Löhler J, Akcicek B, Kappe T, Wollenberg B, Schlattmann P, Schönweiler R
Deutscher Berufsverband der HNO-Ärzte e. V., Wissenschaftliches Institut für angewandte HNO-Heilkunde (WIAHNO), Bad Bramstedt.
HNO-Praxis, Dortmund.
Laryngorhinootologie. 2016 Aug;95(8):540-5. doi: 10.1055/s-0041-111569. Epub 2016 Apr 11.
Questionnaires as the APHAB (Abbreviated Profile of Hearing Aid Benefit) are besides pure-tone and speech-audiometry the third method of diagnostics in audiology. Up to now there has been no research on the influence of individual hearing loss, represented by standard audiograms, on the scores of the unaided APHAB (APHABu) done with a big number of subjects. This study will investigate whether there does exist such a relationship or not.
A total of 2 745 records provided by a database were analysed. First, the subjects' audiograms (air conduction) were allocated to 7 standardised audiogram types. By using a multivariant mixed linear model a potential connection was examined between these standard audiograms and particular APHABu scores for its four subscales: EC - ease of communication, BN - background noise, RV - reverberation, AV - aversiveness of sounds.
There was no evidence for a dependency between any type of hearing loss dependence and unaided APHAB-scores. The values on the EC-scale vary between 49.8 and 58.0, on the BN-scale between 45.3 and 46.6, on the RV-scale between 44.4 and 52.4, and on the AV-scale between 47.6 and 50.1.
This result confirms earlier studies with other questionnaires. Therefore, the APHABu can be used as an initial instrument for the diagnostics of individual hearing loss independently on whether hearing aids will be fitted subsequently or not.
问卷，如失语症听力辅助效益简表（APHAB），是听力学诊断中除纯音和言语测听法之外的第三种方法。到目前为止，尚未有关于以标准听力图表示的个体听力损失对大量受试者未佩戴助听器时的APHAB（APHABu）得分影响的研究。本研究将调查是否存在这样的关系。
分析了数据库提供的总共2745份记录。首先，将受试者的气导听力图分配到7种标准化听力图类型。通过使用多变量混合线性模型，研究了这些标准听力图与APHABu四个子量表的特定得分之间的潜在联系：EC - 沟通便利性、BN - 背景噪声、RV - 混响、AV - 声音厌恶度。
没有证据表明任何类型的听力损失与未佩戴助听器的APHAB得分之间存在相关性。EC量表上的值在49.8至58.0之间，BN量表上的值在45.3至46.6之间，RV量表上的值在44.4至52.4之间，AV量表上的值在47.6至50.1之间。
这一结果证实了早期使用其他问卷的研究。因此，无论随后是否佩戴助听器，APHABu都可作为个体听力损失诊断的初始工具。
