Feng Qing-Yuan, Li Song, Cao Yong-Mao, Duan Chuan-Xin, Ma Lu, Wu Dan, Tao Ze-Zhang
Department of Otolaryngology-Head and Neck Surgery, Renmin Hospital of Wuhan University, 238 Jie-Fang Road, Wuhan, Hubei, 430060, China.
Editorial Department of Journal of Audiology and Speech Pathology, Wuhan University, Wuhan, 430071, China.
J Otol. 2024 Apr;19(2):77-84. doi: 10.1016/j.joto.2024.02.001. Epub 2024 Jun 6.
Cochlear implant is currently the most widely proven interventions for auditory rehabilitation for children with severe sensorineural hearing impairment. However, there are obvious limitations in these current evaluation methods. This study aims to develop an evaluation system for quantitatively evaluating the effectiveness of cochlear implants for hearing-impaired children.
A correspondence questionnaire was developed based on an initial indicator system that was developed based on the literature focused on the evaluation of cochlear implant outcomes in children. Twenty-five experts in otology, clinical audiology, rehabilitation audiology, and mental health from nine provinces in China were consulted. The degree of authority and coordination of experts and the indicators and weights of the quantitative evaluation system were analyzed. Seventy-eight children aged 3-11 years after cochlear implantation were recruited from two centers in Hubei province to evaluate the reliability and validity of the quantitative evaluation system.
The opinions of experts converged after the second round of correspondence, and the coordination and authority of the expert consensus were met. The recall rate of the questionnaire was 100% for both rounds. Five secondary indicators, including auditory ability, verbal ability, behavioral assessment, learning capabilities, and quality of life, and 13 tertiary indicators were reserved for the evaluation of cochlear implant effectiveness. The weight of each indicator was calculated. The Cronbach's α coefficient of the quantitative evaluation system based on the standardized items was 0.930, and the three extracted common factors could explain 78.86% of the total variance.
An expert consensus-based evaluation system that can quantitatively evaluate the effectiveness of cochlear implants in children has been developed with good reliability and validity.
人工耳蜗是目前已被广泛证实的针对重度感音神经性听力障碍儿童进行听觉康复的干预措施。然而，当前这些评估方法存在明显局限性。本研究旨在开发一种评估系统，用于定量评估人工耳蜗对听力受损儿童的有效性。
基于最初的指标体系编制了一份信函调查问卷，该指标体系是根据聚焦于儿童人工耳蜗植入效果评估的文献制定的。咨询了来自中国九个省份的25名耳科学、临床听力学、康复听力学和心理健康方面的专家。分析了专家的权威程度和协调性以及定量评估系统的指标和权重。从湖北省的两个中心招募了78名3至11岁人工耳蜗植入术后的儿童，以评估该定量评估系统的可靠性和有效性。
经过第二轮信函调查，专家意见趋于一致，达到了专家共识的协调性和权威性。两轮问卷的回收率均为100%。保留了包括听觉能力、言语能力、行为评估、学习能力和生活质量在内的5个二级指标以及13个三级指标用于评估人工耳蜗植入效果。计算了每个指标的权重。基于标准化项目的定量评估系统的Cronbach's α系数为0.930，提取的三个共同因素可解释总方差的78.86%。
已开发出一种基于专家共识的评估系统，可定量评估人工耳蜗对儿童的有效性，具有良好的可靠性和有效性。
