The aim of this work was to investigate the qualitative characteristics of hearing aid users (satisfaction with the use of hearing aids in everyday life) and to determine if there are any differences compared to published research in the literature. The sample of respondents consisted of 50 users of hearing aids, aged from 20 to 88 years. The sample was chosen by random selection from a previously selected sample of 398 hearing aid users. A special questionnaire was constructed for the research. The first part of the questionnaire consisted of variables: gender, age, type of hearing impairment, percentage of hearing loss, degree of hearing impairment, time of hearing aid use, and brand of hearing aid. The second part consisted of variables for the assessment of satisfaction with the use of hearing aids, that is, 15 statements to which respondents had to express their views on satisfaction with the use of hearing aids. This part of the questionnaire was carried out by surveying. The results showed that the majority of hearing aid users wear the hearing aid regularly, they benefit significantly from the hearing aid and it helps them in communication. They have no significant problems when using and handling the hearing aid. The variables gender, age, and time of hearing aid use had no statistically significant correlations with the applied set of variables (claims). Attitudes of hearing aid users can be an important factor in determining benefit and satisfaction with hearing aids.
The aim of the study was to compare pre-treatment and post-treatment pure tone thresholds and tympanometric findings in preschool children with adenoid hypertrophy and hearing loss. This retrospective study included 63 children, 40 males (63.5%) and 23 females (36.5%), aged 4 to 6 years (mean age of 5.5±0.6 years). A total of 21 children (33.3%) had tympanostomy tube placement in addition to adenoidectomy or adenotonsillectomy. All children had mild conductive hearing loss. Pure tone average (PTA) was lower after adenoidectomy and adenotonsillectomy (p<0.0001). Type B tympanogram was predominant before treatment (62.7%), and type A tympanogram after treatment (81%). Preoperative mean PTA in children with adenoidectomy was 28 dB HL and in children with adenotonsillectomy was 27 dB HL. In both subgroups postoperative mean PTA was 16 dB HL. In children with adenoid hypertrophy and conductive hearing loss, hearing thresholds after adenoidectomy or adenotonsillectomy are significantly lower than preoperative hearing thresholds.
The aim of the study was to develop Macedonian monosyllabic and disyllabic tests for speech audiometry, to record the speech materials, and to conduct clinical validation of the tests. The following criteria were applied: word familiarity, phonetic balance, and homogeneity of audibility. Clinical validation was conducted on a sample of 30 normal hearing subjects, aged 18 to 30 years. We developed four open-set tests for speech threshold and suprathreshold testing in quiet. The tests contain two word lists with 50 monosyllabic words and two word lists with 36 disyllabic words. Each word was introduced by a carrier phrase. Psychometric function slope from 20% to 80% correct recognition for all words was 5%/ dB. The difference between the presentation levels at which the subjects repeated all the words was ≤ 4 dB. Developed phonetically balanced word lists have relatively steep psychometric function slope and they are homogeneous in terms of the audibility.
The aim of this paper was to examine the literacy skills of deaf and hard of hearing people in electronic form writing and to compare these skills in relation to standard (“paper-pencil”) writing. The sample included 50 deaf and hard of hearing students aged from 12 to 20 years. The students were supposed to have basic literacy to be able to answer questions by writing. The Questionnaire for determining basic electronic literacy, which consisted of 15 simple questions about the student’s everyday life, was used. Variables used: correct response, vocabulary, and spelling mistakes, i.e., substitution, omission, addition, and metathesis. The test was performed at two different time intervals and in two different forms (standard and electronic forms). Data were processed by descriptive analysis and t-test. More favorable results were obtained in favor of standard writing compared to electronic writing on all variables except for vocabulary. Statistically significant differences were found for the variables vocabulary, omission, and substitution. It is important that there is also communication competence, and especially better language competence expressed in electronic form. More complex activities, such as education, studying, or doing business, require language competence for electronic expression.
Speech detection threshold (SDT) depends on audibility alone, whereas speech recognition threshold (SRT) requires the stimuli to be heard and identified. The aim of the study was to determine the difference between SDT and SRT, and to analyze the correlation between pure tone thresholds and speech thresholds. Difference between SDT and SRT was ≤ 12 dB in majority of cases (p = .018). SDT was strongly correlated with the best pure tone threshold. Pearson correlation coefficient was the highest in “Inverted U” shape (r = .99). There was strong correlation between SRT and PTA (500-2000), PTA (500-4000), and PTA (500-1000), especially in Rising configuration (r = .997, r = .992 r = .989, respectively), as well as, between SRT and frequency of 1000 Hz (r = .989). SRT is in the highest correlation with PTA (500, 1000, 2000 Hz) and with the hearing threshold at frequency of 1000 Hz.
Introduction: The study is part of wider research project, published as article based on our earlier research experiences[1]. This study focused on the strategies for implementing practical activities in children with intellectual disabilities, with the goal of encouraging and rehabilitating neurophysiological processes of attention, behaviour, and cognition. It also focuses the concept of treatment and rehabilitation, based on the new strategies. Subject: The purpose of this study was to shed light on the cognitive and behavioural functioning of children with mild intellectual disabilities in relation to various aspects of the treatment strategies used. Study also present new strategies of treatment suggested for pandemic situation of Covid 19. Materials and Methods: The study sample included 124 participants with mild intellectual disability of both sexes, aged 8 to 13 years,from primary schools in Belgrade. In this research we applied the Trial Making Test (TMT; Reitan, 1971, Hamdan, Hamdan, 2009.) for attention assessment, the IOWA Conners’ Rating Scale for Children for behavior assessment, while for the assessment of cognitive function, the Test of Concept Utilization (TCU; Crager & Lane, 1989; Macesic-Petrovic, Kovacevic, Djuric-Zdravkovic, 2013.) was administered. Results: The findings show that more than half of the children surveyed have developmental disabilities in the areas studied. and a statistically significant correlation between the applied treatment modalities and tested abilities and functions (r = 0.52-0.59, p < 0.01). The study emphasises the importance of implementing a multimodal oriented approach.: team work of professionals and non-professionals (cooperation between professionals and parents), complementary treatment (medical and special treatment, psychosocial interventions, combination of treatment strategies), psychotherapy and psychopharmacotherapy when necessary, as well as special education rehabilitation, based on individual educational programs and individual training programs (IEP and ITP). It also focuses the treatment strategies in situation of Covid 19, because of it possible influence on the conclusion of the study. Conclusion: Finally, we proposed new treatment strategies with an emphasis on the special rehabilitation treatment and combination of strategy treatment, focuses to the new pandemic existential situation.
Abstract:The authors provide guidelines, based on an extensive review of the international literature, for conducting, interpreting, and reporting primary and secondary research on children who are deaf and hard of hearing in Bosnia and Herzegovina. The purpose of the review is to present arguments in support of conceptualizing education and rehabilitation, to explore the educational implications of such conceptualizations, and to suggest directions for future inquiry. Problematic areas are covered, such as research on the structure of a signed language, the use of information technology, inclusion, vocational and professional orientation, and motoric abilities and skills. The article concludes with recommendations for further investigating the educational achievement of students who are deaf and hard of hearing so as to improve educational practice.
The aim of this paper is to determine the opinions of deaf workers on their labor capacity and the opinions of their hearing co-workers about the labor capacities of the deaf. The sample consisted of 247 respondents, of whom 127 were deaf and 120 were hearing workers. Qualitative and quantitative analysis were used in processing the results. Testing was performed by Wilks' Lambda, tested significance in discriminant analysis was done by F test, at the statistical significance of 0.01. It was found that the sub-sample of respondents had a statistically significant difference in views on claims regarding the exploitation of deaf workers by employers, the employment of deaf people in low-paid simple occupations, and the equally successful but insignificant productivity of deaf workers. The statistical differences found indicate that there are differences in the assessment of the labor capacity of deaf workers in the hearing work environment. Qualitative analysis found that hearing impairment and the subjective attitudes of colleagues without hearing impairment have the greatest impact on the assessment of the labor capacity of deaf workers.
The aim of the research was to examine the linguistic structure of the written formof communication for deaf children through the use of simple and complex writtensentences, questions asked and answers to questions asked, as well as the extent of theused statements and messages in the form of expression. The study was conductedon a sample of 70 deaf children. As a measurement instrument, letters of deafrespondents were used on topics of their choice. In total, 45 communication contents,written correspondence were analyzed. The content analysis method and the methodof descriptive analysis were used for data processing. The research results haveshown that the questions were not grammatically correct but the respondents understoodtheir essence and adequately responded to them, that although sentenceswere not linguistically properly written, deaf children can use the dialogue in writtencommunication, that the respondents have problems in writing complex sentences butthat there is a possibility of using complex sentences, that the highest percentage ofrespondents did not use complex sentences correctly, but over 17 % of respondentscan use syntaxically correctly written complex sentences in the form of communicationthat deaf children understand the messages in a written form of communication.Deaf children in written communication have communication but not the linguisticcompetence.
Purpose: The study aimed to determine the impact of communication disorders on discrimination against people who are deaf in the workplace, as well as to find the differences in study participants’ opinions. Method: The study sample consisted of 171 respondents from different industries in Bosnia-Herzegovina- 57 workers who were deaf, 57 workers who could hear, and 57 managers. Both quantitative and qualitative approaches were used in the survey. The opinions of the respondents were elicited through a questionnaire which consisted of 15 statements. The interviews of workers and managers focussed on the presence of discrimination against deaf workers in the workplace. Responses of respondents were converted to quantified values using analysis of discrimination group. The significance of statistical differences among the samples tested is defined at 0.01 level of significance using F-Test. Results: Discriminant analysis tested the null hypothesis that respondents’ answers do not differ regarding discrimination against deaf workers in the workplace. However differences were found between the groups that felt deaf workers did not have equal position at work in comparison to their hearing co-workers. Participants mentioned a number of barriers in workplaces. Workers were of the opinion that there was significant discrimination in the workplace (p>0.01) between groups of participants. Conclusion: There are statistically significant differences in the opinions of respondents regarding statements that workers who are deaf cannot hold positions equal to their co-workers who have regular hearing.
The aim of the paper was to determine the perception of parental support and understanding by deaf and hard-of-hearing students. The sample consisted of 47 deaf and hard-of-hearing students, both genders, with an average age of 16 ± 1.27 years. Children's Perceptions of Parents Scale, (Grolnick, Ryan & Deci, 1991), which consists of three subscales, and which measure parental involvement, support of autonomy and parental warmth, especially for the mother, especially for the father was used in this research. The data were processed by descriptive analysis, and the t-test was used to test the mother's support perception difference in relation to father’s support perception. The results showed that deaf and hard-of-hearing students mostly positively perceived the parent involvement, support of autonomy and warmth of both parents, but a statistically significant difference in the individual perception of parents was found in favor of the mothers.
Children with disability deserve equal access to quality education which enable them develop into useful member of the society and contribute to the economic growth of their immediate community irrespective of their areas of special needs. The Individual Education Plan (IEP) is a written document specifically developed for students with disabilities in inclusive education. The main goal of this article is to present a checklist of the essential elements required for an IEP and it is intended that these will form the basis for good inclusive practicein the future. The IEP is a working document and should be useful, available and comprehensible to all those dealing directly with the student. It needs to be considered in the context of home, school and classroom organisation.Effective individual education plans have key characteristics: Individualised and child-centred, Inclusive, Holistic, Collaborative and Accessible.
Aim of this paper was to examine effectiveness of speech and language development examination of persons with hearing impairment in form of applicable diagnostic software in relation to classical approach. Research was conducted on the sample of 45 respondents from the population of students with hearing impairments based on following criteria: degree of impairment above 80 dB, age from 6 to 15 years without any other disabilities. Data was processed with descriptive analysis, Wilcoxon test and t-test. Results of the research confirmed that applicable diagnostic software provide more effective diagnostic procedures for examining of speach and language development of persons with hearing impairment in relation to classical approach.
Aim of this paper was to examine effectiveness and efficiency of examination of hearing status of persons with hearing impairment in form of applicable diagnostic software, in relation to classical approach. Sample was comprised of 90 respondents and was formed out of two subsamples. First subsample was comprised of 45 students with hearing impairment with a degree of impairment of over 80 dB, both genders, age from 6 to 15 years and without any other disabilities. Second subsample was comprised of 45 students (absolvents) from department of audiology. For data gathering, audiogram, applicable diagnostic software and scale for evaluation of attention and cooperation were used. Data was processed with descriptive analysis, McNemar and Wilcoxon tests. Results of the research confirmed that applicable diagnostic software provide more effective and more efficient diagnostic procedures for examining hearing status of persons with hearing impairment in relation to classical approach.
Aim: The study deals with the effects of new system of rehabilitation by using individual dynamic programs through computer technology in the education and rehabilitation of persons with hearing impairments. The sample includes adolescents of both gender distribution with the hearing impairment, average intellectual abilities, between 15 and18 years of calendar age, attending the secondary vocational training school (N=49). Results: The results point to a significant statistical difference between the achievements of the examinees who underwent the classical educational rehabilitation treatment and those whose education was based on individual dynamic programs through computer technology, in favor of the latter. Conclusion: The study deals up with new social, cultural and science perspectives viewed throw the implementation of assistive technology in education and rehabilitation of deaf people.
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