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中老年人群自评估听力能力:分层抽样方法。

Self-assessed hearing abilities in middle- and older-age adults: a stratified sampling approach.

机构信息

School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, NSW 2351, Australia.

出版信息

Int J Audiol. 2012 Mar;51(3):174-80. doi: 10.3109/14992027.2011.621899. Epub 2011 Nov 24.

DOI:10.3109/14992027.2011.621899
PMID:22115161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3635014/
Abstract

OBJECTIVE

For evaluation of audiological service outcomes, the primary objective was to determine baseline and target profiles on the Speech, Spatial, and Qualities of Hearing Scale (SSQ); a secondary objective was to test a short form of the SSQ; opportunity was also taken to compare responses of samples providing consistent versus inconsistent self-assessments.

DESIGN

2 × 2 × 2 factorial design crossed age, reported presence versus absence of hearing difficulty, and low versus high self-rated hearing ability.

STUDY SAMPLE

Eight samples (total, n = 413), representing two age ranges; a response of "yes" or "no" to a question about having hearing difficulty, and either low or high self-rated hearing ability on six items from the SSQ.

RESULTS

Using present and previous results, baseline SSQ profiles were determined indicating the pattern of response likely to be observed prior to clinical intervention, and both an achieved outcome and "ideal" target outcome from such intervention. The six-item SSQ yielded better test-retest results in consistent versus inconsistent samples. The inconsistent samples showed signs of different interpretations of "hearing difficulty".

CONCLUSIONS

Baseline, and both actual and ideal target outcomes can guide comparative appraisal of clinical achievements; more research is needed to determine a robust short form of the SSQ.

摘要

目的

为了评估听力学服务的结果,主要目标是确定言语、空间和听觉质量量表(SSQ)的基线和目标特征;次要目标是测试 SSQ 的简短形式;同时还有机会比较提供一致和不一致自我评估的样本的反应。

设计

2×2×2 析因设计,交叉年龄、报告存在或不存在听力困难以及自我评估听力能力的高低。

研究样本

8 个样本(总共 n=413),代表两个年龄范围;对是否有听力困难的问题回答“是”或“否”,以及 SSQ 的六个项目中自我评估听力能力的高低。

结果

使用现有和以前的结果,确定了 SSQ 的基线特征,表明了在临床干预之前可能观察到的反应模式,以及这种干预的实际结果和“理想”目标结果。六项目 SSQ 在一致和不一致的样本中产生了更好的测试-重测结果。不一致的样本显示出对“听力困难”不同解释的迹象。

结论

基线以及实际和理想的目标结果可以指导对临床成果的比较评估;需要进一步研究以确定 SSQ 的可靠简短形式。

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本文引用的文献

1
[Unilateral deafness and cochlear implantation: audiological diagnostic evaluation and outcomes].[单侧耳聋与人工耳蜗植入:听力学诊断评估及结果]
HNO. 2011 May;59(5):437-46. doi: 10.1007/s00106-011-2318-8.
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Functional benefit of the bone-anchored hearing aid with different auditory profiles: objective and subjective measures.骨导式助听器不同听觉特性的功能效益:客观与主观评估。
Clin Otolaryngol. 2011 Apr;36(2):114-20. doi: 10.1111/j.1749-4486.2011.02302.x.
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Older adults’ performance on the speech, spatial, and qualities of hearing scale (SSQ): Test-retest reliability and a comparison of interview and self-administration methods.老年人在言语、空间和听力质量量表(SSQ)上的表现:重测信度以及访谈法和自填法的比较。
Int J Audiol. 2010 Oct;49(10):733-40. doi: 10.3109/14992027.2010.491097.
4
Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models.听力残疾早期筛查的可接受性、益处及成本:潜在筛查测试与模型研究
Health Technol Assess. 2007 Oct;11(42):1-294. doi: 10.3310/hta11420.
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Two-eared listening in dynamic situations.动态情境下的双耳聆听。
Int J Audiol. 2006;45 Suppl 1:S120-4. doi: 10.1080/14992020600783103.
6
Effects of bilateral versus unilateral hearing aid fitting on abilities measured by the Speech, Spatial, and Qualities of Hearing Scale (SSQ).双侧与单侧助听器验配对通过言语、空间和听力质量量表(SSQ)所测能力的影响。
Int J Audiol. 2006 Mar;45(3):172-81. doi: 10.1080/14992020500376933.
7
Interaural asymmetry of hearing loss, Speech, Spatial and Qualities of Hearing Scale (SSQ) disabilities, and handicap.听力损失的双耳不对称、言语、空间及听力量表(SSQ)残疾情况和障碍。
Int J Audiol. 2004 Feb;43(2):100-14. doi: 10.1080/14992020400050015.
8
The Speech, Spatial and Qualities of Hearing Scale (SSQ).言语、空间和听力质量量表(SSQ)。
Int J Audiol. 2004 Feb;43(2):85-99. doi: 10.1080/14992020400050014.
9
Effects of aging on auditory processing of speech.衰老对言语听觉加工的影响。
Int J Audiol. 2003 Jul;42 Suppl 2:2S11-6.
10
Optimal outcome measures, research priorities, and international cooperation.最佳结果指标、研究重点及国际合作。
Ear Hear. 2000 Aug;21(4 Suppl):106S-115S. doi: 10.1097/00003446-200008001-00014.