Developing a Rehabilitation and Educational Needs Assessment Tool for Mainstreamed Primary School Students with Hearing Loss

Document Type : Original article

Authors

1 MSc in Rehabilitation Management, Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 MD, Pediatrician, MPH, Associate Professor, Pediatric Neurorehabilitation Research Center, Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3 PhD in Biostatistics, Assistant Professor, Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

4 PhD in Audiology, Assistant Professor, Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Abstract

Background and Aims: Students with special needs might face a variety of educational and rehabilitation needs. The present study was conducted to develop a rehabilitation and educational needs assessment tool for mainstreamed primary school students with hearing loss.
Materials and Methods: The first draft of the tool was designed according to a review of four tools designed for assessment of rehabilitation and educational needs for hearing impaired and deaf students in other countries. A total of 14 experts were invited and their viewpoints were obtained to assess the face and content validity of the instrument. To determine the clarity of the text, internal consistency and test-retest reliability, 51 mainstreamed primary school students with hearing loss in the cities of Eslamshahr, Robat Karim, Qarchak, and Varamin as well as their teachers were asked to complete related parts of the questionnaire. Lawasche Method was used to calculate Content Validity Index. Cronbach's alpha coefficient was used to examine internal consistency, and test-retest reliability was examined using calculating Intra-class Correlation Coefficient.
Results: The tool was designed in two parts; ‘student replying’ and ‘teacher replying’ with 35 questions in six subscales. The face validity was confirmed by the experts’ opinion. Content Validity Ratios of all questions were more than 0.71 and Content Validity Index was 0.93. Cronbach's alpha in subscales of needs for rehabilitation of hearing, speech, psychology, educational needs, self- advocacy in cognitive problems, and self- advocacy in hearing aids were 0.831, 0.840, 0,819, 0.851, 0.823, and 0.785, respectively. In calculating test-retest reliability, Intra-class Correlation Coefficients scores in all sub-scales were more than 0.940.
Conclusion: Rehabilitation and educational needs assessment tool for mainstreamed primary school students with hearing loss is a valid and reliable tooland after determining cut of points, it can be used in determining the needs of mainstreamed primary school students with hearing loss.

Keywords

Main Subjects

References

1. Nasib M, Jahanbin E, Jahanbin F. The status of disability rights in Iran (in the light of social protection and civil administration). Hoqoq asasi 2011; (16).[In Persian]##
2. Leliugiene I, Kausyliene A. Integration of children with disabilities into school community. Social Welfare Interdisciplinary Approach. 2012;2(2). ##
3. Parhoon K, Hassanzadeh S, Parhoon H, Movallali G. Educational Needs Assessment of Student with Hearing Impairment in Inclusive School. International Journal of Academic Research in Progressive Education and Development. 2014;3(2):35-44##
4. Mahvash-Wernosfaderani A, Adibsereshki N, Movallali G. The effectiveness of life skills training on enhancing the social skills of hearing impaired boy scondary school students in inclusive schools. Research in Rehabilitation Sciences 2013; 8(3):477-488.[In Persian] ##
5. World Health Organization. Millions of people in the world have hearing loss that can be treated or prevented. Geneva: WHO. 2013:1-7. ##
6. Qi S, Mitchell RE. Large-scale academic achievement testing of deaf and hard-of-hearing students: Past, present, and future. Journal of Deaf Studies and Deaf Education. 2012 Jan 1;17(1):1-8. ##
7. Iranian national policy on prevention of deafness. 2015. Ear, nose and throat, head and neck Research Center (Center of Excellence). Available at: URL: http://www.ent-hns.org/assets/images/13.pdf. Accessed2015.[In Persian] ##
 
8. Baradaranfar M, Mollasadeghi A, Jafari Z. The prevalence of hearing loss among 3-6 years old children in of Yazd city kindergartens. Journal of Shahid Sadoughi University of Medical Sciences and Health Services 2009;16(5):5-20.[In Persian] ##
9. Regulations and Guidelines for mainstreaming and inclusive education of children and students with special needs. Ministry of Education;2013.[In persian] ##
10. Sayahi H. An assessment of the degree of educational goal achivements for students with hearing impairment in Ahwaz city. Exceptional Education 2009;(97):3-14.[In Persian] ##
11. Barry VM, Leather PK. Educational Service Guidelines for Students who are Deaf and Hard of Hearing. 2012 New Hampshire Department of Education. Available at: URL: https://www.education.nh.gov/. Accessed 2015. ##
12. Antia SD, Sabers DL, Stinson MS. Validity and reliability of the classroom participation questionnaire with deaf and hard of hearing students in public schools. Journal of deaf studies and deaf education. 2006 Nov 15;12(2):158-71. ##
13. Anderson K, Matkin NH. Screening instrument for targeting educational risk (SIFTER). Tampa, FL: Educational Audiology Association. 1989. ##
14. Anderson K, Smaldino J, Spangler C. Listening inventory for education-revised (LIFE-R). 2011##
15. Wadhwa G, Aikat R. Development, validity and reliability of the ‘Sitting Balance Measure’(SBM) in spinal cord injury. Spinal cord. 2016 Apr 1;54(4):319-23. ##
16. Hajizadeh E, Asghari M. Statistical Methods and analyzes looking at health research. 1st ed. Tehran:Jahad-daneshgahi publisher;1390.p.46-47.[In Persian] ##
17. Eyalati N, Jafari Z, Ashayeri H, Kamali M, Salehi M. Instruction of Persian version of the needs of hearing impaired childrens parents in auditory-verbal approach questionnaire and determining its validity and reliability. Audiol. 2013;22(4):16-27. [In Persian] ##
18. Mathur S, Eng JJ, Maclntyre DL. Reliability of surface EMG during sustained contractions of the quadriceps. J Electromyogr Kinesiol. 2005;15(1):102-10. ##
19. Antia SD, Sabers DL, Stinson MS. Validity and reliability of the classroom participation questionnaire with deaf and hard of hearing students in public schools. Journal of deaf studies and deaf education. 2006 Nov 17;12(2):158-71. ##
20. Kamali M, Chabok A, Ashayeri H. Evaluating validity and reliability of Persian version of Supports Intensity Scale in adults with intellectual disability. Journal of Kermanshah University of Medical Sciences (J Kermanshah Univ Med Sci). 2013 Dec 1;17(9):555-62. ##
21. Peters GJ. The alpha and the omega of scale reliability and validity: why and how to abandon Cronbach’s alpha and the route towards more comprehensive assessment of scale quality. European Health Psychologist. 2014 Apr 1;16(2):56-69. ##
22. Amirian A, Derakhshandeh F, Salehi A, Soleimani B. Evaluating Intra- and inter-rater reliability for "Cleft palate speech assessment test based on universal parameters system- in Persian". Journal of Research in Rehabilitation Sciences 2011; 7(4): 470-476.[In Persian] ##
23. Mohammadbeigi A, Mohammadsalehi N, Aligol M. Validity and Reliability of the Instruments and Types of Measurments in Health Applied Researches. J RafsanjanUniv Med Sci 2015; 13(12): 1153-70.[In Persian] ##
The Scientific Journal of Rehabilitation Medicine
Volume 7, Issue 2
July and August 2018
Pages 148-157

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History

  • Receive Date: 18 April 2017
  • Revise Date: 21 August 2017
  • Accept Date: 24 October 2017
  • First Publish Date: 22 June 2018

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