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Elmazoska, I., Mäki-Torkko, E., Granberg, S. & Widén, S. (2024). Associations Between Recreational Noise Exposure and Hearing Function in Adolescents and Young Adults: A Systematic Review. Journal of Speech, Language and Hearing Research, 67(2), 688-710
Open this publication in new window or tab >>Associations Between Recreational Noise Exposure and Hearing Function in Adolescents and Young Adults: A Systematic Review
2024 (English)In: Journal of Speech, Language and Hearing Research, ISSN 1092-4388, E-ISSN 1558-9102, Vol. 67, no 2, p. 688-710Article, review/survey (Refereed) Published
Abstract [en]

PURPOSE: There is an increasing concern regarding hazardous recreational noise exposure among adolescents and young adults. Daily exposure to loud sound levels over a long period of time can increase the risk of noise-induced hearing loss. The full extent of the impact of recreational noise on hearing is not yet fully understood. The purpose of this review was to synthesize research that investigated hearing function in relation to recreational noise exposure in adolescents and young adults.

METHOD: A systematic literature search of five databases covering the years 2000-2023 was performed. The articles included investigated audiological measurements of hearing function in relation to recreational noise exposure.

RESULTS: Four hundred sixty records were identified, of which 20 met the inclusion criteria and were included in the results. This review showed that although some recreational noise activities can be potentially harmful, there is an unclear relationship between exposure and outcome. Some findings indicated hearing threshold shifts or reduced otoacoustic emission amplitudes after recreational noise exposure, but most changes were short term and in the extended high-frequency range.

CONCLUSIONS: There seemed to be inconsistencies regarding the utilization of methods of measuring exposure and outcome between studies. This might be one reason for the differing results in studies on the reported impact on hearing function from recreational noise exposure. To draw more certain conclusions about long-term effects, there is a need for longitudinal research that utilizes sound level measurements to assess low and high degrees of recreational noise exposure in relation to hearing function.

SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.25114193.

Place, publisher, year, edition, pages
American Speech-Language-Hearing Association, 2024
National Category
Otorhinolaryngology
Identifiers
urn:nbn:se:oru:diva-111467 (URN)10.1044/2023_JSLHR-23-00397 (DOI)001208295700016 ()38324255 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2024-02-08 Created: 2024-02-08 Last updated: 2024-05-13Bibliographically approved
Wittich, W., Dumassais, S., Jaiswal, A., Paramasivam, A., Budhiraja, S., Lopez, R. & Granberg, S. (2024). Development of core sets for deafblindness: an international expert survey on functioning and disability of individuals living with deafblindness using the International Classification of Functioning, Disability, and Health. European Journal of Physical and Rehabilitation Medicine, 60(2), 382-390
Open this publication in new window or tab >>Development of core sets for deafblindness: an international expert survey on functioning and disability of individuals living with deafblindness using the International Classification of Functioning, Disability, and Health
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2024 (English)In: European Journal of Physical and Rehabilitation Medicine, ISSN 1973-9087, E-ISSN 1973-9095, Vol. 60, no 2, p. 382-390Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The development of International Classification of Functioning, Disability, and Health (ICF) Core Sets greatly enhances the global recognition of health conditions, thereby advancing research, education, and care provision. Aside from the work of researchers, and the viewpoint of persons with lived experience, the development of Core Sets for deafblindness needs to include the viewpoints of professionals with expertise unique to this condition.

AIM: To represent the perspective of health and social service expert professionals in the development of ICF Core Sets for deafblindness.

DESIGN: Cross-sectional cohort study.

SETTING: Global online survey representing all six regions of the World Health Organization.

POPULATION: One hundred and five professionals providing and health or social service to individuals living with deafblindness with a minimum of 2 years of work experience with this population.

METHODS: An online survey was distributed through professional networks and social media for individuals working with persons living with deafblindness. Demographic items were summarized using descriptive statistics. Six open-ended questions explored the perceptions of body functions and structures that influence activities and participation, as well as environmental and personal factors that facilitate functioning. Data were linked to the ICF codes using established linking rules and procedures.

RESULTS: The 2934 survey response units were linked using IFC categories. Of the 421 unique categories, 133 were used by 5% or more of respondents. Most categories within the Activities and Participation component were equally emphasized. The most frequent Environmental factors were support and relationships, services, systems, and policies, as well as and the physical environment (e.g., hearing aids or noise). Mental functions, including higher level cognitive functions, temperament and personality were frequently emphasized.

CONCLUSIONS: Almost three quarters (73.3%) of the entire ICF classification categories were included in the expert survey results. This proportion emphasizes the importance of a multidimensional tool, such as the ICF, for assessing functioning and health for persons with deafblindness.

CLINICAL REHABILITATION IMPACT: The representation of this professional perspective in Core Set development will improve standardized assessment and documentation, intervention planning, and facilitate interprofessional communication with the goal of improving person-centered care for persons living with deafblindness.

Place, publisher, year, edition, pages
Edizioni Minerva Medica, 2024
Keywords
Vision disorders, Hearing disorders, Deaf-blind disorders, International Classification of Functioning, Disability and Health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-112489 (URN)10.23736/S1973-9087.24.08188-7 (DOI)001188324900001 ()38502555 (PubMedID)
Note

This work was funded by Deafblind International, the Deafblind Ontario Services Foundation, the FRQS Quebec Vision Health Research Network, and by a Global Partnerships grant from Canadian Hearing Services.

Available from: 2024-03-20 Created: 2024-03-20 Last updated: 2024-05-20Bibliographically approved
Wittich, W., Dumassais, S., Prain, M., Ogedengbe, T. O., Gravel, C., Jaiswal, A., . . . Granberg, S. (2024). Development of core sets for deafblindness using the International Classification of Functioning, Disability, and Health: the perspectives of individuals with lived experience. European Journal of Physical and Rehabilitation Medicine, 60(6), 1060-1069
Open this publication in new window or tab >>Development of core sets for deafblindness using the International Classification of Functioning, Disability, and Health: the perspectives of individuals with lived experience
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2024 (English)In: European Journal of Physical and Rehabilitation Medicine, ISSN 1973-9087, E-ISSN 1973-9095, Vol. 60, no 6, p. 1060-1069Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The needs of people with deafblindness remain poorly understood and addressed globally. This study is part of a larger body of work to develop Core Sets for deafblindness using the International Classification of Functioning, Disability, and Health (ICF).

AIM: To determine the perspectives on functioning of individuals with lived experience of deafblindness as they relate to the ICF. DESIGN: Cross-sectional interview study.

SETTING: Global, representing all six regions of the World Health Organization.

POPULATION: A diverse cohort of 72 individuals living with deafblindness or as close family members, ranging across the spectrum of severity.

METHODS: Qualitative interviews and focus groups were used to explore six open-ended questions about perceived barriers and facilitators to functioning of body functions and structures, activities and participation, and environmental and personal factors. Data were synthesized using content analysis, and the resulting topics were linked to the ICF codes using established linking methodology prescribed by the World Health Organization's ICF Research Branch. Descriptive statistics summarized all demographic data.

RESULTS: The analyses of the transcripts uncovered 2534 meaning units, leading to the identification of 492 corresponding distinct codes from the ICF framework, and spanning across 93.33% of coding categories available. Sensory (b2) and Mental Functions (b1) emerged as the most frequent Body Functions (b) codes. Most categories referred to Activities & Participation, with Mobility (d4) being the most frequently mentioned topic. Services, Systems and Policies (e5) was the most frequently used Environmental factor.

CONCLUSIONS: Over 93% of the ICF classification categories were accessed to code the data provided by participants, demonstrating the complexity of functioning with deafblindness. This study provides valuable information to shape policy and research by providing representation of lived experience towards the consensus conference for the comprehensive and abbreviated Core Sets for deafblindness.

CLINICAL REHABILITATION IMPACT: The inclusion of lived experience provides a holistic understanding of the daily challenges faced by individuals living with deafblindness. By being part of this process, they have a voice in shaping the classification system that will be used to describe their experiences, fostering a sense of ownership and empowerment.

Place, publisher, year, edition, pages
Edizioni Minerva Medica, 2024
Keywords
Deafness, Blindness, International Classification of Functioning, Disability and Health, Qualitative research
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-116697 (URN)10.23736/S1973-9087.24.08500-9 (DOI)001332438100001 ()39387852 (PubMedID)
Note

Funding:

This work was funded by Deafblind International, Deafblind Ontario Services Foundation, the Fonds de recherche du Québec - Santé Vision Health Research Network, and by a Global Partnerships for Research and Innovations grant from Canadian Hearing Services

Available from: 2024-10-14 Created: 2024-10-14 Last updated: 2025-01-29Bibliographically approved
Karlsson, E., Manchaiah, V., Mäki-Torkko, E., Granberg, S., Gustafsson, J., Dahlström, Ö. & Widén, S. (2024). Hearing and Functioning in Everyday Life Questionnaire: Psychometric Evaluation and Revision. American Journal of Audiology, 33(2), 330-342
Open this publication in new window or tab >>Hearing and Functioning in Everyday Life Questionnaire: Psychometric Evaluation and Revision
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2024 (English)In: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 33, no 2, p. 330-342Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The aim of the current study was to explore the construct validity and internal consistency reliability of the International Classification of Functioning, Disability and Health (ICF)-based original English version of the Hearing and Functioning in Everyday Life Questionnaire (HFEQ) and to revise the HFEQ based on the results.

METHOD: This study used a cross-sectional survey design. The data were collected using an online survey. Adults with self-reported hearing disability (n = 513) from the United States were included. The ICF components of body functions, activity and participation, and environmental factors were tested as the underlying structure of the HFEQ using confirmatory factor analysis and then adjusted by triangulation with previous content validation.

RESULTS: The results of the current study confirmed the ICF components of body functions, activity and participation, and environmental factors as underlying constructs of the HFEQ. However, after triangulation with previous content validation, fine adjustments were made. The revised version of the HFEQ includes two removed items and a fine-tuned factor structure.

CONCLUSION: The results confirm that the structure of the HFEQ aligns with the ICF, and the overall results indicate that HFEQ has acceptable construct validity and internal consistency.

Place, publisher, year, edition, pages
American Speech-Language-Hearing Association, 2024
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-112424 (URN)10.1044/2024_AJA-23-00171 (DOI)001288118700003 ()38497711 (PubMedID)2-s2.0-85195226923 (Scopus ID)
Available from: 2024-03-20 Created: 2024-03-20 Last updated: 2024-08-29Bibliographically approved
Granberg, S., Widén, S. & Gustafsson, J. (2024). How to remain in working life with hearing loss: health factors for a sustainable work situation. Work: A journal of Prevention, Assessment and rehabilitation, 79(3), 1391-1406
Open this publication in new window or tab >>How to remain in working life with hearing loss: health factors for a sustainable work situation
2024 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 79, no 3, p. 1391-1406Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Persons with hearing loss (HL) are a vulnerable group in working life. Studies have shown that they are more likely than the general population to be in part-time work, to be unemployed, receive disability pension, and to be on sick leave. Many workers with HL also experience unhealthy work conditions, such as jobs where they experience high demands combined with low control as well as safety concerns and social isolation. There is a lack of studies that focus on factors that promote a healthy, sustainable work situation for the target group.

OBJECTIVE: To investigate health factors that contribute to a sustainable work situation for employees with HL.

METHODS: The current study was a comparative, observational study with a cross-sectional design including a clinical population of adults with HL. Comparisons were made between workers with HL "in work" and workers with HL on "HL-related sick leave".

RESULTS: Seven health factors were identified. Those "in work" experienced a healthier work environment as well as lower levels of mental strain, hearing-related work characteristics and content, cognitively demanding work content, hearing-related symptoms, energy-demanding activities, and bodily aches and pain than those on "HL-related sick leave".

CONCLUSION: The results demonstrate a clear pattern regarding health factors for a sustainable working life. The type of job was not related to whether an individual was on sick leave or working. Rather, the work climate and the content of the work mattered.

Place, publisher, year, edition, pages
IOS Press, 2024
Keywords
Hearing loss, health, occupational health, salutogenesis, working conditions, workplace
National Category
Occupational Health and Environmental Health Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-114253 (URN)10.3233/WOR-230377 (DOI)001368360900031 ()38875067 (PubMedID)2-s2.0-85208772265 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2024-06-17 Created: 2024-06-17 Last updated: 2024-12-19Bibliographically approved
Wittich, W., Dumassais, S., Prain, M., McVilly, K., Anze, D., Lopez, R., . . . Granberg, S. (2024). Perspectives from individuals living with deafblindness on priorities for the development of WHO ICF Core Sets. Paper presented at Annual Meeting of the Association-for-Research-in-Vision-and-Ophthalmology (ARVO 2024), Seattle, WA, USA, May 5-9, 2024. Investigative Ophthalmology and Visual Science, 65(7), Article ID 6185.
Open this publication in new window or tab >>Perspectives from individuals living with deafblindness on priorities for the development of WHO ICF Core Sets
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2024 (English)In: Investigative Ophthalmology and Visual Science, ISSN 0146-0404, E-ISSN 1552-5783, Vol. 65, no 7, article id 6185Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Purpose: The World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF) provides a comprehensive and universally applicable health terminology framework. ICF-derived Core Sets make the coding system more usable with a concise set of condition-specific codes. These Core Sets are developed in collaboration with the affected population, in this case, individuals living with deafblindness. The study aimed to identify which aspects of body structure & functioning, activities & participation, and which environmental and personal factors are the most important to people living with deafblindness.

Methods: We conducted semi-structured interviews and focus group sessions with 62 individuals with deafblindness and/or informal caregivers (e.g., parents). They were recruited from 9 countries (Canada, Mexico, Australia, Spain, UK, France, Zambia, Egypt, India) to represent the 6 WHO regions. All participants responded to 6 open-ended questions on physical, functional, and environmental variables that influence activity and participation.

Results: Participant comments were coded using thematic analysis, resulting in 497 unique codes. These highlighted priority themes, including the eye, ear, and related structure (s2), structures related to movement (s7); and mental (b1) as well as sensory functions (b2). Activities and participation codes comprised most of the data (43%), with mobility (d4) and communication (d3) being mentioned most often. Among environmental factors, codes related to services, systems, and policies (e5) and products and technology (e1) were the largest proportional groups. Additionally, coping with the COVID-19 pandemic, general health status, and age emerged as personal factors.

Conclusions: This study provides crucial insights related to priorities of individuals living with deafblindness, as far as sensory functions, emotional well-being, and societal barriers are concerned. Their complexity and variability underscore the necessity of developing a tailored ICF Core Set for deafblindness, with potential implications for more effective healthcare, rehabilitation, and support services for this unique population.

Place, publisher, year, edition, pages
Lippincott-Raven Publishers, 2024
National Category
Ophthalmology
Identifiers
urn:nbn:se:oru:diva-117592 (URN)001313316208045 ()
Conference
Annual Meeting of the Association-for-Research-in-Vision-and-Ophthalmology (ARVO 2024), Seattle, WA, USA, May 5-9, 2024
Available from: 2024-12-06 Created: 2024-12-06 Last updated: 2024-12-06Bibliographically approved
Jaiswal, A., Paramasivam, A., Budhiraja, S., Santhakumaran, P., Gravel, C., Martin, J., . . . Wittich, W. (2024). The International Classification of Functioning, Disability and Health (ICF) core sets for deafblindness, part II of the systematic review: linking data to the ICF categories. European Journal of Physical and Rehabilitation Medicine, 60(5), 893-902
Open this publication in new window or tab >>The International Classification of Functioning, Disability and Health (ICF) core sets for deafblindness, part II of the systematic review: linking data to the ICF categories
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2024 (English)In: European Journal of Physical and Rehabilitation Medicine, ISSN 1973-9087, E-ISSN 1973-9095, Vol. 60, no 5, p. 893-902Article, review/survey (Refereed) Published
Abstract [en]

INTRODUCTION: Deafblindness, a health condition with varying combinations of hearing and vision impairment, affects functioning and social participation. In 2001, the World Health Organization (WHO) introduced the International Classification of Functioning, Disability, and Health (ICF) to examine human health and functioning. To use the ICF in clinical practice, smaller categories of ICF codes, referred to as Core Sets, were developed for specific health conditions. However, no ICF Core Set exists for deafblindness. As part of an ICF Core Set development, this paper examines the existing literature from an ICF perspective and links relevant data to the ICF categories.

EVIDENCE ACQUISITION: The systematic review followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). Articles were selected from eight scientific databases, three journals, and Google Scholar. The research team linked outcome measures and qualitative studies to ICF codes using ICF linking rules. For each measure/qualitative study's final code list, they included each code only once after eliminating any duplicates. Subsequently, a frequency analysis was conducted, and ICF categories identified in at least five studies were included in the candidate categories list.

EVIDENCE SYNTHESIS: 147 articles met the eligibility criteria. Most studies were from Europe (N.=70) and North America (N.=41). 316 categories were identified in at least five studies that belong to one of four ICF components. This includes 112 categories in the body function component, 3 categories in body structure, 163 in activities and participation, and 38 in environmental factors. Additionally, 21 personal factors relating to demographics were identified. The most frequent category was listening (category d115) at 82.31%, followed by range of emotions (category b1522) at 78.91%, hearing function (category b230) at 68.03%, and assistive products and technology for communication (category e1251) at 63.27%.

CONCLUSIONS: As the second part of the first four studies in developing ICF Core Sets for deafblindness, this review described the ICF categories relevant to the functioning of individuals with deafblindness. These categories inform the development of the Core Sets on deafblindness from the researcher's perspective. The final Core Sets will guide clinical practice, programs, and policies for individuals with deafblindness.

Place, publisher, year, edition, pages
Edizioni Minerva Medica, 2024
Keywords
International Classification of Functioning, Disability and Health, Deaf-blind disorders, Hearing disorders, Vision disorders, Rehabilitation, Human activities
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-115826 (URN)10.23736/S1973-9087.24.07984-X (DOI)001307811900001 ()39235255 (PubMedID)
Note

This study was supported by grants from the Deafblind Ontario Services Foundation and Deafblind International.

Available from: 2024-09-09 Created: 2024-09-09 Last updated: 2024-11-27Bibliographically approved
Wittich, W., Jaiswal, A., Lopez, R., van de Molengraft, S., Minhas, R., Dumassais, S., . . . Granberg, S. (2023). Expert Survey for the Development of a Core Set for Deafblindness using the International Classification of Functioning, Disability, and Health. Paper presented at Annual Meeting of the Association-for-Research-in-Vision-and-Ophthalmology (ARVO), New Orleans, LA, USA, April 23-27, 2023. Investigative Ophthalmology and Visual Science, 64(8), Article ID 1906.
Open this publication in new window or tab >>Expert Survey for the Development of a Core Set for Deafblindness using the International Classification of Functioning, Disability, and Health
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2023 (English)In: Investigative Ophthalmology and Visual Science, ISSN 0146-0404, E-ISSN 1552-5783, Vol. 64, no 8, article id 1906Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Purpose: Individuals with deafblindness are a diverse group and require interdisciplinary care. To provide a universal terminology that facilitates communication among stakeholders, the World Health Organization (WHO) developed the International Classification of Functioning, Disability and Health (ICF). A sub-selection of categories, referred to as ICF Core Sets, provides a tool to describe functioning and disability in specific health conditions. As part of a multi-study process of developing a Core Set for deafblindness, we conducted an expert survey for the identification of key concepts.

Methods: An international online survey gathered the opinion of professionals who worked with persons with deafblindness. Six open-ended questions addressed their perceptions on how deafblindness affects body functions and structures, activities, and participation, and how personal and environmental factors act as barriers and/or facilitators in everyday life with deafblindness. Survey responses were analysed using content analysis, and meaningful concepts were linked to the ICF codes using linking rules established by the WHO.

Results: Of the 205 complete responses, 100 stratified respondents were selected across the WHO regions: Africa (n = 8), the Americas (n = 31), South-East Asia (n = 22), Europe (n = 25), Western Pacific (n = 14). Professions included optometry, ophthalmology, low vision therapy, occupational therapy, intervenor/interpreter, social work, rehabilitation counselling, O&M, and psychology, among others. The most frequent codes linked to body structures were eye, ear (s299), and nervous system (s1). Most prevalent body function codes included seeing (b210), hearing (b230), tactile perception (b1564) and touch (b265). For activity and participation, experts identified communication (d399), carrying out daily routine (d2309), and learning and applying knowledge (d199) as main concepts. Environmental variables focused on societal attitude (e460), human caused events (e235), light (240) and sounds (e250).

Conclusions: The expert views that are not easily coded using the ICF were global effects of deafblindness that affect all aspects of functioning, as well as those that are progressive over time. Next, the ICF codes reported by at least 5% of the experts will be included in the list of candidate categories for an international consensus conference.

Place, publisher, year, edition, pages
Association for Research in Vision and Ophthalmology, 2023
National Category
Ophthalmology
Identifiers
urn:nbn:se:oru:diva-109696 (URN)001053758305171 ()
Conference
Annual Meeting of the Association-for-Research-in-Vision-and-Ophthalmology (ARVO), New Orleans, LA, USA, April 23-27, 2023
Note

Funding agency:

Canadian Hearing Services Global Partnership for Research and Innovation

Available from: 2023-11-14 Created: 2023-11-14 Last updated: 2023-11-14Bibliographically approved
Karlsson, E., Mäki-Torkko, E., Granberg, S., Widén, S., Manchaiah, V., Swarnalatha Nagaraj, V., . . . Gustafsson, J. (2023). Hearing and Functioning in Everyday Life Questionnaire: Development and Validation of an ICF-Based Instrument. Ear and Hearing, 44(6), 1498-1506
Open this publication in new window or tab >>Hearing and Functioning in Everyday Life Questionnaire: Development and Validation of an ICF-Based Instrument
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2023 (English)In: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 44, no 6, p. 1498-1506Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Self-assessment instruments are commonly used in audiological rehabilitation. However, several studies highlight the lack of multidimensionality in existing outcome measures, with the consequence that they only partially capture aspects of functioning in everyday life for people living with hearing loss. This study aimed to develop and investigate the content validity of a self-assessment instrument based on the validated Brief International Classification of Functioning, Disability, and Health Core Set for Hearing Loss.

DESIGN: The design was a two-part instrument development study. The first part focused on the item-generation process of the instrument, named the Hearing and Functioning in Everyday Life Questionnaire (HFEQ) during an experts' workshop. The second part focused on international content validation of the instrument using group interviews. Strategic sampling was used and 30 adults with hearing loss from India, South Africa, and the United States participated in the group interviews.

RESULTS: The expert's workshop resulted in the first version of the HFEQ containing 30 items. The results from group interviews show that the content of the HFEQ was considered to be valid concerning its relevance, comprehensiveness, and comprehensibility. A majority (73%) of the HFEQ items were perceived by the participants as relevant and easy to comprehend. For the remaining 27% of the items, the content was perceived to be relevant in all countries, but some terms and expressions were reported to require rewording or clearer examples. These modifications will be made in the next step of the development process.

CONCLUSION: Content validation of the HFEQ demonstrates promising results, with participants perceiving the content as relevant and comprehensible. Further psychometric validation is required to investigate other psychometric properties, such as construct validity and reliability. The HFEQ has the potential to become a valuable new instrument for assessing everyday functioning in people with hearing loss in audiological rehabilitation and in research.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2023
Keywords
Audiological rehabilitation, Content validity, Cross-cultural validation, Cross-national, Hearing loss, International Classification of Functioning Disability and Health, Outcome measures, Survey instruments, Validation
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-106579 (URN)10.1097/AUD.0000000000001391 (DOI)001086366300018 ()37340534 (PubMedID)2-s2.0-85174642335 (Scopus ID)
Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2024-01-15Bibliographically approved
Witte, I., Strandberg, T., Granberg, S. & Gustafsson, J. (2023). Intersectional perspectives on the employment rate in Supported Employment for people with psychiatric, neuropsychiatric, or intellectual disabilities: A scoping review. Work: A journal of Prevention, Assessment and rehabilitation, 74(2), 435-454
Open this publication in new window or tab >>Intersectional perspectives on the employment rate in Supported Employment for people with psychiatric, neuropsychiatric, or intellectual disabilities: A scoping review
2023 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 74, no 2, p. 435-454Article, review/survey (Refereed) Published
Abstract [en]

BACKGROUND: Supported Employment (SE) has shown better results in the employment rate for persons with disabilities than other methods within vocational rehabilitation, but how SE affects the employment rate for subgroups in the interventions needs further attention.

OBJECTIVE: To examine previous research regarding the influence of intersecting statuses on the employment rate in SE for people with psychiatric, neuropsychiatric, or intellectual disabilities according to type of diagnosis, sex, race/ethnicity, age, level of education and previous work history.

METHODS: A systematic literature search was conducted in nine databases including peer-reviewed articles from 2000 to April 2021. Articles presenting the employment rate in SE interventions according to the intersecting statuses listed in the objective were included.

RESULTS: The searches identified 3777 unique records, of which 53 articles were included in data extraction. In most of the included articles, intersecting statuses did not affect the employment rate for people in the SE interventions with psychiatric disabilities. Few studies have examined neuropsychiatric and intellectual disabilities. A majority of the studies subjected to full-text analysis were excluded due to a lack of reporting of the effects of intersecting statuses on the employment rate. The studies that reported on the effects of intersecting statuses on the employment rate often had small samples and lacked statistical power.

CONCLUSIONS: Intersecting statuses do not appear to affect the employment rate for people receiving SE interventions, but systematic reviews with pooled samples need to be undertaken because of the low reporting rate and underpowered sample sizes in existing studies.

Place, publisher, year, edition, pages
IOS Press, 2023
Keywords
Supported”, disabilities, intersectionality, “Employment, “mental disorders”, “vocational rehabilitation”
National Category
Occupational Health and Environmental Health Social Sciences Interdisciplinary
Research subject
Social Work; Disability research
Identifiers
urn:nbn:se:oru:diva-101908 (URN)10.3233/WOR-211155 (DOI)000939517200008 ()36278382 (PubMedID)2-s2.0-85148965463 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, STYB-2019/0005
Available from: 2022-10-25 Created: 2022-10-25 Last updated: 2024-08-16Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2298-6806

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