The University of Queensland, School of Health and Rehabilitation Sciences, Communication Disability Centre, Brisbane, Australia.
Int J Audiol. 2010 Aug;49(8):586-95. doi: 10.3109/14992021003777259.
A hallmark of quality clinical practice in audiology should be the ongoing measurement of outcomes in order to improve practice. The aims of this study were to describe outcomes for a large sample of clients fitted with hearing aids and to investigate factors associated with mean IOI-HA scores, with a view to providing guidance about factors that warrant particular attention in the clinic in order to improve outcomes. Measures used were the international outcome inventory - hearing aids (IOI-HA; Cox & Alexander, 2002 ) and a series of questions about satisfaction with hearing aid performance in different listening situations, hearing aid attributes, and clinical service. The participant sample consisted of 1653 adults, most often fitted bilaterally (78%); 81% had digital aids with at least two listening programs. Results of the regression analysis indicated that there were a number of significant factors that, in total, explained 57% of the variance in IOI-HA scores. Higher mean IOI-HA scores were most strongly associated with greater satisfaction with hearing aid attributes of aid fit/comfort, clarity of tone and sound, and comfort with loud sounds and with satisfaction in the listening situations of conversation with one person, in small groups, in large groups, and outdoors. These findings highlight the importance of focusing rehabilitation on improving satisfaction with aided listening across a range of environments and with key attributes of hearing aid performance.
在听力学中，临床实践质量的一个标志应该是持续衡量结果，以改善实践。本研究的目的是描述大量佩戴助听器的客户的结果，并研究与平均 IOI-HA 评分相关的因素，以期就需要在临床中特别关注的因素提供指导，以改善结果。使用的测量工具是国际结果清单-助听器（IOI-HA；Cox 和 Alexander，2002）以及一系列关于在不同听力环境下对助听器性能、助听器属性和临床服务的满意度问题。参与者样本包括 1653 名成年人，大多数是双侧（78%）；81%的人配备了至少有两个听力程序的数字助听器。回归分析的结果表明，有许多显著的因素，总共解释了 IOI-HA 评分方差的 57%。更高的平均 IOI-HA 评分与对助听器属性（佩戴舒适性/舒适度、音调清晰度和声音舒适度）和对大声的舒适度以及在单人对话、小团体、大团体和户外等听力环境中的满意度有更强的关联。这些发现强调了将康复重点放在改善在各种环境下的助听满意度和助听器性能的关键属性上的重要性。
