Satisfaction of users with hearing aids provided by the Unified Health System: an integrative review

Fonsêca, Rodrigo Oliveira da; Dutra, Monique Ramos Paschoal; Ferreira, Maria Ângela Fernandes

Acessibilidade / Reportar erro

Brasil

Audiology - Communication Research

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Brasil

Español English

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Sumário

Literature Review • Audiol., Commun. Res. 25 • 2020 • https://doi.org/10.1590/2317-6431-2020-2296 copy

Satisfaction of users with hearing aids provided by the Unified Health System: an integrative review

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose

Identify user satisfaction with hearing aids (HAs) provided by the Unified Health System (UHS).

Research strategy

This is an integrative literature review, carried out in the LILACS, SciELO, PubMed and Scopus databases, using the following keywords: “hearing loss”, “public health policy”, “Unified Health System”, “public health”, “patient satisfaction” and “hearing aids”.

Selection criteria

Articles published from 2004 onwards, without language restrictions, involving users treated by the UHS were selected. Duplicate publications, reviews, opinion articles, editorials, theses and dissertations were excluded.

Results

A total of 1011 studies were found, 24 of which were included. The studies were published from 2007 onwards, with a predominance in the Southeast region, using quantitative approaches with limited samples comprising adults and older people. Self-assessment questionnaires were used to evaluate satisfaction.

Conclusion

Most users showed a high level of satisfaction with the HAs provided by the UHS.

Keywords:
Hearing loss; Hearing aids; Patient satisfaction; Unified Health System; Public health

Authors	State	Type of study	Objectives	Sample/Age range	Resource used	Results
Carvalho⁽³⁷37 Carvalho JSA. Satisfação de idosos com aparelhos auditivos concedidos no Estado do Tocantins. Arq Int Otorrinolaringol. 2007;11(4):416-26.⁾	TO	Cross-sectional	Determine the level of satisfaction with the hearing aid.	40 (62-87)	SADL	85% overall satisfaction with the hearing aid.
Teixeira et al.⁽³⁸38 Teixeira CF, Augusto LGS, Caldas SS No. Prótese auditiva: satisfação do usuário com sua prótese e com seu meio ambiente. Rev CEFAC. 2008;10(2):245-53. http://dx.doi.org/10.1590/S1516-18462008000200015. http://dx.doi.org/10.1590/S1516-18462008... ⁾	PE	Cross-sectional	Determine the level of satisfaction with the hearing aid and their environment.	256 (> 60)	IOI-HA	68% of patients (mainly men) were satisfied with their improved quality of life.
Farias and Russo⁽³⁹39 Farias RB, Russo ICP. Saúde auditiva: estudo do grau de satisfação de usuários de aparelho de amplificação sonora individual. Rev Soc Bras Fonoaudiol. 2010;15(1):26-31. http://dx.doi.org/10.1590/S1516-80342010000100007. http://dx.doi.org/10.1590/S1516-80342010... ⁾	BA	Cross-sectional	Characterize the level of satisfaction of HA users and its relation with sex, age, degree of hearing loss, electroacoustic type and profile.	39 (18-90)	SADL	High level of satisfaction, with no relation to the variables investigated.
Arakawa et al.⁽³⁰30 Arakawa AM, Picolini MM, Sitta EI, Oliveira AN, Bassi AKZ, Bastos JRM, et al. A avaliação da satisfação dos usuários de AASI na Região Amazônica. Int Arch Otorhinolaryngol. 2010;14(1):38-44.⁾	RO	Cross-sectional	Assess the level of user satisfaction with HA.	18 (15-82)	IOI-HA	High level of satisfaction.
Lessa et al.⁽²⁵25 Lessa AH, Costa MJ, Becker KT, Vaucher AVA. Satisfação de usuários de próteses auditivas, com perda auditiva de graus severo e profundo. Arq Int Otorrinolaringol. 2010;14(3):338-45. http://dx.doi.org/10.1590/S1809-48722010000300011. http://dx.doi.org/10.1590/S1809-48722010... ⁾	RS	Cross-sectional	Analyze the satisfaction of hearing aid users and determine the factors that can hinder adaptation.	56 (18-86)	SADL	High level of satisfaction, using the telephone being the largest problem reported.
Picolini et al.⁽¹⁷17 Picolini MM, Blasca WQ, Campos K, Mondelli MFCG. Adaptação aberta: avaliação da satisfação dos usuários de um centro de alta complexidade. Rev CEFAC. 2011;13(4):676-84. http://dx.doi.org/10.1590/S1516-18462010005000122. http://dx.doi.org/10.1590/S1516-18462010... ⁾	SP	Cross-sectional	Subjectively assess the level of satisfaction of open fit HA users.	11 (44-81)	IOI-HA	High level of satisfaction with open fit HAs.
Lopes et al.⁽²⁶26 Lopes AS, Costa MJ, Aurélio NHS, Santos SN, Vaucher AV. A satisfação e o desempenho de usuários de próteses auditivas atendidos em um programa de atenção à saúde auditiva. Rev CEFAC. 2011;13(4):698-709. http://dx.doi.org/10.1590/S1516-18462011005000005. http://dx.doi.org/10.1590/S1516-18462011... ⁾	RS	Cross-sectional	Assess the performance and satisfaction with hearing aids.	49 (19-60)	IOI-HA	Both groups reported a high level of satisfaction with the hearing aids.
José et al.⁽¹⁸18 José MR, Campos PD, Mondelli MFCG. Unilateral hearing loss: benefits and satisfaction from the use of hearing aids. Rev Bras Otorrinolaringol. 2011;77(2):221-8. PMid:21537624.⁾	SP	Cross-sectional	Measure the benefit and satisfaction of unilateral HA users.	15 (18-60)	IOI-HA	Satisfaction observed in individuals with unilateral adaptation.
Danieli et al.⁽¹⁹19 Danieli F, Castiquini EAT, Zambonatto TCF, Bevilacqua MC. Avaliação do nível de satisfação de usuários de aparelhos de amplificação sonora individuais dispensados pelo Sistema Único de Saúde. Rev Soc Bras Fonoaudiol. 2011;16(2):152-9. http://dx.doi.org/10.1590/S1516-80342011000200008. http://dx.doi.org/10.1590/S1516-80342011... ⁾	SP	Cross-sectional	Culturally adapt the Portuguese version of the SADL questionnaire, to apply to users of HAs provided by the UHS.	19 (≥ 60)	SADL	Users were satisfied with HAs provided by the UHS and the questionnaire was effective in assessing their satisfaction.
Buriti and Oliveira⁽⁴⁰40 Buriti AKL, Oliveira SHS. Adaptação à prótese auditiva em usuários assistidos pelo Sistema Único de Saúde. Rev Soc Bras Fonoaudiol. 2012;17(1):41-6. http://dx.doi.org/10.1590/S1516-80342012000100009. http://dx.doi.org/10.1590/S1516-80342012... ⁾	PB	Cross-sectional	Assess adaptation to hearing aids of UHS users and propose educational measures.	32 (21-95)	IOI-HA	Low level of satisfaction.
Aurélio et al.⁽³¹31 Aurélio FS, Silva SP, Rodrigues LB, Kuniyoshi IC, Botelho MSN. Satisfaction of patients fit with a hearing aid in a high complexity clinic. Rev Bras Otorrinolaringol. 2012;78(5):69-77. http://dx.doi.org/10.5935/1808-8694.20120011. PMid:23108823. http://dx.doi.org/10.5935/1808-8694.2012... ⁾	RO	Cross-sectional	Determine the auditory satisfaction of patients and associate this finding with age, sex, adaptation time, duration of daily use and type of HA.	60 (18-91)	SADL	Participants were very satisfied with the HA, but satisfaction was not related to the variables investigated.
Laperuta and Fiorini⁽²⁰20 Laperuta EB, Fiorini AC. Satisfação de idosos com os aparelhos de amplificação sonora individual nos primeiros seis meses de uso. J Soc Bras Fonoaudiol. 2012;24(4):316-21. http://dx.doi.org/10.1590/S2179-64912012000400005. PMid:23306680. http://dx.doi.org/10.1590/S2179-64912012... ⁾	SP	Longitudinal	Analyze the satisfaction of older users of HA, after one, three and six months of HA use.	22 (63-87)	SADL	High level of satisfaction.
Moda et al.⁽²¹21 Moda I, Mantello EB, Reis ACMB, Isaac ML, Oliveira AA, Hyppolito MA. Avaliação da satisfação do usuário de aparelho de amplificação sonora. Rev CEFAC. 2013;15(4):778-85. http://dx.doi.org/10.1590/S1516-18462013000400006. http://dx.doi.org/10.1590/S1516-18462013... ⁾	SP	Cross-sectional	Assess the satisfaction of HA users and correlate the characteristics of individuals, hearing loss and the HA adaptation process.	98 (27-89)	IOI-HA	There was satisfaction with adaptation and no correlations were observed between the variables studied and the level of user satisfaction.
Mondelli et al.⁽²²22 Mondelli MFCG, Rocha AV, Honório HM. Degree of satisfaction among hearing aid users. Int Arch Otorhinolaryngol. 2013;17(1):51-6. PMid:25991994.⁾	SP	Cross-sectional	Characterize the level of HA satisfaction of adults and older individuals and the relation with age, degree of hearing loss and type of HA.	110 (≥ 18)	SADL	A high level of satisfaction in all areas of the SADL, with no relation with the variables investigated.
Barbosa et al.⁽³³33 Barbosa MR, Medeiros DS, Ribeiro GM, Rossi-Barbosa LAR, Caldeira AP. Satisfação com Aparelhos de Amplificação Sonora Individual entre usuários de serviços de saúde auditiva. ACR. 2013;18(4):260-7. http://dx.doi.org/10.1590/S2317-64312013000400006. http://dx.doi.org/10.1590/S2317-64312013... ⁾	MG	Cross-sectional	Determine satisfaction with HA and identify the factors associated with the perception of care provided.	302 (19 e > 80)	Assessment of the hearing health service and HA use.	An indicator of fair and good satisfaction with the device and service, respectively, was observed.
Silva et al.⁽³²32 Silva DPCB, Silva VB, Aurélio FS. Auditory satisfaction of patients fitted with hearing aids in the Brazilian Public Health Service and benefits offered by the hearing aids. Rev Bras Otorrinolaringol. 2013;79(5):538-45. http://dx.doi.org/10.5935/1808-8694.20130098. PMid:24141666. http://dx.doi.org/10.5935/1808-8694.2013... ⁾	RO	Cross-sectional	Assess the benefit and degree of satisfaction of adults and older individuals with their HA.	34 (> 18)	SADL	The subjects assessed exhibited benefits with the use of hearing aids and were very satisfied with the results.
Dell’Antônia et al.⁽³⁵35 Dell’Antônia SF, Ikino CM, Carreirão W Fo. Degree of satisfaction of patients fitted with hearing aids at a high complexity service. Rev Bras Otorrinolaringol. 2013;79(5):555-63. http://dx.doi.org/10.5935/1808-8694.20130100. PMid:24141668. http://dx.doi.org/10.5935/1808-8694.2013... ⁾	SC	Cross-sectional	Assess the level of satisfaction of hearing aid users.	180 (14-94)	SADL	High satisfaction with hearing aids, particularly in-the-ear devices.
Iwahashi et al.⁽²³23 Iwahashi JH, Jardim IS, Bento RF. Results of hearing aids use dispensed by a publicly-funded health service. Rev Bras Otorrinolaringol. 2013;79(6):681-7. http://dx.doi.org/10.5935/1808-8694.20130126. PMid:24474478. http://dx.doi.org/10.5935/1808-8694.2013... ⁾	SP	Cross-sectional	Assess the use of hearing aids, necessary interventions and user satisfaction after one year of adaptation.	200 (> 18)	SADL	Individuals exhibited a high level of satisfaction.
Barbosa et al.⁽³⁴34 Barbosa MR, Medeiros DS, Rossi-Barbosa LAR, Caldeira AP. Self-reported outcomes after hearing aid fitting in Minas Gerais, Brazil. CoDAS. 2015;27(1):21-8. http://dx.doi.org/10.1590/2317-1782/20152014090. PMid:25885193. http://dx.doi.org/10.1590/2317-1782/2015... ⁾	MG	Cross-sectional	Analyze the self-assessment results after adaptation to the HA and associated factors.	272 (19 e ≥ 80)	IOI-HA	High level of satisfaction with HAs.
Peruzzo et al.⁽²⁷27 Peruzzo Q, Ceolin D, Quevedo LS. Satisfação de usuários de próteses auditivas. Rev CEFAC. 2015;17(4):1042-54. http://dx.doi.org/10.1590/1982-0216201517415914. http://dx.doi.org/10.1590/1982-021620151... ⁾	RS	Cross-sectional	Analyze the satisfaction of HA users after one month of use and determine satisfaction after two months.	50 (17-84)	SADL	Users were satisfied between the first and second assessment.
Mantello et al.⁽²⁴24 Mantello EB, Silva CD, Massuda ET, Hyppolito MA, Reis ACMB. Relationship between speech perception and level of satisfaction of hearing aid users. Int Arch Otorhinolaryngol. 2016;20(4):315-20. PMid:27746833.⁾	SP	Cross-sectional	Assess speech perception and user satisfaction with HAs before and after adaptation and determine whether these measures are correlated.	65 (18-89)	IOI-HA	Users displayed a high level of satisfaction, with no correlation with speech perception.
Kozlowski et al.⁽³⁶36 Kozlowski L, Ribas A, Almeida G, Luz I. Satisfaction of elderly hearing aid users. Int Arch Otorhinolaryngol. 2017;21(1):92-6. http://dx.doi.org/10.1055/s-0036-1579744. PMid:28050214. http://dx.doi.org/10.1055/s-0036-1579744... ⁾	PR	Cross-sectional	Assess the level of satisfaction of users with hearing aids.	91 (60-96)	SADL	High level of satisfaction with the HAs.
Picinini et al.⁽²⁸28 Picinini TA, Weigert LL, Neves CZ, Teixeira AR. Restrição de participação social e satisfação com o uso de aparelho de amplificação sonora individual - um estudo pós-adaptação. Audiol Commun Res. 2017;22(0):e1830. http://dx.doi.org/10.1590/2317-6431-2016-1830. http://dx.doi.org/10.1590/2317-6431-2016... ⁾	RS	Cross-sectional	Determine the benefit, satisfaction and perceived social participation restriction, as a function of hearing loss, in adults and older users of HAs.	42 (≥ 18)	IOI-HA	Satisfaction with HAs and no intergroup difference.
Costa et al.⁽²⁹29 Costa LD, Santos SN, Costa MJ. Perda auditiva unilateral e o uso de prótese auditiva: reconhecimento de fala, benefício, autopercepção do desempenho funcional e satisfação. Rev CEFAC. 2019;21(1):e13918. http://dx.doi.org/10.1590/1982-0216/201921113918. http://dx.doi.org/10.1590/1982-0216/2019... ⁾	RS	Cross-sectional	Investigate the speech recognition in silence and noise of subjects with unilateral hearing loss, with and without hearing aid, and analyze the benefit, self-perception of functional performance, satisfaction and hearing aid use in this population.	11 (≥ 18)	SADL	The individuals improved speech recognition and satisfaction with amplified sound.

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[1] Conflict of interests:

No.