Impact of hearing impairment and cochlear implantation on productivity and social well-being in a professionally active but severely hearing-impaired group: protocol of the ‘Hear again, work again’ longitudinal prospective cohort study

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Abstract

Introduction

Severe hearing loss is a sensory deficit with considerable impact on the patient’s daily life and on society. Previous research has established occupational obstacles in professionally active patients with hearing loss. However, studies investigating the impact of severe hearing loss and cochlear implantation (CI) on work performance using a quantitative and longitudinal study design and validated questionnaires are lacking. This study aims to answer the following research question: ‘What is the impact of unilateral and bilateral severe hearing loss and CI on the cost for society, health state, employment, productivity and social well-being?’. We hypothesise hearing impairment to influence work performance. After establishing the impact, we will be able to enhance the support of hearing impaired patients to maintain employed.

Methods and analysis

A total of 200 professionally active adults between 18 and 65 years old with severe hearing loss will be included for assessment at baseline and reassessment at 3, 6 and 12 months. The following four study groups are included: bilateral severely hearing impaired participants without CI (1) and with CI (2) and unilateral severely hearing impaired participants in acute (3) and chronic (4) setting. The primary outcome of this study is the change in index score on the Work Limitations Questionnaire, which evaluates the degree of limitations and health-related productivity loss. Secondary outcome measures include audiometric and cognitive evaluations and validated questionnaires evaluating employment, work productivity, quality of life and direct healthcare costs. Linear mixed models will assess the evolution in time and the difference in evolution between groups.

Ethics and dissemination

This study protocol (project ID 2021-0306) received ethical approval from the ethics committee of the Antwerp University Hospital on 22 November 2021. Our findings will be disseminated by peer-reviewed publications and conference presentations.

Trial registration number

NCT05196022.

Related collections

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Author and article information

Journal

Journal ID (nlm-ta): BMJ Open

Journal ID (iso-abbrev): BMJ Open

Journal ID (hwp): bmjopen

Journal ID (publisher-id): bmjopen

Title: BMJ Open

Publisher: BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )

ISSN (Electronic): 2044-6055

Publication date Collection: 2023

Publication date (Electronic): 8 March 2023

Volume: 13

Issue: 3

Electronic Location Identifier: e064514

Affiliations

[1 ]departmentExperimental Laboratory of Translational Neurosciences and Dento-Otolaryngology , University of Antwerp, Faculty of Medicine and Health Sciences , Wilrijk, Antwerp, Belgium

[2 ]departmentDepartment of Otorhinolaryngology/Head and Neck Surgery , Antwerp University Hospital , Edegem, Antwerp, Belgium

[3 ]departmentClinical Trail Center, Clinical Research Center Antwerp , Antwerp University Hospital , Edegem, Antwerp, Belgium

[4 ]departmentFaculty of Medicine , University of Antwerp , Wilrijk, Antwerp, Belgium

Author notes

[Correspondence to ] Cato Philips; cato.philips@ 123456uza.be

Author information

Cato Philips http://orcid.org/0000-0001-9469-2076

Laure Jacquemin http://orcid.org/0000-0002-3465-9386

Article

Publisher ID: bmjopen-2022-064514

DOI: 10.1136/bmjopen-2022-064514

PMC ID: 10008330

PubMed ID: 36889821

SO-VID: 4c507c63-e57a-48ff-9bf2-171c3b03ee44

License:

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

History

Date received : 12 May 2022

Date accepted : 27 February 2023

Funding

Funded by: Cochlear Benelux;

Award ID: N/A

Custom metadata

special-feature unlocked

ScienceOpen disciplines: Medicine

Keywords: audiology,otolaryngology,adult otolaryngology

Data availability: