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Effect of Vestibular Rehabilitation Therapy on the Daily Life Aspects of Military Men with Persistent Postural- Perceptual Dizziness: A Clinical Trial 前庭康复疗法对持续性姿势感知性头晕军人日常生活方面的影响:临床试验
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-05 DOI: 10.18502/avr.v33i1.14270
S. M. Taghavi, Farzad Mehrabi, Parsa Cheraghipour, Seyed Meead Mousavi, Akram Nezhadi
Background and Aim: Persistent Postural-Perceptual Dizziness (PPPD) is a type of chronic dizziness without rotation, confusion, or unsteadiness, usually exacerbated by standing, active/passive movements, and complex or moving visual stimuli. Vestibular Rehabilitation Therapy (VRT) is an effective treatment for people with this disease. This study aimed to determine effect of VRT on the daily life aspects of military men with PPPD. Methods: In this clinical trial, participants were 56 military men with PPPD. They underwent VRT that included exercises for gaze stabilization, adaptation, and habituation. The impact of balance problems caused by PPPD on different physical, emotional, and functional aspects of daily life was evaluated using the Dizziness Handicap Inventory (DHI) before and one month after the intervention. Results: There was a significant decrease in functional, emotional, physical, and total scores on the DHI after VRT (p<0.001). The DHI scores at baseline showed a moderate handicap (48.64%) which decreased to a mild handicap (24.53%) after VRT. The lowest score at baseline was related to the functional aspect, which showed the highest improvement after VRT. Conclusion: The VRT can improve all aspects (physical, emotional, and functional) of daily life in military men with PPPD and diminishes the severity of symptoms. Therefore, this treatment can be used as a suitable treatment for these patients. IRCT Registration Number: IRCT20230520058237N1   Keywords: Persistent postural-perceptual dizziness; dizziness handicap inventory; vestibular rehabilitation; military  
背景和目的:持续性体位-知觉头晕(PPPD)是一种无旋转、意识混乱或不稳定的慢性头晕,通常因站立、主动/被动运动和复杂或移动的视觉刺激而加重。前庭康复治疗(VRT)是一种有效的治疗方法。本研究旨在确定VRT对PPPD军人日常生活方面的影响。方法:临床试验对象为56名PPPD军人。他们接受了VRT,包括凝视稳定、适应和习惯化的练习。在干预前和干预后一个月,使用眩晕障碍量表(DHI)评估PPPD引起的平衡问题对日常生活中不同身体、情绪和功能方面的影响。结果:VRT后功能、情绪、身体和DHI总分显著降低(p<0.001)。基线DHI评分为中度残疾(48.64%),VRT后降为轻度残疾(24.53%)。基线时最低的得分与功能方面有关,VRT后功能方面的改善最大。结论:VRT可改善军人PPPD患者日常生活的各个方面(身体、情绪和功能),减轻症状的严重程度。因此,这种治疗方法可以作为适合这些患者的治疗方法。关键词:持续性体位觉性头晕;眩晕障碍量表;前庭神经康复;军事
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引用次数: 0
Blood Serum Levels of Magnesium in Patients with Benign Paroxysmal Positional Vertigo 良性阵发性位置性眩晕患者的血清镁水平
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-05 DOI: 10.18502/avr.v33i1.14273
M. Akbarpour, Mir Mohammad Jalali, Nafiseh Sadeghzadeh
Background and Aim: Magnesium is essential for the morphogenesis of otoconia. The imbalance in the chemical composition of otoconia can make people susceptible to Benign Paroxysmal Positional Vertigo (BPPV). The primary outcome was to compare serum magnesium levels in BPPV patients with controls. The Ca/Mg ratios in participants are also recorded and analyzed in the present study. Methods: In this case-control study, we measured the serum Mg, Ca, and vitamin D in BPPV patients and age-, sex-matched subjects without BPPV. The results were adjusted for Ca, vitamin D, hypertension, and body mass index. Results: A total of 123 BPPV patients participated in this study. The mean Mg value was higher in patients than controls (2.01 vs. 1.95 mg/dL, p=0.030). Condition logistic regression analyses showed a higher rate of BPPV among subjects with low Ca/Mg ratio (quartile 1), relative to subjects with medium ratio (quartiles 2 and 3) (adjusted OR: 3.92, p=0.003). Conclusion: The present study demonstrated an imbalance of Ca and Mg in the BPPV patients as significantly higher Mg levels and lower serum Ca/Mg ratio. Although it appears decreased Ca/Mg ratio to be a risk factor for BPPV, this result should be confirmed in confirmatory studies.   Keywords: Magnesium; calcium; benign paroxysmal positional vertigo; otolithic membrane; matched-pair analysis
背景与目的:镁对耳郭的形态发生至关重要。耳膜化学成分的不平衡可使人易患良性阵发性位置性眩晕(BPPV)。主要结果是比较BPPV患者与对照组的血清镁水平。在本研究中,还记录和分析了参与者的Ca/Mg比率。方法:在本病例对照研究中,我们测量了BPPV患者和年龄、性别匹配的非BPPV患者的血清Mg、Ca和维生素D。研究结果根据钙、维生素D、高血压和体重指数进行了调整。结果:共有123例BPPV患者参与了本研究。患者的平均Mg值高于对照组(2.01 vs. 1.95 Mg /dL, p=0.030)。条件logistic回归分析显示,低钙/镁比(四分位数1)受试者的BPPV发生率高于中钙/镁比(四分位数2和3)受试者(校正OR: 3.92, p=0.003)。结论:BPPV患者存在Ca、Mg失衡,Mg水平明显升高,Ca/Mg比值明显降低。虽然Ca/Mg比降低似乎是BPPV的危险因素,但这一结果应在确证性研究中得到证实。关键词:镁;钙;良性阵发性位置性眩晕;otolithic膜;匹配配对分析
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引用次数: 0
Investigating the Effect of Persian Phonemic Synthesis Program in Cochlear Implant Users with Phoneme Processing Dificulities 研究波斯语音位合成程序对有音素处理障碍的人工耳蜗使用者的影响
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-05 DOI: 10.18502/avr.v33i1.14274
Mahdieh Hasanalifard, M. Saeedi, M. Ajalloueyan, Reyhaneh Abolghasemi, Sahar Shomeil Shushtari, Maryam Amizadeh
Background and Aim: Children with severe to profound sensory-neural hearing loss who use a hearing aid or a Cochlear Implant (CI) are likely to have Decoding (DEC) problems. Various studies recommend auditory processing training to improve auditory processing difficulties in CI users. The aim of the present study was to evaluate phoneme processing difficulties in CI users and to investigate the efficacy of the Persian version of the Phonemic Synthesis Program (P-PSP) in improving phonological abilities in this population. Methods: A total of 28 prelingually hearing-impaired children aged 8–12 who underwent unilateral (right ear) cochlear implantation were included in this study. They were divided into experimental and control groups. The P-PSP was implemented on the experimental group, and the results were analyzed over three phases: baseline, intervention, and follow- up. Results: The present study’s results indicate that P-PSP training is suitable for CI children, particularly for the DEC subcategory. Moreover, the Persian Phonemic Synthesis Test (P-PST) results significantly improved after the intervention phase compared to the baseline evaluations (p<0.05). There was no significant difference between the intervention and follow-up phases’ results (p>0.05), indicating no recurrence of auditory processing difficulties after discontinuing training. Conclusion: Based on the study’s findings, the Persian version of PSP enhances phonological processing abilities in CI users. Therefore, the use of auditory phonological training in post- implantation rehabilitation programs appears to be highly important.   Keywords: Auditory processing; decoding disorder; cochlear implant; auditory training
背景和目的:重度到重度感觉神经性听力损失的儿童使用助听器或人工耳蜗(CI)可能会出现解码(DEC)问题。各种研究建议通过听觉处理训练来改善CI使用者的听觉处理困难。本研究的目的是评估CI使用者的音素加工困难,并调查波斯语版音素合成程序(P-PSP)在提高该人群音素能力方面的功效。方法:选取28例8 ~ 12岁行单侧(右耳)人工耳蜗植入术的语前听障儿童。他们被分为实验组和对照组。实验组采用P-PSP,分基线、干预和随访三个阶段对结果进行分析。结果:本研究结果表明,P-PSP训练适用于CI儿童,特别是DEC子类别。此外,波斯语音位综合测试(P-PST)结果在干预阶段后与基线评估相比显著改善(p0.05),表明停止训练后听觉加工困难没有复发。结论:基于研究结果,波斯语版PSP增强了CI使用者的语音加工能力。因此,在植入后康复计划中使用听觉语音训练显得非常重要。关键词:听觉加工;解码障碍;人工耳蜗植入;听觉训练
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引用次数: 0
Parental Satisfaction in Tele and Face-to-Face Listening Training: Insights from COVID-19 Pandemic 家长对远程和面对面倾听培训的满意度:COVID-19大流行病的启示
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-05 DOI: 10.18502/avr.v33i1.14276
K. Nisha, Neelamegarajan Devi, Arena Varan, Shalabha Ammu Mathew, J. Shivaswamy
Background and Aim: The use of tele-intervention services in audiology has grown exponentially, as it has the potential to address many of the key challenges during the pandemic. The present study focused on the survey of parental satisfaction on listening therapy of their Hearing-Impaired (HI) children in tele and face-to-face mode during COVID-19 pandemic. Methods: Parents of children with Hearing Impairment (HI) who attended tele and face-to- face therapy sessions participated in the study. Group I participants were 25 parents of 0–3 years’ children with HI (mean age 1.8±0.25 y), while Group II had 25 parents of children with HI aged 3.1–5 years (mean age 4.1±0.33 y). The adapted and validated questionnaire was administered. Results: Frequency count and percentage were detailed for all questions across groups. The chi-square test of association revealed a significant difference between the tele and face-to-face therapy across the ratings in both groups, with parents rating better satisfaction and therapy efficacy in face-to-face therapy compared to tele-therapy. Principal Component Analysis (PCA) revealed that few questions can best categorize the variance in satisfactory ratings between the two therapy conditions. Conclusion:  The findings of the study showed that tele-listening therapy appears to be    a promising rehabilitative option in the COVID-19 pandemic when factors affecting its successful implementation are considered, although in the present conditions parental satisfaction ratings are higher for face-to-face therapy.   Keywords: Parental satisfaction; COVID-19 pandemic; questionnaire; children; hearing- impaired
背景和目的:听力学中远程干预服务的使用呈指数级增长,因为它有可能解决大流行期间的许多关键挑战。本研究旨在调查新冠肺炎大流行期间,远程和面对面两种模式下的听障儿童家长对听力治疗的满意度。方法:参加远程和面对面治疗的听力障碍儿童的家长参与研究。第一组25名0-3岁HI患儿的父母(平均年龄1.8±0.25岁),第二组25名年龄3.1-5岁HI患儿的父母(平均年龄4.1±0.33岁)。结果:频率计数和百分比详细列出了各组所有问题。关联卡方检验显示,两组家长对面对面治疗的满意度和治疗效果的评价均高于面对面治疗。主成分分析(PCA)显示,很少有问题可以最好地分类两种治疗条件之间满意评分的差异。结论:本研究结果表明,在COVID-19大流行中,远程倾听治疗似乎是一种很有前途的康复选择,当考虑到影响其成功实施的因素时,尽管在目前情况下,面对面治疗的父母满意度更高。关键词:父母满意度;COVID-19流行;问卷调查;孩子;听力障碍,
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引用次数: 0
The Persian Version of the Inventory of Hyperacusis Symptoms: The Translation Process, Psychometric Properties, and Diagnostic Criteria in Compared with Hyperacusis Questionnaire 波斯语版听力障碍症状量表:与听力障碍问卷相比的翻译过程、心理测量特性和诊断标准
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-05 DOI: 10.18502/avr.v33i1.14272
Mina Harati, Mohanna Javanbakht, Mohsen Vahedi
Background and Aim: One of the important loudness perception problems is hyperacusis. It is generally defined as sensitivity to average-intensity sounds, which are perceived as excessively loud or uncomfortable. Assessing symptoms of sound intolerance and their impact on patients’ lives is crucial. The study aims to determine the validity and reliability of the Persian version of the Inventory of Hyperacusis Symptoms (IHS), assess its validity in differentiating normal-hearing and hyperacusis adults, and measure its cutoff point. Methods: The questionnaire was translated according to the international quality of life assessment protocol. After determining both qualitative and  quantitative  face  validity and content validity, it was completed by 120 adults (60 with normal hearing and 60 with hyperacusis) to evaluate the differential validity and reliability. The reliability assessment was conducted using the test-retest method for all participants. For assessing the convergent validity, the correlation of the Persian IHS score with the score of the Hyperacusis Questionnaire (HQ) was evaluated. Results: The questionnaire had good face validity and content validity. The Cronbach coefficient α was 0.93 for the overall scale. The Interclass Correlation Coefficient (ICC=0.97) confirmed reliability. The cutoff point of the Persian IHS score was 48, with 91% sensitivity and 96% specificity. Additionally, a strong significant correlation was found between the scores of IHS and HQ (r=0.82). Conclusion: The Persian version of the IHS has high validity and reliability for use in hyperacusis clinics and research.   Keywords: Hyperacusis; inventory of hyperacusis symptoms; validity; reliability
背景与目的:听觉亢进是响度感知的重要问题之一。它通常被定义为对平均强度声音的敏感性,这种声音被认为太大声或不舒服。评估声音不耐受的症状及其对患者生活的影响至关重要。本研究旨在确定波斯语版听力亢进症状量表(IHS)的有效性和可靠性,评估其在区分听力正常和听力亢进成人中的有效性,并测量其截止点。方法:按照国际生活质量评估方案翻译问卷。在确定定性和定量的面孔效度和内容效度后,由120名成人(60名听力正常和60名听觉过度)完成,以评估差异效度和信度。对所有被试采用重测法进行信度评估。为了评估收敛效度,我们评估了波斯IHS评分与Hyperacusis问卷(HQ)评分的相关性。结果:问卷具有良好的面效度和内容效度。总体量表的Cronbach系数α为0.93。类间相关系数(ICC=0.97)证实了信度。波斯his评分的截止点为48,敏感性91%,特异性96%。此外,IHS评分与HQ评分之间存在很强的显著相关性(r=0.82)。结论:波斯版IHS在临床和研究中具有较高的效度和信度。关键词:听觉过敏;听觉亢进症状清单;效度;可靠性
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引用次数: 0
The Use of Homotonic Monosyllabic Words in the Persian Language for the Word-in-Noise Perception Test 利用波斯语中的同音单音节词进行词在噪音中的感知测试
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-05 DOI: 10.18502/avr.v33i1.14271
Seyede Faranak Emami
Background and Aim: Speech perception is an important auditory need. A test that can evaluate the function of the auditory brain in discovering consonants and understanding meanings in Persian language is necessary. Therefore, this study aims to determine the norm values of the Word-in-Noise Perception (WINP) test for Iranian people aged 18–25 years. Methods: In this study, participants were 101 people with normal hearing, stress level, night sleep, and mini-mental states. The measures were the 28-item general health questionnaire, mini-mental state examination, Petersburg sleep quality index, acoustic immittance assessment, pure tone audiometry, speech reception threshold evaluation, and the WINP test with Homotonic-Monosyllabic Words (HMWs). Data analysis was performed using the Mann-Whitney U test. Results: The mean scores of the WINP test at three Signal-to-Noise Ratio (SNRs) of 0, +5, +10 dB were 53.14%, 68.15%, 88.70% for the right ear; 52.95%, 67.83%, 88.13% for the left ear; and 53%, 68%, 88% for both ears, respectively. The mean scores of the right ear were higher than those of the left ear, and the women’s scores were higher compared to men; however, the differences were not statically significant. Conclusion: By using the WINP test with the HMWs, it is possible to evaluate the function of the auditory brain in understanding the consonants in Persian language. The WINP test scores are similar between both ears and both sexes. Keywords: Speech perception; noise; lexical; semantic  
背景与目的:语音感知是一种重要的听觉需求。有必要进行一项测试,以评估听觉大脑在发现辅音和理解波斯语意义方面的功能。因此,本研究旨在确定18-25岁伊朗人的噪声词感知(WINP)测试的规范值。方法:在本研究中,101名听力、应激水平、夜间睡眠和轻度精神状态正常的人被试。测量方法为28项一般健康问卷、简易精神状态检查、彼得堡睡眠质量指数、声阻抗评价、纯音听力学、语音接受阈值评价、同音单音节词WINP测验。数据分析采用Mann-Whitney U检验。结果:右耳在信噪比(SNRs)为0、+5、+10 dB时,WINP测试的平均得分分别为53.14%、68.15%、88.70%;左耳为52.95%、67.83%、88.13%;双耳分别是53% 68% 88%右耳平均得分高于左耳,且女性得分高于男性;然而,这些差异在统计学上并不显著。结论:用WINP测试可评价听觉脑对波斯语辅音的理解功能。WINP测试分数在两性和双耳之间是相似的。关键词:语音感知;噪音;词汇;语义
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引用次数: 0
Development of a Smart Game Application for Auditory Training of Children with Spatial Processing Disorder in Iran: A Pilot Study 为伊朗空间处理障碍儿童的听觉训练开发智能游戏应用程序:试点研究
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-05 DOI: 10.18502/avr.v33i1.14269
Sima Tajik, M. A. Ghahraman, S. Farahani, N. Rouhbakhsh, Alireza Taheri, Parsa Bahramsari, S. Jalaie
Background and Aim: Identifying sound localization defects in children and using appropriate rehabilitation methods lead to improve their problem to use binaural processing skills to successfully suppress background noise and selectively attend to a particular auditory source. This pilot study aims to design a game for auditory training of children with Spatial Processing Disorder (SPD) in Iran and compare their performance in engagement time and speech recognition in noise with those of normal peers. Methods: The game application was designed based on the spatial separation of target  and competing stimuli by applying head-related transfer functions. The child’s task was   to identify the picture of the target word from among the displayed options. Participants were 24 children with SPD and 27 normal peers aged 7–9 years, who performed the speech recognition tasks using the designed game. Results: The game was fascinating and easy to use for most participants. There was no significant difference in mean engagement time between the two groups. The mean engagement time of participants was significantly different between the two groups in terms of age. The children with SPD obtained lower scores in speech recognition in noise tasks. There was no significant difference in speech recognition scores between girls and boys. Conclusion: The designed game application has the potential for speech recognition in- noise training of children with SPD in Iran. It is a fascinating and user-friendly tool for simulating the real-life auditory situations for these children. Keywords: Smart game; speech recognition; application; auditory training; design; spatial auditory processing disorder.
背景与目的:识别儿童的声音定位缺陷,并采用适当的康复方法,可以改善儿童的问题,利用双耳加工技能成功地抑制背景噪声,选择性地关注特定的声源。本研究旨在为伊朗空间处理障碍(SPD)儿童设计一种听觉训练游戏,并将其在噪音环境下的参与时间和语音识别表现与正常同龄人进行比较。方法:应用头部相关传递函数设计基于目标刺激和竞争刺激空间分离的游戏应用程序。孩子们的任务是从显示的选项中识别目标单词的图片。参与者是24名SPD儿童和27名7-9岁的正常同龄人,他们使用设计的游戏执行语音识别任务。结果:游戏对大多数参与者来说是有趣的,易于使用。两组的平均参与时间无显著差异。两组参与者的平均参与时间在年龄上有显著差异。SPD患儿在噪声任务中的语音识别得分较低。女孩和男孩在语音识别得分上没有显著差异。结论:设计的游戏应用程序对伊朗SPD儿童的噪声环境下的语音识别训练具有潜在的应用价值。这是一个迷人的和用户友好的工具,为这些孩子模拟现实生活中的听觉情况。关键词:智能博弈;语音识别;应用程序;听觉训练;设计;空间听觉处理障碍。
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引用次数: 0
Clinical Characteristics and Hearing Aid Uptake Rate of Patients Seen at the Community Hearing Clinic: A Model of Upstream Preventive Care and Earlier Intervention 社区听力诊所就诊患者的临床特征和助听器使用率:上游预防保健和早期干预模式
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-05 DOI: 10.18502/avr.v33i1.14277
K. Chua, Heng Wai Yuen
Background and Aim: Presbyacusis is one of the most common causes of hearing loss for seniors age above 60 years. Yet diagnostic hearing tests are not readily accessible to seniors in the community. Since 2018, the Ministry of Health in Singapore started a pilot program to screen them for their visual, oral, and hearing health in the community and improve accessibility to hearing healthcare. We describe the clinical characteristics of seniors presenting to Community Hearing Clinic (CHC) and compared hearing aid uptake rates with patients seen at a tertiary hospital. Methods: Retrospective cross-sectional descriptive study on Singaporeans with hearing difficulties presenting to the community clinics. Results: Attendance rates were generally positive at more than 80% and is comparable to the specialist outpatient clinic at the tertiary hospital. Hearing aid uptake rates were comparable between CHC and tertiary hospital at 61.9% and 66.9% respectively. Despite having better accessibility with direct access to the audiologists, and more financial subsidies, the eventual uptake rates of hearing aids are not clinically different at the CHC. Conclusion: CHC may be a viable model of improving accessibility to hearing healthcare with audiologists providing the 1st level of triaging safely. However, the cost-effectiveness of this model remains to be seen. Further health service research studies are warranted to determine the cost-effectiveness of sandbox CHC. Right-siting and expanding the sandbox to include access to hearing aid subsidies in private clinics may further help with this move beyond hospital to the community in line with our public health vision.   Keywords: Community health services; audiology; hearing aids; financing; governmental
背景与目的:老年性耳聋是60岁以上老年人听力损失最常见的原因之一。然而,社区中的老年人并不容易获得诊断性听力测试。自2018年以来,新加坡卫生部启动了一项试点计划,在社区中筛查他们的视觉、口腔和听力健康,并改善听力保健的可及性。我们描述了到社区听力诊所(CHC)就诊的老年人的临床特征,并将助听器使用率与在三级医院就诊的患者进行了比较。方法:对到社区诊所就诊的新加坡听力障碍患者进行回顾性横断面描述性研究。结果:总体上座率为80%以上,与三级医院专科门诊相当。助听器使用率在CHC和三级医院比较,分别为61.9%和66.9%。尽管有更好的直接接触听力学家和更多的财政补贴,助听器的最终使用率在CHC没有临床差异。结论:CHC可能是一种可行的模式,可以提高听力保健的可及性,听力学家提供安全的第一级分诊。然而,这种模式的成本效益还有待观察。有必要进行进一步的卫生服务研究,以确定沙盒CHC的成本效益。正确定位和扩大沙箱,使其包括在私人诊所获得助听器补贴,这可能进一步有助于从医院向社区转移,符合我们的公共卫生愿景。关键词:社区卫生服务;听力;助听器;融资;政府
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引用次数: 0
Cross-Cultural Adaptation and Psychometric Evaluation of the Persian Version of Hearing Handicap Questionnaire for the Elderly 波斯语版老年人听力障碍问卷的跨文化适应性和心理测量学评估
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-12-03 DOI: 10.18502/avr.v33i1.14267
Faezeh Azadi, Farzaneh Fatahi, S. Farahani, S. Jalaie, Ahmad Reza Nazeri
Background and Aim: Hearing handicap, as one of the common health problems among older people, affects life activities. The Hearing Handicap Questionnaire (HHQ) is one of the scales that provide criteria for social withdrawal, participation restriction, and emotional distress. The present study aims to translate the HHQ into Persian and determine its psychometric properties. Methods: After translation into Persian, the content validity of the questionnaire was determined based on the Lawashe’s method. Then, the Persian HHQ (P-HHQ) and the Persian Hearing Handicap Inventory for Elderly-Screening version (P-HHIE-S) were completed by 110 hearing-impaired seniors (49 females) over 60 years. The concurrent validity was determined by Spearman correlation test, and the discriminant validity was analyzed by Kruskal-Wallis test and independent t-test. The test-retest reliability was assessed in 47 subjects after two weeks by Spearman correlation test and paired t-test. Results: The P-HHQ had high face validity. The mean total score of P-HHQ was 1.89±1.05. It had a significant positive correlation with the score of P-HHIE-S (r=0.87) and pure tone average of the better ear (r=0.72). There was a significant difference between three groups of elderly with different degrees of hearing impairment (p<0.001). Cronbach’s α values were in the range of 0.94–0.97. There was a strong correlation between test and retest scores of P-HHQ (r=0.97) which indicates a high test-retest reliability. Conclusion: The P-HHQ has acceptable validity and reliability and can be used as a suitable instrument to evaluate hearing handicap of the elderly in research studies and clinical settings.   Keywords: Elderly; handicap; hearing handicap questionnaire; presbycusis; self-report
背景与目的:听力障碍是老年人常见的健康问题之一,影响着老年人的生活活动。听力障碍问卷(HHQ)是提供社会退缩、参与限制和情绪困扰标准的量表之一。本研究旨在将HHQ翻译成波斯语,并确定其心理测量特性。方法:将问卷翻译成波斯语后,采用Lawashe法测定问卷的内容效度。然后,对110名60岁以上的听力受损老年人(女性49名)进行波斯语HHQ (P-HHQ)和波斯语听力障碍筛查量表(p - hhee - s)的测试。并发效度采用Spearman相关检验,判别效度采用Kruskal-Wallis检验和独立t检验。采用Spearman相关检验和配对t检验对47例受试者进行两周后重测信度评估。结果:P-HHQ具有较高的面效度。P-HHQ的平均总分为1.89±1.05分。与p - hhee - s评分(r=0.87)和较好耳纯音平均值(r=0.72)呈显著正相关。三组不同程度听障老年人间差异有统计学意义(p<0.001)。Cronbach’s α值在0.94 ~ 0.97之间。P-HHQ的复测分数与复测分数有较强的相关性(r=0.97),具有较高的重测信度。结论:P-HHQ具有良好的信度和效度,可作为老年人听力障碍的评估工具,应用于研究和临床。关键词:老年人;障碍;听力障碍问卷;老年性耳聋;自我报告
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引用次数: 0
Effect of Sand PlayTherapy onAggression and Emotional Adjustment of Children with Hearing Impairment 沙游戏疗法对听力障碍儿童攻击性及情绪调节的影响
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-06-18 DOI: 10.18502/avr.v32i3.12935
Mohsen Saeidmanesh, F. Demehri, Zohreh Alipour Esmaeili Anari
  Background and Aim: Sand Play Therapy (SPT) is a psychotherapy and nonverbal method used for people with trauma, disabilities, and distress. The present study aimed to investigate the effect of SPT on aggression and emotional adjustment of children with a hearing impairment aged 5–7 years. Methods: : In this quasi-experiment study with a pretest-posttest design and a control group, 30 children aged 5–7 years with hearing impairment participated. They were randomly assigned into two groups: control and experimental. The research instruments were Sinha and Singh adjustment questionnaire and the Shahim aggression questionnaire. The obtained data were analyzed using multivariate covariance analysis. Results: There were statistically significant differences (score decrease) between the two study groups after the SPT in terms of aggression (p<0.05) and the emotional adjustment of children (p<0.05). Conclusion: The results showed that SPT could decrease aggression and improve emotional adjustment in children with hearing loss. This method can be used to rehabilitate these children. Keywords: Hearing impairment; emotional adjustment; aggression; sand play therapy
背景和目的:沙游戏治疗(SPT)是一种心理治疗和非语言方法,用于创伤、残疾和痛苦患者。本研究旨在调查SPT对5-7岁听力障碍儿童攻击性和情绪调节的影响。方法:在这项采用前测后测设计和对照组的准实验研究中,30名5-7岁的听力障碍儿童参与了研究。他们被随机分为两组:对照组和实验组。研究工具为Sinha和Singh调整问卷和Shahim攻击性问卷。使用多元协方差分析对所获得的数据进行分析。结果:SPT后两组儿童的攻击性(p<0.05)和情绪调节(p<0.05)差异有统计学意义(得分下降)。这种方法可以用来使这些儿童康复。关键词:听力障碍;情绪调节;好斗情绪沙子游戏疗法
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引用次数: 0
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Auditory and Vestibular Research
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