Factors associated with school participation among students with hearing loss

Abstract

The aim of this study is to explore teachers' views on school participation of students with hearing loss (HL) and to examine the association between students' school participation and factors related to the framework of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). A total of 167 teachers participated in the study. Structural equation modelling was performed to explore relationships among the factors. The teachers considered the students to be socially included and to participate academically almost at the same level as their typical classmates. A multifaceted interaction between ICF-CY factors and students' participation in academic activities was found. Personal factors such as 'academic skills and motivation' explained most of the variance in academic participation, and were also associated with activity and environmental factors. Efforts to understand their classmates directly and indirectly associated with academic participation. Students with mild and severe HL appeared to have same level of participation rate. The parents' involvement in their children's schooling and the use of amplification systems were related to academic participation but not to social participation. A few factors associated with social participation; in those cases, having other disabilities in addition to HL explained most of the variance.

Family factors associated with participation of children with disabilities: a systematic review

“…Participation was assessed using seven measurement tools (Table SIV, online supporting information) with the Children's Assessment of Participation and Enjoyment being the most frequently used measure. Six studies did not report on validity and reliability of the participation measures used and were rated at unclear risk of bias . Out of four studies with longitudinal designs, one study was at high risk of attrition bias, while the remaining studies provided insufficient information to assess the attrition rate.…”

“…Supports for the child from parents/greater community was studied most often . The presence of parental support was consistently positively associated with participation, except in a single study where the association was negative .…”

“…Supports for the child from parents/greater community was studied most often . The presence of parental support was consistently positively associated with participation, except in a single study where the association was negative . Family preferences and activity orientation towards social and recreational activities were positively associated with children's participation in leisure activities.…”

“…Six studies did not report on validity and reliability of the participation measures used and were rated at unclear risk of bias. 51,[54][55][56][57][58] Out of four studies with longitudinal designs, one study was at high risk of attrition bias, 43 while the remaining studies provided insufficient information to assess the attrition rate. Six studies provided inadequate adjustment for confounding variables in their analysis and were at unclear risk of bias.…”

Participation of Students with Hearing Impairment in Inclusive Classes

“…Some studies indicate that students with hearing impairment in inclusive classes have difficulty following and understanding the learning materials. Although their social interaction is good, but the participation of students in inclusive classes is not as good as their social interactions beyond the classroom (Rekkedal, 2016).…”