Afghah Tahereh, Alfakir Razan, Meis Markus, van Leeuwen Lisette, Kramer Sophia E, Hammady Mahmoud, Youssif Mostafa, Wagener Kirsten C
Hörzentrum Oldenburg gGmbH, Germany and Cluster of Excellence Hearing4all, Oldenburg, Germany.
Department of Speech-Language and Hearing Sciences, Auburn University, Auburn, AL, United States.
Front Rehabil Sci. 2022 Nov 14;3:1005525. doi: 10.3389/fresc.2022.1005525. eCollection 2022.
An instrument that facilitates the advancement of hearing healthcare delivery from a biomedical model to a biopsychosocial one that underpins the International Classification of Functioning, Disability, and Health framework (ICF) brief and comprehensive Core Sets for Hearing Loss (CSHL) is currently unavailable. The objective is to describe the process of developing and validating a new questionnaire named the created by transferring the ICF CSHL into a theory-supported, practically manageable concept.
A team from Germany, the USA, the Netherlands, and Egypt collaborated on development. The following ICF domains were considered; "Body Functions" (BF), "Activities and Participation" (AP), and "Environmental Factors" (EF). The development yielded English, German, and Arabic versions. A pilot validation study with a total of 109 respondents across three countries, Germany, Egypt, and the USA was conducted to revise the item terminology according to the feedback provided by the respondents.
The questionnaire included a total of 120 items. Ninety items were designed to collect information on the functioning and 30 items inquiring about demographic information, hearing status, and Personal Factors. Except for the "Body Structures" (BS) domain, all the categories of the brief ICF CSHL were covered (a total of 85% of the categories). Moreover, the items covered 44% of the comprehensive ICF CSHL categories including 73% of BF, 55% of AP, and 27% of EF domains. Overall, the terminology of 24 ICF-based items was revised based on the qualitative analysis of the respondents' feedback to further clarify the items that were found tod be unclear or misleading. The tool highlighted the broad connection of HL with bodily health and contextual factors.
The was developed based on the ICF CSHL and from multinational experts' and patients' perspectives with the aim to improve the execution of audiological services, treatment, and rehabilitation for adult patients with HL. Additional validation of the tool is ongoing. The next step would be to pair the tool with BS categories since it was excluded from the tool and determine its effectiveness in guiding hearing health care practitioners to holistically classify categories influencing hearing, communication, and conversation disability.
目前尚缺乏一种能促进听力保健服务从生物医学模式向生物心理社会模式转变的工具，这种转变以国际功能、残疾和健康分类框架（ICF）中听力损失简短和全面核心集（CSHL）为基础。目的是描述开发和验证一种名为 的新问卷的过程，该问卷是通过将ICF CSHL转化为一个理论支持、实际可行的概念而创建的。
来自德国、美国、荷兰和埃及的一个团队合作进行开发。考虑了以下ICF领域；“身体功能”（BF）、“活动与参与”（AP）和“环境因素”（EF）。开发出了英语、德语和阿拉伯语版本。在德国、埃及和美国三个国家对总共109名受访者进行了试点验证研究，根据受访者提供的反馈修订项目术语。
该问卷共有120个项目。90个项目旨在收集功能方面的信息，30个项目询问人口统计学信息、听力状况和个人因素。除了“身体结构”（BS）领域外，涵盖了简短ICF CSHL的所有类别（总共85%的类别）。此外，这些项目涵盖了全面ICF CSHL类别的44%，包括73%的BF、55%的AP和27%的EF领域。总体而言，根据对受访者反馈的定性分析，对24个基于ICF的项目的术语进行了修订，以进一步澄清那些被发现不清楚或有误导性的项目。该工具突出了听力损失与身体健康和背景因素的广泛联系。
是基于ICF CSHL并从多国专家和患者的角度开发的，旨在改善成年听力损失患者的听力服务、治疗和康复的实施。该工具的进一步验证正在进行中。下一步将是将该工具与BS类别配对，因为它被排除在工具之外，并确定其在指导听力保健从业者全面分类影响听力、沟通和对话残疾的类别方面的有效性。
