Hickson Louise, Laplante-Lévesque Ariane, Wong Lena
Am J Audiol. 2013 Dec;22(2):329-31. doi: 10.1044/1059-0889(2013/12-0085).
The authors address 3 questions: (a) What is evidence-based practice (EBP), and why is it important for adults with hearing impairment? (b) What is the evidence about intervention options for adults who fail a hearing screening and are identified with hearing impairment? (c) What intervention options do adults choose when identified with hearing impairment for the first time?
The 5 steps of the EBP process are discussed in relation to a clinical question about whether hearing aids and communication programs reduce activity limitations and participation restrictions compared with no treatment for adults who fail a hearing screening and are identified with hearing impairment.
Systematic reviews of the evidence indicate that both hearing aids and communication programs reduce activity limitations and participation restrictions for this population and are therefore appropriate options. A study is then described in which these options were presented to 153 clients identified with hearing impairment for the first time: 43% chose hearing aids, 18% chose communication programs, and the remaining 39% chose not to take any action.
EBP supports the offer of intervention options to adults who fail a hearing screening and are identified with hearing impairment.
作者探讨三个问题：（a）什么是循证实践（EBP），为何它对有听力障碍的成年人很重要？（b）对于听力筛查未通过且被确诊有听力障碍的成年人，干预选项的证据有哪些？（c）首次被确诊有听力障碍的成年人会选择哪些干预选项？
循证实践过程的五个步骤是结合一个临床问题进行讨论的，该临床问题是：对于听力筛查未通过且被确诊有听力障碍的成年人，与不治疗相比，助听器和沟通项目是否能减少活动受限和参与限制。
对证据的系统评价表明，助听器和沟通项目都能减少该人群的活动受限和参与限制，因此都是合适的选项。随后描述了一项研究，在该研究中，这些选项被呈现给153名首次被确诊有听力障碍的患者：43%选择了助听器，18%选择了沟通项目，其余39%选择不采取任何行动。
循证实践支持向听力筛查未通过且被确诊有听力障碍的成年人提供干预选项。
