Submitted in partial fulfilment of the requirements for the degree Master in Audiology In the Department of Speech Pathology and Audiology Faculty of Humanities University of the Witwatersrand / The ability to handle a hearing aid may impact on satisfaction with and acceptance of hearing aids by individuals with hearing loss. Previous research has noted the correlation between hearing aid handling skills and effective hearing aid use. Although many studies have focused on the individuals’ satisfaction with their hearing aids there is a lack of information regarding the relationship between satisfaction with hearing aids and hearing aid handling skills. This is especially true for the South African context, where no studies have been conducted to explore this relationship. The main aim of the study was thus to determine the relationship between the ability to manipulate hearing aids and self-perceived satisfaction with hearing aids in individuals fitted with hearing aids in a public health care hospital. A non-experimental, cross-sectional, correlational research design was employed for the purpose of this study. The sample included 85 adults fitted with hearing aids in a public health care hospital. There was an equal distribution of gender and the mean age of participants was 66.27 years. Participants completed the Practical Hearing Aid Skills Test – Revised (PHAST-R) version and the Satisfaction with Amplification in Daily Life (SADL) questionnaire. The findings of the study indicate that the majority of participants were able to successfully manipulate their hearing aids (Mean score: 75.43%; Range: 10.71 - 100; SD: 21.58). The mean global score for satisfaction with amplification was 5.2 (Range: 3.1 - 6.8; SD: 0.84) indicating high levels of satisfaction with their hearing aids. Overall there was a significant correlation between hearing aid handling skills and satisfaction with amplification (rs= 0.22871; n = 85). Indicating participants who were better able to handle their hearing aids were more satisfied with them. The findings suggest that the majority of participants were satisfied with the hearing aids provided in a public health care hospital and that they were able to successfully handle their hearing aids. The use of the PHAST-R as part of the hearing aid orientation session is encouraged especially in light of the poor return rate for follow-up hearing aid orientation sessions at this public health care settings. The development of standard operating procedures for hearing aid fitting and orientation in the public health care sector is recommended to ensure that the best possible outcomes are ensured for all patients. / GR2017

While the approaches for providing aural rehabilitation to the hearing impaired are well documented, no research and only a few articles addressed the comprehensive application of these approaches in the private sector. Therefore, a survey of audiologists was conducted to determine how extensively the approaches are being utilized in this setting and what, if any, unmet client needs may exist. Sixty certified, dispensing audiologists who work in the private sector and reside in Washington, Oregon, Idaho, Montana, and Wyoming participated in the study. Participants were identified from membership lists provided by the five states' Speech-Language and Hearing Associations. A questionnaire was constructed to determine the extent that 14 topics, 32 methods, and 18 barriers, which were identified in the literature, are being used or encountered when providing services to these clients. The survey results indicated that once the standard hearing aid evaluation has been completed, 45% of the respondents are spending less than 60 minutes in providing aural rehabilitation to each client. Only 5% of the respondents were dissatisfied with this amount of time, indicating that 40% believed that comprehensive aural rehabilitation services can be provided satisfactorily in less than one hour. Eighty-six percent of the topics listed in the questionnaire are being discussed with a majority of the respondents' clients. On an average, the respondents discussed topics relating to Audiogram Results, Hearing Aid Orientation, and Expectations for Hearing Aids with over 90% of their hearing impaired clients. They discussed Trouble Shooting and Communication Enhancement with 76-83% of their clients, and they also discussed Hearing Loss Information and Listening Devices with 58-60% of them. Community Resources was discussed with only 33% of this clientele. Only 25% of the methods listed in the questionnaire are being utilized with a majority of the respondents' hearing impaired clients. On an average, respondents utilized methods relating to Oral Instruction with 99% of these clients. They utilized Counseling, Skill Practice, and Support with between 49-64% of them. Respondents utilized the remainder of the methods, including Written Materials, Visual Aids, Referral, Audio-Visual Aids, Structured Classes, and Programmed Instruction, with less than 30% of this clientele. Sixty-three percent of the methods that respondents estimated using with a majority of their clients rely solely upon the ability to hear and comprehend the spoken word, and only 37% of these provide opportunities for repeated exposure to the educational concepts being conveyed. None of the barriers listed in the questionnaire were perceived by respondents as having a high degree of influence on the services they provide. Only 1/3 of the barriers were perceived as having a moderate degree of influence, including audiologists' lack of time to research or develop instructional materials and clients• a.) denial, b.) vanity or self-consciousness, c.) lack of interest, d.) reluctance to participate in an aural rehabilitation program, and e.) ability to afford a hearing aid.

Thesis (MPhil)--University of Stellenbosch, 2001. / ENGLISH ABSTRACT: Technology and disability are both terms laden with associations, values, meanings and even myths. This becomes clear in this research when both terms are described in the first part, and the various understandings of the terms are explained. When the two terms are considered in relation to each other, the result is a series of questions and ethical problems. In this assignment the focus is specifically on these questions and ethical problems that arise out of the relationship between technology and disability. The research is not done from a natural science perspective (with regard to technology) and lor a medical perspective (with regards to disability), but from a philosophical-ethical perspective. The main aim of this research is to think about what the role of technology is in the life of the disabled in general and what ethical questions arise from it. To form a philosophical-ethical perspective the question is asked: should technology be accepted unequivocally as something that always contributes to the humanization of the disabled? More specifically the assignment focuses on the issue: does cochlear implants contribute to the humanization of the deaf? The potential problematic relationship between the concepts is clear from the separate discussions. The limitations and problems of cochlear implants as an example of technology is shown when it is placed within the framework of a humanizing relationship. It is clear that technology can not be accepted unequivocally as something that always contributes to the humanization of the disabled. The research emphasizes that disability is much more than physical limitations and that compensating for the limitations through technology does not always address all the aspects of a disabled person's life - and can consequently have a dehumanizing effect. A more holistic approach is considered - one in which all the aspects of being human is addressed. The unique challenges of the South African context is discussed shortly and in conclusion the necessity of an "ethics of responsibility" is shown. Reflection on technology and disability is in the end reflection on life and the mysteries of life. Disability that reminds us of our limitations and shortcomings, also reminds us that life is not in our control and that a big part of living is an unsolvable riddle, a mystery. / AFRIKAANSE OPSOMMING: Tegnologie en gestremdheid is twee gelade terme. Beide verwys na 'n omvangryke wêreld en potensiële probleme. Dit word duidelik in hierdie ondersoek wanneer beide terme omskryf word in die eerste afdeling, en die verskillende verstaansmoontlikhede van die terme uitgewys word. Waar die twee terme in verband met mekaar gebring word, ontstaan daar uiteindelik 'n hele string vrae en etiese probleme. In hierdie skripsie word daar spesifiek op hierdie vrae en etiese probleme, wat ontstaan uit die verhouding tussen tegnologie en gestremdheid, gefokus. Die ondersoek vind nie plaas vanuit 'n suiwer natuurwetenskaplike perspektief (mbt tegnologie) en/of mediese perspektief (mbt gestremdheid) nie, maar vanuit 'n filosofies-etiese perspektief. Om 'n filosofies-etiese perspektief te vorm, word die vraag gevra: moet tegnologie ongekwalifiseerd aanvaar word as iets wat altyd bydra tot die humanisering van die gestremdes? Meer spesifiek word dan ondersoek ingestel na die vraag: dra kogleêre inplantings by tot die humanisering van die dowe? Die vernaamste doel met hierdie ondersoek is dus om na te dink oor wat die rol van tegnologie in die lewe van gestremdes in die algemeen is en watter etiese kwessies dit oproep. Die problematiek rondom dowes en kogleêre inplantings gaan as 'n spesifieke voorbeeld bekyk word. Die begrippe tegnologie en gestremdheid word eers omskryf in die ondersoek. Die potensiële problematiek tussen die verhouding tussen die twee terme (en wêrelde) blyk reeds uit die afsonderlike bespreking van die terme. Die verhouding waarin tegnologie en gestremdheid tot mekaar staan word uitgelig deur sekere voorbeelde te noem, en dan word daar spesifiek op kogleêre inplantings gefokus. Die beperkings en problematiek van kogleêre inplantings as spesifieke tegnologie word duidelik wanneer dit binne die raamwerk van die vraag gestel word of dit 'n humaniserende verhouding is. Dit is duidelik dat tegnologie nie ongekwalifiseerd aanvaar kan word as iets wat altyd bydra tot die humanisering van die gestremdes nie. Die ondersoek beklemtoon uiteindelik dat gestremdheid veel meer behels as blote liggaamlike gebreke en dat die kompensasie daarvoor deur tegnologie nie altyd as humaniserend ervaar word nie. 'n Meer holistiese benadering word bepleit - een waarin alle fasette van die mens (gestremde) se behoeftes aangespreek word. Die unieke uitdagings wat dit inhou vir ons Suid-Afrikaanse konteks word kortliks bespreek en ten slotte word daar gewys op die noodsaaklikheid van 'n letiek van verantwoordelikheid'. Nadenke oor tegnologie en gestremdheid is uiteindelik nadenke oor die lewe en oor die geheimenisse daarvan. Gestremdheid wat ons herinner aan ons tekortkominge en beperkinge, herinner ons ook daaraan dat die lewe 'n misterie is.

Professional research project (Au.D.)--University of South Florida, 2002. / Title from PDF of title page. / Document formatted into pages; contains 35 pages. / Includes bibliographical references. / Text (Electronic thesis) in PDF format. / ABSTRACT: A need has been established for aural rehabilitation (AR) sessions throughout the years. The literature reviewed here demonstrates that new hearing aid users do benefit from a structured follow-up AR program. However, this need is often not met for a variety of patient and audiologist related factors. Therefore, an AR program that could be viewed at home has been suggested. I have developed a prototype for a CD-ROM based aural rehabilitation (AR) program. Included in the program are communication and speechreading strategies, which are the most prevalent materials in AR. The instructional and interaction portions of the prototype were created to be understood by the average person. The prototype includes the use of video, graphics, and audio to support the written information and to incorporate a sense of excitement into the CD-ROM based program. / System requirements: World Wide Web browser and PDF reader. / Mode of access: World Wide Web.

Includes vita. / Professional research project (Au.D.)--University of South Florida, 2001. / Title from PDF of title page. / Document formatted into pages; contains 47 pages. / Includes bibliographical references. / Text (Electronic thesis) in PDF format. / ABSTRACT: The purpose of this project was to implement the newly revised International Classification of Functioning, Disability and Health (ICIDH-2) developed by the World Health Organization (WHO), to establish specific aural rehabilitation goals. Five graduate clinicians in speech language pathology and audiology interviewed ten participants with adult onset hearing loss. A modified version of the General Questions for Participation and Activities (i.e., a structured interview technique) from the ICIDH-2 Checklist, was developed. Prior to completing this checklist, the students attended a brief training session to become familiar with the major components of the ICIDH-2, specifically theICIDH-2 Checklist. / Completion of the ICIDH-2 Checklist, Version 2.1a, clinician form (prefinal draft, December 2000), allowed the students to classify and qualify disability and health according to the constructs of Activity and Participation, (i.e., what a person can and cannot do as a result of hearing loss and what a person does and does not do as a result of hearing loss, respectively). Following completion of Parts 2 (Activities and Participation) and 3 (Environmental Factors) of the Checklist for each of the ten clients interviewed, aural rehabilitation goals were developed. Four participants are highlighted to illustrate how the ICIDH-2 is used to objectify the impact of hearing loss and to establish specific treatment goals. / The results support the use of the modified version of the General Questions for Participation and Activities in development of aural rehabilitation goals for clients with adult onset hearing loss. Graduate clinicians demonstrated the ability to complete the checklist with little assistance, suggesting that the use of the ICIDH-2 by experienced clinicians should be a relatively easy task. Goal development was also a relatively easy task using the checklist ratings, and the ratings related directly to the individual participant's quality of life in their current situation. / System requirements: World Wide Web browser and PDF reader. / Mode of access: World Wide Web.

Thesis (PhD)--Stellenbosch University, 2013. / Bibliography / Includes Guidelines for teaching hearing impaired students (35 p.) / ENGLISH ABSTRACT: Globally, hearing impairment remains the most common congenital anomaly diagnosed in infants, and hearing impairment is the single largest disability grouping in South Africa. Growing numbers of students with hearing impairment are being granted access into higher education in South Africa. However, they still remain under-represented in comparison to students with other impairments, and their needs in the teaching and learning environment in terms of human and technical support as well as communication and access to information remain under-supported. This study came into being because of the absence of research on the academic experiences of students with hearing impairment in higher education in South Africa. The intention of the study was to analyse and describe the teaching and learning (academic) experiences of students with hearing impairment at the case study university. This inquiry focused specifically on educational barriers, coping strategies, assistive technologies, curriculum accessibility as well as support services. Using a qualitative case study design, informed by an interpretive (constructivist) paradigm, purposeful sampling led to the selection of information-rich cases in order to gain insight from the authentic experiences of the students. The context of the case study was a South African university with a relatively large number of registered students with hearing impairment who use the oral method of communication. Data were generated by means of semi-structured interviews with participating students, university lecturers and a staff member from the disability unit. ATLAS.ti was used to code and analyse the data using grounded theory methods, allowing for the discovery of recurring themes. Six major findings emerged from this study, namely that all of the participants identified as belonging to the hearing rather than Deaf identity cultural paradigm, that limited curriculum transformation had taken place, existing support services were largely inadequate, a large number of barriers related to teaching and assessment were experienced, a variety of academic and personal coping strategies were used by the students to support their needs, and some critical factors for success were advocated for by the participants. From the findings and data interpretation and by making use of Bronfenbrenner’s bio-ecological model of human development as a tool, I constructed both an academic learning support framework as well as a set of practical guidelines for teaching students with hearing impairment. Thereafter conclusions were drawn and practical recommendations were made to various stakeholders in the education of students with hearing impairment. Further areas for research are also suggested. The academic learning support framework (as a model of best practice) forms part of my personal contribution to the field of research. / AFRIKAANSE OPSOMMING: Gehoorgestremdheid is wêreldwyd steeds die algemeenste kongenitale afwyking wat by babas gediagnoseer word, en in Suid-Afrika is die meeste mense met gestremdhede dié met gehoorgestremdhede. Alhoewel ’n toenemende aantal studente met gehoorverlies toegang tot hoër onderwys in Suid-Afrika verkry, is hulle steeds onderverteenwoordig in vergelyking met studente met ander gestremdhede en ontvang hulle steeds min ondersteuning, hetsy menslik of tegnies. Hierdie studie het ontstaan as gevolg van die afwesigheid van navorsing oor die persoonlike ervarings van studente met gehoorgestremdheid in hoër onderwys in Suid-Afrika. Die hoofdoel van hierdie gevallestudie was om vas te stel hoe om hierdie studente akademies te ondersteun ten einde hul tersiêre opvoeding en hul kanse om sukses te behaal en grade te verwerf, te verbeter. Die studie het veral gekyk na die opvoedkundige struikelblokke, hanteringstrategieë, ondersteunende tegnologieë, leerplantoeganklikheid, sowel as onder-steuningsdienste. Die metodologie wat vir hierdie studie gebruik is, was kwalitatief van aard. Die gebruik van doelgerigte steekproefneming het gelei tot die keuse van inligtingryke gevalle ten einde insig in die alledaagse ervarings van die studente te verkry. Die agtergrond van die studie was ʼn universiteit met 'n groot aantal geregistreerde gehoorgestremde studente wat van mondelinge/ouditiewe kommunikasiemetodes gebruik maak. Data is deur middel van semi-gestruktureerde onderhoude met hierdie studente, dosente en 'n personeellid van die eenheid vir gestremdhede gegenereer. Die data is met behulp van ATLAS.ti gekodeer en geanaliseer om die herhalendende temas te bepaal. Die ses belangrikste bevindings uit hierdie studie was dat al die deelnemers hulself met horende studente eerder as met gehoorgestremdes in die samelewing geïdentifiseer het, dat beperkte kurrikulum-transformasie plaasgevind het, dat bestaande ondersteuningsdienste grootliks onvoldoende was, dat die deelnemers ʼn groot aantal struikelblokke met betrekking tot onderrig en assessering ervaar het, dat hulle ʼn verskeidenheid akademiese en persoonlike hanteringstrategieë gebruik het om aan hulle behoeftes te voldoen en dat die kritiese faktore vir sukses deur die deelnemers self bepleit moes word. Uit die bevindinge van hierdie navorsing het die navorser 'n holistiese raamwerk, geïnspireer deur Bronfenbrenner se bio-ekologiese model vir menslike ontwikkeling, vir studente met gehoorgestremdheid in hoër onderwys ontwerp. Gevolgtrekkings is gemaak en praktiese aanbevelings is aan verskeie belanghebbendes wat by die onderrig van studente met gehoorgestremdheid betrokke is, voorgelê. Verdere terreine vir navorsing word ook voorgestel. Die akademiese leerondersteuningsraamwerk (as ’n model van beste praktyk) maak deel uit van my persoonlike bydrae tot die navorsingsveld.