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Does educational level predict hearing aid self-efficacy in experienced older adult hearing aid users from Latin America? Validation process of the Spanish version of the MARS-HA questionnaire


Autoři: Eduardo Fuentes-López aff001;  Adrian Fuente aff002;  Gonzalo Valdivia aff004;  Manuel Luna-Monsalve aff005
Působiště autorů: Carrera de Fonoaudiología, Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile aff001;  École d’orthophonie et d’audiologie, Faculté de Médecine, Université de Montréal, Montréal, Québec, Canada aff002;  Centre de recherche de l’Institut Universitaire de Gériatrie de Montréal, Montréal, Québec, Canada aff003;  Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile aff004;  Escuela de Fonoaudiología, Facultad de Ciencias de la Salud, Universidad San Sebastián, Concepción, Chile aff005
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0226085

Souhrn

Hearing aids are the most common rehabilitation strategy for age-related hearing loss. However, 25% to 50% of older adults fitted with hearing aids do not wear them post-fitting. Hearing aid self-efficacy has been suggested as one of the key factors that may explain adherence to hearing aids in older adults. The primary aim of this study was to determine a possible association between educational level and hearing aid self-efficacy in older adult hearing aid users from a Latin American country (i.e., Chile). The secondary aim was to determine if in this sample of older adults, hearing aid self-efficacy predicted hearing aid adherence as previously suggested by other studies. The MARS-HA (Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids) questionnaire was used to measure hearing aid self-efficacy. This questionnaire was initially adapted into Spanish (S-MARS-HA) using forward and backward translations by bilingual English-Spanish speakers. A sample of 252 older adults fitted with hearing aids at a public hospital in Santiago, Chile, was investigated. Educational level was measured as the number of years of formal education. Participants responded to the S-MARS-HA along with questions exploring social support, attitudes in using hearing aids, participation in social events, and vision and joint problems. Hearing aid adherence was investigated with the use of a question from the International Outcome Inventory for Hearing Aids. All these procedures were conducted at the participants’ homes. Pure-tone average (PTA; 500–4000 Hz) in the fitted ear was obtained from the participants’ medical records. Univariate and multivariate regression models were constructed to investigate the association between educational level and hearing aid self-efficacy controlling for the covariates of interest (e.g., social support, attitudes in using hearing aids, PTA). The S-MARS-HA showed an adequate construct validity along with a good reliability. Results of the multivariate regression analyses showed that educational level significantly predicted hearing aid self-efficacy. Covariates significantly associated with this outcome included attitudes in using hearing aids and PTA in the fitted ear. Finally, a significant association between hearing aid self-efficacy and adherence to hearing aid use was observed. In conclusion, this study showed a significant association between educational level and hearing aid self-efficacy in older adults from a developing Latin American country. Thus, this variable should be considered when designing and delivering aural rehabilitation programs such as hearing aids to older adults, especially those from developing countries.

Klíčová slova:

Elderly – Educational attainment – Hearing disorders – Deafness – Questionnaires – Chile (country) – Ears – Hearing


Zdroje

1. Yueh B, Shapiro N, MacLean CH, Shekelle PG. Screening and management of adult hearing loss in primary care: scientific review. JAMA. 2003; 16; 289(15): 1986–90.

2. Dunlop RJ, Dennis KC, Gonzenbach SA, Abrams HB, Berardino JT, Styer SA, et al. Support personnel in VA audiology. Audiology Today. 2006; 18(1): 24–5.

3. Svard I, Spens KE, Back L, Ahlner BH, Barrenas ML. The benefit method: fitting hearing aids in noise. Noise & Health. 2005; 7(29): 12–23.

4. Knudsen LV, Oberg M, Nielsen C, Naylor G, Kramer S. Factors influencing help seeking, hearing aid uptake, hearing aid use and satisfaction with hearing aids: A review of the literature. Trends Amplif. 2010; 14(3): 127–54. doi: 10.1177/1084713810385712 21109549

5. Ng JH, Loke AY. Determinants of hearing-aid adoption and use among the elderly: a systematic review. Int J Audiol. 2015; 54(5): 291–300. doi: 10.3109/14992027.2014.966922 25640403

6. McCormack A, Fortnum H. Why do people fitted with hearing aids not wear them? Int J Audiol. 2013; 52(5): 360–8. doi: 10.3109/14992027.2013.769066 23473329

7. Barnett M, Hixon B, Okwiri N, Irungu C, Ayugi J, Thompson R, et al. Factors involved in access and utilization of adult hearing healthcare: A systematic review. Laryngoscope. 2017; 127(5): 1187–1194. doi: 10.1002/lary.26234 27545324

8. Hickson L, Meyer C, Lovelock K, Lampert M, Khan A. Factors associated with success with hearing aids in older adults. Int J Audiol. 2014; 53(Suppl 1): S18–S27.

9. Meyer C, Hickson L, Fletcher A. Identifying the barriers and facilitators to optimal hearing aid self-efficacy. Int J Audiol. 2014; 53(suppl 1): S28–S37.

10. Smith SL, West RL. Development of a hearing aid self-efficacy questionnaire. Int J Audiol. 2007; 46(12): 759–71. doi: 10.1080/14992020701545898 18049965

11. Smith SL. West RL. Hearing aid self-efficacy of new and experienced hearing-aid users. Semin Hear. 2006; 27, 325–329.

12. United Nations Development Programme. Human Development Indices and Indicators: 2018 Statistical Update. [Last accessed on 2018 December 15]. Available from: http://hdr.undp.org/sites/default/files/2018_human_development_statistical_update.pdf

13. Cruces G, García Domench C, Gasparini L. Inequality In Education: Evidence For Latin America. WIDER Working Paper 2011/093. Helsinki: UNU-WIDER. 2011.

14. Caposecco A, Hickson L, Meyer C. Hearing aid user guides: suitability for older adults. Int J Audiol. 2014; 53 (Suppl 1), S43–S51.

15. Bandura A. Self-efficacy: Toward a unifying theory of behavior change. Psychological Review. 1987; 84: 191–192.

16. Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall; 1986.

17. Bandura A. Self efficacy: The exercise of control. New York: Freeman. 1997. Smith SL, West RL. The application of self-efficacy principles to audiologic rehabilitation: a tutorial. Am J Audiol. 2006; 15(1): 46–56. doi: 10.1044/1059-0889(2006/006)

18. Artino AR Jr. Academic self-efficacy: from educational theory to instructional practice. Perspect Med Educ. 2012; 1(2): 76–85. doi: 10.1007/s40037-012-0012-5 23316462

19. Kelly-Campbell RJ, McMillan A. The Relationship Between Hearing Aid Self-Efficacy and Hearing Aid Satisfaction. Am J Audiol. 2015; 24(4), 529–35. doi: 10.1044/2015_AJA-15-0028 26650773

20. McKee MM, Choi H, Wilson S, DeJonckheere MJ, Zazove P, Levy H. Determinants of Hearing Aid Use Among Older Americans With Hearing Loss. Gerontologist. 2018; 00:1–11.

21. Fischer ME, Cruickshanks KJ, Wiley TL, Klein BE, Klein R, Tweed TS. Determinants of hearing aid acquisition in older adults. Am J Public Health. 2011; 101(8): 1449–55. doi: 10.2105/AJPH.2010.300078 21680930

22. Lin FR, Thorpe R, Gordon-Salant S, Ferrucci L. Hearing loss prevalence and risk factors among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011; 66(5): 582–90. doi: 10.1093/gerona/glr002 21357188

23. Fuentes-López E, Fuente A, Valdivia G, Luna-Monsalve M. Effects of auditory and socio-demographic variables on giving up on hearing aids among older adults with hearing loss fitted in the public health sector in Chile. BMC Geriatrics. 2019; 19(1): 245. doi: 10.1186/s12877-019-1260-6 31481016

24. Convery E, Keidser G, Seeto M, McLelland M. Evaluation of the Self-Fitting Process with a Commercially Available Hearing Aid. J Am Acad Audiol. 2017; 28(2): 109–118. doi: 10.3766/jaaa.15076 28240978

25. Ferguson MA, Woolley A, Munro KJ. The impact of self-efficacy, expectations, and readiness on hearing aid outcomes. Int J Audiol. 2016; 55(Suppl 3): S34–S41.

26. Vincent C, Gagné J, Leroux T, Clothier A, Larivière M, Dumont FS, et al. French-Canadian translation and validation of four questionnaires assessing hearing impairment and handicap. Int J Audiol. 2017; 56(4): 248–259. doi: 10.1080/14992027.2016.1263398 27981872

27. MacCallum RC, Browne MW, Sugawara HM. Power analysis and determination of sample size for covariance structure modeling of fit involving a particular measure of model. Psychol Methods. 1996; 13(2), 130–49.

28. Ministry of Health of Chile. Guía Clínica AUGE: Hipoacusia bilateral en personas de 65 años y más que requieren uso de audífono. Santiago de Chile: Ministerio de Salud. 2013 [Last accessed on 2018 December 15]. Available from: https://www.minsal.cl/sites/default/files/files/Hipoacusiabilateralmayores65agnos.pdf

29. Quiroga P, Albala C, Klaasen G. Validation of a screening test for age associated cognitive impairment in Chile. Rev Med Chil. 2004; 132(4): 467–478. doi: 10.4067/s0034-98872004000400009 15382519

30. Fuentes-López E, Fuente A, Cardemil F, Valdivia G, Albala C. Prevalence and associated factors of hearing aid use among older adults in Chile. Int J Audiol. 2007; 56(11): 810–8.

31. Dias EG, Andrade FB, Duarte YA, Santos JL, Lebrão ML. Advanced activities of daily living and incidence of cognitive decline in the elderly: the SABE Study. Cad. Saúde Pública. 2015; 31(8): 1–13.

32. Avila-Funes JA, Garant MP, Aguilar-Navarro S. Relationship between determining factors for depressive symptoms and for dietary habits in older adults in Mexico. Rev Panam Salud Publica. 2006; 19(5): 321–30. doi: 10.1590/s1020-49892006000500005 16805974

33. Albala C, Lebrão ML, León Díaz EM, Ham-Chande R, Hennis AJ, Palloni A, et al. The Health, Well-Being, and Aging ("SABE") survey: methodology applied and profile of the study population. Rev Panam Salud Publica. 2005; 17(5–6): 307–22. doi: 10.1590/s1020-49892005000500003 16053641

34. The National Service for the Elderly [Servicio Nacional del Adulto Mayor (SENAMA)]. 2010. Estudio Nacional de la Dependencia en las Personas Mayores. Impresores Gráfica Puerto Madero, Chile. [Last accessed on 2019 October 18]. Available from: http://www.senama.gob.cl/storage/docs/Dependencia-Personas-Mayores-2009.pdf

35. Cox R, Stephens S, Kramer S. Translations of the International Outcome inventory for Hearing Aids (IOI-HA). Int J Audiol. 2002; 41(1): 3–26. doi: 10.3109/14992020209101307 12467365

36. Robinson K, Gatehouse S, Browning GG. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol. 1996; 105(6): 415–22. doi: 10.1177/000348949610500601 8638891

37. Wang J, Wang X. Estructural Equation Modeling Aplications Using MPLUS. United Kingdom: Jhon Wiley & Sons, Inc. 2012.

38. Carpenter J, Bithell J. Bootstrap confidence intervals: when, which, what? A practical guide for medical statisticians. Stat Med. 2000; 19(9): 1141–64. doi: 10.1002/(sici)1097-0258(20000515)19:9<1141::aid-sim479>3.0.co;2-f 10797513

39. Byrne BM. Structural equation modeling with Mplus: Basic concepts, applications, and programming. Routledge; 2013.

40. United States Census Bureau. American Community Survey 1-Year Estimates: Item educational attainment data. 2017. [Last accessed on 2018 December 15]. Available from: https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk

41. Wu YH, Bentler RA. Do older adults have social lifestyles that place fewer demands on hearing? J Am Acad Audiol. 2012; 23(9): 697–711. doi: 10.3766/jaaa.23.9.4 23072962

42. Heffernan E, Coulson NS, Henshaw H, Barry JG, Ferguson M. Understanding the psychosocial experiences of adults with mild-moderate hearing loss: An application of Leventhal's self-regulatory model. Int J Audiol. 2016; 55 Suppl 3:S3–S12.

43. Reise SP, Waller NG. Item response theory and clinical measurement. Annu Rev Clin Psychol. 2009; 5:27–48. doi: 10.1146/annurev.clinpsy.032408.153553 18976138

44. Laplante-Lévesque A, Nielsen C, Jensen LD, Naylor G. Patterns of hearing aid usage predict hearing aid use amount (data logged and self-reported) and overreport. J Am Acad Audiol. 2014; 25(2): 187–98. doi: 10.3766/jaaa.25.2.7 24828219


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