Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus.
Department of Speech and Hearing Science, The Ohio State University, Columbus.
Am J Audiol. 2021 Mar 10;30(1):105-127. doi: 10.1044/2020_AJA-20-00038. Epub 2021 Jan 13.
Purpose The Cochlear Implant Skills Review (CISR) was developed as a measure of cochlear implant (CI) users' skills and knowledge regarding device use. This study aimed to determine intra- and interrater reliability and agreement and establish construct validity for the CISR. Method In this study, the CISR was developed and administered to a cohort of 30 adult CI users. Participants included new CI users with less than 1 year of CI experience and experienced CI users with greater than 1 year of CI experience. The CISR administration required participants to demonstrate skills using the various features of their CI processors. Intra- and interrater reliability were assessed using intraclass correlation coefficients, agreement was assessed using Cohen's kappa, and construct validity was assessed by relating CISR performance to duration of CI use. Results Overall reliability for the entire instrument was 92.7%. Inter- and intrarater agreement were generally substantial or higher. Duration of CI use was a significant predictor of CISR performance. Conclusions The CISR is a reliable and valid assessment measure of device skills and knowledge for adult CI users. Clinicians can use this tool to evaluate areas of needed instruction and counseling and to assess users' skills over time.
Cochlear Implant Skills Review（CISR）是作为衡量人工耳蜗（CI）使用者关于设备使用的技能和知识的一种手段而开发的。本研究旨在确定 CISR 的内部和外部信度和一致性，并建立其结构效度。
在这项研究中，CISR 被开发并应用于一组 30 名成年 CI 用户。参与者包括使用 CI 不到 1 年的新 CI 用户和使用 CI 超过 1 年的经验丰富的 CI 用户。CISR 的管理要求参与者展示他们的 CI 处理器的各种功能的技能。使用组内相关系数评估内部和外部评分者的可靠性，使用 Cohen 的 kappa 评估一致性，通过将 CISR 表现与 CI 使用时间相关来评估结构效度。
整个仪器的总体可靠性为 92.7%。内部和外部评分者的一致性通常是显著的或更高的。CI 使用时间是 CISR 表现的一个显著预测因素。
CISR 是一种可靠和有效的评估成年 CI 用户设备技能和知识的工具。临床医生可以使用该工具评估需要指导和咨询的领域，并评估用户随着时间的推移的技能。
