Hughes Sarah E, Rapport Frances L, Boisvert Isabelle, McMahon Catherine M, Hutchings Hayley A
Swansea University Medical School, Swansea University, Swansea, Wales, UK.
South Wales Cochlear Implant Programme, Princess of Wales Hospital, Bridgend, UK.
BMJ Open. 2017 Jun 6;7(5):e014995. doi: 10.1136/bmjopen-2016-014995.
In the UK, it is estimated that a disabling hearing loss (HL) affects 1 in 6 people. HL has functional, economic and social-emotional consequences for affected individuals. Intervention for HL focuses on improving access to the auditory signal using hearing aids or cochlear implants. However, even if sounds are audible and speech is understood, individuals with HL often report increased effort when listening.Listening effort (LE) may be measured using self-reported measures such as patient-reported outcome measures (PROMs). PROMs are validated questionnaires completed by patients to measure their perceptions of their own functional status and well-being. When selecting a PROM for use in research or clinical practice, it is necessary to appraise the evidence of a PROM's acceptability to patients, validity, responsiveness and reliability.
A systematic review of studies evaluating the measurement properties of PROMs available to measure LE in HL will be undertaken. MEDLINE, EMBASE, CINAHL, PsychINFO and Web of Science will be searched electronically. Reference lists of included studies, key journals and the grey literature will be hand-searched to identify further studies for inclusion. Two reviewers will independently complete title, abstract and full-text screening to determine study eligibility. Data on the characteristics of each study and each PROM will be extracted. Methodological quality of the included studies will be appraised using the COnsensus-based Standards for the selection of health Measurement INstruments, the quality of included PROMs appraised and the credibility of the evidence assessed. A narrative synthesis will summarise extracted data.
Ethical permission is not required, as this study uses data from published research. Dissemination will be through publication in peer-reviewed journals, conference presentations and the lead author's doctoral dissertation. Findings may inform the selection of PROMs used to measure LE in HL.
在英国，据估计每6人中就有1人患有致残性听力损失（HL）。HL会给受影响的个体带来功能、经济和社会情感方面的后果。HL的干预措施主要集中在使用助听器或人工耳蜗来改善对听觉信号的获取。然而，即使声音能够被听到且言语能够被理解，HL患者在聆听时通常仍会感到更加费力。聆听努力（LE）可以通过自我报告的方式进行测量，例如患者报告结局测量（PROMs）。PROMs是由患者填写的经过验证的问卷，用于测量他们对自身功能状态和幸福感的感知。在选择用于研究或临床实践的PROM时，有必要评估该PROM在患者中的可接受性、有效性、反应性和可靠性的证据。
将对评估可用于测量HL中LE的PROM测量特性的研究进行系统综述。将通过电子方式检索MEDLINE、EMBASE、CINAHL、PsychINFO和科学网。将手动检索纳入研究的参考文献列表、关键期刊和灰色文献，以识别更多可纳入的研究。两名评审员将独立完成标题、摘要和全文筛选，以确定研究的 eligibility。将提取每项研究和每个PROM的特征数据。将使用基于共识的健康测量工具选择标准评估纳入研究的方法学质量，评估纳入PROM的质量并评估证据的可信度。将进行叙述性综合以总结提取的数据。
由于本研究使用已发表研究的数据，因此无需伦理许可。传播方式将包括在同行评审期刊上发表、在会议上展示以及第一作者的博士论文。研究结果可能为用于测量HL中LE的PROM的选择提供参考。
