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- Borg, JohanLund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups (författare)
Is centre-based provision of hearing aids better than community-based provision? A cluster-randomized trial among adolescents in Bangladesh
- Artikel/kapitelEngelska2018
Förlag, utgivningsår, omfång ...
- 2017-06-02
- Informa UK Limited,2018
Nummerbeteckningar
- LIBRIS-ID:oai:lup.lub.lu.se:9b88a7be-40fe-4d01-a8ea-8d9295db300d
- https://lup.lub.lu.se/record/9b88a7be-40fe-4d01-a8ea-8d9295db300dURI
- https://doi.org/10.1080/17483107.2017.1332110DOI
- https://urn.kb.se/resolve?urn=urn:nbn:se:du-30343URI
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- Språk:engelska
- Sammanfattning på:engelska
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Klassifikation
Anmärkningar
- Purpose: In response to the need for hearing aids in low-income countries, an approach to provide hearing aids through trained community workers was developed. This study compares the effectiveness of the community-based approach with that of a centre-based approach. Methods: One hundred and forty adolescents (56% girls; 12–18 years; mean: 15 years) from eleven sub-districts participated in a cluster-randomized trial comparing a community-based service (n = 75) with a centre-based service (n = 65) in Bangladesh. The International Outcome Inventory for Hearing Aids (IOI-HA) was administered to the participants six weeks after fitting of a hearing aid, and its scores were analyzed by Mann–Whitney U-tests and an ordinal regression model. Results: The community-based approach performed as well as the centre-based approach on five out of seven outcome measures. The latter approach performed statistically significantly better on Residual participation restrictions (p = .007) and Impact on others (p = .012), but the effect sizes were small. Controlling for sex, age, hearing loss, place of living and proxy responses did not change the results. Conclusions: The community-based approach is a viable and effective option for hearing aid delivery in low-resourced settings. The approach needs to be adapted to particular contexts, and possible down-sides may need to be counteracted by special interventions.Implications for RehabilitationHearing aid use can contribute to improved activity, participation and quality of life among adolescents in low-income countries.Community-based approaches to delivering hearing aids can be viable and effective options to centre-based services.
Ämnesord och genrebeteckningar
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
- centre-based service
- community-based service
- developing countries
- Hearing aids
- outcomes
- service delivery
- Hearing aids
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Ekman, Björn OlofLund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups(Swepub:lu)nek-bek (författare)
- Östergren, Per OlofLund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups(Swepub:lu)smi-pos (författare)
- Socialmedicin och global hälsaForskargrupper vid Lunds universitet (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Disability and Rehabilitation: Assistive Technology: Informa UK Limited13:6, s. 497-5031748-31071748-3115
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