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Morvan P, Buisson-Savin J, Boiteux C, Bailly-Masson E, Buhl M, Thai-Van H. Factors in the Effective Use of Hearing Aids among Subjects with Age-Related Hearing Loss: A Systematic Review. J Clin Med 2024; 13:4027. [PMID: 39064066 PMCID: PMC11277177 DOI: 10.3390/jcm13144027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2024] [Revised: 07/04/2024] [Accepted: 07/07/2024] [Indexed: 07/28/2024] Open
Abstract
Objectives: Investigate factors contributing to the effective management of age-related hearing loss (ARHL) rehabilitation. Methods: A systematic review was conducted following PRISMA guidelines. The protocol was registered in PROSPERO (CRD42022374811). Articles were identified through systematic searches in the Scopus, PubMed, Web of Science, and Cochrane databases in May 2024. Only articles published between January 2005 and May 2024 were included. Studies were assessed for eligibility by two independent researchers and evaluated using the Crowe Critical Appraisal Tool v1.4 (CCAT). Results: Of the 278 articles identified, 54 were included. Three factors explain effective HA use. First, hearing aid signal processing, with directional microphones and noise reduction, improves user comfort and understanding regarding noise. Second, there is hearing aid fitting, with the NAL prescription rules as the gold standard, and bilateral, high-level HA performance for spatial localization and noise comprehension. Third, there is a patient-centered approach, using patient-related outcome measures (PROMs), questionnaires, counseling, and regular follow-up to involve patients in their therapeutic rehabilitation. Conclusions: Reaching a consensus on acoustic parameters is challenging due to variability in audiological results. Involving patients in their rehabilitation, addressing their needs and expectations, and offering individualized care are crucial.
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Affiliation(s)
- Perrine Morvan
- Université Paris Cité, Institut Pasteur, AP-HP, Inserm, Fondation Pour l’Audition, Institut de l’Audition, IHU reConnect, F-75012 Paris, France; (P.M.); (M.B.)
- Amplifon, 75014 Paris, France; (J.B.-S.); (C.B.); (E.B.-M.)
| | | | | | | | - Mareike Buhl
- Université Paris Cité, Institut Pasteur, AP-HP, Inserm, Fondation Pour l’Audition, Institut de l’Audition, IHU reConnect, F-75012 Paris, France; (P.M.); (M.B.)
| | - Hung Thai-Van
- Université Paris Cité, Institut Pasteur, AP-HP, Inserm, Fondation Pour l’Audition, Institut de l’Audition, IHU reConnect, F-75012 Paris, France; (P.M.); (M.B.)
- Department of Audiology and Neurotology, Civil Hospitals of Lyon, 69003 Lyon, France
- Department of Physiology, Claude Bernard University, 69003 Lyon, France
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Dahlin Redfors Y, Björsne A, Finizia C. Psychometric properties of the Swedish version of the international outcome inventory - alternative interventions (IOI-AI) - ear surgery (IOI-AI op). Int J Audiol 2024:1-8. [PMID: 38587069 DOI: 10.1080/14992027.2024.2332774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 03/11/2024] [Indexed: 04/09/2024]
Abstract
OBJECTIVE The aims of this study were to adapt the Swedish version of the International Outcome Inventory for Hearing Aids (IOI-HA) to the International Outcome Inventory for Alternative Interventions (IOI-AI) in the context of ear surgery (IOI-AIop) and to test the psychometric properties. DESIGN The validated Swedish questionnaire IOI-HA was adapted to the IOI-AIop by omitting the question about hearing aid use and changing the term "hearing aid" to "surgery" in the remaining items. The validity, component structure and reliability of the IOI-AIop were assessed. STUDY SAMPLE Subjects diagnosed with otosclerosis and undergoing stapedotomy were included in the study (n = 162). RESULTS High mean scores were noted for all items. Ceiling effects were noted, most pronounced for the satisfaction item. Principal component analysis (PCA) yielded a two-component structure explaining 77.5% of the variance. The test-retest reliability measured by intra class correlation coefficient was >0.9, and the internal consistency coefficient measured by Cronbach's alfa was >0.8. CONCLUSION The IOI-AIop showed good psychometric properties. However, ceiling effects were observed. The two-component solution was in line with previous factor analyses of the IOI-HA and the IOI-AI. The comprehensive IOI-AIop is recommended as a useful tool to evaluate patient perspectives after ear surgery.
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Affiliation(s)
- Ylva Dahlin Redfors
- Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Department of Otorhinolaryngology, Head and Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Andreas Björsne
- Department of Otorhinolaryngology, Head and Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden
- Unit of Audiology, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden
- Hearing Organization, Habilitation & Health, Region Västra Götaland, Gothenburg, Sweden
| | - Caterina Finizia
- Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Department of Otorhinolaryngology, Head and Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden
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Di Berardino F, Nocini R, Ariotti B, Apa E, Gherpelli C, Monzani D. Validity of the Italian adaptation of the Hearing Handicap Inventory for the Elderly (HHIE-It). ACTA OTORHINOLARYNGOLOGICA ITALICA : ORGANO UFFICIALE DELLA SOCIETA ITALIANA DI OTORINOLARINGOLOGIA E CHIRURGIA CERVICO-FACCIALE 2023; 43:74-81. [PMID: 36860153 PMCID: PMC9978299 DOI: 10.14639/0392-100x-n2116] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 07/26/2022] [Indexed: 03/03/2023]
Abstract
Objective The aim of this study was to assess the validity and reliability of the Italian translation of the Hearing Handicap Inventory for the Elderly (HHIE). Methods A sample of 275 adults, aged > 65 years, filled out the Italian version of the HHIE (HHIE-It) together with the MOS 36-Item Short Form Health Survey (SF-36). Seventy-one participants answered the questionnaire a second time after six weeks. The internal consistency, test-retest reliability, construct and criterion validity were evaluated. Results Cronbach's alpha was 0.94 and suggested a high internal consistency. There was also a significant intraclass correlation coefficient (ICC) between test and retest scores. In addition, Pearson's correlation coefficient between the two scores was high and significant. High and significant correlation coefficients were also found between the HHIE-It score and the pure tone average threshold of the better ear and between the HHIE-It and the subscales Role-emotional, Social Functioning and Vitality of the SF-36. These latter results indicate good construct and criterion validity, respectively. Conclusions The HHIE-It maintained the reliability and validity of the English version suggesting its utility for both clinical and research purposes.
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Affiliation(s)
- Federica Di Berardino
- Audiology Unit, Department of Specialist Surgical Sciences, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Riccardo Nocini
- Head and Neck Department, University of Verona, Unit of Otolaryngology, Borgo Roma Hospital, Verona, Italy
| | - Brigitta Ariotti
- Audiology Unit, Department of Specialist Surgical Sciences, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Enrico Apa
- Department of Medical and Surgical Sciences for Children and Adults, Otorhinolaryngology Unit, Azienda Ospedaliero-Universitaria of Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Chiara Gherpelli
- Department of Medical and Surgical Sciences for Children and Adults, Otorhinolaryngology Unit, Azienda Ospedaliero-Universitaria of Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Daniele Monzani
- Department of Medical and Surgical Sciences for Children and Adults, Otorhinolaryngology Unit, Azienda Ospedaliero-Universitaria of Modena, University of Modena and Reggio Emilia, Modena, Italy,Correspondence Daniele Monzani Head and Neck Department, University of Verona, Unit of Otolaryngology, Borgo Roma Hospital, p.le L.A. Scuro 10, 37134 Verona, Italy Tel: +39 045 8128332. Fax +39 045 8122070 E-mail:
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Malmberg M, Anióse K, Skans J, Öberg M. A randomised, controlled trial of clinically implementing online hearing support. Int J Audiol 2022; 62:472-480. [PMID: 35436174 DOI: 10.1080/14992027.2022.2059712] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: The research-oriented objective of this study was to document the effectiveness of online support for hearing aid (HA) users compared with traditional support.Design: This study is a randomised controlled trial with parallel group design. The research-oriented objectives were evaluated using the Hearing Handicap Inventory for the Elderly (HHIE) and the Communication Strategies Scale (CSS) at baseline and immediately postintervention.Study sample: Selected clients at five different clinics were randomised to an intervention group (n = 78) that took part in online hearing support and a control group (n = 58) that received standard care.Results: The analyses (intention-to-treat) showed statistically significant improvements in the HHIE-total and Emotional subscale scores for the intervention group compared with the control group. The intervention group also showed significantly greater improvement in the CSS-total and Verbal and Nonverbal subscale scores. A subgroup analysis was performed including two groups: HA use <1 year and HA use >1 year. A statistically significant improvement was found for the HA users >1 year compared with HA use <1 year.Conclusions: It is effective to clinically include online hearing support for HA users when addressing self-perceived hearing difficulties and to sharpen communication strategy skills.
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Affiliation(s)
- Milijana Malmberg
- Research and Development, Region Västra Götaland, Habilitation & Health, Göteborg, Sweden.,Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Göteborg, Göteborg, Sweden
| | - Katja Anióse
- Region Västra Götaland, Habilitation & Health, Hearing Organization, Göteborg, Sweden
| | - Johanna Skans
- Region Västra Götaland, Habilitation & Health, Hearing Organization, Göteborg, Sweden
| | - Marie Öberg
- Department of Otorhinolaryngology in Linköping, and Department of Biomedical and Clinical Sciences, Division of Sensory Organs and Communication, Linköping University, Linköping, Sweden
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Prior KN, Bond VE, Bond MJ. Does Illness Behavior Contribute to the Understanding of Self-Efficacy and Quality of Life Among People With Hearing Loss? A Test of Concept. Am J Audiol 2022; 31:211-219. [PMID: 34905416 DOI: 10.1044/2021_aja-21-00035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The study sought to first confirm the mediating role of self-efficacy (SE) in the link between hearing loss and reduced quality of life (QOL) and introduce the construct of illness behavior (IB) as a further correlate of self-reported QOL that may itself be mediated by SE. METHOD Cross-sectional data were attained using a questionnaire that was completed by 61 adults with self-reported acquired hearing loss. RESULTS Support was provided for low SE being a barrier to QOL, with hearing loss only predictive of emotional QOL when SE was an intermediary (mediating) variable. Cognitive and affective indices of IB also predicted QOL. Those participants with elevated emotional distress and, to a lesser extent, exaggerated concerns for their health, were found to have both lower SE and poorer QOL. CONCLUSIONS Attempts to replicate these findings longitudinally and with larger and more diverse samples (e.g., congenital or illness-derived hearing loss) are encouraged. A more objective assessment of hearing loss may also reduce the potential for spurious associations that may arise from the use of self-reported data. Nevertheless, the analytical results provide encouragement for the continued consideration of IB in the evaluation of the well-being of individuals with hearing loss. It is proposed that IB could be a useful supplement to the study of motivation among this cohort, such as an addition to the commonly used Health Belief Model, to improve the predictive validity of appropriate health behaviors.
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Affiliation(s)
- Kirsty N. Prior
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Verity E. Bond
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Malcolm J. Bond
- College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia
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Brännström KJ, Andersson K, Sandgren O, Whitling S. Clinical Application and Psychometric Properties of a Swedish Translation of the Abbreviated Profile of Hearing Aid Benefit. J Am Acad Audiol 2020; 31:656-665. [PMID: 33296928 DOI: 10.1055/s-0040-1718702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND The impact of hearing loss on the individual and his/her everyday life can be assessed using questionnaires with the purpose to improve rehabilitation quality. The Abbreviated Profile of Hearing Aid Benefit (APHAB) can be used to evaluate disability in everyday life associated with hearing loss. Previous studies have examined APHAB outcomes in sensorineural hearing loss and we do not know whether the type of hearing loss influence questionnaire outcomes. PURPOSE The purpose was to evaluate the psychometric properties of a Swedish translation of the APHAB and the influence of demographic variables on the outcome in a clinical sample. RESEARCH DESIGN A descriptive, cross-sectional study in a clinical sample. STUDY SAMPLE Forty-eight participants with no hearing aid experience seeking audiological rehabilitation for the first time. These participants represented different degrees of hearing loss and three types of hearing loss: monaural mixed, binaural mixed, and binaural sensorineural hearing loss. DATA COLLECTION AND ANALYSIS Pure-tone audiometry was conducted and the participants completed the unaided APHAB during their first appointment at the clinic. Psychometric properties of the questionnaire were examined and the influence of age, gender, type of hearing loss, and degree of hearing loss on APHAB scores were studied. RESULTS The psychometric properties indicate high test-retest reliability but there seems to be some potential issues with the properties of the reverberation (RV) subscale. The items from the RV subscale failed to load as a separate component and the internal consistency of the subscale improved by removing four items (items 1, 9, 11, and 16). With few exceptions, APHAB scores were not influenced by age, gender, or type of hearing loss. APHAB scores were generally influenced by degree of hearing loss in both the best and the worst ear. CONCLUSION This Swedish version of the APHAB can be additionally improved by addressing the inconsistencies found in the RV subscale by rephrasing or removing some items. The degree of hearing loss has some influence on questionnaire outcomes but not age, gender, and type of hearing loss.
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Affiliation(s)
- K Jonas Brännström
- Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences - Lund, Lund University, Lund, Sweden
| | - Ketty Andersson
- Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences - Lund, Lund University, Lund, Sweden
| | - Olof Sandgren
- Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences - Lund, Lund University, Lund, Sweden
| | - Susanna Whitling
- Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences - Lund, Lund University, Lund, Sweden
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Öberg M, Björling I, de Haan L. Development of the Communication and Acceptance Scale (CAS) for group aural rehabilitation. Int J Audiol 2020; 60:867-874. [PMID: 33207983 DOI: 10.1080/14992027.2020.1846087] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The aim of the current study was to develop a reliable instrument for the Active Communication Education (ACE) programme evaluating changes in communication strategies and the emotional consequences, knowledge and acceptance of hearing loss and to examine its reliability and face, content and construct validity. DESIGN Semistructured interviews and questionnaires were conducted with participants and clinicians engaged in the ACE intervention. STUDY SAMPLE The psychometric properties were evaluated in two phases for two samples of adults with hearing loss who participated in the ACE programme, including 61 and 41 participants, respectively. RESULTS The final Communication and Acceptance Scale (CAS) contained 18 items, and the reliability of the overall scale (Cronbach's alpha 0.86) and the test-retest reliability (r = 0.89, p < 0.001) were good. The construct validity, evaluated with principal component analysis, suggested a five-factor solution explaining 72% of the variance. The questionnaire revealed statistically significant short- and long-term effects of the ACE programme. Both participants and clinicians found the questionnaire relevant, useful and easy to administer. CONCLUSION The CAS questionnaire was found to be valid and reliable, but because of the low sample size, further analysis with a larger population is needed.
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Affiliation(s)
- Marie Öberg
- Department of Otorhinolaryngology in Östergötland, Linköping University, Linköping, Sweden.,Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
| | - Ida Björling
- Department of Clinical Science, Section of Logopedics, Phoniatrics and Audiology, Lund University, Lund, Sweden
| | - Lisa de Haan
- Department of Clinical Science, Section of Logopedics, Phoniatrics and Audiology, Lund University, Lund, Sweden
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Application of Rasch Analysis to the Evaluation of the Measurement Properties of the Hearing Handicap Inventory for the Elderly. Ear Hear 2020; 41:1125-1134. [DOI: 10.1097/aud.0000000000000832] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Newall J, Biddulph R, Ramos H, Kwok C. Hearing aid or "band aid"? Evaluating large scale hearing aid donation programmes in the Philippines. Int J Audiol 2019; 58:879-888. [PMID: 31571505 DOI: 10.1080/14992027.2019.1666308] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Objective: This study aimed to evaluate the effectiveness of two large scale hearing aid donation programmes in the Philippines.Design: Real ear measurements were made on all hearing aids, for comparison to NAL-RP prescription targets. Performance measures and the International Outcomes Inventory for Hearing Aids (IOI-HA) data was collected from a subsample of participants.Study sample: A total of 101 and 153 low socioeconomic status participants were sampled just after, or 6 months after receiving their hearing devices in each of the programmes evaluated, respectively.Results: Of the 189 hearing aids sampled at fitting, and the 195 hearing aids sampled at 6 months post fitting, less than 2% were within ±5dB of prescription target. At 6 months post fitting IOI-HA outcomes were essentially comparable to those described in the literature but were not a good predictor of fit to prescriptive target.Conclusions: Objective measures of hearing aid outcome were poor and showed no relationship to subjective outcome measures. Although able to fit large numbers in short time frames, to avoid a band aid solution, changes to such programmes should be made including: a focus on those with aidable hearing losses, increased opportunity for follow up care, and improved device quality.
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Affiliation(s)
- John Newall
- Australian Hearing Hub, Department of Linguistics, Faculty of Human Science, Macquarie University, Sydney, Australia
| | - Rohan Biddulph
- Australian Hearing Hub, Department of Linguistics, Faculty of Human Science, Macquarie University, Sydney, Australia
| | - Hubert Ramos
- Department of Otorhinolaryngology, Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines
| | - Catherine Kwok
- Australian Hearing Hub, Department of Linguistics, Faculty of Human Science, Macquarie University, Sydney, Australia
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Arlinger S, Nordqvist P, Öberg M. International Outcome Inventory for Hearing Aids: Data From a Large Swedish Quality Register Database. Am J Audiol 2017; 26:443-450. [PMID: 29049627 DOI: 10.1044/2017_aja-16-0123] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Accepted: 04/24/2017] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The purpose of this study was to analyze a database of completed International Outcome Inventory for Hearing Aids (IOI-HA) questionnaires obtained from over 100,000 clients fitted with new hearing aids in Sweden during the period of 2012-2016. Mean IOI-HA total scores were correlated with degree of hearing loss, unilateral versus bilateral fitting, first-time versus return clients, gender, and variation among dispensing clinics. The correlations with expectations, service quality, and technical functioning of the hearing aids were also analyzed. METHOD Questionnaires containing the 7 IOI-HA items as well as questions concerning some additional issues were mailed to clients 3-6 months after fitting of new hearing aids. The questionnaires were returned to and analyzed by an independent research institute. RESULTS More than 100 dispensing clinics nationwide take part in this project. A response rate of 52.6% resulted in 106,631 data sets after excluding incomplete questionnaires. Forty-six percent of the responders were women, and 54% were men. The largest difference in mean score (0.66) was found for the IOI-HA item "use" between return clients and first-time users. Women reported significantly higher (better) scores for the item "impact on others" compared with men. The bilaterally fitted subgroup reported significantly higher scores for all 7 items compared with the unilaterally fitted subgroup. Experienced users produced higher scores on benefit and satisfaction items, whereas first-time users gave higher scores for residual problems. No correlation was found between mean IOI-HA total score and average hearing threshold level (pure-tone average [PTA]). Mean IOI-HA total scores were found to correlate significantly with perceived service quality of the dispensing center and with the technical functionality of the hearing aids. CONCLUSIONS When comparing mean IOI-HA total scores from different studies or between groups, differences with regard to hearing aid experience, gender, and unilateral versus bilateral fitting have to be considered. No correlation was found between mean IOI-HA total score and degree of hearing loss in terms of PTA. Thus, PTA is not a reliable predictor of benefit and satisfaction of hearing aid provision as represented by the IOI-HA items. Identification of a specific lower fence in PTA for hearing aid candidacy is therefore to be avoided. Large differences were found in mean IOI-HA total scores related to different dispensing centers.
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Affiliation(s)
- Stig Arlinger
- Division of Technical Audiology, Department of Clinical and Experimental Medicine, Linköping University, Sweden
- Linnaeus Centre, Swedish Institute for Disability Research, Department of Behavioural Sciences and Learning, Linköping University, Sweden
| | - Peter Nordqvist
- Research Institute Hörselbron, School of Computer Science and Communication, Royal Institute of Technology, Stockholm, Sweden
| | - Marie Öberg
- Division of Technical Audiology, Department of Clinical and Experimental Medicine, Linköping University, Sweden
- Linnaeus Centre, Swedish Institute for Disability Research, Department of Behavioural Sciences and Learning, Linköping University, Sweden
- Department of Otorhinolaryngology in Linköping, Anaesthetics, Operations and Specialty Surgery Centre, Region Östergötland, Sweden
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Abstract
OBJECTIVE This study investigated the effects of a modified Swedish version of an interactive group education programme, the Active Communication Education (ACE) programme, in five Swedish regions. This study also explored whether the pre- and post-programme outcomes differed with regard to region, age, gender, hearing loss (HL) or the attendance of significant others (SOs). DESIGN An intervention study with between- and within-group measurements was applied. STUDY SAMPLE Seventy-seven individuals with hearing impairments and a mean age of 73.9 years (SD = 9.8) from five different regions in Sweden participated in this study. RESULTS Statistically significant short- and long-term effects on communication strategy use, activity and participation were observed. The ACE programme was most effective for older individuals, women and participants with more severe HL. Individuals who attended with an SO tended to use better communication strategies. No regional differences were observed. The qualitative results indicated that the programme increased individuals' ability to cope and restored their social identities. CONCLUSIONS The ACE programme is effective, is recommended for implementation in clinical settings and is considered an alternative or additional treatment to hearing aid rehabilitation. Additional studies that include younger individuals and a control group are recommended.
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Affiliation(s)
- Marie Öberg
- a Division of Neuro and Inflammation Science, Department of Clinical and Experimental Medicine, Department of Otorhinolaryngology in Linköping, Anaesthetics , Operations and Specialty Surgery Centre, Linköping University , Region Östergötland , Linköping , Sweden and.,b Department of Behavioural Sciences and Learning , The Swedish Institute for Disability Research, Linnaeus Centre HEAD, Linköping University , Linköping , Sweden
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Öberg M. Validation of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version) and Evaluation of Its Effect in Hearing Aid Rehabilitation. Trends Hear 2016; 20:20/0/2331216516639234. [PMID: 27009755 PMCID: PMC4871210 DOI: 10.1177/2331216516639234] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Self-reports of subjective hearing difficulties by people with hearing loss may be a useful complement to audiometry in hearing aid rehabilitation. To be useful, such self-reports need to be reliable. This study investigated the reliability and the validity of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version; HHIE-S). Sixty-nine participants completed a questionnaire before hearing aid rehabilitation. Of these individuals, 49 completed hearing aid rehabilitation (aged between 23 and 94 years), and 41 of these 49 participants completed the questionnaire after completing the rehabilitation. The Swedish HHIE-S exhibited good internal consistency (Cronbach's alpha coefficient of .77). The questionnaire was effective for evaluating hearing aid rehabilitation, and a statistically significant reduction in hearing difficulties was observed. The clinicians found the questionnaire easy to administer and effective in hearing aid rehabilitation. The findings from the study support the use of the HHIE-S in clinical practice.
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Affiliation(s)
- Maria Öberg
- Division of Neuro and Inflammation Science, Department of Clinical and Experimental Medicine, Linköping University, Department of Otorhinolaryngology in Linköping, Anaesthetics, Operations and Specialty Surgery Center, Region Östergötland Linnaeus Centre HEAD, Department of Behavioral Sciences and Learning, The Swedish Institute for Disability Research, Linköping University, Sweden
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Brännström KJ, Öberg M, Ingo E, Månsson KN, Andersson G, Lunner T, Laplante-Lévesque A. The initial evaluation of an Internet-based support system for audiologists and first-time hearing aid clients. Internet Interv 2016; 4:82-91. [PMID: 30135793 PMCID: PMC6096287 DOI: 10.1016/j.invent.2016.01.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Revised: 01/20/2016] [Accepted: 01/22/2016] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES Audiologists provide professional contact and support between appointments to clients with hearing impairment using telephone and e-mail, but more advanced and flexible technological platforms are also possible. The present study aimed to evaluate the clinical application of an Internet-based support system for audiologists and their first-time hearing aid clients. DESIGN An Internet-based support system developed by Månsson et al. (2013) for psychologists and their clients was adapted for audiologic purposes. Three audiologic clinics in Sweden tested the support system with their clients. STUDY SAMPLE Twenty-three clients managed by four audiologists used and evaluated the support system. In addition, five of the clients and all four audiologists were interviewed and their responses were analyzed using content analysis. RESULTS The clients and the audiologists reported positive experiences and overall satisfaction but audiologists reported that the support system did not address the needs of all clients. More positive experiences and greater satisfaction with the support system were associated with reductions on self-reported consequences of hearing loss and positive hearing aids outcomes. CONCLUSIONS An Internet-based support system can be used in audiologic rehabilitation. Both audiologists and clients recognized the system's potential value to offer an online support to the provision of audiologic services.
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Affiliation(s)
- K. Jonas Brännström
- Department of Logopedics, Phoniatrics and Audiology, Lund University, Sweden,Department of Behavioural Sciences and Learning, Linköping University, Sweden,Corresponding author at: Department of Logopedics, Phoniatrics, and Audiology, Clinical Sciences Lund, Lund University, SE-221 85 Lund, Sweden.
| | - Marie Öberg
- Department of Behavioural Sciences and Learning, Linköping University, Sweden,Technical Audiology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Department of Otorhinolaryngology in Linköping, Anaesthetics, Operations and Specialty Surgery Center, County Council of Östergötland, Sweden
| | - Elisabeth Ingo
- Department of Behavioural Sciences and Learning, Linköping University, Sweden
| | | | - Gerhard Andersson
- Department of Behavioural Sciences and Learning, Linköping University, Sweden,Department of Clinical Neuroscience, Karolinska Institutet, Sweden,Eriksholm Research Centre, Oticon A/S, Denmark
| | - Thomas Lunner
- Department of Behavioural Sciences and Learning, Linköping University, Sweden,Eriksholm Research Centre, Oticon A/S, Denmark
| | - Ariane Laplante-Lévesque
- Department of Behavioural Sciences and Learning, Linköping University, Sweden,Eriksholm Research Centre, Oticon A/S, Denmark
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Ridgway J, Hickson L, Lind C. Decision-making and outcomes of hearing help-seekers: A self-determination theory perspective. Int J Audiol 2016; 55 Suppl 3:S13-22. [PMID: 26750770 DOI: 10.3109/14992027.2015.1120893] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To explore the explanatory power of a self-determination theory (SDT) model of health behaviour change for hearing aid adoption decisions and fitting outcomes. DESIGN A quantitative approach was taken for this longitudinal cohort study. Participants completed questionnaires adapted from SDT that measured autonomous motivation, autonomy support, and perceived competence for hearing aids. Hearing aid fitting outcomes were obtained with the international outcomes inventory for hearing aids (IOI-HA). Sociodemographic and audiometric information was collected. STUDY SAMPLE Participants were 216 adult first-time hearing help-seekers (125 hearing aid adopters, 91 non-adopters). RESULTS Regression models assessed the impact of autonomous motivation and autonomy support on hearing aid adoption and hearing aid fitting outcomes. Sociodemographic and audiometric factors were also taken into account. Autonomous motivation, but not autonomy support, was associated with increased hearing aid adoption. Autonomy support was associated with increased perceived competence for hearing aids, reduced activity limitation and increased hearing aid satisfaction. Autonomous motivation was positively associated with hearing aid satisfaction. CONCLUSION The SDT model is potentially useful in understanding how hearing aid adoption decisions are made, and how hearing health behaviour is internalized and maintained over time. Autonomy supportive practitioners may improve outcomes by helping hearing aid adopters maintain internalized change.
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Affiliation(s)
- Jason Ridgway
- a School of Health and Rehabilitation Sciences, The University of Queensland , Brisbane , Australia and
| | - Louise Hickson
- a School of Health and Rehabilitation Sciences, The University of Queensland , Brisbane , Australia and
| | - Christopher Lind
- b Speech Pathology and Audiology, Flinders University , Adelaide , Australia
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Brennan-Jones CG, Taljaard DS, Brennan-Jones SEF, Bennett RJ, Swanepoel DW, Eikelboom RH. Self-reported hearing loss and manual audiometry: A rural versus urban comparison. Aust J Rural Health 2015; 24:130-5. [PMID: 26311193 DOI: 10.1111/ajr.12227] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2015] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To examine whether self-reported hearing difficulty is an accurate measure of hearing loss compared with standard hearing screening with pure tone audiometry in rural and urban communities. DESIGN Convenience sampling. SETTING Urban and rural areas of Western Australia. PARTICIPANTS A total of 2090 participants (923 men; 1165 women; 2 unknown) aged 20-100 years presenting for community-based hearing screening in urban (982) and rural (1090) areas. INTERVENTIONS Self-reported hearing difficulty assessed with the Hearing Handicap Inventory for the Elderly - Screening questionnaire. Hearing loss defined as average hearing thresholds >25 dB in the better ear using screening audiometry conducted at 500, 1000, 2000 and 4000 Hz. MAIN OUTCOME MEASURES Nil. RESULTS The Hearing Handicap Inventory for the Elderly - Screening was sensitive (≥60 years = 76.69%; <60 years = 71.67%) but not specific (≥60 years = 45.15%; <60 years = 49.63%) for identifying hearing loss. The <60 age group had a hearing loss prevalence of 25.6%, and a false-positive rate of 67.12% compared with a prevalence of 69.12% and false-positive rate of 29.77% for the ≥60 age group. For all ages, rural participants were more likely to have a disabling hearing loss (odds ratio 2.04 (95% confidence interval, 1.55-2.67); χ(2)(1) = 27.28; P < 0.001), but there were no significant differences in hearing aid uptake. CONCLUSIONS Patients in rural areas presenting for hearing screenings are more likely to suffer hearing loss than adults in urban areas. We suggest rural health practitioners incorporate a self-reported hearing loss questionnaire into health check-ups for adults, particularly patients aged ≥60 years due to the high prevalence of hearing loss in this group.
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Affiliation(s)
- Christopher G Brennan-Jones
- Ear Science Institute Australia, Perth, Western Australia, Australia.,Ear Sciences Centre, School of Surgery, The University of Western Australia, Perth, Western Australia, Australia
| | - Dunay S Taljaard
- Ear Science Institute Australia, Perth, Western Australia, Australia.,Ear Sciences Centre, School of Surgery, The University of Western Australia, Perth, Western Australia, Australia.,Department of Audiology, Princess Margaret Hospital, Perth, Western Australia, Australia
| | - Sophie E F Brennan-Jones
- Ear Science Institute Australia, Perth, Western Australia, Australia.,Ear Sciences Centre, School of Surgery, The University of Western Australia, Perth, Western Australia, Australia.,School of Population Health, The University of Western Australia, Perth, Western Australia, Australia
| | - Rebecca J Bennett
- Ear Science Institute Australia, Perth, Western Australia, Australia.,Ear Sciences Centre, School of Surgery, The University of Western Australia, Perth, Western Australia, Australia
| | - De Wet Swanepoel
- Ear Science Institute Australia, Perth, Western Australia, Australia.,Ear Sciences Centre, School of Surgery, The University of Western Australia, Perth, Western Australia, Australia.,Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Robert H Eikelboom
- Ear Science Institute Australia, Perth, Western Australia, Australia.,Ear Sciences Centre, School of Surgery, The University of Western Australia, Perth, Western Australia, Australia.,Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
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Kelly-Campbell RJ, Wendel K. Measuring cognitive anxiety through the consultation process for hearing aids: Older adults and their significant others. JOURNAL OF COMMUNICATION DISORDERS 2015; 56:29-39. [PMID: 26164394 DOI: 10.1016/j.jcomdis.2015.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2014] [Revised: 06/07/2015] [Accepted: 06/29/2015] [Indexed: 06/04/2023]
Abstract
UNLABELLED The purpose of this study was to assess the level of cognitive anxiety experienced by first-time hearing aid adopters and their significant others before, during, and after hearing aid fitting. A total of 16 couples were interviewed at three points: (1) at the initial consultation for hearing aids, (2) during the hearing aid trial, and (3) 1 month following the final clinical appointment in which the hearing aids were formally adopted. Cognitive anxiety was assessed through a content analysis of the interviews using the Cognitive Anxiety Scale. Results of this study show that the levels of cognitive anxiety generally decreased across the entire consultation process for both adults with hearing impairment and their significant others. The results also indicated that couples generally experienced similar levels of cognitive anxiety at initial consultation, but their levels of cognitive anxiety differed throughout the remainder of the study. These findings highlight the importance of inclusion of significant others in the rehabilitation process. LEARNING OUTCOMES The reader will be able to: (1) discuss the relationship between cognitive anxiety and hearing impairment, (2) define cognitive anxiety, (3) discuss the impact of hearing impairment on significant others, (4) describe the experience of cognitive anxiety through the hearing aid consultation process.
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Affiliation(s)
- Rebecca J Kelly-Campbell
- Department of Communication Disorders, University of Canterbury, Private Bag 4800, Christchurch 8140, New Zealand.
| | - Katrin Wendel
- University of Canterbury, Hearing Technology, 29 Marshland Road, Shirley, Christchurch 8061, New Zealand.
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Barbosa MR, Medeiros DDS, Rossi-Barbosa LAR, Caldeira AP. Self-reported outcomes after hearing aid fitting in Minas Gerais, Brazil. Codas 2015; 27:21-8. [DOI: 10.1590/2317-1782/20152014090] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Accepted: 10/14/2014] [Indexed: 11/21/2022] Open
Abstract
PURPOSE: To analyze the self-reported outcomes after hearing aid fitting among individuals in the northern region of Minas Gerais and associated factors. METHODS: A cross-sectional and analytical study with a random sample of adults and elderly attending the public health care service was conducted in the northern region of Minas Gerais (86 municipalities), Brazil. Study's participants answered International Outcome Inventory for Hearing Aids (IOI-HA) questionnaires. Data were analyzed descriptively and analytically with Poisson regression analysis. RESULTS: We interviewed 272 adults and 112 individuals reported not using their hearing aids regularly. The mean of IOI-HA global score was lower than expected. The individual's relationship with their hearing aid (Factor 1) was worse than the individual's relationship with their environment (Factor 2). Lower global scores were statistically associated with no work. CONCLUSIONS: The observed scores for the study's population are lower than those recorded in other studies. The results suggest that there are limitations in the fitting and follow-up of individuals who received hearing aids.
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Thorén ES, Öberg M, Wänström G, Andersson G, Lunner T. A randomized controlled trial evaluating the effects of online rehabilitative intervention for adult hearing-aid users. Int J Audiol 2014; 53:452-61. [DOI: 10.3109/14992027.2014.892643] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Ng EHN, Rudner M, Lunner T, Rönnberg J. Relationships between self-report and cognitive measures of hearing aid outcome. SPEECH LANGUAGE AND HEARING 2013. [PMID: 26213622 PMCID: PMC4500453 DOI: 10.1179/205057113x13782848890774] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This present study examined the relationship between cognitive measures and self-report hearing aid outcome. A sentence-final word identification and recall (SWIR) test was used to investigate how hearing aid use may relate to experienced explicit cognitive processing. A visually based cognitive test battery was also administered. To measure self-report hearing aid outcome, the International Outcome Inventory – Hearing Aids (IOI-HA) and the Speech, Spatial and Qualities of Hearing Scale (SSQ) were employed. Twenty-six experienced hearing aid users (mean age of 59 years) with symmetrical moderate-to-moderately severe sensorineural hearing loss were recruited. Free recall performance in the SWIR test correlated negatively with item 3 of IOI-HA, which measures residual difficulty in adverse listening situations. Cognitive abilities related to verbal information processing were correlated positively with self-reported hearing aid use and overall success. The present study showed that reported residual difficulty with hearing aid may relate to experienced explicit processing in difficult listening conditions, such that individuals with better cognitive capacity tended to report more remaining difficulty in challenging listening situations. The possibility of using cognitive measures to predict hearing aid outcome in real life should be explored in future research.
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Affiliation(s)
- Elaine Hoi Ning Ng
- Linnaeus Centre HEAD, Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Sweden
| | - Mary Rudner
- Linnaeus Centre HEAD, Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Sweden
| | - Thomas Lunner
- Linnaeus Centre HEAD, Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Sweden; Eriksholm Research Centre, Oticon A/S, Snekkersten, Denmark; and Department of Clinical and Experimental Medicine, Linköping University, Sweden
| | - Jerker Rönnberg
- Linnaeus Centre HEAD, Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Sweden
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Redfors YD, Hellgren J, Möller C. Hearing-aid use and benefit: a long-term follow-up in patients undergoing surgery for otosclerosis. Int J Audiol 2013; 52:194-9. [PMID: 23336672 DOI: 10.3109/14992027.2012.754957] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES The aims of the study were to assess hearing-aid uptake in patients with otosclerosis 28-30 years after stapedectomy and to evaluate hearing-aid benefit to users. DESIGN A retrospective study was performed; it included a review of medical records and follow-up 28-30 years after surgery, including audiometry, clinical examination, structured interview, and a validated questionnaire, IOI-HA. STUDY SAMPLE Sixty-five patients, who had undergone stapedectomy at a tertiary referral center in 1977-79. RESULTS In 95% of the subjects there was a theoretical need for hearing-aid amplification at follow-up; 46% of the subjects had no hearing aids, while 26% had unilateral and 28% bilateral hearing aids. Hearing sensitivity in the best ear predicted hearing-aid uptake. Of the subjects with a hearing aid, 94% were everyday users and 54% were full-time users (> 8 hours/day). The subjects reported a high level of satisfaction (mean 4.5) and benefit (mean 4.2), but also residual activity limitations (mean 3.1). CONCLUSIONS The study shows that there is an unmet need for long-term hearing rehabilitation among patients previously undergoing surgery for otosclerosis. The patients who were using hearing aids were generally very satisfied with their hearing aids, but they still reported residual activity limitations.
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Affiliation(s)
- Ylva Dahlin Redfors
- Department of Otorhinolaryngology, Sahlgrenska University Hospital, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
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The use of research questionnaires with hearing impaired adults: online vs. paper-and-pencil administration. BMC EAR, NOSE, AND THROAT DISORDERS 2012; 12:12. [PMID: 23107440 PMCID: PMC3528487 DOI: 10.1186/1472-6815-12-12] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/25/2011] [Accepted: 10/27/2012] [Indexed: 11/25/2022]
Abstract
Background When evaluating hearing rehabilitation, it is reasonable to use self-report questionnaires as outcome measure. Questionnaires used in audiological research are developed and validated for the paper-and-pencil format. As computer and Internet use is increasing, standardized questionnaires used in the audiological context should be evaluated to determine the viability of the online administration format. The aim of this study was to compare administration of questionnaires online versus paper- and pencil of four standardised questionnaires used in hearing research and clinic. We included the Hearing Handicap Inventory for the Elderly (HHIE), the International Outcome Inventory for Hearing Aids (IOI-HA), Satisfaction with Amplification in Daily Life (SADL), and the Hospital Anxiety and Depression Scale (HADS). Methods A cross-over design was used by randomly letting the participants complete the questionnaires either online or on paper. After 3 weeks the participants filled out the same questionnaires again but in the other format. A total of 65 hearing-aid users were recruited from a hearing clinic to participate on a voluntary basis and of these 53 completed both versions of the questionnaires. Results A significant main effect of format was found on the HHIE (p < 0.001), with participants reporting higher scores on the online format than in the paper format. There was no interaction effect. For the other questionnaires were no significant main or interaction effects of format. Significant correlations between the two ways of presenting the measures was found for all questionnaires (p<0.05). The results from reliability tests showed Cronbachs α’s above .70 for all four questionnaires and differences in Cronbachs α between administration formats were negligible. Conclusions For three of the four included questionnaires the participants’ scores remained consistent across administrations and formats. For the fourth included questionnaire (HHIE) a significant difference of format with a small effect size was found. The relevance of the difference in scores between the formats depends on which context the questionnaire is used in. On balance, it is recommended that the administration format remain stable across assessment points.
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Olsen SØ, Lantz J, Nielsen LH, Brännström KJ. Acceptable noise level (ANL) with Danish and non-semantic speech materials in adult hearing-aid users. Int J Audiol 2012; 51:678-88. [PMID: 22731922 DOI: 10.3109/14992027.2012.692822] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The acceptable noise level (ANL) test is used for quantification of the amount of background noise subjects accept when listening to speech. This study investigates Danish hearing-aid users' ANL performance using Danish and non-semantic speech signals, the repeatability of ANL, and the association between ANL and outcome of the international outcome inventory for hearing aids (IOI-HA). DESIGN ANL was measured in three conditions in both ears at two test sessions. Subjects completed the IOI-HA and the ANL questionnaire. STUDY SAMPLE Sixty-three Danish hearing-aid users; fifty-seven subjects were full time users and 6 were part time/non users of hearing aids according to the ANL questionnaire. RESULTS ANLs were similar to results with American English speech material. The coefficient of repeatability (CR) was 6.5-8.8 dB. IOI-HA scores were not associated to ANL. CONCLUSIONS Danish and non-semantic ANL versions yield results similar to the American English version. The magnitude of the CR indicates that ANL with Danish and non-semantic speech materials is not suitable for prediction of individual patterns of future hearing-aid use or evaluation of individual benefit from hearing-aid features. The ANL with Danish and non-semantic speech materials is not related to IOI-HA outcome.
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Affiliation(s)
- Steen Østergaard Olsen
- Department of Otorhinolaryngology, Head and Neck Surgery, Research Laboratory, University Hospital, Rigshospitalet, Copenhagen, Denmark.
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What Makes Adults With Hearing Impairment Take Up Hearing Aids or Communication Programs and Achieve Successful Outcomes? Ear Hear 2012; 33:79-93. [DOI: 10.1097/aud.0b013e31822c26dc] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Öberg M, Marcusson J, Nägga K, Wressle E. Hearing difficulties, uptake, and outcomes of hearing aids in people 85 years of age. Int J Audiol 2011; 51:108-15. [DOI: 10.3109/14992027.2011.622301] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Hickson L, Clutterbuck S, Khan A. Factors associated with hearing aid fitting outcomes on the IOI-HA. Int J Audiol 2010; 49:586-95. [DOI: 10.3109/14992021003777259] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Öberg M, Andersson G, Wänström G, Lunner T. The effects of a pre-fitting intervention on hearing aid benefit: A randomized controlled trial. ACTA ACUST UNITED AC 2009. [DOI: 10.3109/16513860903309790] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Öberg M, Wänström G, Hjertman H, Lunner T, Andersson G. Development and initial validation of the ‘Clinical Global Impression’ to measure outcomes for audiological rehabilitation. Disabil Rehabil 2009; 31:1409-17. [DOI: 10.1080/09638280802621408] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Öberg M, Andersson G, Wänström G, Lunner T. The effects of a sound awareness pre-fitting intervention: A randomized controlled trial. ACTA ACUST UNITED AC 2009. [DOI: 10.1080/16513860802042062] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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