Importance of personality and coping expectancy on patient-reported hearing disability, quality of life and distress level: a study of patients referred to an audiology service

According to the World Health Organization (WHO), hearing loss (HL) affects up to 15% of the world's adult population. Coping and personality are hypothesized to underlie quality of life (QoL) and distress scores. We aimed to study the importance of personality and coping in persons with HL for...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Health and quality of life outcomes 2021-06, Vol.19 (1), p.1-168, Article 168
Hauptverfasser: Nordvik, Øyvind, Heggdal, Peder O. Laugen, Brännström, K. Jonas, Aarstad, Anne Kari, Aarstad, Hans Jargen
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 168
container_issue 1
container_start_page 1
container_title Health and quality of life outcomes
container_volume 19
creator Nordvik, Øyvind
Heggdal, Peder O. Laugen
Brännström, K. Jonas
Aarstad, Anne Kari
Aarstad, Hans Jargen
description According to the World Health Organization (WHO), hearing loss (HL) affects up to 15% of the world's adult population. Coping and personality are hypothesized to underlie quality of life (QoL) and distress scores. We aimed to study the importance of personality and coping in persons with HL for self-reported hearing disability, QoL, and distress. A cross-sectional survey was carried out, including one hundred and fifty-eight adults seeking hearing aids. Pure-tone average hearing thresholds (PTA) were determined for each ear. A revised version of the Abbreviated Profile of Hearing Aid Benefit (APHAB) served as a measure of self-reported hearing disability. Further, the generic part of the European Organization for Research and Treatment (EORTC) QoL questionnaire and the General Health Questionnaire (GHQ) (distress measure) were answered. Levels of neuroticism and the Theoretically Originated Measure of the Cognitive Activation Theory of Stress (TOMCATS) coping expectancy were determined. Hearing disability was determined by PTA (better ear) and level of neuroticism. Distress and QoL were determined by neuroticism and coping. More neuroticism was associated with worse outcome for the variables hearing disability, distress, and QoL. Helplessness and hopelessness were associated with worse hearing disability, increased distress, and lowered QoL. Patient reported hearing disability was also associated with PTA (better ear). There is a need to investigate further the associations between hearing disability and QoL to psychosocial parameters.
doi_str_mv 10.1186/s12955-021-01802-z
format Article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8220799</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A672259134</galeid><doaj_id>oai_doaj_org_article_f9a71e8f5bab4d12bb1bdb6b7064d786</doaj_id><sourcerecordid>A672259134</sourcerecordid><originalsourceid>FETCH-LOGICAL-c643t-991bb487673943580998fb0e69fabc2ff418c5c01ba12c40e714145d9bcbbf453</originalsourceid><addsrcrecordid>eNptk12L1DAUhoso7rr6B7wKeKNg1yRN2sYLYVn8GBgQ_LgO-TiZzdBpukk77uyv8ieazgzqiJTQkjzvU3p6TlE8J_iSkLZ-kwgVnJeYkhKTFtPy_kFxTljTlA2n_OFfz2fFk5TWGNOKUv64OKsY4S3m7Xnxc7EZQhxVbwAFhwaIKfSq8-MOqd4iEwbfrxDcDWBmaIdCjwY1eujHMsIcBYtuQMUZsz4p7efwa3Q7HSxZ2nkHe1s-HyOkhDrYQvcWKZTGye6ZozOhCA5izNIx5AxSk_WhC6sdShC33sDT4pFTXYJnx_tF8f3D-2_Xn8rl54-L66tlaWpWjaUQRGvWNnVTCVbljxWidRpDLZzShjrHSGu4wUQrQg3D0BBGGLdCG60d49VFsTh4bVBrOUS_UXEng_JyvxHiSqo4etOBdEI1BFrHtdLMEqo10VbXusE1s01bZ9fy4Eo_YJj0ia2bhrx0XjKBzP9SkFYQCZwTyWzLpKK2kkYQEJRgIGCy7t1Bl10bsCbXLaruxHp60vsbuQpb2VKKGyGy4OVREMPtBGmUG58MdJ3qIUxJUs4YqzFvaEZf_IOuwxRzh8wUryqaG6n6Q61UrofvXcjvNbNUXtVN7jlBKpapy_9Q-bKw8Sb04HzePwm8OglkZoS7caWmlOTi65dTlh5YE0NKuYt-14NgOY-LPIzLXGK5Hxd5X_0Cf-4IlQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2553321583</pqid></control><display><type>article</type><title>Importance of personality and coping expectancy on patient-reported hearing disability, quality of life and distress level: a study of patients referred to an audiology service</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>SWEPUB Freely available online</source><source>PubMed Central Open Access</source><source>Springer Nature OA Free Journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Nordvik, Øyvind ; Heggdal, Peder O. Laugen ; Brännström, K. Jonas ; Aarstad, Anne Kari ; Aarstad, Hans Jargen</creator><creatorcontrib>Nordvik, Øyvind ; Heggdal, Peder O. Laugen ; Brännström, K. Jonas ; Aarstad, Anne Kari ; Aarstad, Hans Jargen</creatorcontrib><description>According to the World Health Organization (WHO), hearing loss (HL) affects up to 15% of the world's adult population. Coping and personality are hypothesized to underlie quality of life (QoL) and distress scores. We aimed to study the importance of personality and coping in persons with HL for self-reported hearing disability, QoL, and distress. A cross-sectional survey was carried out, including one hundred and fifty-eight adults seeking hearing aids. Pure-tone average hearing thresholds (PTA) were determined for each ear. A revised version of the Abbreviated Profile of Hearing Aid Benefit (APHAB) served as a measure of self-reported hearing disability. Further, the generic part of the European Organization for Research and Treatment (EORTC) QoL questionnaire and the General Health Questionnaire (GHQ) (distress measure) were answered. Levels of neuroticism and the Theoretically Originated Measure of the Cognitive Activation Theory of Stress (TOMCATS) coping expectancy were determined. Hearing disability was determined by PTA (better ear) and level of neuroticism. Distress and QoL were determined by neuroticism and coping. More neuroticism was associated with worse outcome for the variables hearing disability, distress, and QoL. Helplessness and hopelessness were associated with worse hearing disability, increased distress, and lowered QoL. Patient reported hearing disability was also associated with PTA (better ear). There is a need to investigate further the associations between hearing disability and QoL to psychosocial parameters.</description><identifier>ISSN: 1477-7525</identifier><identifier>EISSN: 1477-7525</identifier><identifier>DOI: 10.1186/s12955-021-01802-z</identifier><identifier>PMID: 34158058</identifier><language>eng</language><publisher>London: BioMed Central Ltd</publisher><subject>Anxiety ; Audiology ; Clinical Medicine ; Cognitive ability ; Complications and side effects ; Coping ; Coping (Psychology) ; Disease ; Ear ; Expectancy ; Health aspects ; Hearing aids ; Hearing loss ; Klinisk medicin ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Neurosis ; Oto-rhino-laryngologi ; Otorhinolaryngology ; Patients ; Personality ; Personality traits ; Psychological aspects ; Quality of life ; Questionnaires ; Social aspects ; Surveys</subject><ispartof>Health and quality of life outcomes, 2021-06, Vol.19 (1), p.1-168, Article 168</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c643t-991bb487673943580998fb0e69fabc2ff418c5c01ba12c40e714145d9bcbbf453</citedby><cites>FETCH-LOGICAL-c643t-991bb487673943580998fb0e69fabc2ff418c5c01ba12c40e714145d9bcbbf453</cites><orcidid>0000-0003-4313-3981</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220799/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220799/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,2095,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://lup.lub.lu.se/record/02191891-e551-4d84-a2d3-c91e9210e1ec$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Nordvik, Øyvind</creatorcontrib><creatorcontrib>Heggdal, Peder O. Laugen</creatorcontrib><creatorcontrib>Brännström, K. Jonas</creatorcontrib><creatorcontrib>Aarstad, Anne Kari</creatorcontrib><creatorcontrib>Aarstad, Hans Jargen</creatorcontrib><title>Importance of personality and coping expectancy on patient-reported hearing disability, quality of life and distress level: a study of patients referred to an audiology service</title><title>Health and quality of life outcomes</title><description>According to the World Health Organization (WHO), hearing loss (HL) affects up to 15% of the world's adult population. Coping and personality are hypothesized to underlie quality of life (QoL) and distress scores. We aimed to study the importance of personality and coping in persons with HL for self-reported hearing disability, QoL, and distress. A cross-sectional survey was carried out, including one hundred and fifty-eight adults seeking hearing aids. Pure-tone average hearing thresholds (PTA) were determined for each ear. A revised version of the Abbreviated Profile of Hearing Aid Benefit (APHAB) served as a measure of self-reported hearing disability. Further, the generic part of the European Organization for Research and Treatment (EORTC) QoL questionnaire and the General Health Questionnaire (GHQ) (distress measure) were answered. Levels of neuroticism and the Theoretically Originated Measure of the Cognitive Activation Theory of Stress (TOMCATS) coping expectancy were determined. Hearing disability was determined by PTA (better ear) and level of neuroticism. Distress and QoL were determined by neuroticism and coping. More neuroticism was associated with worse outcome for the variables hearing disability, distress, and QoL. Helplessness and hopelessness were associated with worse hearing disability, increased distress, and lowered QoL. Patient reported hearing disability was also associated with PTA (better ear). There is a need to investigate further the associations between hearing disability and QoL to psychosocial parameters.</description><subject>Anxiety</subject><subject>Audiology</subject><subject>Clinical Medicine</subject><subject>Cognitive ability</subject><subject>Complications and side effects</subject><subject>Coping</subject><subject>Coping (Psychology)</subject><subject>Disease</subject><subject>Ear</subject><subject>Expectancy</subject><subject>Health aspects</subject><subject>Hearing aids</subject><subject>Hearing loss</subject><subject>Klinisk medicin</subject><subject>Medical and Health Sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Neurosis</subject><subject>Oto-rhino-laryngologi</subject><subject>Otorhinolaryngology</subject><subject>Patients</subject><subject>Personality</subject><subject>Personality traits</subject><subject>Psychological aspects</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Social aspects</subject><subject>Surveys</subject><issn>1477-7525</issn><issn>1477-7525</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>D8T</sourceid><sourceid>DOA</sourceid><recordid>eNptk12L1DAUhoso7rr6B7wKeKNg1yRN2sYLYVn8GBgQ_LgO-TiZzdBpukk77uyv8ieazgzqiJTQkjzvU3p6TlE8J_iSkLZ-kwgVnJeYkhKTFtPy_kFxTljTlA2n_OFfz2fFk5TWGNOKUv64OKsY4S3m7Xnxc7EZQhxVbwAFhwaIKfSq8-MOqd4iEwbfrxDcDWBmaIdCjwY1eujHMsIcBYtuQMUZsz4p7efwa3Q7HSxZ2nkHe1s-HyOkhDrYQvcWKZTGye6ZozOhCA5izNIx5AxSk_WhC6sdShC33sDT4pFTXYJnx_tF8f3D-2_Xn8rl54-L66tlaWpWjaUQRGvWNnVTCVbljxWidRpDLZzShjrHSGu4wUQrQg3D0BBGGLdCG60d49VFsTh4bVBrOUS_UXEng_JyvxHiSqo4etOBdEI1BFrHtdLMEqo10VbXusE1s01bZ9fy4Eo_YJj0ia2bhrx0XjKBzP9SkFYQCZwTyWzLpKK2kkYQEJRgIGCy7t1Bl10bsCbXLaruxHp60vsbuQpb2VKKGyGy4OVREMPtBGmUG58MdJ3qIUxJUs4YqzFvaEZf_IOuwxRzh8wUryqaG6n6Q61UrofvXcjvNbNUXtVN7jlBKpapy_9Q-bKw8Sb04HzePwm8OglkZoS7caWmlOTi65dTlh5YE0NKuYt-14NgOY-LPIzLXGK5Hxd5X_0Cf-4IlQ</recordid><startdate>20210622</startdate><enddate>20210622</enddate><creator>Nordvik, Øyvind</creator><creator>Heggdal, Peder O. Laugen</creator><creator>Brännström, K. Jonas</creator><creator>Aarstad, Anne Kari</creator><creator>Aarstad, Hans Jargen</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AGCHP</scope><scope>AOWAS</scope><scope>D8T</scope><scope>D95</scope><scope>ZZAVC</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-4313-3981</orcidid></search><sort><creationdate>20210622</creationdate><title>Importance of personality and coping expectancy on patient-reported hearing disability, quality of life and distress level: a study of patients referred to an audiology service</title><author>Nordvik, Øyvind ; Heggdal, Peder O. Laugen ; Brännström, K. Jonas ; Aarstad, Anne Kari ; Aarstad, Hans Jargen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c643t-991bb487673943580998fb0e69fabc2ff418c5c01ba12c40e714145d9bcbbf453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anxiety</topic><topic>Audiology</topic><topic>Clinical Medicine</topic><topic>Cognitive ability</topic><topic>Complications and side effects</topic><topic>Coping</topic><topic>Coping (Psychology)</topic><topic>Disease</topic><topic>Ear</topic><topic>Expectancy</topic><topic>Health aspects</topic><topic>Hearing aids</topic><topic>Hearing loss</topic><topic>Klinisk medicin</topic><topic>Medical and Health Sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Neurosis</topic><topic>Oto-rhino-laryngologi</topic><topic>Otorhinolaryngology</topic><topic>Patients</topic><topic>Personality</topic><topic>Personality traits</topic><topic>Psychological aspects</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Social aspects</topic><topic>Surveys</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nordvik, Øyvind</creatorcontrib><creatorcontrib>Heggdal, Peder O. Laugen</creatorcontrib><creatorcontrib>Brännström, K. Jonas</creatorcontrib><creatorcontrib>Aarstad, Anne Kari</creatorcontrib><creatorcontrib>Aarstad, Hans Jargen</creatorcontrib><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SWEPUB Lunds universitet full text</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Lunds universitet</collection><collection>SwePub Articles full text</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Health and quality of life outcomes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nordvik, Øyvind</au><au>Heggdal, Peder O. Laugen</au><au>Brännström, K. Jonas</au><au>Aarstad, Anne Kari</au><au>Aarstad, Hans Jargen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Importance of personality and coping expectancy on patient-reported hearing disability, quality of life and distress level: a study of patients referred to an audiology service</atitle><jtitle>Health and quality of life outcomes</jtitle><date>2021-06-22</date><risdate>2021</risdate><volume>19</volume><issue>1</issue><spage>1</spage><epage>168</epage><pages>1-168</pages><artnum>168</artnum><issn>1477-7525</issn><eissn>1477-7525</eissn><abstract>According to the World Health Organization (WHO), hearing loss (HL) affects up to 15% of the world's adult population. Coping and personality are hypothesized to underlie quality of life (QoL) and distress scores. We aimed to study the importance of personality and coping in persons with HL for self-reported hearing disability, QoL, and distress. A cross-sectional survey was carried out, including one hundred and fifty-eight adults seeking hearing aids. Pure-tone average hearing thresholds (PTA) were determined for each ear. A revised version of the Abbreviated Profile of Hearing Aid Benefit (APHAB) served as a measure of self-reported hearing disability. Further, the generic part of the European Organization for Research and Treatment (EORTC) QoL questionnaire and the General Health Questionnaire (GHQ) (distress measure) were answered. Levels of neuroticism and the Theoretically Originated Measure of the Cognitive Activation Theory of Stress (TOMCATS) coping expectancy were determined. Hearing disability was determined by PTA (better ear) and level of neuroticism. Distress and QoL were determined by neuroticism and coping. More neuroticism was associated with worse outcome for the variables hearing disability, distress, and QoL. Helplessness and hopelessness were associated with worse hearing disability, increased distress, and lowered QoL. Patient reported hearing disability was also associated with PTA (better ear). There is a need to investigate further the associations between hearing disability and QoL to psychosocial parameters.</abstract><cop>London</cop><pub>BioMed Central Ltd</pub><pmid>34158058</pmid><doi>10.1186/s12955-021-01802-z</doi><orcidid>https://orcid.org/0000-0003-4313-3981</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1477-7525
ispartof Health and quality of life outcomes, 2021-06, Vol.19 (1), p.1-168, Article 168
issn 1477-7525
1477-7525
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8220799
source DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SWEPUB Freely available online; PubMed Central Open Access; Springer Nature OA Free Journals; PubMed Central; SpringerLink Journals - AutoHoldings
subjects Anxiety
Audiology
Clinical Medicine
Cognitive ability
Complications and side effects
Coping
Coping (Psychology)
Disease
Ear
Expectancy
Health aspects
Hearing aids
Hearing loss
Klinisk medicin
Medical and Health Sciences
Medicin och hälsovetenskap
Neurosis
Oto-rhino-laryngologi
Otorhinolaryngology
Patients
Personality
Personality traits
Psychological aspects
Quality of life
Questionnaires
Social aspects
Surveys
title Importance of personality and coping expectancy on patient-reported hearing disability, quality of life and distress level: a study of patients referred to an audiology service
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T18%3A14%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Importance%20of%20personality%20and%20coping%20expectancy%20on%20patient-reported%20hearing%20disability,%20quality%20of%20life%20and%20distress%20level:%20a%20study%20of%20patients%20referred%20to%20an%20audiology%20service&rft.jtitle=Health%20and%20quality%20of%20life%20outcomes&rft.au=Nordvik,%20%C3%98yvind&rft.date=2021-06-22&rft.volume=19&rft.issue=1&rft.spage=1&rft.epage=168&rft.pages=1-168&rft.artnum=168&rft.issn=1477-7525&rft.eissn=1477-7525&rft_id=info:doi/10.1186/s12955-021-01802-z&rft_dat=%3Cgale_doaj_%3EA672259134%3C/gale_doaj_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2553321583&rft_id=info:pmid/34158058&rft_galeid=A672259134&rft_doaj_id=oai_doaj_org_article_f9a71e8f5bab4d12bb1bdb6b7064d786&rfr_iscdi=true