Impact of Cochlear Implantation on Working Life: Study Findings
Discover the impact of cochlear implantation on patients' working life as analyzed in a cross-sectional study. Explore the challenges faced by individuals with hearing loss and the potential for improved professional outcomes post-implantation, shedding light on critical workforce issues.
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Presentation Transcript
EVALUATION OF THE IMPACT OF COCHLEAR IMPLANTATION ON PATIENTS' WORKING LIFE 17TH INTERNATIONAL CONFERENCE ON COCHLEAR IMPLANTS AND OTHER IMPLANTABLE TECHNOLOGIES LLAS PALMAS 21-24 FEBRUARY 2024
LEVENT OLGUN BASKENT UNIVERSITY ENT CLINIC &ZUBEYDE HANIM RESEARCH CENTER IZMIR TURKIYE
CORRESPONDING AUTHORS Y ksel Olgun, Mehmet Emin Arayici ,Arma an ncesulu , lk Tuncer , Enis Alpin G neri , H lya Ellidokuz , Levent Olgun
A CROSS SECTIONAL STUDY This Interventional Research Ethics Committee with decision number 2022/01-26 and date 05.01.2022. study was approved by Dokuz Eylul University Non- Written informed consent was obtained from the patients, and all techniques followed the Declaration of Helsinki. This research has received no specific support from any funding agency, commercial or non-profit sectors. All authors declare that they have no conflict of interest to disclose.
As is well-documented by the World Health Organization (WHO), over 5% of the world population, which amounts to more than 430 million people, suffer from hearing loss and has a direct impact on individuals physical and mental well-being
Untreated congenital severe or profound hearing loss may also restrict individuals ability to hear, comprehend spoken language, acquire their native language, and develop speech skills using that language
Moreover these individuals face challenges in limited participation in the workforce but also encounter issues that lead to the termination of their professional lives due to barriers resulting in significant workforce loss
Aquired severe to profound hearing loss can lead severe problems in the daily life of the indivudials as well professional performances.They may experience troubles in workplace,may not make progress in their professional lives even may loose their jobs
The cochlear implant ,emerged in the late 20th century, has revolutionized the restoration of auditory function for individuals with severe to profound hearing loss
Individuals with congenital hearing loss if implanted early enough are expected to receive education in main- stream educational institutions and participate in society and working life.
Cochlear implantation can also lead to acquisition of normal or near-normal hearing abilities of individuals with severe to profound postlingual hearing loss .Thus they can reintegrate into social and professional working environments
There is limited research conducted worldwide on the participation of individuals with hearing disabilities and/or implanted individuals in the workforce, and this study is the first one in our country as well
Evaluating the challenges faced by individuals with implants in the workplace and assessing the data collected from these individuals is crucial for engaging with relevant non- governmental organizations, social security institutions, and the Ministry of Labor and Social Security to find solutions to these issues.
Moreover investigating the impact of this treatment on society will not only provide insights but also contribute to cost-benefit analyses.
This study aimed to evaluate the employment, workplace adaptation, productivity, and professional success of individuals whose hearing loss is corrected with a cochlear implant.
A total of 142 participants with severe hearing loss who were corrected with a cochlear implant were included in this cross-sectional study. Data were collected between November 2022 and February 2023.
The data in the research were collected by survey method. The questionnaire was created by the investigators.
The research was planned at Dokuz Eylul University(Yuksel Olgun,Mehmet Emin Arayici,Hulya Ellidokuz,Enis Alpin Guneri) and Baskent University(Levent Olgun )in Izmir with colloboration of authors from Osmangazi University-Eskisehir(Armagan Incesulu) and Cukurova University-Adana(Ulku Tuncer) Individuals with cochlear implants in all settlements of Turkey were expected to participate online.
A colloboration was conducted with two non- govermental patient organisations,namely Association of Children with Bionic Ears and Association of the Hearing Impaired and Families. Messages were sent to the social media accounts of the members of these associations. In addition, social media platforms were used to reach individuals with cochlear implants.
Male and female patients in working ages who underwent unilateral or bilateral cochlear implantation inchildhood and/or adulthood were included in the study. People with brain stem implants and multihandicapped patients were excluded from the study.
The survey consists of a total of 32 questions and two parts.
In the first part 10 questions (independent variables) probing demographics of the patients were directed to implant es
In the second part of the survey there were 22 questions aiming to reveal the positive or negative effects of implantation on participants work life (dependent variables)
The questionnaire was delivered to the participants online and at first an informed consent was obtained from the individuals. After the data were collected online, they were transferred to Microsoft Excel and then to the SPSS program for data analysis.
INDEPENDENT VARIABLES Age Gender Type of hearing loss(Congenital versus aquired) Cause of hearing loss Age at implantation Unilateral or bilateral implantation -if bilateral simultaneous or sequential -if sequential site of first implant
INDEPENDENT VARIABLES Time elapsed after implantation, Education Marital status Whether or not was worked at a job Duration of work at a job Work line.
DEPENDENT VARIABLES Negative effect of hearing loss on job performance Time spent with verbal communication after implantation How implantation affects communication in the workplace ?
DEPENDENT VARIABLES Whether there is discrimination at work due to the implant ? How to worry about job loss changes after implantation ?
DEPENDENT VARIABLES Success at work and job satisfaction after implantation How income has changed after surgery? How self-confidence has been affected after implantation ?
DEPENDENT VARIABLES How implantation has impacted work compliance and productivity How implantation has impacted future prospects of the work life?
STATISTICAL ANALYSIS Conformity of continuous variables to normal distribution was evaluated by Kolmogorov Smirnov and Shapiro Wilk tests and Skewness and Kurtosis symmetric distributions. Continuous variables suitable for normal distribution were reported as mean and standard deviation (SD), and variables not suitable for normal distribution were reported as median and interquartile range (IQR)
STATISTICAL ANALYSIS The chi-square test was used in the analysis of categorical variables, and the Fisher exact test was used when necessary. In the analysis of continuous variables, Mann-Whitney u test, Kruskal Wallis test, Students t test and ANOVA were used according to the suitability of the data for normal distribution. Statistical significance was quantified at the two-tailed p<0.05 level. All statistical analysis were performed using the SPSS (v25) package program.
RESULTS A total of 142 patients with hearing loss (acquired/congenital hearing loss) who received one or two cochlear implants were included in this study.
DISTRUBTION OF PATIENTS ACCORDING TO DEMOGRAPHIC ACADEMIC AND DESCRIPTIVE FEATURES
70 Female (49.3 %) 72 Male ( 50.7 %) Mean age of the participants 35.89 14.80.
Unilateral in 87.3%(n = 124) Bilateral 12.2% (n=17)
Hearing loss Congenital 43.7% (n = 62) Aquired 56.3% (80). First implantation of age Congenital HL :12.63 11.44 Aquired HL : 34.67 14.93
First CI age <4 year 17 ( 12.2 %) 4-12 year 28( 20.1 % ) >12 year94( 67.6 % ) Implant usage time < 5 years 44 (30 %) > 5 years 98 ( 70 % ) .
WORKING STATUS BEFORE IMPLANTATION No regular job 46 ( 44.2 % ) Have a regular job .58 ( 55.8 % ) .
WORKING STATUS AFTER IMPLANTATION Continued to previous job .42( % 51.9 ) Position changed positively 12( 14.8 ) Position changed negatively ..1( 1.2 % ) Changed found the job 20( 24.7 %) Lost the job ..6 ( 7.4%)
WORKING STATUS AFTER IMPLANTATION Workplace Public sector 46.6 % Private sector 48.5 % Own his job 4.9 % .
WORKING TIME OF PATIENTS 0-10 YEARS 49 % >10 YEARS .. 51 %
WORK PERFORMANCE AFTER IMPLANTATION Decreased-unchanged .29 ( 26.4 % ) Increased .81 ( 73.6 % )
EFFECT OF THE MARITAL STATUS ON WORKING LIFE When marital status and the negative effect of hearing loss on work performance were considered, it was observed that hearing loss had a greater negative impact on the work life of married people (p = 0.006)
EFFECT OF WORKING TIME WITH DEAFNESS ON POST IMPLANT SUCCESS Decreased-unchanged Increased 0-5 YEAR 14 ( 31.1 % ) 31 ( 68.9 % ) >5 YEAR 23( 46.9 %) 26 ( 53.1 % ). Professional satisfaction and success at work increase more in those who have been working with hearing loss for 5 years or more before implantation (p = 0.037).
EFFECT OF WORKING TIME WITH DEAFNESS Working time with deafness do not have any effect on communication at job as well work performance ( p=0.066 and 0.456 respectively )
No significant difference was found between genders in terms of dependent variables (p > 0.05).
No significant difference was found between the related variables and the implanted side, educational status, working time, working style (physical, desk), and whether or not he/she had a regular job (p> 0.05) before implantation
EFFECT OF TYPE OF HEARING LOSS ON JOB PERFORMANCE
EFFECT OF TYPE OF HEARING LOSS ON WORKING LIFE VERBAL COMMUNICATION AT WORK Decreased-unchanged Increased Congenital 13 ( 3.3 % ) 26 ( 66.7 % ) Aquired 9 (13.4 % ) 58 ( 86.6 % ) The time elapsed with verbal communication post- implantation at work increased in both group but more in those with acquired hearing loss, and the difference was statistically significant (p = 0.015).
