Hearing Impairments and Prevention
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Questions and Answers

What does DALY stand for?

Disability-Adjusted Life Year

What are the two components of DALY?

Years Lived with Disability (YLD) and Years of Life Lost (YLL)

The prevalence of disabling hearing loss is expected to decrease over time.

False (B)

Which of the following is NOT a symptom of high-frequency hearing loss?

<p>Experiencing a ringing in the ears (tinnitus) (C)</p> Signup and view all the answers

Which of the following is NOT a factor that can contribute to hearing loss in adulthood?

<p>Chronic otitis media (B)</p> Signup and view all the answers

Which of the following is NOT considered a primary prevention strategy for hearing loss?

<p>Screening for hearing loss in adults (E)</p> Signup and view all the answers

Which of the following is an example of a tertiary prevention intervention for hearing loss?

<p>Hearing aid devices (B)</p> Signup and view all the answers

What is the primary focus of secondary prevention in hearing loss?

<p>Screening for hearing loss at an early age</p> Signup and view all the answers

Which of the following is NOT a potential consequence of hearing loss in adults?

<p>Increased social participation (D)</p> Signup and view all the answers

The ICF-based e-intake tool used in the ENT clinic categorizes patient problems as 'no problem,' 'possible problem,' or 'problem,' based on five different factors.

<p>True (A)</p> Signup and view all the answers

Match the following components of the COM-B model with their definitions:

<p>Capability = Psychosocial skills, strength, knowledge Motivation = Reflective plans, emotional reactions, desires Opportunity = Social cues, time, resources, location</p> Signup and view all the answers

What does the APEASE criteria stand for, and what is its purpose?

<p>Affordability, Practicability, Effectiveness, Acceptability, Side effects, Equity; The APEASE criteria is used to evaluate the suitability and effectiveness of interventions based on various factors.</p> Signup and view all the answers

Flashcards

Hearing Impairment

A disability affecting a person's ability to hear.

DALY

Disability-Adjusted Life Year; a measure of the overall burden of disease.

YLD

Years Lived with Disability; a component of DALY.

YLL

Years of Life Lost; a component of DALY.

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Audiogram

A graph showing hearing thresholds at different frequencies.

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Primary Prevention

Strategies to prevent a hearing impairment from occurring.

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Secondary Prevention

Strategies to identify and treat hearing loss early after it occurs.

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Tertiary Prevention

Strategies to mitigate the consequences and rehabilitate patients with hearing impairment.

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Prenatal hearing loss causes

Causes of hearing loss during prenatal development.

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Perinatal hearing loss causes

Causes of hearing loss during birth.

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Adult/lifespan hearing loss causes

Causes of hearing loss during adulthood or whole of lifespan.

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COM-B Model

Model of factors influencing behavior: Capability, Opportunity, and Motivation.

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Capability

A part of COM-B: Resources and skills to perform an action.

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Motivation

A part of COM-B: Desire to act or not.

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Opportunity

A part of COM-B: Environmental conditions affecting performance.

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Behavior Change Techniques (BCTs)

Specific methods for changing behaviors.

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ICF-based tool

An intake tool that uses the International Classification of Functioning, Disability and Health (ICF).

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Shared decision making

A process where clinicians and patients make decisions together.

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Behavior Change Wheel

A framework to design interventions based on behavior.

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Hearing Aid

Device to amplify sound for people with hearing impairment.

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Cochlear Implant

An electronic device that stimulates the auditory nerve, bypassing damaged parts of the ear.

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Study Notes

Hearing Impairments

  • Hearing impairment is a disability affecting quality of life, measured in Disability-Adjusted Life Years (DALYs). DALYs include Years Lived with Disability (YLD) and Years of Life Lost (YLL).
  • Globally, disabling hearing loss affects 430 million people (1 in 20) in 2019, projected to rise to 700 million (1 in 14) by 2050.
  • In the Netherlands, 1.3 million people experience hearing loss.
  • Hearing loss is assessed through an audiometry test, measuring the softest audible frequencies.
  • Symptoms of high-frequency hearing loss include difficulty understanding women's/children's voices, and words starting/ending with "s," "h," "f," or "th."

Prevention of Hearing Impairment

  • Primary prevention addresses causes before the onset of hearing loss. Prenatal causes include genetics and intra-uterine infections, perinatal difficulties (lack of oxygen, prematurity, low birth weight), and childhood/adolescent factors like chronic ear infections. Factors that increase risk in adulthood include smoking, drugs, noise exposure, and non-communicable diseases (NCDs) like diabetes and hypertension.
  • Secondary prevention involves early screening, starting in childhood to identify and address hearing loss when caught early.
  • Tertiary prevention aims to manage the consequences of hearing loss. This includes treatment options like hearing aids or cochlear implants, communications assistance strategies (speech reading, sign language), and occupational/vocational rehabilitation, thus mitigating reduced quality of life and improved physical health.

Intervention Design

  • An intake tool, based on the International Classification of Functioning, Disability and Health (ICF), assesses patient needs and identifies 5 categories: no problem, possible problem, or problem (green, orange, red). This assessment informs the intervention design.
  • The Behavior Change Wheel (BCW) guides intervention design. This framework integrates factors like capability, opportunity, and motivation to develop targeted interventions.
  • The BCW involves 8 steps, moving from understanding behaviour to identifying interventions, modes of delivery and translated BCTs into intervention content. Factors including affordability, practicability, effectiveness, acceptability of side effects are crucial consideration factors.

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Description

This quiz explores the impact of hearing impairments on quality of life, highlighting global statistics and symptoms associated with hearing loss. It also discusses prevention methods, including primary prevention strategies and risk factors related to hearing impairment. Test your knowledge on this essential health topic.

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