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一种用于指导成人人工耳蜗使用者音乐康复的音乐相关生活质量测量方法。

A Music-Related Quality of Life Measure to Guide Music Rehabilitation for Adult Cochlear Implant Users.

作者信息

Dritsakis Giorgos, van Besouw Rachel M, Kitterick Pádraig, Verschuur Carl A

机构信息

Institute of Sound and Vibration Research, University of Southampton, UK.

National Institute for Health Research, Nottingham Hearing Biomedical Research Unit, UK.

出版信息

Am J Audiol. 2017 Sep 18;26(3):268-282. doi: 10.1044/2017_AJA-16-0120.

Abstract

PURPOSE

A music-related quality of life (MuRQoL) questionnaire was developed for the evaluation of music rehabilitation for adult cochlear implant (CI) users. The present studies were aimed at refinement and validation.

METHOD

Twenty-four experts reviewed the MuRQoL items for face validity. A refined version was completed by 147 adult CI users, and psychometric techniques were used for item selection, assessment of reliability, and definition of the factor structure. The same participants completed the Short Form Health Survey for construct validation. MuRQoL responses from 68 CI users were compared with those of a matched group of adults with normal hearing.

RESULTS

Eighteen items measuring music perception and engagement and 18 items measuring their importance were selected; they grouped together into 2 domains. The final questionnaire has high internal consistency and repeatability. Significant differences between CI users and adults with normal hearing and a correlation between music engagement and quality of life support construct validity. Scores of music perception and engagement and importance for the 18 items can be combined to assess the impact of music on the quality of life.

CONCLUSION

The MuRQoL questionnaire is a reliable and valid measure of self-reported music perception, engagement, and their importance for adult CI users with potential to guide music aural rehabilitation.

摘要

目的

开发一种与音乐相关的生活质量(MuRQoL)问卷,用于评估成人人工耳蜗(CI)使用者的音乐康复效果。本研究旨在对该问卷进行完善和验证。

方法

24名专家对MuRQoL项目进行了表面效度审查。147名成年CI使用者完成了一个完善版本,采用心理测量技术进行项目选择、信度评估和因子结构定义。同一批参与者完成了简短健康调查问卷以进行结构效度验证。将68名CI使用者的MuRQoL回答与一组听力正常的匹配成年人的回答进行了比较。

结果

选取了18个测量音乐感知和参与度的项目以及18个测量其重要性的项目;它们归为2个领域。最终问卷具有较高的内部一致性和可重复性。CI使用者与听力正常的成年人之间存在显著差异,且音乐参与度与生活质量之间的相关性支持了结构效度。18个项目的音乐感知、参与度和重要性得分可合并用于评估音乐对生活质量的影响。

结论

MuRQoL问卷是一种可靠且有效的自我报告音乐感知、参与度及其对成年CI使用者重要性的测量工具,有潜力指导音乐听觉康复。

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