一项针对耳硬化症患者评估的格拉斯哥助听器效益概况瑞典语版本的验证研究。
A validation study of the Swedish version of the Glasgow hearing aid benefit profile evaluated in otosclerosis subjects.
作者信息
Dahlin Redfors Ylva, Jönsson Radoslava, Finizia Caterina
机构信息
Department of Otorhinolaryngology, Head, and Neck Surgery Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden.
Department of Otorhinolaryngology, Head, and Neck Surgery Region Västra Götaland, Sahlgrenska University Hospital Gothenburg Sweden.
出版信息
Laryngoscope Investig Otolaryngol. 2022 Mar 29;7(3):807-815. doi: 10.1002/lio2.787. eCollection 2022 Jun.
OBJECTIVES
The aim of this study was to translate the Glasgow Benefit Hearing Aid Profile (GHABP) to Swedish, and to analyze its validity and reliability in patients undergoing rehabilitation with surgery or hearing aids.
METHODS
The GHABP was translated to Swedish following published guidelines. One version of the questionnaire was adapted to fit the surgical intervention. A modification was made to the questionnaire by removing the answer option "not applicable" (N/A) since it was found confusing by the subjects. A prospective multicenter cohort study was performed to validate the questionnaire. One hundred and twenty-three individuals diagnosed with otosclerosis were included in the study prior to the intervention. The individuals were divided into three groups based on the intervention and previous hearing aid experience. Pure tone audiometry was performed 1 month prior and 1 year after the intervention. The Swedish version of the GHABP was completed by the individuals prior to the intervention, as well as 6 and 12 months after the intervention. Validity and reliability were assessed.
RESULTS
The Swedish versions of the GHABP were well accepted by the included individuals. The questionnaires showed good psychometric properties, with comparable results for the two different interventions and three separate intervention groups. Initial disability was more pronounced in more challenging listening situations. Disability was reduced after the intervention. The "Use," "Benefit," and "Satisfaction" domains demonstrated beneficial results; however, a ceiling effect was noted in the same domains. The reliability was overall very high.
CONCLUSION
The Swedish version of the GHABP had good psychometric properties, with high validity and reliability. The same outcomes were found for the hearing aid and surgery groups. A ceiling effect was observed that can affect the questionnaire's ability to distinguish between subjects and measures over time.
LEVEL OF EVIDENCE
2c.
目的
本研究旨在将格拉斯哥听力援助效益量表（GHABP）翻译成瑞典语，并分析其在接受手术或助听器康复治疗的患者中的有效性和可靠性。
方法
按照已发表的指南将GHABP翻译成瑞典语。问卷的一个版本进行了调整以适应手术干预。由于发现受试者对“不适用”（N/A）这一答案选项感到困惑，因此对问卷进行了修改，将其删除。进行了一项前瞻性多中心队列研究以验证该问卷。123名被诊断为耳硬化症的个体在干预前被纳入研究。根据干预措施和既往使用助听器的经历，将个体分为三组。在干预前1个月和干预后1年进行纯音听力测定。GHABP的瑞典语版本由个体在干预前以及干预后6个月和12个月完成。评估其有效性和可靠性。
结果
纳入的个体对GHABP的瑞典语版本接受度良好。问卷显示出良好的心理测量学特性，两种不同干预措施和三个独立干预组的结果具有可比性。在更具挑战性的听力情况下，初始残疾更为明显。干预后残疾程度降低。“使用”“效益”和“满意度”领域显示出有益结果；然而，在相同领域中观察到了天花板效应。总体可靠性非常高。
结论
GHABP的瑞典语版本具有良好的心理测量学特性，有效性和可靠性高。助听器组和手术组的结果相同。观察到天花板效应，这可能会影响问卷随时间区分受试者和测量结果的能力。
证据水平
2c。
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