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Pesquisa : M01.526.485.170 [Categoria DeCS]
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  1 / 9 MEDLINE  
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[PMID]:28418328
[Au] Autor:Beukes EW; Allen PM; Manchaiah V; Baguley DM; Andersson G
[Ad] Endereço:Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK.
[Ti] Título:Internet-Based Intervention for Tinnitus: Outcome of a Single-Group Open Trial.
[So] Source:J Am Acad Audiol;28(4):340-351, 2017 Apr.
[Is] ISSN:2157-3107
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Managing chronic tinnitus is challenging, and innovative ways to address the resulting health-care burden are required. Internet-based cognitive behavioral therapy (iCBT) for tinnitus shows promise as a cost-effective treatment option. The feasibility and effectiveness of iCBT in the United Kingdom are yet to be explored. Furthermore, it is not known if iCBT can be supported by an audiologist rather than a psychologist. PURPOSE: This study aimed to determine the feasibility of guided iCBT using audiological support on tinnitus distress and tinnitus-related comorbidities. Furthermore, it aimed to establish the feasibility of iCBT for tinnitus distress in the United Kingdom, by determining recruitment, attrition, and compliance rates. Finally, it aimed to identify which aspects of the protocol require refinement for subsequent clinical trials. RESEARCH DESIGN: A single-group open trial design was implemented. This study would serve as a prerequisite study, to identify barriers, before undertaking effectiveness trials. STUDY SAMPLE: Participants consisted of 37 adults (18 males, 19 females), with an age range of between 50 and 59 yr. The mean preintervention tinnitus severity rating was 56.15 (standard deviation = 18.35), which is categorized as "severe tinnitus" as measured by the Tinnitus Functional Index (TFI). Five participants withdrew during the study, and 29 of the remaining participants completed the postintervention questionnaire. INTERVENTION: The guided iCBT intervention ran over an eight-week period and consisted of 16 obligatory modules and five optional modules. The intervention was designed to be interactive, interesting, and stimulating. A key element was the provision of support from an audiologist throughout the program. DATA COLLECTION AND ANALYSIS: Online questionnaires were used throughout the study. These were administered at baseline and postintervention to determine attrition and compliance rates and to facilitate sample size estimates for further clinical trials. Outcome measures for tinnitus severity, hearing handicap, insomnia, cognitive functioning, hyperacusis, anxiety, depression, and life satisfaction were used to investigate the effects of iCBT with audiological support. In addition, a weekly questionnaire was incorporated to monitor change in tinnitus distress while undertaking the intervention. RESULTS: Feasibility was established using an audiologist to support this guided iCBT intervention, as a significant change postintervention was found for tinnitus severity, as measured by the TFI and the Tinnitus Handicap Inventory, Screening version. The attrition rate was 22% and compliance was variable. Although these results were based on a small sample, they provide encouraging evidence for the feasibility of delivering iCBT treatment for tinnitus symptoms with audiology support in the United Kingdom. CONCLUSIONS: An Internet-based intervention of tinnitus appears to be feasible in the United Kingdom when using audiological support. Randomized controlled trials to further investigate the effectiveness of iCBT for tinnitus in the United Kingdom are required.
[Mh] Termos MeSH primário: Terapia Cognitiva/métodos
Internet
Telemedicina/métodos
Zumbido/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Audiologistas
Estudos de Viabilidade
Feminino
Seres Humanos
Masculino
Meia-Idade
Satisfação do Paciente
Apoio Social
Estresse Psicológico/etiologia
Estresse Psicológico/terapia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.3766/jaaa.16055


  2 / 9 MEDLINE  
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[PMID]:28114665
[Au] Autor:Miller CW; Baylor CR; Birch K; Yorkston KM
[Ad] Endereço:Department of Speech and Hearing Sciences, University of Washington, Seattle.
[Ti] Título:Exploring the Relevance of Items in the Communicative Participation Item Bank (CPIB) for Individuals With Hearing Loss.
[So] Source:Am J Audiol;26(1):27-37, 2017 Mar 01.
[Is] ISSN:1558-9137
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose: The Communicative Participation Item Bank (CPIB) was developed to evaluate participation restrictions in communication situations for individuals with speech and language disorders. This study evaluated the potential relevance of CPIB items for individuals with hearing loss. Method: Cognitive interviews were conducted with 17 adults with a range of treated and untreated hearing loss, who responded to 46 items. Interviews were continued until saturation was reached and prevalent trends emerged. A focus group was also conducted with 3 experienced audiologists to seek their views on the CPIB. Analysis of data included qualitative and quantitative approaches. Results: The majority of the items were applicable to individuals with hearing loss; however, 12 items were identified as potentially not relevant. This was largely attributed to the items' focus on speech production rather than hearing. The results from the focus group were in agreement for a majority of items. Conclusions: The next step in validating the CPIB for individuals with hearing loss is a psychometric analysis on a large sample. Possible outcomes could be that the CPIB is considered valid in its entirety or the creation of a new questionnaire or a hearing loss-specific short form with a subset of items is necessary.
[Mh] Termos MeSH primário: Comunicação
Perda Auditiva
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Audiologistas
Feminino
Grupos Focais
Seres Humanos
Masculino
Meia-Idade
Psicometria
Pesquisa Qualitativa
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE
[do] DOI:10.1044/2016_AJA-16-0047


  3 / 9 MEDLINE  
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[PMID]:27768191
[Au] Autor:Eikelboom RH; Swanepoel W
[Ad] Endereço:Ear Sciences Centre, School of Surgery, The University of Western Australia, NedlandsEar Science Institute Australia, SubiacoDepartment of Speech-Language Pathology and Audiology, University of Pretoria, South Africa.
[Ti] Título:International Survey of Audiologists' Attitudes Toward Telehealth.
[So] Source:Am J Audiol;25(3S):295-298, 2016 Oct 01.
[Is] ISSN:1558-9137
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose: A better understanding of the attitudes of audiologists toward teleaudiology and their willingness to use teleaudiology is required to progress the application of teleaudiology technologies and services into clinical practice. Audiologists around the world were surveyed on their attitudes toward teleaudiology and their willingness to use it. Method: An online survey was sent to audiologists through professional associations' mailing lists. The survey included questions on the use of computer and video-conferencing technologies, awareness and previous use of teleaudiology, and willingness to use teleaudiology. Results: Responses were provided by 269 people from 28 different countries, representing a wide cross-section of experience, qualification, and work settings; 77.8% of respondents were women. Almost all respondents had used PC-based video-conferencing; most had used related technologies and reported positive attitudes toward using these. However, less than 25% had used teleaudiology. Conclusions: Despite positive attitudes toward telehealth and associated technology, the low number of audiologists who have used teleaudiology for services indicates limited clinical adoption.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Audiologistas
Telemedicina
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Padrões de Prática Médica/estatística & dados numéricos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170406
[Lr] Data última revisão:
170406
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161022
[St] Status:MEDLINE
[do] DOI:10.1044/2016_AJA-16-0004


  4 / 9 MEDLINE  
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[PMID]:27768186
[Au] Autor:Hanssen GK; Dahl Y
[Ad] Endereço:SINTEF, Information and Communication Technology, Trondheim, Norway.
[Ti] Título:A Participatory Design Approach to Develop an Interactive Sound Environment Simulator.
[So] Source:Am J Audiol;25(3S):268-271, 2016 Oct 01.
[Is] ISSN:1558-9137
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose: Our purpose is to provide insight into the added value of applying a participatory design approach in the design of an interactive sound environment simulator to facilitate communication and understanding between patients and audiologists in consultation situations. Method: We have applied a qualitative approach, presenting results and discussion in the form of a story, following 3 consecutive steps: problem investigation, design, and evaluation. Results: We provide an overview of lessons learned, emphasizing how patients and audiologists took roles and responsibilities in the design process and the effects of this involvement. Conclusion: Our results suggest that participatory design is a viable and practical approach to address multifaceted problems directly affecting patients and practitioners.
[Mh] Termos MeSH primário: Audiologistas
Pesquisa Participativa Baseada na Comunidade
Meio Ambiente
Pessoas com Deficiência Auditiva
Som
[Mh] Termos MeSH secundário: Comunicação
Comportamento Cooperativo
Auxiliares de Audição
Seres Humanos
Pesquisa Qualitativa
Percepção da Fala
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170406
[Lr] Data última revisão:
170406
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161022
[St] Status:MEDLINE
[do] DOI:10.1044/2016_AJA-16-0005


  5 / 9 MEDLINE  
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[PMID]:27527485
[Au] Autor:Collier R
[Ad] Endereço:CMAJ.
[Ti] Título:Who is entitled to the title of "doctor"?
[So] Source:CMAJ;188(13):E305, 2016 Sep 20.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Audiologistas/legislação & jurisprudência
Médicos/legislação & jurisprudência
Terminologia como Assunto
[Mh] Termos MeSH secundário: Canadá
Quiroprática
Odontólogos
Educação de Pós-Graduação
Pessoal de Saúde/legislação & jurisprudência
Seres Humanos
Naturopatia
Má Conduta Profissional/legislação & jurisprudência
Política Pública
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160817
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.109-5303


  6 / 9 MEDLINE  
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[PMID]:27380913
[Au] Autor:Fouché-Copley C; Govender S; Khan N
[Ad] Endereço:Discipline of Audiology, University of KwaZulu-Natal. medical@afrihost.co.za.
[Ti] Título:The practices, challenges and recommendations of South African audiologists regarding managing children with auditory processing disorders.
[So] Source:S Afr J Commun Disord;63(1), 2016 Jun 09.
[Is] ISSN:2225-4765
[Cp] País de publicação:South Africa
[La] Idioma:eng
[Ab] Resumo:Audiologists managing children with auditory processing disorders (APD) encounter challenges that include conflicting definitions, several classification profiles, problems with differential diagnosis and a lack of standardised guidelines. The heterogeneity of the disorder and its concomitant childhood disorders makes diagnosis difficult. Linguistic and cultural issues are additional challenges faced by South African audiologists. The study aimed to describe the practices, challenges and recommendations of South African audiologists managing children with APD. A quantitative, non-experimental descriptive survey was used to obtain data from 156 audiologists registered with the Health Professions of South Africa. Findings revealed that 67% screened for APD, 42% assessed while 43% provided intervention. A variety of screening and assessment procedures were being administered, with no standard test battery identified. A range of intervention strategies being used are discussed. When the relationship between the number of years of experience and the audiologists' level of preparedness to practice in the field of APD was compared, a statistically significant difference (p = 0.049) was seen in that participants with more than 10 years of experience were more prepared to practice in this area. Those participants having qualified as speech-language therapists and audiologists were significantly more prepared (p = 0.03) to practice than the audiologists who comprised the sample. Challenges experienced by the participants included the lack of linguistically and culturally appropriate screening and assessment tools and limited normative data. Recommendations included reviewing the undergraduate audiology training programmes, reinstituting the South African APD Taskforce, developing linguistically and culturally appropriate normative data, creating awareness among educators and involving them in the multidisciplinary team.
[Mh] Termos MeSH primário: Audiologistas
Transtornos da Percepção Auditiva/diagnóstico
Transtornos da Percepção Auditiva/terapia
Competência Profissional
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Audiologistas/educação
Transtornos da Percepção Auditiva/classificação
Criança
Cultura
Currículo
Diagnóstico Diferencial
Seres Humanos
Comunicação Interdisciplinar
Colaboração Intersetorial
Programas de Rastreamento
Multilinguismo
África do Sul
Patologia da Fala e Linguagem/educação
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170418
[Lr] Data última revisão:
170418
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160707
[St] Status:MEDLINE
[do] DOI:10.4102/sajcd.v63i1.132


  7 / 9 MEDLINE  
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[PMID]:27170797
[Au] Autor:Contrera KJ; Wallhagen MI; Mamo SK; Oh ES; Lin FR
[Ad] Endereço:From the Johns Hopkins University School of Medicine, Baltimore, MD (KJC); the Department of Physiological Nursing, University of California, San Francisco (MIW); the John A. Hartford Center of Gerontological Nursing Excellence, San Francisco, CA (MIW); the Center on Aging and Health, Johns Hopkins
[Ti] Título:Hearing Loss Health Care for Older Adults.
[So] Source:J Am Board Fam Med;29(3):394-403, 2016 May-Jun.
[Is] ISSN:1558-7118
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hearing deficits are highly prevalent among older adults and are associated with declines in cognitive, physical, and mental health. However, hearing loss in the geriatric population often goes untreated and generally receives little clinical emphasis in primary care practice. This article reviews hearing health care for older adults, focusing on what is most relevant for family physicians. The objective of hearing loss treatment is to ensure that a patient can communicate effectively in all settings. We present the 5 major obstacles to obtaining effective hearing and rehabilitative care: awareness, access, treatment options, cost, and device effectiveness. Hearing technologies are discussed, along with recommendations on when it is appropriate to screen, refer, or counsel a patient. The purpose of this article is to provide pragmatic recommendations for the clinical management of the older adult with hearing loss that can be conducted in family medicine practices.
[Mh] Termos MeSH primário: Medicina de Família e Comunidade/métodos
Conhecimentos, Atitudes e Prática em Saúde
Auxiliares de Audição/economia
Perda Auditiva/terapia
Cobertura do Seguro
Seguro Saúde/economia
Atenção Primária à Saúde/métodos
[Mh] Termos MeSH secundário: Idoso
Audiologistas
Medicina de Família e Comunidade/economia
Gastos em Saúde
Acesso aos Serviços de Saúde
Auxiliares de Audição/tendências
Perda Auditiva/diagnóstico
Perda Auditiva/economia
Perda Auditiva/epidemiologia
Testes Auditivos
Seres Humanos
Seguro Saúde/tendências
Masculino
Programas de Rastreamento/métodos
Otorrinolaringologistas
Prevalência
Atenção Primária à Saúde/economia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160513
[St] Status:MEDLINE
[do] DOI:10.3122/jabfm.2016.03.150235


  8 / 9 MEDLINE  
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[PMID]:27104861
[Au] Autor:Brännström KJ; Holm L; Larsson J; Lood S; Notsten M; Turunen Taheri S
[Ad] Endereço:a Department of Clinical Science, Section of Logopedics, Phoniatrics and Audiology , Lund University , Lund , Sweden .
[Ti] Título:Occupational stress among Swedish audiologists in clinical practice: Reasons for being stressed.
[So] Source:Int J Audiol;55(8):447-53, 2016 08.
[Is] ISSN:1708-8186
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The present study reports on the application of a Swedish translation of the audiologist occupational stress questionnaire (AOSQ) on audiologists working in Sweden. The relations between AOSQ scores and perceived effort, perceived rewards, coping strategies at work, demographic variables such as salary, education length, practise length, and practice type were tested. DESIGN: A cross-sectional e-mail survey using the AOSQ, effort-reward imbalance questionnaire, and demographic questions. STUDY SAMPLE: Four-hundred and four Swedish licensed audiologists working with clients. RESULTS: The Swedish AOSQ translation demonstrated high inter-item correlations and high internal consistency. Several stress factors were identified: time spent at work, accountability, leadership at the workplace, paperwork and practice demands, equipment and clinical protocols, own health concerns, and job control. The outcome on the complete AOSQ questionnaire was related to perceived effort, perceived rewards, coping strategies at work, and age. CONCLUSIONS: The Swedish AOSQ translation seems to provide a valid measure of occupational stress among audiologists.
[Mh] Termos MeSH primário: Audiologistas/psicologia
Doenças Profissionais/diagnóstico
Estresse Psicológico/diagnóstico
Local de Trabalho/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adulto
Idoso
Estudos Transversais
Feminino
Seres Humanos
Satisfação no Emprego
Masculino
Meia-Idade
Doenças Profissionais/psicologia
Psicometria/métodos
Reprodutibilidade dos Testes
Recompensa
Estresse Psicológico/psicologia
Inquéritos e Questionários
Suécia
Traduções
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171120
[Lr] Data última revisão:
171120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160423
[St] Status:MEDLINE
[do] DOI:10.3109/14992027.2016.1172119


  9 / 9 MEDLINE  
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[PMID]:26649683
[Au] Autor:Meyer C; Scarinci N; Ryan B; Hickson L
[Ti] Título:"This Is a Partnership Between All of Us": Audiologists' Perceptions of Family Member Involvement in Hearing Rehabilitation.
[So] Source:Am J Audiol;24(4):536-48, 2015 Dec.
[Is] ISSN:1558-9137
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of the study was to explore the perceptions of audiologists about the role of family members in hearing rehabilitation for older adults with hearing impairment (HI), the influence of family member involvement on outcomes, and factors affecting family members' involvement. METHOD: A qualitative descriptive research study was undertaken. Using a purposeful sampling strategy, 9 audiologists were recruited. Audiologists participated in individual semistructured interviews. Interview transcripts were analyzed using thematic analysis, and a process of member checking was used to enhance the trustworthiness of findings reported. RESULTS: The importance of promoting partnership emerged as the overarching theme. Audiologists valued promoting partnership with family members so that a shared understanding could be established, family members could be active participants with distinct roles in hearing rehabilitation, and the rehabilitation outcomes for the person with HI could be improved. Audiologists generally reported low attendance rates of family members to appointments and identified 5 major factors affecting family participation. CONCLUSIONS: There is growing recognition among audiologists of the importance of promoting partnership with family members during the hearing rehabilitation process. More research is needed to develop and evaluate a family-centered model of hearing health care that considers the service-level barriers identified by audiologists in the present study.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Audiologistas
Comportamento Cooperativo
Correção de Deficiência Auditiva
Família
Perda Auditiva/reabilitação
Relações Profissional-Família
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Pesquisa Qualitativa
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151210
[St] Status:MEDLINE
[do] DOI:10.1044/2015_AJA-15-0026



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