Knowledge, attitude, and practice toward cochlear implants among deaf patients who received cochlear implants

Abstract Despite the growing use of cochlear implants in deaf patients, there is a lack of data on their knowledge, attitude, and practice (KAP) toward cochlear implants. This study aimed to investigate the KAP toward cochlear implants among deaf patients who received cochlear implants. A web-based...

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Main Authors: Kunjun Li, Ruhuan Zhou, Wenwen Zheng, Yanbing Zhang, Jianxin Qiu
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-55006-8
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author Kunjun Li
Ruhuan Zhou
Wenwen Zheng
Yanbing Zhang
Jianxin Qiu
author_facet Kunjun Li
Ruhuan Zhou
Wenwen Zheng
Yanbing Zhang
Jianxin Qiu
author_sort Kunjun Li
collection DOAJ
description Abstract Despite the growing use of cochlear implants in deaf patients, there is a lack of data on their knowledge, attitude, and practice (KAP) toward cochlear implants. This study aimed to investigate the KAP toward cochlear implants among deaf patients who received cochlear implants. A web-based cross-sectional study was conducted between August 2022 and December 2022 among deaf patients who had received cochlear implants. A self-administered questionnaire was used to collect demographic characteristics and KAP scores. A total of 526 participants were enrolled; 54.18% were female, 65.40% were above 60 years old, and 61.03% were surveyed at less than 3 years after implantation. The mean knowledge, attitude, and practice scores were 8.15 ± 2.18 (possible range: 0–10), 43.63 ± 6.98 (possible range: 12–60), and 41.11 ± 7.42 (possible range: 11–55), respectively, indicating good knowledge, moderate attitude and practice. Multivariable logistic regression analysis showed that attitude [odd ratio (OR) = 1.24, 95% confidence interval (CI) 1.18–1.29, P < 0.001] and unemployment (OR = 0.33, 95% CI 0.17–0.63, P = 0.001) were independently associated with practice. Path analysis showed that knowledge directly influenced attitude (β = 0.93, 95% CI 0.61–1.19, P < 0.001), attitude directly influenced practice (β = 0.53, 95% CI 0.46–0.61, P < 0.001), and knowledge directly (β = 0.77, 95% CI 0.53–1.01, P < 0.001) and indirectly (β = 0.50, 95% CI 0.34–0.66, P < 0.001) influenced practice. Deaf patients who received cochlear implants showed good knowledge, moderate attitude and practice toward cochlear implants. Knowledge should be strengthened to improve attitude and practice toward cochlear implants, which could translate into realistic expectations toward cochlear implants devices and proper care and maintenance.
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spelling doaj.art-0fa68c403b4744048a21d1a899508ca52024-03-05T18:42:12ZengNature PortfolioScientific Reports2045-23222024-02-0114111010.1038/s41598-024-55006-8Knowledge, attitude, and practice toward cochlear implants among deaf patients who received cochlear implantsKunjun Li0Ruhuan Zhou1Wenwen Zheng2Yanbing Zhang3Jianxin Qiu4Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical UniversityAbstract Despite the growing use of cochlear implants in deaf patients, there is a lack of data on their knowledge, attitude, and practice (KAP) toward cochlear implants. This study aimed to investigate the KAP toward cochlear implants among deaf patients who received cochlear implants. A web-based cross-sectional study was conducted between August 2022 and December 2022 among deaf patients who had received cochlear implants. A self-administered questionnaire was used to collect demographic characteristics and KAP scores. A total of 526 participants were enrolled; 54.18% were female, 65.40% were above 60 years old, and 61.03% were surveyed at less than 3 years after implantation. The mean knowledge, attitude, and practice scores were 8.15 ± 2.18 (possible range: 0–10), 43.63 ± 6.98 (possible range: 12–60), and 41.11 ± 7.42 (possible range: 11–55), respectively, indicating good knowledge, moderate attitude and practice. Multivariable logistic regression analysis showed that attitude [odd ratio (OR) = 1.24, 95% confidence interval (CI) 1.18–1.29, P < 0.001] and unemployment (OR = 0.33, 95% CI 0.17–0.63, P = 0.001) were independently associated with practice. Path analysis showed that knowledge directly influenced attitude (β = 0.93, 95% CI 0.61–1.19, P < 0.001), attitude directly influenced practice (β = 0.53, 95% CI 0.46–0.61, P < 0.001), and knowledge directly (β = 0.77, 95% CI 0.53–1.01, P < 0.001) and indirectly (β = 0.50, 95% CI 0.34–0.66, P < 0.001) influenced practice. Deaf patients who received cochlear implants showed good knowledge, moderate attitude and practice toward cochlear implants. Knowledge should be strengthened to improve attitude and practice toward cochlear implants, which could translate into realistic expectations toward cochlear implants devices and proper care and maintenance.https://doi.org/10.1038/s41598-024-55006-8Knowledge, attitude, practiceCochlear implantsDeaf patientsCross-sectional study
spellingShingle Kunjun Li
Ruhuan Zhou
Wenwen Zheng
Yanbing Zhang
Jianxin Qiu
Knowledge, attitude, and practice toward cochlear implants among deaf patients who received cochlear implants
Scientific Reports
Knowledge, attitude, practice
Cochlear implants
Deaf patients
Cross-sectional study
title Knowledge, attitude, and practice toward cochlear implants among deaf patients who received cochlear implants
title_full Knowledge, attitude, and practice toward cochlear implants among deaf patients who received cochlear implants
title_fullStr Knowledge, attitude, and practice toward cochlear implants among deaf patients who received cochlear implants
title_full_unstemmed Knowledge, attitude, and practice toward cochlear implants among deaf patients who received cochlear implants
title_short Knowledge, attitude, and practice toward cochlear implants among deaf patients who received cochlear implants
title_sort knowledge attitude and practice toward cochlear implants among deaf patients who received cochlear implants
topic Knowledge, attitude, practice
Cochlear implants
Deaf patients
Cross-sectional study
url https://doi.org/10.1038/s41598-024-55006-8
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