University of Iowa, Iowa City, USA.
Lang Speech Hear Serv Sch. 2013 Jan;44(1):73-88. doi: 10.1044/0161-1461(2012/12-0005). Epub 2012 Aug 6.
This study investigated predictors of hearing aid (HA) use time for children with mild-to-severe hearing loss (HL). Barriers to consistent HA use and reliability of parent report measures were also examined.
Participants included parents of 272 children with HL. Parents estimated the amount of time the child used HAs daily. Regression analysis examined the relationships among independent variables and HA use time. To determine parental accuracy of HA use time, datalogging from the HAs was compared to the parents' estimates.
Longer HA use related to older age, poorer hearing, and higher maternal education. Parental consistency ratings revealed similar findings--younger children and children with milder HL wore HAs less consistently than older children and children with more severe HL. Parents' estimates and datalogging were significantly correlated; however, results suggested that parents overestimate the amount of time their children wear their HAs.
Certain variables were significantly related to the amount of time children wore their HAs. Consistency rating scales provided insight into circumstances that were challenging for families. Use of both parent reports and datalogging may allow clinicians and researchers to obtain a general estimate of HA use time.
本研究旨在探讨中重度听力损失(HL)儿童助听器(HA)使用时间的预测因素。同时还考察了影响 HA 使用的障碍因素以及家长报告测量的可靠性。
参与者包括 272 名有 HL 的儿童的家长。家长们估计孩子每天使用 HA 的时间。回归分析检验了自变量与 HA 使用时间之间的关系。为了确定家长对 HA 使用时间的准确性,将 HA 中的数据记录与家长的估计进行了比较。
较长的 HA 使用时间与年龄较大、听力较差和母亲教育程度较高有关。父母一致性评级也揭示了类似的发现——年龄较小、听力较轻的儿童比年龄较大、听力较重的儿童佩戴 HA 的一致性更差。家长的估计和数据记录有显著相关性;然而,结果表明,家长高估了孩子佩戴 HA 的时间。
某些变量与儿童佩戴 HA 的时间有显著关系。一致性评分量表深入了解了家庭面临的困难情况。同时使用家长报告和数据记录可以让临床医生和研究人员获得 HA 使用时间的大致估计。