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Hoarau C, Pralus A, Moulin A, Bedoin N, Ginzburg J, Fornoni L, Aguera PE, Tillmann B, Caclin A. Deficits in congenital amusia: Pitch, music, speech, and beyond. Neuropsychologia 2024; 202:108960. [PMID: 39032629 DOI: 10.1016/j.neuropsychologia.2024.108960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 07/17/2024] [Accepted: 07/17/2024] [Indexed: 07/23/2024]
Abstract
Congenital amusia is a neurodevelopmental disorder characterized by deficits of music perception and production, which are related to altered pitch processing. The present study used a wide variety of tasks to test potential patterns of processing impairment in individuals with congenital amusia (N = 18) in comparison to matched controls (N = 19), notably classical pitch processing tests (i.e., pitch change detection, pitch direction of change identification, and pitch short-term memory tasks) together with tasks assessing other aspects of pitch-related auditory cognition, such as emotion recognition in speech, sound segregation in tone sequences, and speech-in-noise perception. Additional behavioral measures were also collected, including text reading/copying tests, visual control tasks, and a subjective assessment of hearing abilities. As expected, amusics' performance was impaired for the three pitch-specific tasks compared to controls. This deficit of pitch perception had a self-perceived impact on amusics' quality of hearing. Moreover, participants with amusia were impaired in emotion recognition in vowels compared to controls, but no group difference was observed for emotion recognition in sentences, replicating previous data. Despite pitch processing deficits, participants with amusia did not differ from controls in sound segregation and speech-in-noise perception. Text reading and visual control tests did not reveal any impairments in participants with amusia compared to controls. However, the copying test revealed more numerous eye-movements and a smaller memory span. These results allow us to refine the pattern of pitch processing and memory deficits in congenital amusia, thus contributing further to understand pitch-related auditory cognition. Together with previous reports suggesting a comorbidity between congenital amusia and dyslexia, the findings call for further investigation of language-related abilities in this disorder even in the absence of neurodevelopmental language disorder diagnosis.
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Affiliation(s)
- Caliani Hoarau
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France; Humans Matter, Lyon, France.
| | - Agathe Pralus
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France; Humans Matter, Lyon, France
| | - Annie Moulin
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France
| | - Nathalie Bedoin
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France; Université Lumière Lyon 2, Lyon, France
| | - Jérémie Ginzburg
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France
| | - Lesly Fornoni
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France
| | - Pierre-Emmanuel Aguera
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France
| | - Barbara Tillmann
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France; Laboratory for Research on Learning and Development, Université de Bourgogne, LEAD-CNRS UMR5022, Dijon, France
| | - Anne Caclin
- Université Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, France
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Andéol G, Paraouty N, Giraudet F, Wallaert N, Isnard V, Moulin A, Suied C. Predictors of Speech-in-Noise Understanding in a Population of Occupationally Noise-Exposed Individuals. BIOLOGY 2024; 13:416. [PMID: 38927296 PMCID: PMC11200776 DOI: 10.3390/biology13060416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Revised: 05/20/2024] [Accepted: 05/21/2024] [Indexed: 06/28/2024]
Abstract
Understanding speech in noise is particularly difficult for individuals occupationally exposed to noise due to a mix of noise-induced auditory lesions and the energetic masking of speech signals. For years, the monitoring of conventional audiometric thresholds has been the usual method to check and preserve auditory function. Recently, suprathreshold deficits, notably, difficulties in understanding speech in noise, has pointed out the need for new monitoring tools. The present study aims to identify the most important variables that predict speech in noise understanding in order to suggest a new method of hearing status monitoring. Physiological (distortion products of otoacoustic emissions, electrocochleography) and behavioral (amplitude and frequency modulation detection thresholds, conventional and extended high-frequency audiometric thresholds) variables were collected in a population of individuals presenting a relatively homogeneous occupational noise exposure. Those variables were used as predictors in a statistical model (random forest) to predict the scores of three different speech-in-noise tests and a self-report of speech-in-noise ability. The extended high-frequency threshold appears to be the best predictor and therefore an interesting candidate for a new way of monitoring noise-exposed professionals.
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Affiliation(s)
- Guillaume Andéol
- Institut de Recherche Biomédicale des Armées, 1 Place Valérie André, 91220 Brétigny sur Orge, France; (V.I.); (C.S.)
| | - Nihaad Paraouty
- iAudiogram—My Medical Assistant SAS, 51100 Reims, France; (N.P.); (N.W.)
| | - Fabrice Giraudet
- Department of Neurosensory Biophysics, INSERM U1107 NEURO-DOL, School of Medecine, Université Clermont Auvergne, 63000 Clermont-Ferrand, France;
| | - Nicolas Wallaert
- iAudiogram—My Medical Assistant SAS, 51100 Reims, France; (N.P.); (N.W.)
- Laboratoire des Systèmes Perceptifs, UMR CNRS 8248, Département d’Etudes Cognitives, Ecole Normale Supérieure, Université Paris Sciences et Lettres (PSL), 75005 Paris, France
- Department of Otorhinolaryngology-Head and Neck Surgery, Rennes University Hospital, 35000 Rennes, France
| | - Vincent Isnard
- Institut de Recherche Biomédicale des Armées, 1 Place Valérie André, 91220 Brétigny sur Orge, France; (V.I.); (C.S.)
| | - Annie Moulin
- Centre de Recherche en Neurosciences de Lyon, CRNL Inserm U1028—CNRS UMR5292—UCBLyon1, Perception Attention Memory Team, Bâtiment 452 B, 95 Bd Pinel, 69675 Bron Cedex, France;
| | - Clara Suied
- Institut de Recherche Biomédicale des Armées, 1 Place Valérie André, 91220 Brétigny sur Orge, France; (V.I.); (C.S.)
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Fang TY, Lin PH, Ko Y, Wu CC, Wang H, Liao WC, Wang PC. Validation of the Chinese Version of the Speech, Spatial, and Qualities of Hearing Scale for Parents and Children. Ear Hear 2024:00003446-990000000-00293. [PMID: 38831494 DOI: 10.1097/aud.0000000000001525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2024]
Abstract
OBJECTIVES To translate and validate the Chinese version of the Speech, Spatial, and Qualities of Hearing Scale (SSQ) for children with hearing impairment (C-SSQ-C) and for their parents (C-SSQ-P). DESIGN We translated the SSQ for children into Chinese and verified its readability and comprehensibility. A total of 105 participants with moderate-to-profound hearing loss (HL) and 54 with normal hearing were enrolled in the validation process. The participants with HL were fitted with bilateral hearing aids, bimodal hearing, or bilateral cochlear implants. The C-SSQ-P was administered to the parents of participants aged 3 to 6.9 years, and the C-SSQ-C was administered to participants aged 7 to 18 years. The internal consistency, test-retest reliability, and validity were evaluated for both questionnaires. RESULTS Both C-SSQ-P and C-SSQ-C demonstrated high internal consistency (Cronbach's α >0.8) and good validity (generalized linear model revealed significant negative relationships between the C-SSQ-P subscales with aided better-hearing threshold [β = -0.08 to -0.12, p ≤ 0.001] and between the C-SSQ-C subscales with worse-hearing threshold [β = -0.13 to -0.14, p < 0.001]). Among the children with HL, the participants with bilateral cochlear implants had demonstrated better performance than those with bimodal hearing and bilateral hearing aids, as evidenced by the highest mean scores in three subscales. CONCLUSIONS Both C-SSQ-P and C-SSQ-C are reliable and valid for assessing HL in children and adolescents. The C-SSQ-P is applicable in evaluating young children aged 3 to 6.9 years after a 7-day observation period, while the C-SSQ-C is appropriate for children and adolescents aged 7 to 18 years.
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Affiliation(s)
- Te-Yung Fang
- Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan
- School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan
| | - Pei-Hsuan Lin
- Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan
| | - Yu Ko
- Department of Clinical Pharmacy, School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei, Taiwan
- Research Center for Pharmacoeconomics, College of Pharmacy, Taipei Medical University, Taipei, Taiwan
| | - Chen-Chi Wu
- Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan
- Department of Medical Research, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu, Taiwan
- Hearing and Speech Center, National Taiwan University Hospital, Taipei, Taiwan
| | - Han Wang
- Department of Speech Language Pathology and Audiology, Chung Shan Medical University, Taichung, Taiwan
| | - Wan-Cian Liao
- Department of Speech Language Pathology and Audiology, Chung Shan Medical University, Taichung, Taiwan
| | - Pa-Chun Wang
- Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan
- School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan
- Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan
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Ertürk P, Aslan F, Türkyılmaz MD. Listening to speech-in-noise with hearing aids: Do the self-reported outcomes reflect the behavioral speech perception task performance? Eur Arch Otorhinolaryngol 2024; 281:1139-1147. [PMID: 37632542 DOI: 10.1007/s00405-023-08193-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 08/14/2023] [Indexed: 08/28/2023]
Abstract
BACKGROUND The aim of this study is to examine the relationship between behavioral speech-in-noise listening tasks and self-reported speech-in-noise outcomes of hearing aid user adult listeners. METHOD To measure the self-reported outcomes of hearing, the Hearing Handicap Inventory for Adults [HHI-A], Speech, Spatial and Qualities of Hearing Scale (SSQ) and Amsterdam Inventory for Auditory Disability and Handicap were employed. To screen the cognitive abilities, Montreal Cognitive Assessment (MoCA) tool was used. Turkish matrix sentence test (TMST) was used for speech-in-noise test. Eighteen adult hearing aid users (mean age of 36.6 years) were participated. CONCLUSIONS Results showed that some self-reported listening-in-noise outcomes are correlated with lab-based measurements of speech-in-noise test scores but not with the aided speech intelligibility thresholds. Given the present limitations of relying solely on self-report measures, it is important to complement them with objective measures to ensure a comprehensive evaluation.
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Affiliation(s)
- Pınar Ertürk
- Department of Audiology, Health Sciences Institute, Hacettepe University, Ankara, TR, Turkey.
| | - Filiz Aslan
- Department of Audiology, Health Sciences Institute, Hacettepe University, Ankara, TR, Turkey
| | - Meral Didem Türkyılmaz
- Department of Audiology, Health Sciences Institute, Hacettepe University, Ankara, TR, Turkey
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Radulescu L, Astefanei O, Serban R, Cozma S, Butnaru C, Martu C. The Validation of the Speech, Spatial and Qualities of Hearing Scale SSQ12 for Native Romanian Speakers with and without Hearing Impairment. J Pers Med 2024; 14:90. [PMID: 38248791 PMCID: PMC10821130 DOI: 10.3390/jpm14010090] [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: 11/29/2023] [Revised: 12/18/2023] [Accepted: 12/21/2023] [Indexed: 01/23/2024] Open
Abstract
BACKGROUND The perceived impact of hearing loss varies considerably among those affected due to the heterogeneous types of hearing loss, their diverse etiologies, and the different rehabilitation possibilities. Therefore, assessing listening skills in a daily context using questionnaires is essential. This study aimed to investigate the validity and reliability of the adapted version of the Speech, Spatial and Qualities of Hearing Scale 12 (SSQ12) in the Romanian language. MATERIALS AND METHODS The SSQ12 is a 12-item self-reporting questionnaire that assesses a range of everyday listening situations. The internal consistency, test-retest reliability, and validity of the r-SSQ12 questionnaire resulting from the adaptation of the original scale were investigated. RESULTS The responses of 183 subjects aged between 11 and 79 years were evaluated. In total, 121 subjects had hearing loss (19 adolescents), and 62 subjects had normal hearing (11 adolescents). Significant differences were observed in the means of the overall score and for individual items between normal-hearing subjects and subjects with hearing loss. The SSQ12 had high internal consistency (Cronbach's alpha = 0.97), and the test-retest scores were highly correlated. CONCLUSIONS The SSQ12 scale can be used to investigate the self-reporting of hearing quality in both general populations to identify hearing disorders and populations with hearing loss.
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Affiliation(s)
- Luminita Radulescu
- Doctoral School, “Grigore T Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.R.); (S.C.)
- ENT Clinic Department, “Grigore T Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (R.S.); (C.B.); (C.M.)
| | - Oana Astefanei
- Doctoral School, “Grigore T Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.R.); (S.C.)
| | - Roxana Serban
- ENT Clinic Department, “Grigore T Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (R.S.); (C.B.); (C.M.)
| | - Sebastian Cozma
- Doctoral School, “Grigore T Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.R.); (S.C.)
- ENT Clinic Department, “Grigore T Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (R.S.); (C.B.); (C.M.)
| | - Corina Butnaru
- ENT Clinic Department, “Grigore T Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (R.S.); (C.B.); (C.M.)
| | - Cristian Martu
- ENT Clinic Department, “Grigore T Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (R.S.); (C.B.); (C.M.)
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Mecklenburg DJ, Graham PL, James CJ. Relationships Between Speech, Spatial and Qualities of Hearing Short Form SSQ12 Item Scores and their Use in Guiding Rehabilitation for Cochlear Implant Recipients. Trends Hear 2024; 28:23312165231224643. [PMID: 38361477 PMCID: PMC10874150 DOI: 10.1177/23312165231224643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 12/14/2023] [Accepted: 12/18/2023] [Indexed: 02/17/2024] Open
Abstract
Cochlear implantation successfully improves hearing in most adult recipients. However, in rare cases, post-implant rehabilitation is required to maximize benefit. The primary aim of this investigation was to test if self-reports by cochlear implant users indicate the need for post-implant rehabilitation. Listening performance was assessed with the Speech, Spatial and Qualities short-form SSQ12, which was self-administered via a web-based survey. Subjects included over 2000 adult bilateral or unilateral cochlear implant users with at least one year of experience. A novel application of regression tree analysis identified core SSQ12 items that serve as first steps in establishing a plan for further rehabilitation: items 1, 8, and 11 dealing with single-talker situations, loudness perception, and clarity, respectively. Further regression and classification tree analyses revealed that SSQ12 item scores were weakly related to age, degree of tinnitus, and use of bilateral versus unilateral implants. Conversely, SSQ12 scores were strongly associated with self-rated satisfaction and confidence in using their cochlear implant. The SSQ12 total scores did not vary significantly over 1-9 or more years' experience. These findings suggest that the SSQ12 may be a useful tool to guide rehabilitation at any time after cochlear implantation. Identification of poor performance may have implications for timely management to improve the outcomes, through various techniques such as device fitting adjustments, counseling, active sound exposure, and training spatial hearing.
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Affiliation(s)
| | - Petra L. Graham
- School of Mathematical and Physical Sciences, Macquarie University, North Ryde, Australia
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Myhrum M, Heldahl MG, Rødvik AK, Tvete OE, Jablonski GE. Validation of the Norwegian Version of the Speech, Spatial and Qualities of Hearing Scale (SSQ). Audiol Neurootol 2023; 29:124-135. [PMID: 37918367 PMCID: PMC10994583 DOI: 10.1159/000534197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 09/06/2023] [Indexed: 11/04/2023] Open
Abstract
INTRODUCTION The main objective of the study was to validate the Norwegian translation of the Speech, Spatial and Qualities of Hearing Scale (SSQ) and investigate the SSQ disability profiles in a cochlear implant (CI) user population. METHODS The study involved 152 adult CI users. The mean age at implantation was 55 (standard deviation [SD] = 16), and the mean CI experience was 5 years (SD = 4.8). The cohort was split into three groups depending on the hearing modality: bilateral CIs (BCIs), a unilateral CI (UCI), and bimodal (CI plus contralateral hearing aid; HCI). The SSQ disability profiles of each group were compared with those observed in similar studies using the English version and other translations of the SSQ. Standard values, internal consistency, sensitivity, and floor and ceiling effects were investigated, and the missing-response rates to specific questions were calculated. Relationships to speech perception were measured using monosyllabic word scores and the Norwegian Hearing in Noise Test scores. RESULTS In the BCI group, the average scores were around 5.0 for the speech and spatial sections and 7.0 for the qualities section (SD ∼2). The average scores of the UCI and HCI groups were about one point lower than those of the BCI group. The SSQ disability profiles were comparable to the profiles in similar studies. The slopes of the linear regression lines measuring the relationships between the SSQ speech and monosyllabic word scores were 0.8 per 10% increase in the monosyllabic word score for the BCI group (explaining 35% of the variation) and 0.4 for the UCI and HCI groups (explaining 22-23% of the variation). CONCLUSION The Norwegian version of the SSQ measures hearing disability similar to the original English version, and the internal consistency is good. Differences in the recipients' pre-implantation variables could explain some variations we observed in the SSQ responses, and such predictors should be investigated. Data aggregation will be possible using the SSQ as a routine clinical assessment in global CI populations. Moreover, pre-implantation variables should be systematically registered so that they can be used in mixed-effects models.
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Affiliation(s)
- Marte Myhrum
- Department of Otorhinolaryngology and Head and Neck Surgery, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Mariann Gjervik Heldahl
- Department of Otorhinolaryngology and Head and Neck Surgery, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
| | - Arne Kirkhorn Rødvik
- Department of Otorhinolaryngology and Head and Neck Surgery, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
| | - Ole Edvard Tvete
- Department of Otorhinolaryngology and Head and Neck Surgery, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
| | - Greg Eigner Jablonski
- Department of Otorhinolaryngology and Head and Neck Surgery, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
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Öz O, D'Alessandro HD, Batuk MÖ, Sennaroğlu G, Govaerts PJ. Assessment of Binaural Benefits in Hearing and Hearing-Impaired Listeners. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:3633-3648. [PMID: 37494143 DOI: 10.1044/2023_jslhr-23-00077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/28/2023]
Abstract
PURPOSE The purpose of this study was to (a) investigate which speech material is most appropriate as stimulus in head shadow effect (HSE) and binaural squelch (SQ) tests, (b) obtain normative values of both tests using the material decided to be optimal, and (c) explore the results in bilateral cochlear implant (CI) users. METHOD Study participants consisted of 30 normal-hearing (NH) persons and 34 bilateral CI users. This study consisted of three phases. In the first phase, three different speech materials (1) monosyllabic words, (2) spondee words, and (3) sentences were compared in terms of (a) effect size, (b) test-retest reliability, and (c) interindividual variability. In the second phase, the speech material selected in the first phase was used to test a further 24 NHs to obtain normative values for both tests. In the third phase, tests were administered to a further 23 bilateral CI users, together with localization test and the Speech, Spatial, and Qualities of Hearing scale. RESULTS The results of the first phase indicated that spondees and sentences were more robust materials compared with monosyllables. Although the effect size and interindividual variability were comparable for spondees and sentences, sentences had higher test-retest reliability in this sample of CI users. With sentences, the mean (± standard deviation) HSE and SQ in the NH group were 58 ± 14% and 22 ± 11%, respectively. In the CI group, the mean HSE and SQ were 49 ± 13% and 13 ± 14%, respectively. There were no statistically significant correlations between the test results and the interval between the implantations, the length of binaural listening experience, or the asymmetry between the ears. CONCLUSIONS Sentences are preferred as stimulus material in the binaural HSE and SQ tests. Normative data are given for HSE and SQ with the LiCoS (linguistically controlled sentences) test. HSE is present for all bilateral CI users, whereas SQ is present in approximately seven out of 10 cases.
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Affiliation(s)
- Okan Öz
- The Eargroup, Antwerp, Belgium
- Department of Audiology, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | | | - Merve Özbal Batuk
- Department of Audiology, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Gonca Sennaroğlu
- Department of Audiology, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Paul J Govaerts
- The Eargroup, Antwerp, Belgium
- Faculty of Medicine and Health Sciences, Translational Neurosciences, Otorhinolaryngology & Head and Neck Surgery, University of Antwerp, Belgium
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Cadre B, Simon F, Célérier C, Coudert C, Flament J, Loundon N, Belhous K, Denoyelle F. Long-term outcomes of retrospective case series of middle ear implantation with Vibrant Soundbridge in children with congenital aural atresia. Eur Arch Otorhinolaryngol 2023; 280:1629-1637. [PMID: 36098862 DOI: 10.1007/s00405-022-07633-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 08/25/2022] [Indexed: 11/03/2022]
Abstract
PURPOSE to assess audiological performance in quiet and noise, quality of life and side effects of Vibrant Soundbridge (VSB) in children with congenital aural atresia (CAA). METHODS A retrospective study including consecutive patients with unilateral or bilateral CAA implanted with VSB from 2009 to 2020 in a tertiary referral centre. RESULTS 18 patients with CAA and a present stapes were included (3 simultaneous bilateral VSB implants) and 21 ears: 17 VSB were attached to the short incus process, and four to the stapes. Age at implantation ranged from 4.7 to 15.8 years. Average follow-up was 6.5 years (± 3.7 years). In unilateral VSB, air conduction pure tone average (ACPTA) thresholds increased from 75.3 ± 15.2 to 32.6 ± 8.3 dB post-operatively (VSB activated) (n = 15; p < 0.01). The speech reception threshold (SRT) and the word recognition score (WRS) were significantly improved from 81.5 ± 10.4 to 43.9 ± 7.6 dB and 0% to 84.8 ± 8.5% postoperatively (n = 15; p < 0.01). The signal to noise ratio (SNR) was significantly improved from 2.1 ± 2.9 dB VSB inactivated to 0.3 ± 2.7 dB VSB activated (n = 15; p < 0.01). There was no significant difference in performance according to floating mass transducer (FMT) placement. 5/15 children were non-users at last follow-up in unilateral VSB and 0/3 in bilateral. CONCLUSIONS CAA ears with VSB activated had a significant improvement of ACPTA, WRS, SRT and SNR. A third of patients with unilateral CAA became non-users at last follow-up. The main challenge is to target the indications for the implantation of the VSB to avoid its discontinuation.
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Affiliation(s)
- Barbara Cadre
- Université Paris Cité, 75006, Paris, France.,Department of Paediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France
| | - François Simon
- Université Paris Cité, 75006, Paris, France. .,Department of Paediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France.
| | - Charlotte Célérier
- Department of Paediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France
| | - Cyrille Coudert
- Department of Paediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France.,Audika Hearing Expertise Laboratory, 19, avenue des Gobelins, 75005, Paris, France
| | - Jonathan Flament
- Department of Paediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France.,Audika Hearing Expertise Laboratory, 19, avenue des Gobelins, 75005, Paris, France
| | - Natalie Loundon
- Department of Paediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France
| | - Kahina Belhous
- Department of Radiology, AP-HP, Hôpital Necker-Enfants Malades, 75015, Paris, France
| | - Françoise Denoyelle
- Université Paris Cité, 75006, Paris, France.,Department of Paediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France
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Srinivasan N, O’Neill S. Comparison of Speech, Spatial, and Qualities of Hearing Scale (SSQ) and the Abbreviated Profile of Hearing Aid Benefit (APHAB) Questionnaires in a Large Cohort of Self-Reported Normal-Hearing Adult Listeners. Audiol Res 2023; 13:143-150. [PMID: 36825952 PMCID: PMC9952610 DOI: 10.3390/audiolres13010014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 01/20/2023] [Accepted: 02/07/2023] [Indexed: 02/15/2023] Open
Abstract
The Speech, Spatial, and Qualities of Hearing Scale (SSQ) and the Abbreviated Profile of Hearing Aid Benefit (APHAB) are two most commonly used questionnaires in the audiology clinic to assess an individual's self-perception of their hearing ability. Here, we present the outcomes of these two questionnaires on a large group of self-reported normal hearing adult listeners. A total of 254 self-reported normal-hearing younger and older adults completed the SSQ and the APHAB questionnaire. The younger participants completed the questionnaires through Qualtrics, whereas the older participants completed the questionnaire through Qualtrics and a traditional pen-and-paper method. The younger listeners perceived a higher ability compared to the older adults in all the SSQ subscales (Speech, Spatial, and Qualities) and reported a lesser frequency of the problems in three of the four APHAB subscales (Ease of communication, Reverberation, and Background Noise). There was no significant difference in the frequency of the problems reported in the Aversiveness subscale. Self-reported normal-hearing listeners do not rate their listening ability at the top of the ability scale. Additionally, the large dataset presented here has a potential normative value for the SSQ and the APHAB questionnaires for self-reported normal-hearing adult listeners.
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A new tool for the assessment of speech understanding and spatial hearing difficulties in children: the Kid-SSQ questionnaire. Eur Arch Otorhinolaryngol 2023:10.1007/s00405-023-07846-9. [PMID: 36763152 DOI: 10.1007/s00405-023-07846-9] [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: 10/06/2022] [Accepted: 01/17/2023] [Indexed: 02/11/2023]
Abstract
PURPOSE To develop and validate a new questionnaire, the Kid-SSQ, for the rapid screening of hearing abilities in children with hearing impairment, aged 7-17 years. METHODS The questionnaire was constructed from two existing, validated versions of the 'Speech, Spatial and Qualities of Hearing' - (SSQ) questionnaire (pediatric form and adult short-form). The 12 selected items included auditory aspects from three subscales: speech perception, spatial hearing, and qualities of hearing. This new short form was then validated in 154 children with cochlear implants (100 bilaterally, and 54 unilaterally implanted children). Construct validity was assessed by testing relationships between Kid-SSQ scores and objective clinical parameters (e.g., age at test, pure-tone audiometry-PTA threshold, speech reception threshold-SRT, duration of binaural experience). RESULTS Completion time was acceptable for use with children (less than 10 min) and the non-response rate was less than 1%. Good internal consistency was obtained (Cronbach's α = 0.78), with a stable internal structure corresponding to the 3 intended subscales. External validity showed the specificity of each subscale: speech subscale scores were significantly predicted (r = 0.32, p < 0.001) by both 2 kHz PTA threshold (β = 0.33, p < 0.001) and SRT (β = - 0.23, p < 0.001). Children with more binaural experience showed significantly higher scores on the spatial subscale than children with less binaural experience (F(1,98) = 5.1, p < 0.03) and the qualities of hearing subscale scores significantly depended on both age and SRT (r = 0.32, p < 0.001). CONCLUSIONS The Kid-SSQ questionnaire is a robust and clinically useful questionnaire for self-assessment of difficulties in various auditory domains.
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Assouly KKS, Arts RAGJ, Graham PL, van Dijk B, James CJ. Influence of tinnitus annoyance on hearing-related quality of life in cochlear implant recipients. Sci Rep 2022; 12:14423. [PMID: 36002556 PMCID: PMC9402917 DOI: 10.1038/s41598-022-18823-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 08/19/2022] [Indexed: 01/10/2023] Open
Abstract
Tinnitus is a common symptom in cochlear implant (CI) recipients. There is no clear evidence of the influence of tinnitus on hearing-related quality of life (QoL) in this population. The aim of this study was to assess the relationship between hearing-related QoL measured by the Speech, Spatial and Qualities of Hearing scale (SSQ12) and tinnitus annoyance or perceived change in tinnitus annoyance after cochlear implantation. The study sample consisted of 2322 implanted adults across France, Germany, Ireland, Italy, the Netherlands, Sweden and the United Kingdom. Information relating to QoL measured using the SSQ12 and tinnitus annoyance and change in tinnitus annoyance, assessed using single-item questions, were collected one or more years post-implantation. The relationship between SSQ12 score and tinnitus annoyance or change in tinnitus annoyance was analysed using linear models adjusted for age and unilateral versus bilateral implants. Tukey pairwise tests were used to compare mean SSQ12 scores across levels of tinnitus annoyance and changes. Tinnitus prevalence was 33.9% post-implantation. Recipients with tinnitus had a significantly lower SSQ12 score than recipients without tinnitus. SSQ scores varied significantly with tinnitus annoyance, age and unilateral versus bilateral implants. Overall, CI recipients who experienced less bothersome tinnitus reported better hearing-related QoL. Healthcare professionals should be aware of the influence of tinnitus on CI recipients' hearing to manage patient expectations.
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Affiliation(s)
- Kelly K S Assouly
- Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
- University Medical Center Utrecht Brain Center, Utrecht University, Utrecht, The Netherlands.
- Cochlear Technology Centre Belgium, Mechelen, Belgium.
| | | | - Petra L Graham
- School of Mathematical and Physical Sciences, Macquarie University, North Ryde, NSW, Australia
| | - Bas van Dijk
- Cochlear Technology Centre Belgium, Mechelen, Belgium
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Falzone C, Guerzoni L, Pizzol E, Fabrizi E, Cuda D. An Adaptation and Validation Study of the Speech, Spatial, and Qualities of Hearing Scale (SSQ) in Italian Normal-Hearing Children. Audiol Res 2022; 12:297-306. [PMID: 35735364 PMCID: PMC9220328 DOI: 10.3390/audiolres12030031] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 05/11/2022] [Accepted: 05/25/2022] [Indexed: 11/25/2022] Open
Abstract
This study aimed to translate and adapt the English version of the Speech, Spatial, and Qualities of Hearing Scale (SSQ) for children and for parents into the Italian language; validate SSQ for hearing children and their parents; and evaluate the discriminant validity of the instrument. A group of 102 normal-hearing Italian children, aged between 9 and 16 years, and their parents were included in this study. A group of 31 parents of normal-hearing Italian children aged between 6 and 8 years was also included. A group of 57 hearing-impaired Italian children aged between 9 and 16 years, and their parents were also included, as well as a group of 30 parents of hearing-impaired Italian children aged between 6 and 8 years. Cronbach’s alpha in the SSQ for parents was 0.92; it was 0.95 in the SSQ for children. Guttmann’s split-half coefficient in SSQ for children for both λ4 and λ6 was 0.98; in SSQ for parents in λ4 was 0.96 and λ6 was 0.95. These data provide evidence for the discriminant validity of the SSQ scale (p-value < 0.001). Italian SSQ scales for children and for parents are now available.
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Affiliation(s)
- Chiara Falzone
- Department of Otorhinolaryngology, “Guglielmo da Saliceto” Hospital, Via Cantone del Cristo 40, 29121 Piacenza, Italy; (L.G.); (E.P.); (D.C.)
| | - Letizia Guerzoni
- Department of Otorhinolaryngology, “Guglielmo da Saliceto” Hospital, Via Cantone del Cristo 40, 29121 Piacenza, Italy; (L.G.); (E.P.); (D.C.)
| | - Erica Pizzol
- Department of Otorhinolaryngology, “Guglielmo da Saliceto” Hospital, Via Cantone del Cristo 40, 29121 Piacenza, Italy; (L.G.); (E.P.); (D.C.)
| | - Enrico Fabrizi
- Department of Economics and Social Sciences, Universita’ Cattolica del S. Cuore, Via Emilia Parmense 84, 29122 Piacenza, Italy;
| | - Domenico Cuda
- Department of Otorhinolaryngology, “Guglielmo da Saliceto” Hospital, Via Cantone del Cristo 40, 29121 Piacenza, Italy; (L.G.); (E.P.); (D.C.)
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Melo SCSD, Vieira FS. Critérios para a classificação do grau da perda auditiva e proteção social de pessoas com essa deficiência. REVISTA CEFAC 2022. [DOI: 10.1590/1982-0216/20222437321s] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
RESUMO Objetivos: identificar critérios adotados nacional e internacionalmente para classificação do grau da perda auditiva, compará-los com o estabelecido na legislação brasileira e discutir as possíveis consequências dessa legislação para a proteção social de Pessoas com Deficiência (PcD) auditiva. Métodos: realizou-se uma revisão narrativa para a identificação dos critérios utilizados nessa classificação. A busca foi realizada em abril de 2020, a partir das plataformas BVS e PUBMED. Foram incluídos estudos publicados entre 2015 e 2019, em inglês, espanhol e português, sobre pesquisas primárias realizadas com seres humanos e menção explícita aos critérios utilizados para a classificação do grau da perda auditiva. Revisão da Literatura: observou-se que há uma predileção pela média entre as frequências de 0,5, 1, 2 e 4 kHz. A legislação brasileira não segue esse critério, o que pode ser uma barreira para o acesso das PcD auditiva aos programas de proteção social. Considerações Finais: não há consenso sobre qual é o melhor critério, todavia há predominância de utilização do considerado mais abrangente para a avaliação auditiva, que não é o legalmente adotado no Brasil. É necessário um debate sobre o critério legal brasileiro, a fim de promover os direitos sociais instituídos para parte das PcD auditiva no Brasil.
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Affiliation(s)
| | - Fabiola Sulpino Vieira
- Universidade Federal de Pernambuco, Brazil; Instituto de Pesquisa Econômica Aplicada, Brasil
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Melo SCSD, Vieira FS. Criteria to classify degrees of hearing loss and the social protection of people with this disability. REVISTA CEFAC 2022. [DOI: 10.1590/1982-0216/20222437321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
ABSTRACT Purpose: to identify criteria used nationally and internationally to classify degrees of hearing loss, compare them with what is established in the Brazilian law, and discuss possible consequences of such a law on the social protection of people with hearing loss. Methods: a narrative review was conducted to identify the criteria used in this classification, by searching the platforms VHL and PubMed in April 2020. It included primary human research explicitly mentioning the criteria used to classify the degree of hearing loss, published between 2015 and 2019 in English, Spanish, and Portuguese. Literature Review: there is a preference for the four-frequency mean at 0.5, 1, 2, and 4 kHz. The Brazilian law does not follow these criteria, which may pose a barrier to people with hearing loss, hindering their access to social protection programs. Final Considerations: there is no consensus on the best criteria, although the most encompassing ones in hearing assessment predominate - which are not the ones legally used in Brazil. It is necessary to debate the Brazilian legal criteria to ensure existing social rights to part of people with hearing loss in Brazil.
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Affiliation(s)
| | - Fabiola Sulpino Vieira
- Universidade Federal de Pernambuco, Brazil; Instituto de Pesquisa Econômica Aplicada, Brasil
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Kılıç N, Şahin Kamışlı Gİ, Gündüz B, Bayramoğlu İ, Kemaloğlu YK. Turkish Validity and Reliability Study of the Speech, Spatial and Qualities of Hearing Scale. Turk Arch Otorhinolaryngol 2021; 59:172-187. [PMID: 34713002 PMCID: PMC8527537 DOI: 10.4274/tao.2021.2021-4-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2021] [Accepted: 06/07/2021] [Indexed: 12/01/2022] Open
Abstract
Objective: The Speech, Spatial and Qualities of Hearing Scale (SSQ) is a self-report scale that evaluates hearing in complex daily life situations in the areas of hearing quality, speech perception, and spatial perception. It is also frequently used in the follow-up of hearing-impaired people, hearing aid and cochlear implant users. It is aimed to translate and adapt SSQ into Turkish, and to investigate its test-retest reliability, and construct validity and reliability, and further to present associations of SSQ scores with the pure tone averages (PTA). Methods: The Turkish SSQ (Tr-SSQ) scale was administered on 114 adults including those with and without hearing loss. Cronbach’s alpha was used to assess its reliability. The reliability coefficient of the scale was calculated by test-retest method. Associations of SSQ scores with PTAs in better and worse hearing ears (BHE and WHE) were evaluated. Results: Tr-SSQ presented high internal consistency (Cronbach’s alpha = 0.984) and test-retest reliability (r=0.994). Tr-SSQ scores were lower in the subjects with hearing loss and correlated with PTAs. Age was found to be correlated with PTAs; regression analysis demonstrated that only WHE-PTA was extracted as explanatory variable for average Tr-SSQ, speech perception and spatial perception scores while both BHE-PTA and WHE-PTA were found to be predictors of hearing quality, but not age for any of Tr-SSQ scores. Conclusion: Tr-SSQ is a convenient tool for assessing the hearing abilities of individuals with hearing impaired.
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Affiliation(s)
- Nurcan Kılıç
- Department of Language and Speech Therapy, Gazi University Faculty of Health Sciences, Ankara, Turkey
| | - Gurbet İpek Şahin Kamışlı
- Department of Audiology, Gazi University Faculty of Health Sciences, Ankara, Turkey.,Department of Otolaryngology, Subdivision of Audiology, Gazi University Faculty of Medicine, Prof. N. Akyıldız Hearing Speech, Voice and Balance Disorders Center, Ankara, Turkey
| | - Bülent Gündüz
- Department of Audiology, Gazi University Faculty of Health Sciences, Ankara, Turkey.,Department of Otolaryngology, Subdivision of Audiology, Gazi University Faculty of Medicine, Prof. N. Akyıldız Hearing Speech, Voice and Balance Disorders Center, Ankara, Turkey
| | - İsmet Bayramoğlu
- Department of Otolaryngology, Subdivision of Audiology, Gazi University Faculty of Medicine, Prof. N. Akyıldız Hearing Speech, Voice and Balance Disorders Center, Ankara, Turkey
| | - Yusuf K Kemaloğlu
- Department of Otolaryngology, Subdivision of Audiology, Gazi University Faculty of Medicine, Prof. N. Akyıldız Hearing Speech, Voice and Balance Disorders Center, Ankara, Turkey
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Baguant A, Schmerber S, Baguant K, Quatre R. Binaural squelch effect in unilateral otosclerosis surgery: comparison of speech intelligibility in noise before-after surgery. Eur Arch Otorhinolaryngol 2021; 279:1301-1310. [PMID: 33846850 DOI: 10.1007/s00405-021-06797-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Accepted: 03/31/2021] [Indexed: 11/30/2022]
Abstract
PURPOSE We aimed to evaluate the speech intelligibility benefit in noise provided by stapedotomy in the treatment of unilateral otosclerosis. METHODS We enrolled adults suffering from unilateral conductive hearing loss and followed them up until 9 months after surgery. The patients underwent a free field speech hearing evaluation using the French Matrix test before and after stapedotomy. Speech material was sent to the front of the patients (S0) and noise was presented either at the front (N0), or at the operated ear (N-90) or at the non-operated ear (N + 90). The speech intelligibility benefit in noise was assessed by comparing Squelch effect (SE), Head shadow effect (HS) and Binaural redundancy (BR) before and after surgery. SE was measured as the difference in speech reception thresholds (SRT) between S0N + 90 situations before and after surgery, HS as the difference in SRT between S0N + 90 and S0N-90 situations, and BR as the difference in SRT between S0N0 situations before and after surgery. In addition, two quality of life's questionnaires were completed by patients to evaluate their discomfort. RESULTS Among 25 patients, 19 were followed up during 9 months, 4 were excluded and 2 were lost for the following-up. Stapedotomy provided a restoration of SE of 3.7 dB SNR (p < 0.001) and a BR gain of 1.8 dB SNR (p < 0.001). HS did not show any statistical variation after surgery (p = 0.077). Finally, the questionnaires showed a residual hearing discomfort. CONCLUSION Stapedotomy provided a binaural benefit with the restoration of the SE and BR but which remained lower than in the normal-hearing population. TRIAL REGISTRATION The 07/02/2018 on Clinical.Trial.Gouv: NCT03587792.
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Affiliation(s)
- Ashley Baguant
- Department of Otolaryngology-Head and Neck Surgery, Grenoble Alpes University Hospital, 38000, Grenoble, France. .,Department of Otolaryngology-Head and Neck Surgery, Grenoble Alpes University Hospital, 38700, La Tronche, France.
| | - Sebastien Schmerber
- Department of Otolaryngology-Head and Neck Surgery, Grenoble Alpes University Hospital, 38000, Grenoble, France.,Brain Tech Lab Inserm, UMR 1205, 38000, Grenoble, France
| | | | - Raphaële Quatre
- Department of Otolaryngology-Head and Neck Surgery, Grenoble Alpes University Hospital, 38000, Grenoble, France
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Vladimirova TY, Kurenkov AV, Aizenshtadt LV. [Speech and spatial characteristics of hearing in older age groups using virtual reality technologies]. Vestn Otorinolaringol 2021; 86:20-24. [PMID: 33720646 DOI: 10.17116/otorino20218601120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Spatial and speech characteristics of hearing are needed to monitor the rehabilitation of sensorineural hearing loss in patients of older age groups. Using the created «Program for the assessment of speech, spatial and qualitative characteristics of hearing using virtual reality» increases the level of hearing diagnostics using a computerized audiovisual script. The purpose of the study is a comparative analysis of the speech, spatial and qualitative characteristics of hearing before and after using virtual reality in patients of older age groups. The results of the study showed that with good tolerance of virtual reality in 48.3% of patients, the answers to the questions of the SSQrus-12 questionnaire for assessing the spatial and speech characteristics of hearing became more objective. The developed methodology supplemented the group of modern diagnostic methods for spatial and verbal hearing by immersing the patient in a virtual environment in the created audiovisual scenario.
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19
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Russo FY, Hoen M, Karoui C, Demarcy T, Ardoint M, Tuset MP, De Seta D, Sterkers O, Lahlou G, Mosnier I. Pupillometry Assessment of Speech Recognition and Listening Experience in Adult Cochlear Implant Patients. Front Neurosci 2020; 14:556675. [PMID: 33240035 PMCID: PMC7677588 DOI: 10.3389/fnins.2020.556675] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 09/29/2020] [Indexed: 11/17/2022] Open
Abstract
Objective The aim of the present study was to investigate the pupillary response to word identification in cochlear implant (CI) patients. Authors hypothesized that when task difficulty (i.e., addition of background noise) increased, pupil dilation markers such as the peak dilation or the latency of the peak dilation would increase in CI users, as already observed in normal-hearing and hearing-impaired subjects. Methods Pupillometric measures in 10 CI patients were combined to standard speech recognition scores used to evaluate CI outcomes, namely, speech audiometry in quiet and in noise at +10 dB signal-to-noise ratio (SNR). The main outcome measures of pupillometry were mean pupil dilation, maximal pupil dilation, dilation latency, and mean dilation during return to baseline or retention interval. Subjective hearing quality was evaluated by means of one self-reported fatigue questionnaire, and the Speech, Spatial, and Qualities (SSQ) of Hearing scale. Results All pupil dilation data were transformed to percent change in event-related pupil dilation (ERPD, %). Analyses show that the peak amplitudes for both mean pupil dilation and maximal pupil dilation were higher during the speech-in-noise test. Mean peak dilation was measured at 3.47 ± 2.29% noise vs. 2.19 ± 2.46 in quiet and maximal peak value was detected at 9.17 ± 3.25% in noise vs. 8.72 ± 2.93% in quiet. Concerning the questionnaires, the mean pupil dilation during the retention interval was significantly correlated with the spatial subscale score of the SSQ Hearing scale [r(8) = −0.84, p = 0.0023], and with the global score [r(8) = −0.78, p = 0.0018]. Conclusion The analysis of pupillometric traces, obtained during speech audiometry in quiet and in noise in CI users, provided interesting information about the different processes engaged in this task. Pupillometric measures could be indicative of listening difficulty, phoneme intelligibility, and were correlated with general hearing experience as evaluated by the SSQ of Hearing scale. These preliminary results show that pupillometry constitutes a promising tool to improve objective quantification of CI performance in clinical settings.
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Affiliation(s)
- Francesca Yoshie Russo
- INSERM U1159 Réhabilitation Chirurgicale Mini-Invasive Robotisée De l'Audition, Paris, France.,Assistance Publique Hôpitaux de Paris Sorbonne Université, Service Oto-Rhino-Laryngologie (ORL), Unité Fonctionnelle Implants Auditifs, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.,Department of Sense Organs, Faculty of Medicine and Dentistry, Sapienza University of Rome, Rome, Italy
| | | | | | | | | | - Maria-Pia Tuset
- Assistance Publique Hôpitaux de Paris Sorbonne Université, Service Oto-Rhino-Laryngologie (ORL), Unité Fonctionnelle Implants Auditifs, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
| | - Daniele De Seta
- INSERM U1159 Réhabilitation Chirurgicale Mini-Invasive Robotisée De l'Audition, Paris, France.,Assistance Publique Hôpitaux de Paris Sorbonne Université, Service Oto-Rhino-Laryngologie (ORL), Unité Fonctionnelle Implants Auditifs, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.,Department of Sense Organs, Faculty of Medicine and Dentistry, Sapienza University of Rome, Rome, Italy
| | - Olivier Sterkers
- INSERM U1159 Réhabilitation Chirurgicale Mini-Invasive Robotisée De l'Audition, Paris, France.,Assistance Publique Hôpitaux de Paris Sorbonne Université, Service Oto-Rhino-Laryngologie (ORL), Unité Fonctionnelle Implants Auditifs, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
| | - Ghizlène Lahlou
- INSERM U1120 Génétique et Physiologie de l'Audition, Paris, France.,APHP Sorbonne Université, Service ORL, GH Pitié Salpêtrière, Paris, France
| | - Isabelle Mosnier
- INSERM U1159 Réhabilitation Chirurgicale Mini-Invasive Robotisée De l'Audition, Paris, France.,Assistance Publique Hôpitaux de Paris Sorbonne Université, Service Oto-Rhino-Laryngologie (ORL), Unité Fonctionnelle Implants Auditifs, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
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Cañete OM, Marfull D, Torrente MC, Purdy SC. The Spanish 12-item version of the Speech, Spatial and Qualities of Hearing scale (Sp-SSQ12): adaptation, reliability, and discriminant validity for people with and without hearing loss. Disabil Rehabil 2020; 44:1419-1426. [PMID: 32721200 DOI: 10.1080/09638288.2020.1795279] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE Because of the limited number of Spanish validated questionnaires available to assess auditory functionality in daily life situations in adults, the purpose of this study was to investigate the validity and the reliability of the Spanish version of the Speech, Spatial and Qualities of Hearing 12 items scale (sp-SSQ12), adapted from the published Spanish SSQ49, and to provide reference data for normal and hearing-impaired populations. METHODS The SSQ12 is a self-report questionnaire, consisting of 12 items assessing a range of daily life listening situations. One hundred fifty adults (101 female) with a mean age of 53.9 years (SD 20.3; range 20-88 years) took part in the study. Internal consistency, test-retest reliability, validity, and floor and ceiling effects were investigated. RESULTS The sp-SSQ12 questionnaire had high internal consistency (Cronbach's alpha = 0.95) and test-retest scores were highly correlated (ICC = 0.79). There was minimal evidence of floor and ceiling effects in our sample. Significant differences were observed overall and for the three subscales between normal and hearing-impaired groups. Although some significant differences in SSQ12 scores between groups of participants from different countries, these differences were minimal. CONCLUSIONS The sp-SSQ12 questionnaire is a valid and reliable tool that is easy to administer and requires a short time to answer. We recommend the use of this tool for the assessment of functional hearing in the Spanish-speaking population.Implication for rehabilitationHearing loss impacts people's lives in a number of ways that are captured in the SSQ.The sp-SSQ12 is a valid and reliable tool for assessing everyday listening abilities and limitations experienced by Spanish-speaking adults with hearing loss.The sp-SSQ12 can be incorporated in the hearing rehabilitation process as a tool for evaluating and improving hearing assessment and rehabilitation programs.The sp-SSQ12 can help to identify adults who require a comprehensive hearing assessment.
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Affiliation(s)
- Oscar M Cañete
- Speech Science, School of Psychology, The University of Auckland, Auckland, New Zealand
| | - Daphne Marfull
- Escuela de Fonoaudiología, Universidad de Valparaíso, Valparaíso, Chile
| | - Mariela C Torrente
- Servicio de Otorrinolaringología, Hospital Padre Hurtado, Santiago, Chile.,Departamento de Otorrinolaringología, Hospital Clínico Universidad de Chile, Santiago, Chile
| | - Suzanne C Purdy
- Speech Science, School of Psychology, The University of Auckland, Auckland, New Zealand.,Eisdell Moore Centre for Research in Hearing and Balance, Auckland, New Zealand
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Sánchez DCC, Cañas FA, Azevedo YJD, Bahmad Junior F. Cultural adaptation of the speech, spatial and qualities of hearing scale to Colombian Spanish. Braz J Otorhinolaryngol 2020; 88:4-8. [PMID: 32345534 PMCID: PMC9422663 DOI: 10.1016/j.bjorl.2020.02.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 01/09/2020] [Accepted: 02/21/2020] [Indexed: 11/05/2022] Open
Abstract
Introduction The Speech, Spatial and Qualities of Hearing Scale has been widely used to assess the subjective sense of auditory ability, functional hearing loss and the resulting benefit of the hearing correction strategy. Objective To translate and culturally adapt the Speech, Spatial and Qualities of Hearing Scale to the Colombian Spanish from Brazilian Portuguese by means of a final version that demonstrates an understanding percentage greater than 85%. Methods The study was divided into three phases: in the first one the translation was done, the retro translation and the modifications were defined by the evaluation team, and in the other two, two pilot tests were made to 50 participants: in the first one the understanding of each of the statements that made up the Speech, Spatial and Qualities of Hearing Scale was examined in 25 people and adjustments were made, and in the second, the same procedure was carried out in 25 other individuals but the document was not changed. Results It was observed that during the pilot test 1, there was difficulty in questions number 2 of Part 1 (56% understanding), and in 8, 9, 10, 12, 16 and 17 of Part 3 (75%) of understanding), while in others, the degree of understanding was higher than 85%. However, in pilot test 2, understanding was above 85% in all questions. In addition, Cronbach's alpha (0.93) indicated that the items from which the test was constituted measured the same construct and were reliable. Conclusion The method used allowed obtaining the version of the Speech, Spatial and Qualities of Hearing Scale in Colombian Spanish with an understanding percentage greater than 85%.
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Affiliation(s)
- Diana Carolina Cuéllar Sánchez
- Universidade de Brasília (UnB), Faculdade de Ciências da Saúde (FCS), Programa de Pós-Graduação em Ciências da Saúde (PPG), Brasília, DF, Brazil
| | | | - Yaná Jinkings de Azevedo
- Universidade de Brasília (UnB), Faculdade de Ciências da Saúde (FCS), Programa de Pós-Graduação em Ciências da Saúde (PPG), Brasília, DF, Brazil
| | - Fayez Bahmad Junior
- Universidade de Brasília (UnB), Faculdade de Ciências da Saúde (FCS), Programa de Pós-Graduação em Ciências da Saúde (PPG), Brasília, DF, Brazil; Universidade de São Paulo (USP), Faculdade de Medicina (FM), Faculdade de Oftalmologia e Otorrinolaringologia, São Paulo, SP, Brazil; Instituto Brasileiro de Otorrinolaringologia, Brasilia, DF, Brazil.
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Aguiar RGR, Almeida KD, Miranda-Gonsalez ECD. Test-Retest Reliability of the Speech, Spatial and Qualities of Hearing Scale (SSQ) in Brazilian Portuguese. Int Arch Otorhinolaryngol 2019; 23:e380-e383. [PMID: 31649755 PMCID: PMC6805206 DOI: 10.1055/s-0039-1677754] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Accepted: 12/02/2018] [Indexed: 11/17/2022] Open
Abstract
Introduction
The Speech, Spatial and Qualities of Hearing Scale (SSQ) is a questionnaire designed to assess the auditory experience and quantify hearing disabilities in realistic communication situations, with particular attention to binaural hearing.
Objective
To determine the test-retest reliability of the SSQ in Brazilian Portuguese.
Method
A total of 35 individuals with mean age of 61 years and mean education of 7 years were interviewed. The mean auditory threshold was 44.29 dBNA in the best ear and 58.04 dBNA in the worst ear. The SSQ in Portuguese was applied at two time points, test and retest. An interval of 7 to 20 days between interviews was established. The level of significance adopted was 0.05, or 5%.
Results
The analysis revealed a high Cronbach α coefficient for the three domains and for the general component of the scale, demonstrating good internal consistency between the items. In addition, a significant strong correlation was detected between test and retest of the SSQ on the analysis by domain and for the general component of the scale. A significant moderate-to-strong correlation between test and retest by question was found, except for question 2 of Part I.
Conclusion
The test-retest reliability indicators showed good stability of the Portuguese version of the SSQ, indicating that the scale is suitable for use in the hearing-impaired population in Brazil.
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Affiliation(s)
- Raiza Gorbachev Ribeiro Aguiar
- Faculty of Medical Sciences, School of Speech-Language Pathology and Audiology, Santa Casa de São Paulo, São Paulo, SP, Brasil
| | - Katia de Almeida
- Faculty of Medical Sciences, School of Speech-Language Pathology and Audiology, Santa Casa de São Paulo, São Paulo, SP, Brasil
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A New Speech, Spatial, and Qualities of Hearing Scale Short-Form: Factor, Cluster, and Comparative Analyses. Ear Hear 2019; 40:938-950. [DOI: 10.1097/aud.0000000000000675] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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von Gablenz P, Otto-Sobotka F, Holube I. Adjusting Expectations: Hearing Abilities in a Population-Based Sample Using an SSQ Short Form. Trends Hear 2019; 22:2331216518784837. [PMID: 30022731 PMCID: PMC6053860 DOI: 10.1177/2331216518784837] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
The German short form of the Speech, Spatial, and Qualities of Hearing Scale (SSQ) was administered in a cross-sectional study based on stratified random samples complemented by audiometric tests and a general interview. Data from 1,711 unaided adults aged 18 to 97 years were analyzed in order to determine a distribution of hearing abilities considered as normal and the main factors that impact self-assessments. An innovative mathematical approach was used to overcome the constraints of statistics based on the mean. Quantile regression analysis yielded a benchmark distribution of SSQ scores that might support audiologists in setting realistic SSQ score targets and estimated how the effect of auditory and nonauditory factors changes across the distribution of SSQ scores. Regression models showed significant effects for nonauditory factors on SSQ ratings when controlled for pure-tone hearing and interaural asymmetry. Self-reporting of hearing difficulties, when asked in general terms, was substantially related to SSQ ratings. This effect was observed in both high and low scoring participants and led to a considerable score decrease in all SSQ subscales. Gender, educational level, and self-reporting of health issues also were significantly related to SSQ ratings, but the corresponding effects were regularly unbalanced across the score distribution and particularly large at lower quantiles. The estimated effects of age, however, were mostly small in size, inconsistent regarding the direction, and failed significance for all SSQ items. Overall, the results suggest that nonauditory factors and cumulative effects must be considered when evaluating rehabilitative interventions against an ideal outcome.
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Affiliation(s)
- Petra von Gablenz
- 1 Institute of Hearing Technology and Audiology, Jade University of Applied Sciences, Oldenburg, Germany.,2 Cluster of Excellence Hearing4all, Oldenburg, Germany
| | - Fabian Otto-Sobotka
- 3 Division of Epidemiology and Biometry, School for Medicine and Health Sciences, Carl von Ossietzky University, Oldenburg, Germany
| | - Inga Holube
- 1 Institute of Hearing Technology and Audiology, Jade University of Applied Sciences, Oldenburg, Germany.,2 Cluster of Excellence Hearing4all, Oldenburg, Germany
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Hearing in Real-Life Environments (HERE): Structure and Reliability of a Questionnaire on Perceived Hearing for Older Adults. Ear Hear 2018; 40:368-380. [PMID: 29944479 PMCID: PMC6169734 DOI: 10.1097/aud.0000000000000622] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Supplemental Digital Content is available in the text. Objectives: The ability to hear in a variety of social situations and environments is vital for social participation and a high quality of life. One way to assess hearing ability is by means of self-report questionnaire. For questionnaires to be useful, their measurement properties, based on careful validation, have to be known. Only recently has consensus been reached concerning how to perform such validation and been published as COSMIN (consensus-based standards for the selection of health status measurement instruments) guidelines. Here the authors use these guidelines to evaluate the measurement properties of the “Hearing in Real-Life Environments” (HERE) questionnaire, a newly developed self-report measure that assesses speech perception, spatial orientation, and the social-emotional consequences of hearing impairment in older adults. The aim is to illustrate the process of validation and encourage similar examinations of other frequently used questionnaires. Design: The HERE questionnaire includes 15 items with a numeric rating scale from 0 to 10 for each item and allows the assessment of hearing with and without hearing aids. The evaluation was performed in two cohorts of community-dwelling older adults from Finland (n = 581, mean 82 years) and the United Kingdom (n = 50, mean 69 years). The internal structure of the questionnaire and its relationship to age, hearing level, and self-reported and behavioral measures of speech perception was assessed and, when possible, compared between cohorts. Results: The results of the factor analysis showed that the HERE’s internal structure was similar across cohorts. In both cohorts, the factor analysis showed a satisfactory solution for three factors (speech hearing, spatial hearing, and socio-emotional consequences), with a high internal consistency for each factor (Cronbach’s α’s for the factors from 0.90 to 0.97). Test–retest analysis showed the HERE overall mean score to be stable and highly replicable over time (intraclass correlation coefficient = 0.86, standard error of measurement of the test score = 0.92). The HERE overall mean score correlated highly with another self-report measure of speech perception, the Speech Spatial Qualities of Hearing questionnaire (standardized regression coefficient [β] = −0.75, p < 0.001), moderately highly with behaviorally assessed hearing level (best-ear average: β = 0.45 to 0.46), and moderately highly with behaviorally measured intelligibility of sentences in noise (β = −0.50, p < 0.001). Conclusions: Using the COSMIN guidelines, the authors show that the HERE is a valid, reliable, and stable questionnaire for the assessment of self-reported speech perception, sound localization, and the socio-emotional consequences of hearing impairment in the context of social functioning. The authors also show that cross-cultural data collected using different data collection strategies can be combined with a range of statistical methods to validate a questionnaire.
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Lenarz T, Muller L, Czerniejewska-Wolska H, Vallés Varela H, Orús Dotú C, Durko M, Huarte Irujo A, Piszczatowski B, Zadrożniak M, Irwin C, Graham PL, Wyss J. Patient-Related Benefits for Adults with Cochlear Implantation: A Multicultural Longitudinal Observational Study. Audiol Neurootol 2017; 22:61-73. [PMID: 28719901 DOI: 10.1159/000477533] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2016] [Accepted: 05/15/2017] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To assess subjectively perceived, real-world benefits longitudinally for unilateral cochlear implant (CI) recipients in a multinational population treated routinely. To identify possible predictors of self-reported benefits. DESIGN This was a prospective, multicenter, repeated-measures study. Self-assessment of performance at preimplantation and postimplantation at 1, 2, and 3 years using standardized, validated, local language versions of the Speech, Spatial, and Qualities of Hearing Scale (SSQ), and the Health Utilities Index Mark 3 (HUI3) was performed. Outcomes were analyzed using a longitudinal mixed-effects model incorporating country effect. Patient demographics were explored for associations with change over time. SUBJECTS Two hundred ninety-one routinely treated, unilateral CI recipients, aged 13-81 years, from 9 clinics across 4 countries. RESULTS Highly significant improvements were observed for all outcome measures (p < 0.0001). Postimplantation, mean outcome scores remained stable beyond 1 year, with notable individual variability. A significant association for one or more outcomes with preimplantation contralateral hearing aid use, telephone use, age at implantation, implantation side, preimplantation comorbidities, dizziness, and tinnitus was observed (p < 0.004). CONCLUSIONS Longitudinal benefits of CI treatment can be measured using clinically standardized self-assessment tools to provide a holistic view of patient-related benefits in routine clinical practice for aggregated data from multinational populations. Self-reported outcomes can provide medical-based evidence regarding CI treatment to support decision-making by health service providers.
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Standardization for a Korean Version of the Speech, Spatial and Qualities of Hearing Scale:
Study of Validity and Reliability. ACTA ACUST UNITED AC 2017. [DOI: 10.3342/kjorl-hns.2016.17615] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Miranda-Gonsalez ECD, Almeida KD. Incapacidade auditiva medida por meio do questionário Speech, Spatial and Qualities of Hearing Scale (SSQ): estudo piloto da versão reduzida em Português Brasileiro. AUDIOLOGY - COMMUNICATION RESEARCH 2017. [DOI: 10.1590/2317-6431-2016-1709] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
RESUMO Introdução O Speech, Spatial and Qualities of Hearing Scale (SSQ) é um questionário que avalia a experiências subjetivas e quantifica as inabilidades de escuta em situações de comunicação. Objetivo Realizar um estudo piloto da versão abreviada do questionário SSQ em Português Brasileiro, a fim de medir a limitação auditiva resultante da perda de audição. Métodos Foram selecionados 30 indivíduos, sendo 12 do gênero masculino e 18 do gênero feminino, com idades entre 18 e 89 anos, e escolaridade média de nove anos. Os indivíduos foram submetidos à audiometria tonal liminar, testes de logoaudiometria e medidas de imitanciometria. Foram distribuídos em dois grupos, segundo a audibilidade, sendo 15 com audição normal (NL) e 15 com perda auditiva (PA). Em seguida, todos responderam ao questionário SSQ, na sua versão abreviada com 12 itens, na forma de entrevista, pontuando de 0 a 10 o seu desempenho comunicativo, em cada situação questionada. Resultados Obtiveram-se escores médios de 6,68 e 4,13 para os grupos NL e PA, respectivamente. Os indivíduos com perda de audição apresentaram escores menores que os sujeitos com audição normal. Verificou-se alto coeficiente alpha de Cronbach em ambos os grupos, demonstrando boa consistência interna entre os diversos itens do questionário. Conclusão A versão reduzida com 12 itens do SSQ em Português Brasileiro mostrou-se sensível para diferenciar o desempenho de indivíduos com e sem perda auditiva, confirmando o seu potencial para avaliar as restrições em atividades auditivas e comunicativas enfrentadas pelo deficiente auditivo, no seu cotidiano.
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Affiliation(s)
| | - Kátia de Almeida
- Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brasil
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Validation of a French-Language Version of the Spatial Hearing Questionnaire, Cluster Analysis and Comparison with the Speech, Spatial, and Qualities of Hearing Scale. Ear Hear 2016; 37:412-23. [DOI: 10.1097/aud.0000000000000269] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Moulin A, Richard C. Sources of variability of speech, spatial, and qualities of hearing scale (SSQ) scores in normal-hearing and hearing-impaired populations. Int J Audiol 2015; 55:101-9. [DOI: 10.3109/14992027.2015.1104734] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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