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Updated: Apr 22, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
The ICF core sets for hearing loss project: functioning and disability from the patient perspective.
Sarah Granberg1, Marieke Pronk, De Wet Swanepoel
1* Audiological Research Centre, Örebro University Hospital, School of Health and Medical Sciences / Swedish Institute for Disability Research, Örebro University , Örebro , Sweden.
This study used the International Classification of Functioning, Disability and Health (ICF) to understand the experiences of adults with hearing loss (HL). Findings show that communication, environment, and assistive devices significantly impact daily life and participation.
Area of Science:
- Audiology and Rehabilitation
- Disability Studies
- Public Health
Background:
- Hearing loss (HL) affects adults globally, impacting their daily functioning and participation.
- Understanding the multifaceted nature of HL requires a comprehensive framework.
- The International Classification of Functioning, Disability and Health (ICF) offers a standardized tool for this purpose.
Purpose of the Study:
- To explore functioning, disability, and environmental factors in adults with hearing loss (HL).
- To utilize the ICF classification to document and analyze these elements.
- To gain insights into the lived experiences of individuals with HL.
Main Methods:
- A qualitative study employing focus-group methodology.
- Involved 36 Dutch and South African adults (≥ 18 years) with HL (20-95 dB HL) using oral communication.
- Summative content analysis of transcripts linked to ICF categories.
Main Results:
- 143 ICF categories were identified, primarily in Activities & Participation and Environmental Factors.
- Oral communication, interaction, assistive technology (hearing aids), noise, and social support were key themes.
- Environmental factors, including attitudes of others, significantly influenced functioning and disability.
Conclusions:
- Functioning and disability in adults with HL are complex and multifaceted.
- The ICF provides a necessary multidimensional tool for comprehensive assessment.
- Evaluating both internal and external aspects is crucial for understanding HL's impact.
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