Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.
Department of Statistics, University of Pretoria, Pretoria, South Africa.
Int J Audiol. 2022 Apr;61(4):336-343. doi: 10.1080/14992027.2021.1913521. Epub 2021 May 13.
To identify and describe predictors of daily hearing technology (HT) use in children.
Retrospective review of clinical records. Multiple regression analyses were performed to identify predictors.
The sample included 505 children (<11 years of age) using hearing aids (HAs), cochlear implants (CIs), and bone conduction hearing devices (BCHDs).
Average HT use was 9.4 h a day. Bivariate analyses yielded 31 potential predictors from the 42 variables included. The general linear model ( < 0.01, = 0.605) identified 10 interacting factors that significantly associated with increased HT use. Intrinsic predictors of increased HT use included older chronological age, more severe degrees of hearing loss and older ages at diagnosis and initial HA fitting. Extrinsic predictors included the child's ability to independently use HT, at least one CI as part of the HT fitting, coordinated onsite audiological management, self-procured batteries, auditory-oral communication mode and regular caregiver intervention attendance.
Average HT use was high, approximating hearing hours of peers with normal hearing. CI recipients demonstrated higher HT use compared to children using other HT. The newly identified factors can predict and increase HT use in children while contributing to evidence-based intervention services that promote optimal auditory-based outcomes.
识别并描述儿童日常听力技术（HT）使用的预测因素。
临床记录回顾。进行多元回归分析以确定预测因素。
该样本包括 505 名使用助听器（HA）、人工耳蜗（CI）和骨导听力设备（BCHD）的儿童（<11 岁）。
平均 HT 使用时间为 9.4 小时/天。从 42 个变量中得出 31 个可能的预测因素。一般线性模型（ < 0.01， = 0.605）确定了 10 个与 HT 使用增加相关的相互作用因素。HT 使用增加的内在预测因素包括年龄较大、听力损失程度更严重、诊断和首次 HA 适配年龄较大。外在预测因素包括儿童独立使用 HT 的能力、作为 HT 适配一部分的至少一个 CI、现场听力学管理的协调、自行采购的电池、听觉-口语交流模式和定期照顾者干预参与。
平均 HT 使用量较高，接近正常听力儿童的听力时间。与使用其他 HT 的儿童相比，CI 使用者表现出更高的 HT 使用量。新确定的因素可以预测和增加儿童的 HT 使用，同时为促进基于听觉的最佳结果的循证干预服务做出贡献。
