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The ICF core sets for hearing loss project: International expert survey on functioning and disability of adults with hearing loss using the International classification of functioning, disability, and health (ICF)
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Örebro University Hospital. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden; HEAD Grad Sch, Linköping Univ, Linköping, Sweden.ORCID iD: 0000-0002-2298-6806
University of Pretoria, Pretoria, South Africa; University of Western Australia, Nedlands, Australia; Ear Sci Inst Australia, Subiaco WA, Australia.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0002-2033-2569
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Örebro University Hospital. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0001-6557-6359
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2014 (English)In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 53, no 8, p. 497-506Article in journal (Refereed) Published
Abstract [en]

Objective: To identify relevant aspects of functioning, disability, and contextual factors for adults with hearing loss (HL) from hearing health professional perspective summarized using the ICF classification as reference tool.

Design: Internet-based cross-sectional survey using open-ended questions. Responses were analysed using a simplified content analysis approach to link concept to ICF categories according to linking rules.

Study sample: Hearing health professionals (experts) recruited through e-mail distribution lists of professional organizations and personal networks of ICF core set for hearing loss steering committee members. Stratified sampling according to profession and world region enhanced the international and professional representation.

Results: Sixty-three experts constituted the stratified sample used in the analysis. A total of 1726 meaningful concepts were identified in this study, resulting in 209 distinctive ICF categories, with 106 mentioned by 5% or more of respondents. Most categories in the activities & participation component related to communication, while the most frequent environmental factors related to the physical environment such as hearing aids or noise. Mental functions, such as confidence or emotional functions were also frequently highlighted.

Conclusions: More than half (53.3%) of the entire ICF classification categories were included in the expert survey results. This emphasizes the importance of a multidimensional tool, such as the ICF, for assessing persons with hearing loss.

Place, publisher, year, edition, pages
Informa Healthcare, 2014. Vol. 53, no 8, p. 497-506
Keywords [en]
Hearing loss; audiology; ICF; ICF core sets; hearing health professionals; expert survey
National Category
Other Health Sciences Otorhinolaryngology
Research subject
Disability Science
Identifiers
URN: urn:nbn:se:oru:diva-34834DOI: 10.3109/14992027.2014.900196ISI: 000339630500001PubMedID: 24754459Scopus ID: 2-s2.0-84904126425OAI: oai:DiVA.org:oru-34834DiVA, id: diva2:713817
Note

Funding Agencies:

Oticon Foundation

Hörselforskningsfonden (Swedish hearing research foundation)

Available from: 2014-04-24 Created: 2014-04-24 Last updated: 2018-06-05Bibliographically approved
In thesis
1. Functioning and disability in adults with hearing loss: the preparatory studies in the ICF Core sets for hearing loss project
Open this publication in new window or tab >>Functioning and disability in adults with hearing loss: the preparatory studies in the ICF Core sets for hearing loss project
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Hearing loss (HL) is a health condition that affects more than 360 million people worldwide. The findings from previous research point at the adverse relationship between adults with hearing loss and important aspects of everyday life such as social relations, communication and work-related tasks. However, the overall picture concerning the functional and disabling aspects of adults with HL re- mains incomplete. To identify the functional and disabling aspects, a conceptual and/or theoretical framework is required. The International Classification of Functioning, Disability and Health (ICF) offer a multidimensional framework based on bio-psycho-social assumptions about health. In previous research inves- tigations in which the ICF has been used, some utility problems in the linking (relating) of data to the classification have been highlighted.

The aims of the present thesis were to explore the areas of functioning and disability of relevance for adults with HL and to explore how audiological data can be linked to ICF. The aims were explored by applying the methodology of the ‘interdisciplinary evidence-based approach to functioning and disability in adults with HL’, acknowledging the merging of three perspectives designated the Researcher, the Patient and the Professional perspective. Four studies that focus on the three perspectives were conducted. All results were linked to the ICF classification. The results were merged into a model designated ‘the integrative model of functioning and disability in adults with HL’.

When the three perspectives were linked, the results revealed several aspects of relevance for the target group. Bodily (individual) dimensions, such as hear- ing, auditory perception, memory, attention, energy, and emotions, were acknowledged. Aspects of everyday life such as conversations, the usage of communication strategies, family relationships and work, were highlighted. Influential environmental factors, such as noise, assistive technical devices, the design of public buildings, social support and the attitudes of people in the envi- ronment, were also identified. In conclusion, interactions seemed to be vital as almost all identified aspects highlighted or were tied to this dimension of human functioning. Further, concerning the linking of the data it was acknowledged that the ICF and the research area of adult HL do not fully comply. Suggestions for improvements in future revisions of the ICF were highlighted and discussed.

Place, publisher, year, edition, pages
Örebro: Örebro university, 2015. p. 139
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 73
Keywords
hearing loss, adults, ICF, classification, functioning, disability, linking
National Category
Other Health Sciences Otorhinolaryngology
Research subject
Disability Science
Identifiers
urn:nbn:se:oru:diva-45274 (URN)978-91-7529-086-7 (ISBN)
Public defence
2015-09-11, Prismahuset, Hörsal 2, Örebro universitet, Fakultetsgatan 1, Örebro, 13:00 (English)
Opponent
Supervisors
Note

Funding agency: Oticon Foundation; Hörselforskningsfonden (Swedish HearingResearch Foundation); the Foundation for Audiological Research (FAR) Forskningskommitten, Region Örebro County

Available from: 2015-07-20 Created: 2015-07-20 Last updated: 2017-10-17Bibliographically approved

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Granberg, SarahEnglund, UlrikaMöller, ClaesDanermark, Berth

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