Johnson Carole E, Jilla Anna Marie, Danhauer Jeffrey L, Sullivan J Connor, Sanchez Kristin R
Hearing Evaluation, Rehabilitation, and Outcomes (HERO) Laboratory, Department of Communication Sciences and Disorders, University of Oklahoma Health Sciences Center, 1200 N. Stonewall, Oklahoma City, Oklahoma.
Department of Speech and Hearing Sciences, University of California Santa Barbara, Santa Barbara, California.
Semin Hear. 2018 May;39(2):158-171. doi: 10.1055/s-0038-1641742. Epub 2018 Jun 15.
Little evidence is available regarding outcomes of advanced digital technology (ADT) hearing aid wearers with mild sensorineural hearing loss (MSNHL). The purpose of this article is to report the characteristics of and outcomes for this population. A cross-sectional research design was employed with 56 participants from a private practice setting. The International Outcomes Inventory for Hearing Aids (IOI-HA), Satisfaction with Amplification in Daily Life (SADL), and the Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids (MARS-HA) were completed, scored, and compared with normative data. Results revealed that ADT aids were worn 10.5 hours/day, were mostly advanced to premium (55%), had an average cost per aid of $2,138 (SD = $840), and provided significant benefit (IOI-HA overall score: mean = 4.1; SD = 0.6) and satisfaction (SADL global score: mean = 5.4; SD = 0.8) to users who had good overall self-efficacy (MARS-HA composite score: mean = 81.7; SD = 12.8). Patients were most dissatisfied with and had the least self-efficacy for managing background noise and advanced handling of their devices. ADT hearing aid users with MSNHL achieved excellent outcomes, but ongoing follow-up and counseling from hearing health care providers may be important for successful management of background noise and mastery of advanced handling skills.
关于佩戴先进数字技术（ADT）助听器的轻度感音神经性听力损失（MSNHL）患者的预后，目前几乎没有相关证据。本文旨在报告该人群的特征和预后情况。采用横断面研究设计，选取了来自一家私人诊所的56名参与者。完成了《助听器国际预后量表》（IOI-HA）、《日常生活中对放大效果的满意度》（SADL）以及《助听器听力康复自我效能量表》（MARS-HA），并进行评分，然后与标准数据进行比较。结果显示，ADT助听器使用者每天佩戴10.5小时，大多数使用的是高级至顶级型号（55%），每台助听器的平均成本为2138美元（标准差=840美元），对总体自我效能良好的使用者（MARS-HA综合得分：平均值=81.7；标准差=12.8）有显著益处（IOI-HA总体得分：平均值=4.1；标准差=0.6）和满意度（SADL总体得分：平均值=5.4；标准差=0.8）。患者对背景噪声管理和设备高级操作的满意度最低，自我效能也最低。佩戴ADT助听器的MSNHL患者取得了良好的预后，但听力保健提供者持续的随访和咨询对于成功管理背景噪声和掌握高级操作技能可能很重要。
