International Classification of Functioning, Disability, and Health in adult and older users of audiology services

Souza, Valquíria Conceição; Lemos, Stela Maris Aguiar

doi:10.1590/1982-0216/20212347820

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ORIGINAL ARTICLES • Rev. CEFAC 23 (4) • 2021 • https://doi.org/10.1590/1982-0216/20212347820 copy

International Classification of Functioning, Disability, and Health in adult and older users of audiology services

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose:

to describe aspects of functioning and disability related to hearing and sociodemographic factors of audiology service users.

Methods:

an exploratory study with a probabilistic sample comprising 152 participants who answered a socioeconomic and assistance questionnaire. The functioning and disability were analyzed by means of the International Classification of Functioning, Disability, and Health. Descriptive data analyses were conducted.

Results:

most users of the Hearing Health Care Service considered they had mild (41.2%) or moderate (34.2%) disability in b1560 Auditory perception, and mild (36%) and moderate (35.1%) disability in b230 Hearing Functions. In Activities and Participation, the users of the Hearing Health Care Service obtained better results in d330 Speaking (83.3%), d315 Communicating with and receiving nonverbal messages (65.8%), and d760 Family relationships (65.1%). The hearing aid was a facilitator in these subjects’ social interaction with the environment. Most of those attending the Audiology Outpatient Center did not have disabilities or difficulties in the activities and participation, and the environment was a facilitator.

Conclusion:

most of the participants attending the Hearing Health Care Service had a disability in auditory perception and hearing functions. However, such a disability was not a limiting factor in the performance of most of the activities and participations assessed.

Keywords:
Hearing; International Classification of Functioning, Disability and Health; Hearing Loss; Adult; Aged

Characteristics		N	%
Sex	Females	82	53.9
	Males	70	46.1
	Total	152	100.0
Life cycle	Adult	62	40.8
	Older adult	90	59.2
	Total	152	100.0
Residence	Belo Horizonte	96	63.2
	Metropolitan Region	41	27.0
	Others	15	9.9
	Total	152	100.0
CCEB	Classes A and B	42	27.7
	Class C	85	55.9
	Class D	25	16.4
	Total	152	100.0
Health care service	Hearing Health Care Service	114	75.0
	Audiology Outpatient Center	38	25.0
	Total	152	100.0
Referred by	Speech-language-hearing therapist	25	16.4
	Otorhinolaryngologist	113	74.4
	Others	14	9.3
	Total	152	100.0
Performed the first examination	Yes	17	11.2
	No	135	88.8
	Total	152	100.0

Characteristics	Hearing Health Care Service				Audiology Outpatient Center
	Right Ear		Left Ear		Right Ear		Left Ear
	N	%	N	%	N	%	N	%
Type of loss
No loss	7	6.1	5	4.4	22	57.9	17	44.7
Sensorineural	88	77.2	84	73.7	6	15.8	8	21.1
Conductive	2	1.8	4	3.5	0	0.0	5	13.2
Mixed	17	14.9	21	18.4	10	26.3	8	21.1
Total	114	100.0	114	100.0	38	100.0	38	100.0
Degree of loss
Normal	7	6.1	5	4.4	22	57.9	17	44.7
Mild	23	20.2	22	19.3	2	5.3	8	21.1
Moderate	43	37.7	38	33.3	7	18.4	9	23.7
Moderately Severe	22	19.3	29	25.4	2	5.3	1	2.6
Severe	15	13.2	16	14.0	4	10.5	3	7.9
Profound	4	3.5	4	3.5	1	2.6	0	0.0
Total	114	100.0	114	100.0	38	100.0	38	100.0
Configuration of the loss
Upsloping	1	0.9	1	0.9	2	5.3	0	0.0
Horizontal	27	23.7	23	20.2	23	60.5	18	47.3
Slightly downsloping	35	30.7	44	38.6	6	15.8	8	21
Sharply downsloping	39	34.2	31	27.2	4	10.5	6	15.8
Ramp downsloping	6	5.3	8	7.0	1	2.6	2	5.3
U-shaped	1	0.9	2	1.8	0	0.0	0	0.0
Inverted U-shaped	5	4.3	4	3.4	2	5.3	2	5.3
Notch	0	0.0	1	0.9	0	0.0	2	5.3
Total	114	100.0	114	100.0	38	100.0	38	100.0

Health care department	ICF categories	Qualifiers
Health care department	ICF categories	No disability	Mild disability	Moderate disability	Disability	Complete disability	Unspecified	Total (%)
Hearing Health Care Service	b1560 Auditory perception	1.8	41.2	34.2	18.4	4.4	0.0	100.0
	b230 Hearing functions	6.1	36.0	35.1	17.5	5.3	0.0	100.0
	b235 Vestibular functions	86.0	0.0	0.0	0.0	0.0	14.0	100.0
	b240 Sensations associated with hearing and vestibular function	86.0	0.0	0.0	0.0	0.0	14.0	100.0
Audiology Outpatient Center	b1560 Auditory perception	50	18.4	26.3	5.3	0.0	0.0	100.0
	b230 Hearing functions	50	18.4	26.3	5.3	0.0	0.0	100.0
	b235 Vestibular functions	55.3	0.0	2.6	0.0	0.0	42.1	100.0
	b240 Sensations associated with hearing and vestibular function	63.2	0.0	5.3	0.0	0.0	31.6	100.0

Health care department	ICF categories	Qualifiers
		No difficulty		Mild difficulty		Moderate difficulty		Severe difficulty		Complete difficulty		Total (%)
		P	C	P	C	P	C	P	C	P	C
Hearing Health Care Service	d115 Listening	47.4	2.6	22.8	36.8	24.6	37.7	0.0	17.5	0.0	5.3	100.0
	d310 Communicating with and receiving spoken messages	49.1	27.2	21.1	21.9	25.4	31.6	4.4	14.0	0.0	14.0	100.0
	d315 Communicating with and receiving nonverbal messages	65.8	57.0	18.4	15.8	10.5	14.0	5.3	9.6	0.0	3.5	100.0
	d330 Speaking	83.3	78.1	11.4	10.5	2.6	5.3	2.6	4.4	0.0	1.8	100.0
	d350 Conversation	50.9	22.8	23.7	25.4	21.1	30.7	4.4	15.8	5.3	5.3	100.0
	d360 Using communication devices and techniques	47.4	14.0	25.4	28.9	19.3	31.6	7.9	19.3	0.0	5.3	100.0
	d730 Relating with strangers	50	21.9	19.3	21.9	22.8	33.3	7.9	17.5	0.0	5.3	100.0
	d750 Informal social relationships	52.6	21.1	20.2	23.7	20.2	33.3	7.0	16.7	0.0	5.3	100.0
	d760 Family relationships	56.1	22.8	22.8	24.6	15.8	31.6	5.3	15.8	0.0	5.3	100.0
	d920 Recreation and leisure	48.2	22.8	20.2	21.1	22.8	33.3	8.8	17.5	0.0	5.3	100.0
Audiology Outpatient Center	d115 Listening	63.2	50	13.2	18.4	23.7	26.3	0.0	5.3	0.0	0.0	100.0
	d310 Communicating with and receiving spoken messages	73.7	65.8	18.4	10.5	7.9	23.7	0.0	0.0	0.0	0.0	100.0
	d315 Communicating with and receiving nonverbal messages	89.5	78.9	7.9	10.5	2.6	10.5	0.0	0.0	0.0	0.0	100.0
	d330 Speaking	94.7	94.7	0.0	0.0	5.3	5.3	0.0	0.0	0.0	0.0	100.0
	d350 Conversation	60.5	52.6	13.2	15.8	26.3	26.3	0.0	5.3	0.0	0.0	100.0
	d360 Using communication devices and techniques	55.3	52.6	21.1	15.8	18.4	26.3	5.3	5.3	0.0	0.0	100.0
	d730 Relating with strangers	57.9	44.7	15.8	21.1	26.3	28.9	0.0	5.3	0.0	0.0	100.0
	d750 Informal social relationships	60.5	55.3	21.1	13.2	18.4	26.3	0.0	5.3	0.0	0.0	100.0
	d760 Family relationships	60.5	55.3	21.1	13.2	18.4	26.3	0.0	5.3	0.0	0.0	100.0
	d920 Recreation and leisure	57.9	50.0	21.1	15.8	21.1	28.9	0.0	5.3	0.0	0.0	100.0

Health care department	ICF categories	Barrier (B) or Facilitator (F)	Qualifiers
Health care department	ICF categories	Barrier (B) or Facilitator (F)	None	Mild	Moderate	Severe/Considerable	Complete	Total (%)
Hearing Health Care Service	e125 Products and technology for communication	F	1.8	29.8	23.7	17.5	27.2	100.0
	e250 Sound	B	7.9	39.5	31.6	14.9	6.1	100.0
	e310 Immediate family	F	0.0	10.5	17.5	17.5	54.4	100.0
	e320 Friends	F	0.0	9.6	19.3	19.3	51.8	100.0
	e355 Health professionals	F	0.0	2.6	9.6	32.5	55.3	100.0
	e580 Health services, systems, and policies	F	0.0	2.6	9.6	32.5	55.3	100.0
Audiology Outpatient Center	e125 Products and technology for communication	F	94.7	0.0	0.0	2.6	2.6	100.0
	e250 Sound	B	47.4	26.3	21.1	5.3	0.0	100.0
	e310 Immediate family	F	0.0	10.5	21.1	7.9	60.5	100.0
	e320 Friends	F	0.0	10.5	18.4	10.5	60.5	100.0
	e355 Health professionals	F	0.0	0.0	7.9	18.4	73.7	100.0
	e580 Health services, systems, and policies	F	0.0	0.0	7.9	18.4	73.7	100.0

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[1] Corresponding address: Stela Maris Aguiar Lemos, Avenida Professor Alfredo Balena, nº 190, Sala 251, Santa Efigênia, CEP: 30130-100 - Belo Horizonte, Minas Gerais, Brasil, E-mail: lemos.stela@gmail.com