RESUMOTem-se verificado crescente aumento do uso da revisão sistemática como metodologia de investigação para compilar e analisar grandes conjuntos de dados de estudos existentes. Com este aumento também aumentaram as recomendações para conduzir este tipo de investigação. O objectivo deste artigo é fornecer um guia para compreender e/ou realizar uma revisão sistemática para publicação, indicando todas as etapas do processo de revisão. Ao fazerem uma revisão sistemática da literatura, os autores tornam-se conhecedores do tema e, embora consuma muito tempo, podem desenvolver um conjunto de competências incluindo a de pesquisa da literatura e de redacção científica. A revisão sistemática, comparada com a investigação primária, requer relativamente poucos recursos, permitindo que os clínicos normalmente não envolvidos em investigação produzam artigos clinicamente relevantes e de alta qualidade.
Palavras-chave:ABSTRACT There has been an increase in the use of systematic review as a research methodology to compile and analyze large datasets of existing studies. With this increase, the recommendations to conduct this type of research also increased. The aim of this article is to provide a guide for understanding and/or undertaking a systematic review for publication across all stages of the review process. When doing a systematic review of the literature the authors become knowledgeable of the subject and, although time-consuming, they can develop a set of skills including literature research and scientific writing. A systematic review, compared to primary research, requires relatively few resources, allowing clinicians not normally involved in research to produce clinically relevant, high-quality articles.
Introduction:The scale Satisfaction with Amplification in Daily Life uses a simple and easily administered questionnaire to evaluate the adaptation of individuals to their hearing aids. The objective of this study is to validate the scale for European Portuguese speakers, by means of translation and cultural adaptation of the questionnaire. The study includes an evaluation of reproducibility and a description of the results of the administration of the questionnaire to patients fitted with hearing aids.
Material and Methods:We invited 147 individuals fitted with hearing aids (uni-or bilateral) to participate in the study. Participants had used a hearing aid for at least six weeks and were patients of the Department of Otolaryngology at the Egas Moniz Hospital (Lisbon). The consent as well the guidelines for translation from and into the English language were obtained from the author of the scale, and the translation from and into, and cultural adaptation were carried out, along with an evaluation of reproducibility and internal consistency.
Results:The participants were 54% male and 46% female, aged between 16 and 93 (66.09 ± 17.41 years). The results of the study showed an overall level of satisfaction of 5.4 among hearing aids users. The sub-scale satisfaction levels were: positive effects 5.88, service and cost 5.25, negative effects 4.24, and self-image 5.57. The Cronbach α score was 0.75 which indicates good internal consistency. Furthermore, the questionnaire's overall and sub-scale average scores did not differ significantly from the results obtained under the American scale. The inter-examiner reproducibility was also good. Discussion: This study provides reliable results of the scale for the Portuguese of Portugal and adequate internal consistency, with significant age variability in the sample.
Conclusion:This adaptation of the Satisfaction with Amplification in Daily Life questionnaire for European Portuguese speakers should be considered a good tool for evaluation of the level of satisfaction of hearing aid users, and until now, is the only available scale for speakers of European Portuguese.
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