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Search Results: 1 - 10 of 3968 matches for " Deborah Viviane "
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Telessaúde: avalia??o da eficácia da teleconsulta na programa??o e adapta??o de aparelho de amplifica??o sonora individual
Campos, Patrícia Danieli;Ferrari, Deborah Viviane;
Jornal da Sociedade Brasileira de Fonoaudiologia , 2012, DOI: 10.1590/S2179-64912012000400003
Abstract: purpose: to evaluate teleconsultation's efficacy for hearing aid fitting. methods: fifty hearing impaired individuals with ages ranging from 39 to 88 years and mean audiometric thresholds between 30 and 68.75 dbhl participated in this study. participants were divided into two groups (stratified randomization): control group (n=25), submitted to face-to-face procedures, and experimental group (n=25), submitted to synchronous teleconsultation with interactive video and remote applicative control. the hearing aids were programmed and verified (with microphone probe), and the subjects received instructions regarding use and care for the device. time taken for the procedures was measured. following the consultations, an evaluator (blind to the groups) applied the hearing in noise test (hint-brazil). approximately one month after consultations, the daily time of hearing aid use was verified, and the international outcome inventory for hearing aids (ioi-ha) was administered. results: a greater time for programming and verification and a smaller time for orientation were observed for the experimental group. no difference was found between groups for the total consultation time. the real ear measures' matching to their respective targets was similar for both groups. no difference was observed between groups for the hint results (silence and noise), the daily amount of use of hearing aids in hours, and the ioi-ha scores. conclusion: teleconsultation is an efficient procedure for hearing aid programming, verification and fitting when face-to-face services are not available.
Rela??o entre limiares audiométricos, handicap e tempo para procura de tratamento da deficiência auditiva
Yamamoto, Cássia Hiromi;Ferrari, Deborah Viviane;
Revista da Sociedade Brasileira de Fonoaudiologia , 2012, DOI: 10.1590/S1516-80342012000200006
Abstract: purpose: to investigate the relationship between audiometric thresholds, self-perception of handicap, and time taken to seek treatment in patients treated at a public health care service. methods: this retrospective study analyzed the records of 152 elderly and 48 adult patients with hearing impairment. the mean iso audiometric thresholds (500 hz to 4 khz) and the mean high frequencies thresholds (2 to 6 khz), the speech recognition thresholds, and the total, social and emotional scores from the hearing handicap inventory for the adults (hhia) and elderly (hhie) were compared with the time elapsed from the onset of hearing complaints and the treatment seeking. results: the mean time for seeking treatment was 7.6 years. no difference was found between adults and elderly for iso and high frequency mean thresholds, hhia/e scores, and time for treatment seeking. weak but significant negative correlations were observed between auditory thresholds and time taken for treatment seeking. no relationship was found between the time taken for treatment seeking and the variables related to educational and socioeconomic levels and perception of handicap. conclusion: search for treatment seems to be influenced by auditory thresholds. despite technological advances and changes in the access to information and treatment, the time taken for treatment seeking was similar to that reported 30 years ago.
Orienta??o ao usuário de prótese auditiva: reten??o da informa??o
Geraldo, Tatiane;Ferrari, Deborah Viviane;Bastos, Barbara Guimar?es;
Arquivos Internacionais de Otorrinolaringologia , 2011, DOI: 10.1590/S1809-48722011000400002
Abstract: introduction: different informations are transmitted to the new user of the hearing aid, in a short period of time. the user needs to understand and retain the information to subsequent recovery and action, ensuring the proper use of the device. objective: check the information retention about the hearing loss and use/care with the hearing aid in new users of these devices. examine whether there is influence of demographic data and audiologic. method: prospective study. participants: 30 hearing impaired (18 women and 12 men), aged between 18 and 88 years. were offered verbal orientation supported with ilustrations at the time of audiological diagnosis and adaptation of the hearing aid. there was practice for manipulation of the prosthesis. three weeks after the adaptation, was performed a evaluation of the retention of information about hearing loss (free recall) and use/care with the prosthesis (aided recall). the manipulation of the prosthesis was also evaluated. the responses and comments of the evaluator were noted in a specific protocol and scored. results: on average the participants retained, respectively, 31,6% and 83,6% of informations about hearing loss in adults and elderly. there was no correlation between the retention of information with the degree in hearing loss, education and socioeconomic level. conclusion: it's necessary the use of strategies that facilitate and improve the retention of the information about the audiological diagnosis, use and care with the hearing aid for new users of this device.
Internet e educa??o ao paciente
Bastos, Bárbara Guimar?es;Ferrari, Deborah Viviane;
Arquivos Internacionais de Otorrinolaringologia , 2011, DOI: 10.1590/S1809-48722011000400017
Abstract: introduction: the process of education of a patient aims to improve knowledge and skill of the patient and/or family, in a way to influence attitudes and behaviors needed to maintain or improve health. must be a integral part of interpersonal communication between health professionals and patients, and this can happen through interpersonal communication and various other means such as pamphlets, manuals and, more recently, computer resources. goal: this update article approach the patient education and the internet potential for this process, still presenting some initiatives in the audiology área. discussion: the informations, related to health are popular in the internet, and include interactive websites, portals, e-mails, telehealth aplications, and others. the education of the patients supported by the internet can help to solve a big ethical, political and economic issue: the problem to conciliate the needs and the expectations of the patients with the characteristics and limitations of the health system. although the use of internet in the education of the patient is promising, this is not a solution to be used without careful planning, monitoring and evaluation. in audiology there are few initiatives with the use of e-mails and websites for complement of the patient education. final considerations: the health professionals, including the speech therapists, must check if their patients use internet resources, recognize that behavior change and prepare not only to discuss the information obtained with the patient, but also suggest websites with reliable information and help them to evaluate the quality of the information available online.
Validity and reliability of the hearing handicap inventory for adults
Aiello, Camila Piccini;Lima, Ivanildo Inácio de;Ferrari, Deborah Viviane;
Brazilian Journal of Otorhinolaryngology , 2011, DOI: 10.1590/S1808-86942011000400005
Abstract: the hearing handicap inventory for adults (hhia) translated into brazilian portuguese has been used for clinical practice and research purposes; however, information regarding its ease of reading and psychometric properties are still lacking. aim: to evaluate the ease of reading and psychometric properties of the brazilian translation of this tool, including its validity and reliability. materials and methods: prospective study. the questionnaire was applied to 30 normal hearing (group a) and 113 hearing impaired (group b) persons. thirty two participants (group b) answered the questionnaire a second time. the flesch readability index was calculated for each item in the questionnaire. the internal consistency, test-retest reliability and discriminant validity were evaluated. results: flesch's scores showed that the questionnaire was easy to read. cronbach's alpha and pearson's correlation showed high internal consistency. there was no significant difference between test and retest scores. besides, correlation between these two scores was also high and significant. student t test indicated significant difference between scores for groups a and b (discriminant validity). conclusions: the hearing handicap inventory for adults translated into brazilian portuguese maintained the reliability and validity of the english version. further studies are needed to determine the convergent validity and construct validity for this instrument
Correla??es audiométricas do questionário de handicap auditivo para adultos
Lima, Ivanildo Inacio de;Aiello, Camila Piccini;Ferrari, Deborah Viviane;
Revista CEFAC , 2011, DOI: 10.1590/S1516-18462010005000057
Abstract: purpose: to check the relations between self-perceived hearing handicap (participation restriction), audiometric findings and socio-demographic data in hearing impaired adults and compare the results between men and women. methods: 113 adults with post lingual sensorineural bilateral hearing loss of varying degrees took part in the study. the hearing handicap inventory for adults (hhia) was applied in the interview format. we obtained the correlation coefficient between total hhia as well as the "social" one and "emotional" subscales scores with the mean audiometric thresholds (iso, low, medium and high frequencies) and speech recognition thresholds (srt). the hhia scores were also correlated with the duration of deafness, educational level and socio-economic status. the hhia scores between men and women were compared by means of the student t test. results: weak but significant correlations were obtained between audiometric data and hhia scores. there was no correlation between duration of deafness, educational level and socioeconomic status with hhia scores. there was no significant difference in scores between men and women. conclusion: data from this study reinforce the need for using an instrument for evaluating the participation restriction, since it cannot be inferred from the audiometric data and/or socio-demographic factors.
Internet e educa o ao paciente
Bastos, Bárbara Guimar?es,Ferrari, Deborah Viviane
Arquivos Internacionais de Otorrinolaringologia , 2011,
Abstract: Introdu o: O processo de educa o ao paciente tem como objetivos melhorar o conhecimento e habilidade do paciente e/ou família de forma a influenciar as atitudes e comportamentos necessários para manter ou melhorar a saúde. Deve ser uma parte integral da comunica o entre profissionais de saúde e pacientes, podendo isto ocorrer por meio da comunica o interpessoal e outros diferentes meios como panfletos, manuais e, mais recentemente, recursos computacionais. Objetivo: Este artigo de atualiza o aborda a educa o ao paciente e as potencialidades da internet para este processo, apresentando ainda algumas iniciativas na área da audiologia. Discuss o: As informa es relacionadas à saúde s o populares na internet, e incluem websites interativos, portais, e-mails, aplica es de telessaúde, entre outros. A educa o de pacientes apoiada pela internet pode contribuir para solucionar um grande desafio ético, político e econ mico: o problema de conciliar as necessidades e expectativas dos pacientes com as características e limita es do sistema de saúde. Embora a utiliza o da internet para a educa o ao paciente seja promissora, esta n o é uma solu o que deve ser utilizada sem planejamento cuidadoso, monitoramento e avalia o. Na audiologia existem poucas iniciativas com o uso de e-mails e websites para complementa o da educa o ao paciente. Considera es Finais: Os profissionais da saúde, incluindo os fonoaudiólogos, devem verificar se seus pacientes utilizam recursos da internet, reconhecer esta mudan a de comportamento e preparar-se n o só para discutir as informa es obtidas com o paciente, mas também sugerir websites com informa es confiáveis e auxiliá-los a avaliar a qualidade das informa es disponíveis online.
Correla es audiométricas do questionário de handicap auditivo para adultos Audiometric correlations of the Hearing Handicap Inventory for Adults
Ivanildo Inacio de Lima,Camila Piccini Aiello,Deborah Viviane Ferrari
Revista CEFAC , 2011,
Abstract: OBJETIVO: verificar as rela es entre a autopercep o do handicap auditivo (restri o de participa o), os achados audiométricos e dados sócio-demográficos em adultos deficientes auditivos. Comparar os resultados da percep o do handicap entre homens e mulheres. MéTODOS: participaram deste estudo, 113 adultos jovens portadores de deficiência auditiva pós-lingual, neurossenssorial bilateral de graus variados. O questionário de Handicap Auditivo para Adultos (HHIA) foi aplicado no formato de entrevista. A pontua o total e das subescalas "social" e "emocional", do questionário foram correlacionadas com as médias dos limiares audiométricos (ISO, baixa, média e alta frequência) e limiar de reconhecimento de fala (LRF). Também foi obtida correla o entre as pontua es do questionário e tempo de surdez, escolaridade e nível sócio-econ mico. A compara o dos resultados do HHIA entre homens e mulheres foi realizada pelo teste t de Student. RESULTADOS: correla es fracas, porém significantes, foram obtidas entre os dados audiométricos e a pontua o do HHIA. N o houve correla o entre o tempo de surdez, escolaridade e nível sócio-econ mico com a pontua o do questionário. N o houve diferen a significativa da pontua o entre homens e mulheres. CONCLUS O: os dados deste estudo refor am a necessidade de utiliza o de um instrumento de avalia o da restri o de participa o, já que esta n o pode ser inferida a partir dos dados audiológicos e/ou sócio-demográficos. PURPOSE: to check the relations between self-perceived hearing handicap (participation restriction), audiometric findings and socio-demographic data in hearing impaired adults and compare the results between men and women. METHODS: 113 adults with post lingual sensorineural bilateral hearing loss of varying degrees took part in the study. The Hearing Handicap Inventory for Adults (HHIA) was applied in the interview format. We obtained the correlation coefficient between total HHIA as well as the "social" one and "emotional" subscales scores with the mean audiometric thresholds (ISO, low, medium and high frequencies) and speech recognition thresholds (SRT). The HHIA scores were also correlated with the duration of deafness, educational level and socio-economic status. The HHIA scores between men and women were compared by means of the Student t test. RESULTS: weak but significant correlations were obtained between audiometric data and HHIA scores. There was no correlation between duration of deafness, educational level and socioeconomic status with HHIA scores. There was no significant difference in scores b
Internet and education for the patient
Bastos, Bárbara Guimar?es,Ferrari, Deborah Viviane
International Archives of Otorhinolaryngology , 2011,
Abstract: Introduction: The process of education of a patient aims to improve knowledge and skill of the patient and/or family, in a way to influence attitudes and behaviors needed to maintain or improve health. Must be a integral part of interpersonal communication between health professionals and patients, and this can happen through interpersonal communication and various other means such as pamphlets, manuals and, more recently, computer resources. Goal: This update article approach the patient education and the internet potential for this process, still presenting some initiatives in the audiology área. Discussion: The informations, related to health are popular in the internet, and include interactive websites, portals, e-mails, telehealth aplications, and others. The education of the patients supported by the internet can help to solve a big ethical, political and economic issue: the problem to conciliate the needs and the expectations of the patients with the characteristics and limitations of the health system. Although the use of internet in the education of the patient is promising, this is not a solution to be used without careful planning, monitoring and evaluation. In audiology there are few initiatives with the use of e-mails and websites for complement of the patient education. Final Considerations: The health professionals, including the speech therapists, must check if their patients use internet resources, recognize that behavior change and prepare not only to discuss the information obtained with the patient, but also suggest websites with reliable information and help them to evaluate the quality of the information available online.
Guidance to the user of the hearing aid: retention of information
Geraldo, Tatiane,Ferrari, Deborah Viviane,Bastos, Barbara Guimar?es
International Archives of Otorhinolaryngology , 2011,
Abstract: Introduction: Different informations are transmitted to the new user of the hearing aid, in a short period of time. The user needs to understand and retain the information to subsequent recovery and action, ensuring the proper use of the device. Objective: check the information retention about the hearing loss and use/care with the hearing aid in new users of these devices. Examine whether there is influence of demographic data and audiologic. Method: Prospective study. Participants: 30 hearing impaired (18 women and 12 men), aged between 18 and 88 years. Were offered verbal orientation supported with ilustrations at the time of audiological diagnosis and adaptation of the hearing aid. There was practice for manipulation of the prosthesis. Three weeks after the adaptation, was performed a evaluation of the retention of information about hearing loss (free recall) and use/care with the prosthesis (aided recall). The manipulation of the prosthesis was also evaluated. The responses and comments of the evaluator were noted in a specific protocol and scored. Results: On average the participants retained, respectively, 31,6% and 83,6% of informations about hearing loss in adults and elderly. There was no correlation between the retention of information with the degree in hearing loss, education and socioeconomic level. Conclusion: It's necessary the use of strategies that facilitate and improve the retention of the information about the audiological diagnosis, use and care with the hearing aid for new users of this device.
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