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      Quality of life and cochlear implant: results in adults with postlingual hearing loss Translated title: Qualidade de vida e implante coclear: resultados em adultos com deficiência auditiva pós-lingual

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          Abstract

          Introduction

          Considering the variability of results found in the clinical population using a cochlear implant, researchers in the area have been interested in the inclusion of quality of life measures to subjectively assess the benefits of the implantation.

          Objective

          To assess the quality of life of adult users of cochlear implant.

          Methods

          A cross-sectional and clinical study in a group of 26 adults of both genders, with mean duration of cochlear implant use of 6.6 years. The Nijmegen Cochlear Implantation Questionnaire and the generic World Health Organization Quality of Life questionnaire were sent electronically.

          Results

          The best assessed domain in the quality of life assessment for the cochlear implantation questionnaire was the social domain, whereas for the quality of life questionnaire it was the psychological domain. The variables, gender, time of cochlear implant use and auditory modality did not influence the results of both questionnaires. Only the variable level of education was correlated with the environment domain of the quality of life questionnaire. The variable telephone speech comprehension was associated with a better perception of quality of life for all the domains of the specific questionnaire and for the self-assessment of quality of life in general.

          Conclusion

          From the users’ perspective, both questionnaires showed that cochlear implant brought benefits to different aspects related to quality of life.

          Resumo

          Introdução

          Diante da variabilidade de resultados clínicos encontrada na população usuária de implante coclear, pesquisadores da área têm se interessado pela inclusão de medidas de qualidade de vida para avaliar de maneira subjetiva os benefícios do implante coclear.

          Objetivo

          Avaliar a qualidade de vida de adultos usuários de implante coclear.

          Método

          Estudo transversal e clínico em um grupo de 26 adultos, de ambos os gêneros, com tempo de uso médio do implante coclear de 6,6 anos. Foram utilizados o questionário específico Nijmegen de Implantes Cocleares e o questionário genérico World Health Organization Quality of Life, enviados via mídia eletrônica.

          Resultados

          O domínio melhor pontuado na avaliação da qualidade de vida para o questionário Nijmegen foi o social e para o questionário World Health Organization Quality of Life foi o psicológico. As variáveis, gênero, tempo de uso do implante coclear e modalidade auditiva não influenciaram os resultados de ambos os questionários. Apenas a variável nível de instrução correlacionou-se com o domínio meio ambiente do questionário sobre qualidade de vida. A variável compreensão de fala ao telefone associou-se a uma melhor percepção da qualidade de vida para todos os domínios do questionário específico e para a autoavaliação da qualidade de vida em geral.

          Conclusão

          Na perspectiva dos usuários, o implante coclear trouxe benefícios para os diversos aspectos relacionados à qualidade de vida em ambos os questionários.

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          Most cited references23

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          Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida "WHOQOL-bref"

          INTRODUÇÃO: A necessidade de instrumentos de rápida aplicação determinou que o Grupo de Qualidade de Vida da Organização Mundial de Saúde desenvolvesse a versão abreviada do WHOQOL-100, o WHOQOL-bref. Este instrumento consta de 26 questões divididas em quatro domínios: físico, psicológico, relações sociais e meio ambiente. O objetivo deste estudo é a apresentação do teste de campo brasileiro do WHOQOL-bref. MÉTODOS: O WHOQOL-bref, o BDI e o BHS foram aplicados numa amostra de 300 indivíduos na cidade de Porto Alegre. RESULTADOS/CONCLUSÕES: O Instrumento mostrou características satisfatórias de consistência interna, validade discriminante, validade de critério, validade concorrente e fidedignidade teste-reteste. O WHOQOL-bref alia um bom desempenho psicométrico com praticidade de uso o que lhe coloca como uma alternativa útil para ser usado em estudos que se propõe a avaliar qualidade de vida no Brasil.
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            Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group.

            (1998)
            The paper reports on the development of the WHOQOL-BREF, an abbreyiated version of the WHOQOL-100 quality of life assessment. The WHOQOL-BREF was derived from data collected using the WHOQOL-100. It produces scores for four domains related to quality of life: physical health, psychological, social relationships and environment. It also includes one facet on overall quality of life and general health. Domain scores produced by the WHOQOL-BREF correlate highly (0.89 or above) with WHOQOL-100 domain scores (calculated on a four domain structure). WHOQOL-BREF domain scores demonstrated good discriminant validity, content validity, internal consistency and test-retest reliability. These data suggest that the WHOQOL-BREF provides a valid and reliable alternative to the assessment of domain profiles using the WHOQOL-100. It is envisaged that the WHOQOL-BREF will be most useful in studies that require a brief assessment of quality of life, for example, in large epidemiological studies and clinical trials where quality of life is of interest. In addition, the WHOQOL-BREF may be of use to health professionals in the assessment and evaluation of treatment efficacy.
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              Quality of life in Brazil: normative values for the WHOQOL-bref in a southern general population sample.

              Normative data for WHOQOL-bref are scarce in the literature and unavailable in Latin American countries. The main objective of this study was to provide normative scores of WHOQOL-bref in a general population sample in Brazil and to describe differences in mean scores according to some socio-demographic characteristics. WHOQOL-bref was applied to a randomly selected sample of the general population of Porto Alegre. Participants were literate people aged 20 to 64 years. The questionnaires were self-administered in the presence of an interviewer in the respondent's home. The response rate was 68%, and the final sample contained 751 respondents (38% men, 62% women). Low quality of life was observed in the following subgroups: female gender, lower economic class, lower educational level, and the subgroup reporting a chronic medical condition. The mean scores of the WHOQOL-bref and percentiles of scores are reported as normative data for the general population. Our results can be useful to researchers using the WHOQOL-bref to compare their results with normative data from a randomly selected sample of general population. Additionally, the ability of WHOQOL-bref to discriminate different population subgroups makes it an important tool to identify vulnerable groups in epidemiological surveys.
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                Author and article information

                Contributors
                Journal
                Braz J Otorhinolaryngol
                Braz J Otorhinolaryngol
                Brazilian Journal of Otorhinolaryngology
                Elsevier
                1808-8694
                1808-8686
                05 July 2017
                Jul-Aug 2018
                05 July 2017
                : 84
                : 4
                : 494-499
                Affiliations
                [0005]Universidade de São Paulo (USP), Faculdade de Medicina, São Paulo, SP, Brazil
                Author notes
                [* ]Corresponding author. falineso@ 123456hotmail.com
                Article
                S1808-8694(17)30105-2
                10.1016/j.bjorl.2017.06.005
                9449166
                28728951
                2a15d3d4-c0b2-4933-9cf7-3ecb0a0665bc
                © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda.

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 9 May 2017
                : 10 June 2017
                Categories
                Original Article

                cochlear implantation,quality of life,hearing loss,adult,deafness,implante coclear,qualidade de vida,perda auditiva,adulto,surdez

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