scholarly journals Self-reported outcomes of aural rehabilitation for adult hearing aid users in a developing South African context

Author(s):  
Elaine Pienaar ◽  
Natalie Stearn ◽  
De Wet Swanepoel

Hearing impairment has far reaching consequences for affected individuals, in terms of quality of life indicators. In a developing South African context the hearing impaired population is faced with limited aural rehabilitation services. This study evaluated self-reported outcomes of aural rehabilitation in a group of adults in the public healthcare sector with a standardized outcomes measurement tool (IOI-HA). Sixty-one respondents participated (44% males; 56% females), with a mean age of 69.7 years. Results revealed that the majority of respondents experienced favourable outcomes in all domains of the inventory comprising of: daily use of hearing aids, benefits provided by hearing aids, residual activity limitation, satisfaction with hearing aids, residual participation restriction, impact of hearing difficulties on others, and changes in quality of life. Statistically significant relationships were obtained between the daily use of hearing aids, the degree of hearing loss, and the type of hearing aids fitted, as well as the benefits received from hearing aids in difficult listening environments (p < 0.05). Despite challenges of developing contexts, the mean scores distribution compared positively to similar reports from developed countries. Outcomes of improved quality of life emphasize the importance of providing affordable hearing aids and services to all hearing impaired individuals in South Africa.

2007 ◽  
Vol 33 (1) ◽  
Author(s):  
S Rothmann ◽  
FVN Cilliers

The objective of this study was to determine a set of problems and critical issues that researchers in Industrial and Organisational Psychology deem to be important areas for immediate and future enquiry. The changing identity of this field of application is investigated, more relevant paradigms in the study of organisational health and wellness is explored and methods, techniques and interventions suitable to the South African context are suggested. Conclusions are formulated to increase the ability of organisations to work towards economic development, while promoting the wellness and quality of life of employees.


Author(s):  
Manisha K. Juneja ◽  
Mamta Sharma ◽  
Surinder Singhal

Background: Hearing impairment i.e., reduced hearing acuity, has adverse effects on the physical, cognitive, emotional, behavioral, and social functions of an individual, resulting in passivity, social withdrawal, and negative impact on the quality of life (QOL). The present study aimed to determine whether participation in a counseling-based aural rehabilitation program and hearing aids would enhance the QOL of severely hearing-impaired by reducing their learned helplessness and social isolation.Methods: The study included 52 participants (35 males and 17 females) in the age range of 45-65 years having severe hearing loss with high perceived social isolation and learned helplessness and low quality of life. Scales used are Friendship scale for social isolation, LH scale for learned helplessness, and WHOQOL-Bref for quality of life. A paired t-test was applied to see the significant difference between pre and post scores.Results: Pre- and post-intervention analysis showed that learned helplessness and perceived social isolation was significantly reduced as a function of intervention with a substantially better quality of life.Conclusions: Aural rehabilitation program combined with hearing aids resulted in a better quality of life by reducing isolation and helplessness.


Author(s):  
Л. Е. Голованова ◽  
Е. А. Огородникова ◽  
Е. С. Лаптева ◽  
М. Ю. Бобошко

Целью исследования было изучение качества жизни лиц с нарушениями слуха в разных возрастных группах. Обследованы 100 пациентов, обратившихся в городской сурдологический центр для взрослых в связи с нарушением слуха: 50 человек - 34-59 лет, 50 - 60 лет и старше, из которых 32 человека были пожилого возраста (60-74 года)и 18 - старческого (75-86 лет). Степень тугоухости оценивали на основании результатов тональной пороговой аудиометрии. Для исследования качества жизни все пациенты заполняли общий опросник MOS SF-36, отражающий физический и психологический компоненты здоровья, а также специальный опросник HHIА(E)-S для лиц с нарушениями слуха. Установлено, что шкала HHIА(E)-S демонстрирует высокую корреляцию со степенью тугоухости у пациентов моложе 60 лет ( R =0,98; достоверность различий на уровне p <0,05), которая снижается у пациентов 60 лет и старше ( R =0,94; различия в оценках при разной степени тугоухости недостоверны). Значительные трудности в старшей возрастной группе могут быть связаны с тем, что людям пожилого и, особенно, старческого возраста сложно пользоваться слуховыми аппаратами (или они для них неэффективны) и оценивать свои затруднения по шкалам опросника. Целесообразно использовать шкалу HHIА(Е)-S в качестве скринингового инструмента для раннего выявления тугоухости, направления пациентов к сурдологу и своевременного слухопротезирования. The aim of the research was to study the quality of life in hearing impaired patients of different age. 100 patients referred to the city audiology centre because of their hearing disorders were examined: 50 patients from 34 to 59 years old and 50 patients from 60 years and older, from which 32 patients were of older age (60 to 74 years old) and 18 of oldest age (75 to 86 years old). A degree of hearing loss was assessed according to results of pure tone audiometry. To study the quality of life all patients filled in the questionnaire MOS SF-36, which evaluates physical and psychological components of health, and the questionnaire HHIA(E)-S, designed specifically for patients with hearing disorders. The HHIA(E)-S scale was found to show high correlation with hearing loss degree in patients younger than 60 years old ( R =0,98 with statistically significant difference, p <0,05), with decreasing correlation in patients from 60 years and older ( R =0,98; no significant difference while assessing various hearing loss degrees). Considerable difficulties in this age group may be explained by the fact, that older and especially oldest patients have a challenge with hearing aids usage (or they are of low efficiency for them) and with assessing theirs difficulties on the questionnaire scales. The HHIA(E)-S scale is useful as a screening tool for early detection of hearing loss, referral of patients to an audiologist and prompt hearing aid fitting.


2021 ◽  
pp. 1-20
Author(s):  
Lee RusznyakI ◽  
Carol Bertram

Much South African research suggests that work-integrated learning (WIL) experiences of pre-service teachers are uneven. Their learning depends heavily on the functionality of the school and on the presence and commitment of the mentor teacher. Even then, mentor feedback tends to focus on generic comments on classroom routines rather than providing an account of their teaching practices. In this conceptual paper, we draw on a range of literature and studies to argue that the value of WIL would be greatly enhanced if pre-service teachers and their mentors discuss both the visible classroom routines and the less visible reasoning that inform the pedagogic choices that teachers make. This focus on pedagogic reasoning could foreground both the principled knowledge base that teachers need, as well as the contextual responsiveness and ethical orientations needed to become a specialised knower within the teaching profession. WIL therefore needs to provide pre-service teachers with explicit, structured opportunities to consider how the teachers they observe enact their teaching and why. They also need to articulate the pedagogic choices they make in the design and delivery of their own lessons. We argue that structuring WIL as a space in which to recognise and engage in forms of pedagogic reasoning addresses some of the challenges of the uneven quality of student learning identified in research on WIL in the South African context.


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Fatima Zafar ◽  
Hafiz Muhammad Usama Basheer ◽  
Amber Hassan ◽  
Wajeeha Zaib ◽  
Tehmeena Waheed

The regular use of hearing aids (more than 8 hours a day) benefits people in hearing for bettercommunication than those who are less-likely to use hearing aids Objective: The objective of thestudy was to assess the impact of hearing aids on the quality of life of hearing impaired individualsMethods: In this cross-sectional study total 50 participants were recruited by convenient samplingtechnique from Lahore, Pakistan. 50 patients who were diagnosed with hearing loss and wererecommended with hearing aids of both genders were included in the study. The International OutcomeInventory for Hearing Aids (IOI-HA), questionnaire was used for data collection. Data were analyzedthrough Statistical Package for Social Sciences (SPSS) version 23.0 Results: In this research 50hearing impaired individuals who were hearing aid users, participated. The mean age of participants was64.10+15.88 years. Among which 25 (50%) were males and 25(50%) were females. The average time ofhearing aid use was 3.88 hours, majority of patients responded that hearing aid helped quite a lot in thedaily routine (mean score of IOI-HA, 3.62), have moderate difficulty in residual activity (mean score of IOIHA,3.26), moderately satisfied with their hearing aid (mean score of IOI-HA, 3.28), moderately affect theparticipation restriction (mean score of IOI-HA, 3.20), impact of their hearing loss bothered moderately(mean score of IOI-HA, 3.14) and quality of life (QOL) was very much better (3.90). There was insignificantassociation between the QOL of males and females (p-value>0.05) Conclusions: It was concluded fromthe study that the hearing aids have a greater impact on the quality of life and socio-economic aspectsof hearing impaired individuals. Hearing loss is such a problem, which separates certain community ofhearing impaired individuals from the normal population. Individuals with hearing impairment not onlyhave to face personal communication problems but also it affects their health, independency and qualityof life in their daily routine.


2007 ◽  
Vol 18 (06) ◽  
pp. 496-503 ◽  
Author(s):  
Ad F.M. Snik ◽  
Noortje T.L. van Duijnhoven ◽  
Jef J.S. Mulder ◽  
Cor W.R.J. Cremers

The subjective benefit of middle ear implantation was studied in a group of 23 hearing-impaired patients who could not use conventional hearing aids owing to severe chronic external otitis. Changes in hearing disability (Abbreviated Profile of Hearing Aid Benefit [APHAB]) and changes in quality of life (Glasgow Benefit Inventory [GBI]) were determined. Mean benefit value on the APHAB for the subscale Ease of Communication was close to the mean reference value for conventional hearing aids. For the subscales Reverberation and Background Noise, a poorer result was found. Individual analysis of the APHAB scores showed significant benefit in 12 out of the 23 patients. According to the GBI, 16 out of 17 patients reported that middle ear implantation had made a positive impact on their quality of life. It is concluded that middle ear implantation has a positive effect on hearing difficulties and quality of life in hearing-impaired subjects who cannot use conventional devices. The APHAB outcomes were not better than those reported for conventional devices. Se estudió el beneficio subjetivo de la implantación del oído medio en un grupo de 23 pacientes hipoacúsicos que no podían utilizar auxiliares auditivos convencionales debido a una otitis externa crónica severa. Se determinaron los cambios en discapacidad auditiva (Perfil Abreviado del Beneficio del Auxiliar Auditivo [APHAB]) y los cambios en la calidad de vida (Inventario Glasgow de Beneficio [GBI]). El valor medio de beneficio en el APHAB para la sub-escala Facilidad de Comunicación fue cercano al valor medio de referencia para los auxiliares auditivos convencionales. Para las sub-escalas de Reverberación y Ruido de Fondo, se encontró un resultado más pobre. El análisis individual de los puntajes APHAB mostró un beneficio significativo en 12 de los 23 pacientes. De acuerdo con el GBI, 16 de los 17 pacientes reportaron que la implantación del oído medio había tenido un impacto positivo en la calidad de sus vidas. Se concluye que la implantación del oído medio tiene un efecto positivo sobre las dificultades de comunicación y sobre la calidad de vida en sujetos hipoacúsicos que no pueden utilizar dispositivos convencionales. Los resultados del APHAB no fueron mejores que aquellos reportados con dispositivos convencionales.


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