National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.
Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK.
Int J Audiol. 2021 Aug;60(8):607-613. doi: 10.1080/14992027.2020.1855370. Epub 2020 Dec 11.
There is currently no singularly accepted definition of hyperacusis. The aim of this study was to determine a definition and description of hyperacusis by clinician consensus.
A three-round Delphi survey involving hearing healthcare professionals built towards clinical consensus on a definition of hyperacusis. Round 1 involved three open-ended questions about hyperacusis. Seventy-nine statements were generated on descriptions, impact, sounds, and potential features of hyperacusis. Agreement on the relevance of each statement to defining or describing hyperacusis was then measured in Rounds 2 and 3. General consensus was defined a priori as ≥70% agreement, or ≥90 for clinical decision making.
Forty-five hearing healthcare professionals were recruited to take part in this study. Forty-one completed Round 1, 36 completed Round 2, and 33 completed Round 3.
Consensus was reached on 42/79 statements. From these a consensus definition includes "A reduced tolerance to sound(s) that are perceived as normal to the majority of the population or were perceived as normal to the person before their onset of hyperacusis". A consensus description of hyperacusis was also determined.
This consensus definition of hyperacusis will help to determine the scope of clinical practice guidelines and influence needed research on hyperacusis.
目前尚无公认的听觉过敏定义。本研究旨在通过临床医生的共识来确定听觉过敏的定义和描述。
一项涉及听力保健专业人员的三轮 Delphi 调查，旨在就听觉过敏的定义达成临床共识。第一轮涉及三个关于听觉过敏的开放性问题。共产生了 79 条关于听觉过敏的描述、影响、声音和潜在特征的陈述。然后在第二轮和第三轮测量对每条陈述与定义或描述听觉过敏的相关性的共识程度。事先定义了普遍共识，即≥70%的一致性，或≥90%的临床决策。
招募了 45 名听力保健专业人员参加这项研究。41 人完成了第一轮，36 人完成了第二轮，33 人完成了第三轮。
在 79 条陈述中有 42 条达成了共识。由此得出的共识定义包括“对大多数人认为正常的声音或对发病前听觉过敏的人认为正常的声音的容忍度降低”。还确定了听觉过敏的共识描述。
该听觉过敏共识定义将有助于确定临床实践指南的范围，并影响对听觉过敏的必要研究。
