Department of Otolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark.
Research Unit for ORL - Head & Neck Surgery and Audiology, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Int J Audiol. 2024 Jul;63(7):500-509. doi: 10.1080/14992027.2023.2218994. Epub 2023 Jun 8.
To investigate the effect of hearing aid (HA) intervention on long-term health-related quality of life (HRQoL) changes in first-time and experienced HA users using the 15D questionnaire. Secondly, the study explored the relationship between clinical parameters and changes in 15D scores.
A prospective observational study.
The study population included 1562 patients (1113 first-time and 449 experienced HA users) referred for HA rehabilitation. All patients responded to the 15D at baseline, two months after HA fitting, and at long-term follow-up (698 ± 298 d).
Among both first-time and experienced HA users, significant improvements in hearing-dimension (15D-3) score were observed at two-month follow-up which sustained at long-term follow-up. 15D total scores significantly decreased at long-term follow-up. Self-reported hearing abilities, word recognition scores, and HA use time were significantly and positively correlated to increased 15D.
Both groups of HA users reported improved hearing-related QoL after HA treatment which sustained at long-term follow-up but the improvement in total 15D total score did not sustain for either group. The results suggest that HA intervention positively affects hearing-related QoL among older adults with hearing loss, and the findings support the use of 15D as a tool for the evaluation of HA treatment effects.
使用 15D 问卷探讨助听器(HA)干预对初次使用和有经验的 HA 用户长期健康相关生活质量(HRQoL)变化的影响。其次,研究还探讨了临床参数与 15D 评分变化之间的关系。
前瞻性观察研究。
研究人群包括 1562 名(1113 名初次使用和 449 名有经验的 HA 用户)因 HA 康复而接受治疗的患者。所有患者均在基线、佩戴 HA 后两个月和长期随访(698±298 天)时回答了 15D 问卷。
初次使用和有经验的 HA 用户在佩戴 HA 后两个月时听力维度(15D-3)评分显著提高,且在长期随访时仍保持这种改善。15D 总评分在长期随访时显著降低。自我报告的听力能力、单词识别评分和 HA 使用时间与 15D 的增加呈显著正相关。
两组 HA 用户在 HA 治疗后均报告听力相关生活质量得到改善,且在长期随访时仍保持改善,但两组的 15D 总评分改善并未持续。研究结果表明,HA 干预对听力损失老年人的听力相关生活质量有积极影响,同时支持使用 15D 作为评估 HA 治疗效果的工具。