Health-Related Quality of Life in Hearing-Impaired Children and Adolescents in Montenegro
Abstract
The aim was to assess the health-related quality of life (HRQoL) of Montenegrin children with hearing aids (HA) or cochlear implants (CI) at school age and to analyze parental views of their children HRQoL. The total number of children and parents who participated was as follows: 25 children with HA and 38 parents, 19 children with CI and 26 parents, and 30 children with normal hearing and 31 parents. Children and parents were surveyed with the KINDL-R instrument. The children with HA reported significantly worse HRQoL than the NH group in overall HRQoL score, in everyday functioning, family, and friends subscales. The difference between the children with CI and NH was nearly statistically significant (p=0.099). Parents estimated that children with NH had significantly better HRQoL in the total mean and physical well-being, emotional well-being, self-esteem and friends subscales than children with HA. We found statistically significant positive correlations between parents' and children's responses on the family and everyday functioning subscales for the HA and CI group. The children with HA assessed HRQoL similarly to children with CI and significantly lower than NH children. Children with CI achieved similar HRQoL to NH peers.
Keywords
References
Yigider AP, Yilmaz S, Ulusoy H, Kara T, Kufeciler L, Kaya KH. Emotional and behavioral problems in children and adolescents with hearing loss and their effects on quality of life. Int J Pediatr Otorhinolaryngol. 2020; 137: 110245. doi: 10.1016/j.ijporl.2020.110245.
WHO. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss (lat accessed on 21 January 2023).
Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998; 28(3): 551-8. doi: 10.1017/s0033291798006667.
Guyatt GH, Naylor CD, Juniper E, Heyland DK, Jaeschke R, Cook DJ. Users' guides to the medical literature. XII. How to use articles about health-related quality of life. Evidence-Based Medicine Working Group. JAMA. 1997; 277(15): 1232-7. doi: 10.1001/jama.277.15.1232.
Ravens- Sieberer U, Gosch A, Abel T, Auquier P, Bellach BM, Bruil J et al. European KIDSCREEN Group. Quality of life in children and adolescents: a European public health perspective. Soz Praventivmed. 2001; 46(5): 294-302. doi: 10.1007/BF01321080.
Huber M. Health-related quality of life of Austrian children and adolescents with cochlear implants. Int J Pediatr Otorhinolaryngol. 2005; 69(8): 1089-101. doi: 10.1016/j.ijporl.2005.02.018.
Looi V, Lee ZZ, Loo JH. Quality of life outcomes for children with hearing impairment in Singapore. Int J Pediatr Otorhinolaryngol. 2016; 80: 88-100. doi: 10.1016/j.ijporl.2015.11.011.
Beadle EA, Shores A, Wood EJ. Parental perceptions of the impact upon the family of cochlear implantation in children. Ann Otol Rhinol Laryngol Suppl. 2000; 185: 111-4. doi: 10.1177/0003489400109s1248.
Barton GR, Stacey PC, Fortnum HM, Summerfield AQ. Hearing-impaired children in the United Kingdom, II: Cochlear implantation and the cost of compulsory education. Ear Hear .2006; 27(2): 187-207. doi: 10.1097/01.aud.0000202348.77016.1f.
Zhumabayev R, Zhumabayeva G, Kapanova G, Tulepbekova N, Akhmetzhan A, Grjibovski A. Quality of life in children with cochlear implants in Kazakhstan. BMC Pediatr. 2022; 22(1): 194. doi: 10.1186/s12887-022-03254-w.
Warner-Czyz AD, Loy B, Roland PS, Tong L, Tobey EA. Parent versus child assessment of quality of life in children using cochlear implants. Int J Pediatr Otorhinolaryngol. 2009; 73(10): 1423-9. doi: 10.1016/j.ijporl.2009.07.009.
Lovett RE, Kitterick PT, Hewitt CE, Summerfield AQ. Bilateral or unilateral cochlear implantation for deaf children: an observational study. Arch Dis Child. 2010; 95(2): 107-12. doi: 10.1136/adc.2009.160325.
Sahli S, Belgin E. Comparison of self-esteem level of adolescents with cochlear implant and normal hearing. Int J Pediatr Otorhinolaryngol. 2006; 70(9): 1601-8. doi: 10.1016/j.ijporl.2006.05.003.
Niemensivu R, Roine RP, Sintonen H, Kentala E. Health-related quality of life in hearing-impaired adolescents and children. Acta Otolaryngol. 2018; 138(7): 652-8. doi: 10.1080/00016489.2018.1438661.
Ravens-Sieberer U, Bullinger M. Assessing health-related quality of life in chronically ill children with the German KINDL: first psychometric and content analytical results. Qual Life Res. 1998; 7(5): 399-407. doi: 10.1023/a:1008853819715.
Stevanovic D, Lakic A, Vilotic J. The psychometric study of the Serbian KINDL questionnaire for health-related quality of life assessment in children and adolescents. Scand J Caring Sci. 2009; 23(2): 361-8. doi: 10.1111/j.1471-6712.2008.00617.x.
Roland L, Fischer C, Tran K, Rachakonda T, Kallogjeri D, Lieu JE. Quality of life in children with hearing impairment: systematic review and meta-analysis. Otolaryngol Head Neck Surg. 2016; 155(2): 208-19. doi: 10.1177/0194599816640485.
Alegre-de la Rosa OM, Villar-Angulo LM. Health-related quality of life in children who use cochlear implants or hearing aids. Heliyon. 2020; 6(1): e03114. doi: 10.1016/j.heliyon.2019.e03114.
Pérez-Mora R, Lassaletta L, Castro A, Herrán B, San-Román-Montero J, Valiente E et al. Quality of life in hearing-impaired children with bilateral hearing devices. B-ENT. 2012; 8(4): 251-5.
Hintermair M. Health-related quality of life and classroom participation of deaf and hard-of-hearing students in general schools. J Deaf Stud Deaf Educ. 2011; 16(2): 254-71. doi: 10.1093/deafed/enq045.
Huber M, Kipman U. The mental health of deaf adolescents with cochlear implants compared to their hearing peers. Int J Audiol. 2011; 50(3): 146-54. doi: 10.3109/14992027.2010.533704.
Loy B, Warner-Czyz AD, Tong L, Tobey EA, Roland PS. The children speak: an examination of the quality of life of pediatric cochlear implant users. Otolaryngol Head Neck Surg .2010; 142(2): 247-53. doi: 10.1016/j.otohns.2009.10.045.
Borton SA, Mauze E, Lieu JE. Quality of life in children with unilateral hearing loss: a pilot study. Am J Audiol. 2010; 19(1): 61-72. doi: 10.1044/1059-0889(2010/07-0043).
Kumar R, Warner-Czyz A, Silver CH, Loy B, Tobey E. American parent perspectives on quality of life in pediatric cochlear implant recipients. Ear Hear. 2015; 36(2): 269-78. doi: 10.1097/AUD.0000000000000108.
Eiser C, Varni JW. Health-related quality of life and symptom reporting: similarities and differences between children and their parents. Eur J Pediatr. 2013; 172(10): 1299-304. doi: 10.1007/s00431-013-2049-9.
DOI: 10.5457/ams.v54i2.790
