For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
9
views
27
references
 Top references
cited by
4
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      221
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Effects of auditory and socio-demographic variables on discontinuation of hearing aid use among older adults with hearing loss fitted in the Chilean public health sector

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          The percentage of older adults with hearing loss who stop using their hearing aids and the variables associated with this phenomenon have not been systematically investigated in South America. This problem is relevant to the region since countries such as Colombia, Brazil and Chile have public programmes that provide hearing aids to older adults. The aims of this study were to determine the percentage of older adults fitted with a hearing aid at a public hospital in Chile who subsequently stop using it and the auditory and socio-demographic variables associated with the hazard of discontinuing hearing aid use.

          Methods

          A group that included 355 older adults who had been fitted with a hearing aid was studied retrospectively. In a structured interview, participants were asked about socio-demographic variables and answered part of the Chilean National Survey on Health, evaluating self-perceived hearing loss and responding to questions about discontinuation of hearing aid use and their satisfaction with the device. Survival models were applied to determine the hazard of stopping hearing aid use in relation to the variables of interest.

          Results

          The rate of discontinuation of hearing aid use reached 21.7%. Older adults stopped using their hearing aids mainly during the first 5–6 months post-fitting, and then this number steadily increased. The income fifth quintile was 2.56 times less likely to stop using the hearing aid compared to the first. Those who self-reported that they could not hear correctly without the hearing aid were 2.62 times less likely to stop using it compared to those who reported normal hearing. The group that was very dissatisfied with the hearing aid was 20.86 times more likely to discontinue use than those who reported satisfaction with the device.

          Conclusions

          Socio-demographic variables such as economic income and auditory factors such as self-perceived hearing loss and satisfaction with the device were significantly associated with the hazard of stopping hearing aid use. Self-perceived hearing loss should be considered part of the candidacy criteria for hearing aids in older adults in Chile and other (developing) countries.

          Related collections

          Most cited references27

          • Record: found
          • Abstract: found
          • Article: not found

          Factors influencing help seeking, hearing aid uptake, hearing aid use and satisfaction with hearing aids: a review of the literature.

          Marie Öberg, Claus Nielsen, Maria Knudsen … (2010)
          This descriptive summary of the literature provides an overview of the available studies (published between January 1980 and January 2009) on correlates of help-seeking behavior for hearing loss, hearing-aid uptake, hearing-aid use, and satisfaction with the device. Publications were identified by structured searches in Pubmed and Cinahl and by inspecting the reference lists of relevant articles. The articles covered different stages that a person with hearing impairment may go through: prior to hearing aid fitting, the period covering the fitting and the period post hearing aid fitting. Inclusion of articles occurred according to strict inclusion and exclusion criteria. Data were extracted by two independent researchers. Thirty-nine papers were included that identified 31 factors examined in relation to the four outcome measures. These covered personal factors (e.g., source of motivation, expectation, attitude), demographic factors (e.g., age, gender) and external factors (e.g., cost, counseling). Only two studies covered the actual fitting process. There was only one factor positively affecting all four outcome variables. This was self-reported hearing disability. The vast majority of studies showed no relationship of age and gender with any of the outcome domains. Whereas research of the last 28 years yielded valuable information regarding relevant and irrelevant factors in hearing aid health care, there are still many relevant issues that have never been investigated in controlled studies. These are discussed.
          Article 0 comments Cited 132 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Measuring Satisfaction with Amplification in Daily Life: the SADL scale.

            Laura Cox, G. Alexander (1999)
            To develop a self-report inventory to quantify satisfaction with hearing aids. The inventory was developed in several stages. To determine the elements that are most important to satisfaction for most people, we conducted structured interviews and then designed a questionnaire. Hearing aid owners responded to the questionnaire, indicating the relative importance of 14 different elements in their hearing aid satisfaction. Analyses indicated that the elements could be placed into four importance content areas. Trial satisfaction items were designed for each content area and submitted to focus groups to identify highly salient items as well as ambiguous items. A 25-item satisfaction questionnaire then was developed and disseminated to hearing aid owners. Results were obtained from 257 individuals. These data were analyzed to generate the final questionnaire. Fifteen items, divided into four subscales, were selected for the final Satisfaction with Amplification in Daily Life (SADL) questionnaire. The questionnaire yields a Global satisfaction score and a profile of subscale scores, which address Positive Effects, Service and Cost, Negative Features, and Personal Image. A preliminary evaluation of retest stability was conducted with 104 subjects. Ninety percent critical differences for the various scores ranged from 0.9 to 2.0 score intervals on a 7 point scale. The SADL scale is both brief enough to be clinically acceptable and comprehensive enough to provide a valid assessment of an inherently multidimensional variable. Additional assessment is necessary to refine understanding of its test-retest properties, explore validity issues, and determine clinical, research, and administrative applications of the data.
            Article 0 comments Cited 56 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              [Validation of a screening test for age associated cognitive impairment, in Chile].

              Cecilia Albala, P Quiroga, Gonzalo Klaasen (2004)
              The real prevalence of dementia in a given population must be determined through prevalence studies, using validated screening tests. To validate and determine cutoff points for a cognitive impairment screening test composed by the Folstein Mini Mental State Examination (MMSE) and Pfeffer Functional Activities Questionnaire (PFAQ). Validation of the diagnostic test in a sample of 100 subjects over 65 years old (85 from the project "Age associated dementias" and 15 with a confirmed diagnosis of dementia). All were subjected to a complete neuropsychological test by a trained neurologist, that constituted the "gold standard" for the diagnosis of dementia. An independent interviewer applied the MMSE to the subjects and the PFAQ to a next of kin informer. Cutoff points were calculated using ROC curves. The points with the better equilibrium between sensitivity and specificity were selected, considering differences in results between groups with low and high educational level. The cutoff point for MMSE was 21/22, with a sensitivity of 93.6% (95% CI 70.6-99.7%) and a specificity of 46.1% (95% CI 34.7-57.8%). The figure for PFAQ was 5/6, with a sensitivity of 89.2% (95% CI 70.6-99.7%) and a specificity of 70.7% (95% CI 58.9-80.3%). The combination of both instruments gave a sensitivity of 94.4% (95% CI 58.9-80.3%) and a specificity of 83.3% (95% CI 72.3-90.7%). This screening test, using MMSE and PFAQ, has a good sensitivity and specificity for the diagnosis of dementia in Chile. Being simple and of low cost, it can be applied in primary health care.
              Article 0 comments Cited 47 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Eduardo Fuentes-López:
                ORCID: http://orcid.org/0000-0002-0141-0226
                (56) (22) 3541345 , eduardo.fuentes@uc.cl
                Journal
                Journal ID (nlm-ta): BMC Geriatr
                Journal ID (iso-abbrev): BMC Geriatr
                Title: BMC Geriatrics
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2318
                Publication date (Electronic): 3 September 2019
                Publication date PMC-release: 3 September 2019
                Publication date Collection: 2019
                Volume: 19
                Electronic Location Identifier: 245
                Affiliations
                [1 ]ISNI 0000 0001 2157 0406, GRID grid.7870.8, Departamento de Ciencias de la Salud, Carrera de Fonoaudiología, Facultad de Medicina, , Pontificia Universidad Católica de Chile, ; Avenida Vicuña Mackenna 4860, Macul, Santiago, Chile
                [2 ]ISNI 0000 0001 2292 3357, GRID grid.14848.31, École d’orthophonie et d’audiologie, Faculté de médecine, , Université de Montréal, ; Montréal, Québec Canada
                [3 ]GRID grid.294071.9, Centre de recherche de l’Institut universitaire de gériatrie de Montréal, ; Montréal, Québec Canada
                [4 ]ISNI 0000 0001 2157 0406, GRID grid.7870.8, Departamento de Salud Pública, Facultad de Medicina, , Pontificia Universidad Católica de Chile, ; Santiago, Chile
                [5 ]GRID grid.442215.4, Escuela de Fonoaudiología, Facultad de Ciencias de la Salud, , Universidad San Sebastián, ; Concepción, Chile
                Author information
                http://orcid.org/0000-0002-0141-0226
                Article
                Publisher ID: 1260
                DOI: 10.1186/s12877-019-1260-6
                PMC ID: 6724254
                PubMed ID: 31481016
                SO-VID: 49d0d428-ab5b-4977-b305-823e51f74a62
                Copyright © © The Author(s). 2019
                License:

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                Date received : 23 January 2019
                Date accepted : 27 August 2019
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100009610, Pontificia Universidad Católica de Chile;
                Award ID: Concurso Especial de Investigación Semilla-Interdisciplinario in 2015 (project grant PS 05/15)
                Award Recipient :
                Funded by: National Commission for Scientific and Technological Research CONICYT-FONDEF’s National Fund for Research and Development in Health (Fondo Nacional de Investigación y Desarrollo en Salud, FONIS) in 2016
                Award ID: SA16I0290
                Award Recipient :
                Categories
                Subject: Research Article
                Custom metadata
                issue-copyright-statement © The Author(s) 2019

                ScienceOpen disciplines: Geriatric medicine
                Keywords: hearing aid use,older adults,socio-demographic variables
                Data availability:
                ScienceOpen disciplines: Geriatric medicine
                Keywords: hearing aid use, older adults, socio-demographic variables

                Comments

                Comment on this article

                scite_

                Similar content221

                See all similar

                Cited by4

                See all cited by

                Most referenced authors342

                See all reference authors