIE-S, como indicadores da identificação precoce da deficiência auditiva. Palavras-chave: Perda Auditiva. Presbiacusia. Saúde do Idoso. Qualidade Vocal. Abstract: This study aimed at identifying the importance of the Hearing Handicap Inventory for the Elderly —Screening Version (HHIE-S) questionnaire as an indicator of the need for an audiological evaluation in a group of elderly, and verifying the relation between hearing loss and possible vocal change in 5 elderly females with ages ranging from 57 to 75 years.The HHIE-S questionnaire was applied, followed by a basic audiological evaluation and auditory-perceptive vocal evaluation. In the results, 5 elderly individuals presented changes in one or more vocal aspects. The changes in vocal characteristics may be correlated to hearing loss in 3 of the 5 cases. The importance of vocal evaluation and use of self-evaluation scales as the HHIE-S questionnaire as indicators for early identification of hearing impairment is highlighted. Keywords: Hearing Loss. Presbycusis. Aging. Health. Voice Quality.

scholarly journals Avaliação da Percepção do Envelhecimento Vocal em Idosos

2006 ◽  
Vol 9 ◽  
Author(s):  
Mauriceia Cassol
Keyword(s):  
Social Life ◽  
Voice Quality ◽  
Private Life ◽  
Elderly Individuals ◽  
Self Evaluation ◽  
Mild Degree ◽  
Auditory Analysis ◽  
Vocal Aging ◽  
The Impact ◽  
The Voice

Resumo: Este estudo objetiva avaliar a voz de um grupo de idosos relacionando a qualidade vocal e seu grau de alteração com o impacto causado em relação à vida particular, profissional e social, através das avaliações perceptivo-auditiva e da utilização de uma escala de auto-avaliação vocal. Fizeram parte deste estudo 19 indivíduos idosos do gênero masculino e gênero feminino na faixa etária de 60 a 80 anos, alunos da Universidade do Adulto Maior do Centro Universitário Metodista IPA. Para a análise perceptivo-auditiva foi realizada a gravação digital da voz através da emissão da vogal /a/ sustentada e da contagem de números de um a 20. Na realização da auto-avaliação da psicodinâmica vocal os indivíduos foram instruídos à marcar numa escala de zero a dez o impacto da sua voz em relação à vida particular, profissional e social, sendo considerado o impacto vocal de zero a três ruim, de quatro a sete bom e de oito a dez ótimo. Na avaliação perceptivo-auditiva da qualidade vocal houve predomínio do tipo de voz rouca-soprosa de grau leve, sendo um dos principais marcadores do envelhecimento da voz ou presbifonia. Na escala de auto- avaliação vocal em relação a vida particular os indivíduos avaliaram sua voz com ótimo e bom impacto, na vida profissional consideraram que costumava causar impacto ótimo e na vida social impacto bom. Pode-se concluir que todos os indivíduos possuem uma auto- imagem vocal positiva, apesar de apresentarem uma qualidade vocal alterada decorrente do processo de envelhecimento vocal. Palavras-chave: Voz. Idosos. Geriatria. Gerontologia. Abstract: This study aims to assess the voice of an elderly group relating voice quality and its alteration degree with the impact caused on professional, social and private life, through perceptive-auditory assessments and use of a voice self-evaluation scale. 19 female and male elderly individuals at ages ranging from 60 to 80 years, who were students at the IPA Adult University, participated in this study. For the perceptive-auditory analysis, a digital voice recording was performed through the emission of the sustained /a/ vowel and number counting from one to twenty. While performing the vocal psychodynamic self-evaluation, the subjects were instructed to rate from zero to ten in a scale the impact of their voices in relation to private, professional and social life, the vocal impact from zero to three being considered bad, from four to seven good, and from eight to ten optimal. In the perceptive-auditory evaluation of voice quality, there was a dominance of the hoarse, breathy voice type of mild degree, this being one of the markers of voice aging or presbyphonia. In the voice self-evalution scale in relation to private life, the subjects evaluated their voice as optimal and with good impact; regarding professional life, they considered it to cause an optimal impact; and regarding social life, a good impact. We can conclude that all subjects have a positive voice self-evaluation, despite presenting an altered voice quality stemming from the vocal aging process. Keywords: Voice. Elderly. Geriatrics. Gerontology.

Examining Social Networks in Older Adults: What Predicts Communicative Participation?

2021 ◽  
Vol 6 (4) ◽  
pp. 933-940
Author(s):  
Melanie Meeker ◽  
Kimberly C. McCullough ◽  
Gary H. McCullough ◽  
Usenime Akpanudo
Keyword(s):  
Risk Factors ◽  
Social Network ◽  
Cognitive Decline ◽  
Early Identification ◽  
Network Size ◽  
Elderly Individuals ◽  
Social Network Size ◽  
Hearing Handicap ◽  
Communicative Participation

Purpose Social isolation is linked to cognitive decline and depression, which can be risk factors for developing dementia. The purpose of this study was to determine which of a variety of factors were associated with communicative participation as measured by social network size. Method Three hundred thirty-seven adults aged 65 years or older were administered assessments to evaluate social network size, cognition, hearing handicap, and quality of communicative participation. Results Cognition, education, living setting, and quality of communication life were associated to varying degrees with the construct of communicative participation as measured by social network size. Conclusion Assessment of these variables, along with early identification of cognitive decline, could play an important role in identifying elderly individuals at risk for limitations in communicative participation and associated consequences.

scholarly journals Hearing Loss in the Elderly: Is the Hearing Handicap Inventory for the Elderly - Screening Version Effective in Diagnosis When Compared to the Audiometric Test?

2017 ◽  
Vol 22 (01) ◽  
pp. 001-008 ◽  
Author(s):  
Alexandre Servidoni ◽  
Lucieni Conterno
Keyword(s):  
Hearing Loss ◽  
Speech Therapy ◽  
Early Recognition ◽  
The Elderly ◽  
Target Population ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Hearing Handicap ◽  
Audiometric Test

Introduction Hearing losses inherent to the natural process of aging represent today a major public health issue, despite the little attention that their adequate care still receives. Early recognition and proper management of these shortcomings can significantly improve hearing, as well as the patient's general quality of life, reducing the overall impact of this important and prevalent condition of the aging process. Objective The aim of this research was to evaluate the accuracy of the Hearing Handicap Inventory for the Elderly - Screening Version (HHIE-S) in the diagnosis of hearing loss in the elderly when compared with the audiometric test. Methods Through a cross-sectional study, our target population was composed of 138 individuals, aged over 60 and with any otorhinolaryngological complaints, recruited at the Clinic of Otorhinolaryngology and Speech Therapy of the Faculdade de Medicina de Marília (Famema), in the city of Marília, SP, Brazil. Patients already in the process of auditory rehabilitation were excluded, as well as those who did not demonstrate the minimum level of oral understanding necessary to allow the interview. Results The prevalence of hearing loss according to the questionnaire was of 76.1%, while audiometry showed 79.7%. We found the diagnostic accuracy of the instrument to be of 86.2%, with a sensitivity of 89.1% and a specificity of 75.0%, regardless of gender. Conclusion Thereby, we conclude that the standardized questionnaire under rating is suitable for the screening of hearing loss in the elderly, given its high accuracy and user-friendly quality.

scholarly journals Incidence of Inner Ear Disorders in Various Forms of Acute Otitis Media in ENT Practices in Germany

2020 ◽  
pp. 014556132093056
Author(s):  
David Ulrich Seidel ◽  
Simon Bode ◽  
Karel Kostev ◽  
Jonas Jae-Hyun Park
Keyword(s):  
Hearing Loss ◽  
Inner Ear ◽  
Otitis Media ◽  
Older Patients ◽  
Age Groups ◽  
Acute Otitis Media ◽  
The Elderly ◽  
Elderly Individuals ◽  
Nose And Throat ◽  
Inner Ear Disorders

Objective: The aim of this study was to determine the incidence of inner ear involvement in various forms of acute otitis media (AOM) in ear, nose, and throat (ENT) practices in Germany. Methods: Patients who had been diagnosed with various forms of AOM in the years 2010 to 2017 were enrolled in the study from a nationwide, representative practice database (Disease Analyzer, IQVIA). In these patients, the incidence of simultaneous or subsequent inner ear disorders (IED) was determined within 7 days and within 12 months from the date of an AOM diagnosis. Results: A total of 286 186 patients with AOM were enrolled. The most frequent diagnoses were “nonsuppurative otitis media, unspecified” (47.6%) and “otitis media, unspecified” (39.0%). The diagnoses of hemorrhagic bullous myringitis (BM) or influenza-induced AOM were very rarely found in the database. The highest incidence of IED after 7 days and 12 months was found in “nonsuppurative otitis media, unspecified” (7.7% and 15.9%, respectively), followed by “otitis media, unspecified” (5.6% and 13.5%, respectively). The incidences of the most frequent IED “hearing loss, unspecified” and “sensorineural hearing loss, unspecified” increased proportionally with increasing patient age, while the rare diagnoses of “labyrinthitis” and “ototoxic hearing loss” were evenly distributed among the age groups. Conclusion: In ENT practices in Germany, both various forms of AOM, as well as simultaneous or subsequent IED, are mostly being coded in an unspecific way, while specific forms such as hemorrhagic BM, influenza-induced AOM, and labyrinthitis are coded very rarely. Older patients have a higher risk of IED in AOM. A visit due to AOM seems to be a regular occasion for the initial diagnosis of hearing impairment in the elderly individuals. The highest risk of IED was found in nonsuppurative AOM.

Using a Self-Assessment Questionnaire to Identify Probable Hearing Loss among Older Adults

1989 ◽  
Vol 69 (2) ◽  
pp. 511-514 ◽  
Author(s):  
Joseph C. Sever ◽  
Debra A. Harry ◽  
Tamie S. Rittenhouse
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
The Elderly ◽  
Self Assessment ◽  
Hearing Handicap ◽  
Assessment Questionnaire

The present study was designed to investigate a protocol to facilitate identification of probable hearing loss among 59 older adults (ages 60 to 84 yr.) using the Hearing Handicap Inventory for the Elderly—Screening Version, a self-assessment questionnaire. Analysis suggests the scale has excellent potential for identifying hearing loss among older adults.

scholarly journals Comparison of Speech Recognition and Subjective Hearing Handicap in Elderly Listeners as a Function of Degree of Hearing Loss

2020 ◽  
Vol 16 (2) ◽  
pp. 115-123
Author(s):  
KyooSang Kim ◽  
Subong Kim ◽  
Jae Hee Lee
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Hearing Impairment ◽  
The Elderly ◽  
Normal Hearing ◽  
Individual Variability ◽  
Psychological Aspects ◽  
World Health ◽  
Large Individual ◽  
Hearing Handicap

Purpose: This study aimed to compare objective speech recognition and subjective hearing handicap outcomes as a function of a degree of hearing loss. Methods: 120 elderly listeners participated, ranging in age from 60-83 years. Listeners’ degrees of hearing loss were derived corresponding to a newly proposed World Health Organization hearing impairment grading system. As objective outcomes, word and sentence recognition scores (WRS, SRS) in quiet were measured at an individually determined most comfortable level. The SRS in noise were obtained at 0 dB signal-to-noise ratio. The Korean Evaluation Scale for Hearing Handicap questionnaire for non-hearing aid users was used to evaluate the effects of hearing status on social and psychological aspects. Results: Within the same grading of hearing impairment, listeners tended to show a large individual variability in speech-in-noise recognition and subjective hearing handicaps. Listeners with even mild impairment had more reductions in SRS in noise and more handicaps in an interpersonal relationship compared to normal-hearing listeners. Among the listeners with no impairment or mild hearing impairment, listeners who had poorer sentence-in-noise scores actually showed greater hearing handicaps. The sentence-in-noise scores plus WRS explained the subjective hearing handicap by about 40%. Conclusion: The elderly with normal hearing or mild hearing loss can have reduced communication abilities in background noise, resulting in a negative effect on their social and psychological aspects. It is recommended to conduct the sentence-in-noise intelligibility test and the subjective hearing handicap survey as a standard audiometric measures to confirm the functional communication problems for the elderly.

Selective Hearing Loss: Clues to Early Identification

PEDIATRICS ◽  
1971 ◽  
Vol 47 (2) ◽  
pp. 447-451
Author(s):  
Vanja A. Holm ◽  
Gary Thompson
Keyword(s):  
Hearing Loss ◽  
Language Development ◽  
Early Identification ◽  
Emotionally Disturbed ◽  
Developmental Screening ◽  
Developmental Level ◽  
Hearing Handicap ◽  
Testing Accuracy ◽  
Verbal Messages ◽  
And Behavior

The child in this report was thought at various times to be mentally retarded, emotionally disturbed, and brain damaged before his selective hearing loss was discovered at age 53¼ years. He had developed puzzling behavior secondary to the confusing verbal messages he received and his unpredictability in turn had had a disturbing effect on his environment. Physicians will assist in the early identification of these children if they: (1) Recognize conditions in infancy associated with high risk of hearing handicap. (2) Listen to parents' observations about their child's language development and take their concerns seriously. (3) Pay attention to language development in the 2-year old; delay can easily be demonstrated on the Denver Developmental Screening Test. (4) Remember that prolonged jargoning, poor enunciation, and excessive use of gestures are suspicious symptoms of hearing loss. (5) Are aware of the fact that informal hearing screen may fail to identify partial hearing loss. (6) Refer the child suspected of hearing impairment to the audiologist regardless of the child's age, developmental level, and behavior. The audiologist is the professional best qualifled to determine the degree of testing accuracy that can be obtained.

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