Noise level to which children using cochlear implants and/or hearing aids are exposed in the educational environment

Integrative review

Authors

DOI:

https://doi.org/10.23925/2176-2724.2026v38i1e72129

Keywords:

Education, Noise, Cochlear Implantation, Hearing Aids, Hearing Loss, Noise Measurement

Abstract

Introduction: People with hearing loss face significant communication difficulties, especially in noisy environments where speech becomes distorted because of background noise. In the school environment, excessive noise compromises attention, memory and speech recognition, directly interfering with the learning process. Objective: To identify, through an integrative review, the impact of different noise levels in classrooms on children who use cochlear implants (CI) and/or hearing aids (HA). Method: This review was conducted in national and international health and education databases, such as the Virtual Health Library (VHL), PubMed, Scientific Electronic Library Online (SciELO), Scopus (Elsevier), the Brazilian Digital Library of Theses and Dissertations (BDTD), CAPES, and the Education Resources Information Center (ERIC). The studies included were those of any language related to the topic published between 2018 and 2023. Results: A total of 2,376 studies were identified. After initial reading and application of the inclusion and exclusion criteria, 6 articles were selected for analysis. Conclusion: The noise level present in classrooms makes it significantly difficult for students using HA and CI to understand speech, consequently impairing performance and cognitive development.

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References

1. Brännström KJ, von Lochow H, Lyberg Åhlander V, Sahlén B. Passage comprehension performance in children with cochlear implants and/or hearing aids: the effects of voice quality and multi-talker babble noise in relation to executive function. Logoped Phoniatr Vocol. 2019; 45(1): 15-23. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1080/14015439.2019.1586441.

2. Ng EHN, Rönnberg J. Hearing aid experience and background noise affect the robust relationship between working memory and speech recognition in noise. Int J Audiol. 2019; 59(3): 208-18. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1080/14992027.2019.1689438.

3. Cruz AD, Gagné JP, Cruz WM, Isotani S, Gauthier-Cossette L, Jacob RT. The effects of using hearing aids and a frequency modulated system on listening effort among adolescents with hearing loss. Int J Audiol. 2019; 59(2): 117-23. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1080/14992027.2019.1677957.

4. Bitar ML, Calaço Sobrinho LF, Simões-Zenari M. Ações para a melhoria do conforto acústico em instituições de educação infantil. Cienc Saude Colet. 2018; 23: 315-24. [Acesso em 2 nov. 2024]. Disponível em: https://doi.org/10.1590/1413-81232018231.22932015.

5. World Health Organization. World report on hearing [Internet]. 2021. Available from: https://www.who.int/publications/i/item/9789240020481.

6. Dias FAM, Santos BA, Mariano HC. Níveis de pressão sonora em salas de aula de uma Universidade e seus efeitos em alunos e professores. CoDAS. 2019; 31(4): e20180046. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1590/2317-1782/20192018222.

7. Bates S. The impact of noise in early childhood settings in New Zealand. Early Child Folio [Internet]. 2021 Jun; 25(1): 20–5. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.18296/ecf.0091.

8. Jenstad LM, Gillen L, Singh G, DeLongis A, Pang F. A laboratory evaluation of contextual factors affecting ratings of speech in noise: implications for ecological momentary assessment. Ear Hear. 2019; 40(4): 823-32. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1097/AUD.0000000000000664.

9. Ching TY, Zhang VW, Flynn C, Burns L, Button L, Hou S, et al. Factors influencing speech perception in noise for 5-year-old children using hearing aids or cochlear implants. Int J Audiol [Internet]. 2018; 57(Suppl 2): S70-80. [Acesso em 30 out. 2024]. Disponível em: https://dx.doi.org/10.1080/14992027.2017.1346307.

10. Associação Brasileira de Normas Técnicas (ABNT). NBR 10152: Acústica – Níveis de pressão sonora em ambientes internos e edificações [Internet]. Vitória da Conquista (BA): UESB; 2022. [Acesso em 2 nov. 2024]. Disponível em: http://www2.uesb.br/biblioteca/wp-content/uploads/2022/03/ABNT-NBR10152-AC%C3%9ASTICA-N%C3%8DVEIS-DE-PRESS%C3%83O-SONORA-EM-AMBIENTES-INTERNOS-E-EDIFICA%C3%87%C3%95ES.pdf.

11. Blumenthal L, Sefotho MM. The effects of cognitive effort on academic performance of learners with cochlear implants in a private mainstream school in Gauteng. Afr J Disabil. 2022; 11: 1-7. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.4102/ajod.v11i0.1005.

12. Rezende BA, Medeiros AM, Silva AM, Assunção AÁ. Fatores associados à percepção de ruído ocupacional intenso pelos professores da educação básica no Brasil. Rev Bras Epidemiol [Internet]. 2019; 22: e190063. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1590/1980-549720190063.

13. Echegoyen A. Conectividade sem fio em usuários de implante coclear em ambientes reverberantes e com múltiplas fontes de ruído [Internet]. São Paulo (SP): Universidade de São Paulo; 2021. [Acesso em 26 set. 2025]. Disponível em: https://www.teses.usp.br/teses/disponiveis/5/5143/tde-09092021-110129/pt-br.php.

14. Boldarini V, Rondina IS, Regini PR, Cezar T, Cassia L de K. Análise do critério de idade para fornecimento do sistema de frequência modulada: uma revisão integrativa. Rev CEFAC [Internet]. 2023; 26(1). [Acesso em 26 set. 2025]. Disponível em: hhttps://doi.org/10.1590/1982-0216/20242619223s.

15. Esturaro GT, Youssef BC, Ficker LB, Deperon TM, Mendes BCA, Novaes BCAC. Adesão ao uso do Sistema de Microfone Remoto em estudantes com deficiência auditiva usuários de dispositivos auditivos. CoDAS. 2022; 34(3): e20212020326. [Acesso em 26 out. 2025]. Disponível em: https://doi.org/10.1590/2317-1782/20212020326.

16. Lamotte AS, Essadek A, Shadili G, Perez JM, Raft J. The impact of classroom chatter noise on comprehension: a systematic review. Percept Mot Skills. 2021; 128(3): 1275-91. [Acesso em 26 set. 2025]. Disponível em: https://d oi.org/10.1177/00315125211002983.

17. McGarrigle R, Gustafson SJ, Hornsby BWY, Bess FH. Behavioral measures of listening effort in school-age children. Ear Hear. 2019; 40(2): 381-92. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1097/AUD.0000000000000626.

18. Badajoz-Davila J, Buchholz JM, Van-Hoesel R. Effect of noise and reverberation on speech intelligibility for cochlear implant recipients in realistic sound environments. J Acoust Soc Am. 2020; 147(5): 3538-49. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1121/10.0001331.

19. Nelson LH, Anderson K, Whicker J, Barrett T, Muñoz K, White K. Classroom listening experiences of students who are deaf or hard of hearing using listening inventory for education–revised. Lang Speech Hear Serv Sch. 2020; 51(3): 720-33. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1044/2020_LSHSS-19-00083.

20. Schiller IS, Remacle A, Durieux N, Morsomme D. Effects of noise and a speaker’s impaired voice quality on spoken language processing in school-aged children: a systematic review and meta-analysis. J Speech Lang Hear Res. 2022; 65(1): 169-99. [Acesso em 26 set. 2025]. Disponível em: https://doi.org/10.1044/2021_JSLHR-21-00137.

Published

2026-02-20

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Section

Artigos