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国际功能、残疾和健康分类核心组合用于听力损失——研究人员的视角。第一部分:对听力学研究中确定的结果测量指标的系统回顾。

The ICF Core Sets for hearing loss--researcher perspective. Part I: Systematic review of outcome measures identified in audiological research.

机构信息

* Audiological Research Centre, Örebro University Hospital, School of Health and Medical Sciences/Swedish Institute for Disability Research, Örebro University , Örebro , Sweden.

出版信息

Int J Audiol. 2014 Feb;53(2):65-76. doi: 10.3109/14992027.2013.851799. Epub 2013 Dec 9.

Abstract

OBJECTIVE

To review the literature in order to identify outcome measures used in research on adults with hearing loss (HL) as part of the ICF Core Sets development project, and to describe study and population characteristics of the reviewed studies.

DESIGN

A systematic review methodology was applied using multiple databases. A comprehensive search was conducted and two search pools were created, pool I and pool II.

STUDY SAMPLE

The study population included adults (≥ 18 years of age) with HL and oral language as the primary mode of communication.

RESULTS

122 studies were included. Outcome measures were distinguished by 'instrument type', and 10 types were identified. In total, 246 (pool I) and 122 (pool II) different measures were identified, and only approximately 20% were extracted twice or more. Most measures were related to speech recognition. Fifty-one different questionnaires were identified. Many studies used small sample sizes, and the sex of participants was not revealed in several studies.

CONCLUSION

The low prevalence of identified measures reflects a lack of consensus regarding the optimal outcome measures to use in audiology. Reflections and discussions are made in relation to small sample sizes and the lack of sex differentiation/descriptions within the included articles.

摘要

目的

为了确定 ICF 核心集开发项目中用于听力损失(HL)成年人研究的结果测量指标,对文献进行回顾,并描述回顾研究的研究和人群特征。

设计

使用多个数据库应用系统评价方法。进行了全面检索,并创建了两个搜索池,池 I 和池 II。

研究样本

研究人群包括成年(≥18 岁)HL 患者,口头语言是主要的交流方式。

结果

共纳入 122 项研究。结果测量指标根据“仪器类型”进行区分,共确定了 10 种类型。总共确定了 246 项(池 I)和 122 项(池 II)不同的测量指标,但只有大约 20%的测量指标被提取了两次或更多次。大多数测量指标与语音识别有关。共确定了 51 种不同的问卷。许多研究的样本量较小,而且在一些研究中没有透露参与者的性别。

结论

识别出的测量指标的低患病率反映了在听力学中使用最佳结果测量指标方面缺乏共识。针对样本量小以及所纳入文章中缺乏性别差异/描述的问题进行了反思和讨论。

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