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评估失聪者协会“生活得好”在线咨询工具对首次使用的成年听力损失患者疗效的随机对照试验。

Randomised Controlled Trial for the Evaluation of the Efficacy of the IDA's "Living Well" Online Counselling Tool in First-Time Adult Users with Hearing Loss.

作者信息

Vassou Evgenia, Iliadou Eleftheria, Markatos Nikolaos, Kikidis Dimitrios, Bibas Athanasios

机构信息

1st University Department of Otolaryngology and Head & Neck Surgery, National and Kapodistrian University of Athens, 11527 Athens, Greece.

出版信息

Audiol Res. 2024 Sep 19;14(5):844-856. doi: 10.3390/audiolres14050071.

Abstract

Effective management of hearing loss through the use of modern hearing aids significantly improves communication and the quality of life for individuals experiencing auditory impairment. Complementary counselling of patients with hearing loss who will be fitted with hearing aids for the first time should be evidence-based and adapted to their individual needs. To date, several counselling protocols and tools have been developed. The aim of this randomised controlled trial study was to investigate the efficacy of the application of the IDA's "Living Well" counselling tool in first-time hearing aid users in terms of the degree of their hearing related handicap (using the Hearing Handicap Inventory (HHI)), their communication coping strategies (using the Communication Profile for the Hearing Impaired (CPHI)) and their overall satisfaction of the hearing aids (using a Likert scale). Both groups (the IDA and the control group) were fitted with hearing aids and received counselling for their hearing aids by the same audiologist. The IDA group attended an additional counselling session about communication coping strategies with the use of the "Living Well" tool. Both groups' participants were seen for their hearing aid fittings 4-6 weeks, 3 and 6 months after their fitting when the HHI and the CPHI were measured. Although there was not a statistically significant difference between the two groups for the primary and secondary outcomes, the IDA group did show a more consistent improvement of their HHI score and less frequent use of maladaptive strategies. The "Living Well" counselling tool proved to be a favourably received and helpful counselling tool in first-time hearing aid users.

摘要

通过使用现代助听器有效管理听力损失,可显著改善听力受损者的沟通能力和生活质量。对于首次佩戴助听器的听力损失患者,补充咨询应基于证据并根据其个体需求进行调整。迄今为止,已经开发了几种咨询方案和工具。这项随机对照试验研究的目的是,就听力相关障碍程度(使用听力障碍量表(HHI))、沟通应对策略(使用听力受损者沟通概况(CPHI))以及对助听器的总体满意度(使用李克特量表),调查IDA的“美好生活”咨询工具在首次佩戴助听器者中的应用效果。两组(IDA组和对照组)均佩戴了助听器,并由同一位听力学家对其助听器使用进行咨询。IDA组参加了一次额外的关于使用“美好生活”工具的沟通应对策略咨询会议。在佩戴助听器4至6周、3个月和6个月后测量HHI和CPHI时,对两组参与者的助听器佩戴情况进行了检查。尽管两组在主要和次要结果上没有统计学上的显著差异,但IDA组的HHI评分确实显示出更持续的改善,且较少使用适应不良策略。“美好生活”咨询工具被证明是首次佩戴助听器者中受到好评且有用的咨询工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b489/11417736/1593a486d61e/audiolres-14-00071-g001.jpg

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