Orientadores: Eros Antonio de Almeida, Reinaldo Jordão Gusmão / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-26T10:56:00Z (GMT). No. of bitstreams: 1 PaivadeQueiroz_VirginiaChaves_M.pdf: 1682692 bytes, checksum: e6854adb5473b16fc891045af6f5bc2c (MD5) Previous issue date: 2014 / Resumo: Objetivo: avaliar, por meio dos escores da Escala de Depressão Geriátrica, se o uso de próteses auditivas contribui para melhorar os sintomas depressivos em idosos portadores de perda auditiva. Métodos: foram avaliados 40 sujeitos com idade mínima de 65 anos e máxima de 92 anos, sendo 22 do gênero feminino (55%) e 18 do gênero masculino (45%). Todos portadores de perda auditiva sensorioneural bilateral, com indicação médica para uso de prótese auditiva, que não haviam sido protetizados anteriormente. Foi utilizada a versão em português da Geriatric Depression Scale - Escala de Depressão Geriátrica para avaliação dos sintomas depressivos, em dois momentos distintos, pré e pós-protetização. Os dados foram submetidos a tratamento estatístico, utilizando-se o test-t de Student, o teste de homogeneidade das variâncias de Levene e o teste exato de Fisher. Foi adotado o nível de significância de 5% (p<0,05). Resultados: Os dados obtidos evidenciaram diminuição significativa da sintomatologia depressiva, nas mulheres, no que diz respeito a variável de gênero, na Escala de Depressão Geriátrica 2- GDS-2. Não houve significância de correlação nos dois momentos da aplicação dos instrumentos de rastreio, Escala de Depressão Geriátrica 1- GDS-1 e Escala de Depressão Geriátrica 2- GDS-2, entre sintomatologia depressiva com perda auditiva, renda mensal, faixa etária e escolaridade. Conclusão: Os resultados obtidos permitiram identificar que houve redução ou eliminação da sintomatologia depressiva nos idosos portadores de perda auditiva sensorioneural binaural, confirmando a importância da adaptação de próteses auditivas para a redução ou eliminação da sintomatologia depressiva / Abstract: Purpose: evaluate by scores of Geriatric Depression Scale, if the use of hearing aids helps to improve depressive symptoms in elderly patients with hearing aids. Methods: 40 individuals with minimum age of 65 and maximum age of 92 years ¿ 22 of the female sex (55%) and 18 of the male sex (45%) ¿ were evaluated. All of them were carriers of bilateral sensorineural hearing loss, with medical indication for using hearing aids, who had not been previously prosthetized. The Portuguese version of the geriatric depression scale ¿ Geriatric Depression Scale ¿ was used to evaluate depression symptoms in two distinct times ¿ pre ¿ and post-prosthetization. The data were submitted to statistical treatment, using the Student t-test, Levene¿s test of homogeneity of variances and the Fisher¿s exact test. It was adopted the significance level of 5% (p<0.05). Results: The data obtained emphasized significant decrease in depressive symptoms in women regarding to gender variable, in the Geriatric Depression Scale 2. There was no significance correlation in both moments of application of screening tools, Geriatric Depression Scale and the Geriatric Depression 1 Scale 2, among depressive symptoms with hearing loss, monthly income, age and education level. Conclusion: The results allowed us to identify that there was a reduction or elimination of depression in elderly patients with binaural sensorineural hearing loss, confirming the importance of hearing aid fitting for the reduction or elimination of depressive symptoms / Mestrado / Gerontologia / Mestra em Gerontologia

In most classrooms, where information is presented orally via spoken language, accurate knowledge of a student's hearing status is crucial so that the interdisciplinary team can ensure appropriate service provision. Audiologists play a key role on the interdisciplinary team to provide other professionals with information about children's hearing status, communication needs, device use, and intervention strategies. Conversely, audiologists gain valuable information and strategies from other team members.

Discontinued hearing-aid use is caused by a number of factors, most of which may lead to low hearing-aid self-efficacy (i.e. low confidence in one's ability to B a successful hearing-aid user). This paper describes the development of the Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids (MARS-HA), which was constructed in accordance with published recommendations for self-efficacy questionnaire development. The psychometric properties of the MARS-HA were evaluated with new and experienced hearing-aid users. The results revealed strong internal consistency and good test-retest reliability in both groups, with the following subscales identified both for the new users and the experienced users: (1) basic handling, (2) advanced handling, (3) adjustment to hearing aids, and (4) aided listening skills. Validity was established through the examination of expected differences based on group comparisons, training effects, and the impact of particular hearing aid features. The MARS-HA is a reliable and valid measure of hearing-aid self-efficacy and can be used to assist clinicians in identifying areas of low confidence that require additional audiologic training.

Hearing aid self-efficacy (i.e., beliefs individuals have in their ability to perform the skills needed to be successful hearing aid users) may be related to long-term hearing aid use. The purpose of the present investigation was to determine the audiologic correlates of hearing aid self-efficacy as assessed by the Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids (MARS-HA). New and experienced hearing aid users (n = 211) were given the MARS-HA. The results indicated that individuals with moderately severe hearing loss had lower self-efficacy for aided listening conditions than individuals with mild hearing loss. Individuals with poor word recognition abilities in quiet also had lower overall hearing aid self-efficacy than individuals with good to fair word recognition abilities. These results suggested that hearing aid users who have a moderate hearing loss (or worse) and hearing aid users with poor word recognition abilities may require additional counseling and audiologic rehabilitation to increase their hearing aid self-efficacy.

Purpose: The purpose of this tutorial is to provide a comprehensive overview of the self-efficacy framework and its application to audiologic rehabilitation. Method: A literature review was conducted on self-efficacy and its relevance to successful interventions in several health domains. Specific recommendations were presented for audiologic rehabilitation procedures that will enhance self-efficacy. Conclusions: As is the case in other health domains, clinical intervention by audiologists will be more effective when incorporating a self-efficacy framework in the audiologic rehabilitation process.

The output characteristics of five compression hearing aids in response to a transient signal were examined to determine if, the input-output function (i.e. output levels of the hearing aid as a function of input level) for a transient signal could be made to approximate that of a continuous signal, by activating the compression circuit with a second signal (activator). Input-output functions for three input compression and two output compression hearing aids were obtained in order to determine if: 1. the automatic gain control (AGC) was activated by the second signal and the transient signal output approximates that of a continuous tone, and 2. if the second tone was evident in the output of the hearing aid and thereby potentially being an interfering factor in aided auditory brainstem response (ABR) measurement.

Hearing loss and tinnitus are the two most common service-connected disabilities in Veterans. Patients with a chief complaint of hearing loss and/or tinnitus typically undergo a hearing evaluation to determine the severity and type of hearing loss. The standard treatment for sensorineural hearing loss is the fitting of personal amplification.Up to 95% of tinnitus patients have an underlying hearing loss and could benefit from hearing aids for both improved communication and as an effective treatment to reduce the impact of tinnitus, ((Shargorodsky, Curhan, & Farwell, 2010). It is not uncommon, however, for some of these patients to decline hearing aids although they elect to undergo tinnitus counseling. The observation that some of these patients elected to obtain hearing aids following tinnitus counseling compelled an investigation of tinnitus counseling’s role in the patient’s revised decision to accept hearing aid fitting. An electronic medical records review (2015- 2020) identified Veterans meeting the following criteria: (1) diagnosis of sensorineural hearing loss and tinnitus, (2) declined hearing aids at the time of the hearing evaluation, (3) received tinnitus counseling, (4) elected to obtain hearing aids following tinnitus counseling, and (5) affirmed regular use of the hearing aids for more than one year. 30 qualified veterans provided informed consent to participate. Enrolled participants were interviewed using a brief survey that allowed patients to report a variety of tinnitus and hearing-related challenges. Participants also completed a validated tinnitus intake form, the tinnitus handicap inventory (THI), which reports a patient’s self-assessed tinnitus handicap. A total of six Veterans (white males, average age of 60 years, with bilateral sensorineural hearing loss and bothersome tinnitus) participated. The number of hours of daily hearing aid use was related to the self-perceived benefit of hearing aids for the management of tinnitus, as the 5 participants who wore their hearing aids >5 hours/day reported benefit in contrast to the single participant who wore their hearing aids /day. The reported benefit of tinnitus counseling, however, was not reflected as a significant improvement in the post-counseling THI score. All participants reported the counseling was useful and recommended that other veterans experiencing tinnitus and hearing loss undergo a trial with hearing aids . A narrative analysis of additional information provided by participants was made to identify counseling elements that supported the use of hearing aids for tinnitus management. In general, the analysis indicated that when patients were provided accurate information regarding tinnitus management strategy options, then they might be more likely than uninformed patients to accept and act upon hearing aid recommendations in a timely manner. All participants suggested that the provision of more information regarding tinnitus and management options at the time of the hearing evaluation would have likely expedited hearing aid acceptance. The preliminary findings of this survey suggest that patients with a diagnosis of sensorineural hearing loss and tinnitus might benefit from some form of tinnitus management counseling at the time of the initial hearing evaluation, and that the counseling might facilitate uptake of hearing aids.

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