Banca de DEFESA: ARYELLY DAYANE DA SILVA NUNES

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ARYELLY DAYANE DA SILVA NUNES
DATE: 25/01/2021
TIME: 09:00
LOCAL: REMOTO
TITLE:

SCHOOL HEALTH PROGRAM: PROTOCOLS OF HEARING LOSS IDENTIFICATION

KEY WORDS:

Health Policy. Hearing loss. Hearing. School health services. National health programs.

PAGES: 134
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

It is essential to use instruments with adequate diagnostic accuracy to identify hearing loss in
schoolchildren. Knowing and managing information in hearing health that covers school
environment, individual and school information, helps the elaboration of individual and
collective actions in the scope of Health and Education, as the Brazilian Health in School
Program (PSE) aims. The objective of this thesis is to study protocols for identifying hearing
loss in elementary school students I and II, developed from five studies. Two studies of
diagnostic accuracy will be described, a systematic review, an experience report and an
ecological study. 1) Study of diagnostic accuracy, comparing conventional hearing screening
methods to the reference standard - audiometric, tympanometric screening and otoacoustic
emissions with transient stimulus (TOAE); 2) Accuracy study comparing different TOAE
failure criteria compared to the reference standard; 3) Systematic review of computerized
methods of hearing screening; 4) Report on actions to promote hearing health in the school
environment; 5) Ecological study on School Hearing Screening (TAE) within the scope of SUS.
The results of the thesis include 1) TOAE as a protocol with better measures of accuracy for
school hearing screening; 2) TEOAE with signal / noise ratio equal to or greater than 3dB in
three of the five non-consecutive frequency bands with better accuracy; 3) Among the six
instruments identified, three had sensitivity and specificity greater than 70% - teleaudiometer
based on a P.E.T.I.T. tablet, HearScreen ™ application, computer-based audiometer; 4) The
five proposed activities were effective, with engagement observed by the entire school
community and changes in habits by the students; 5) There is no tendency for a significant
increase in the rates of school hearing screening in Brazil, which are distributed unevenly in the
national territory. With the completion of individual studies and their joint analysis, it is
observed that different methods can be used to identify hearing loss in schoolchildren as long
as they are valid, but this action should not be isolated, and local realities and the network must
be considered hearing health, since there is low coverage of TAE under SUS. In this way, it
will be possible to carry out the actions proposed by the PSE in the scope of hearing health,
considering the intersectoral needs and health and education.

BANKING MEMBERS:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Interno - 277398 - KENIO COSTA DE LIMA
Interna - 421717 - MARIA ANGELA FERNANDES FERREIRA
Externa à Instituição - ADRIANA BENDER MOREIRA DE LACERDA - UDEM
Externa à Instituição - HANNALICE GOTTSCHALCK CAVALCANTI - UFPB