International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - 4(15), August, 2012

Pages: 30-36

Date of Publication: 15-Aug-2012


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SELF REPORTED HEARING AID OUTCOME MEASURES USING DISEASE SPECIFIC QUESTIONNAIRE IN HEARING IMPAIRED ADULTS

Author: Ayas Muhammed, Kanaka, Rajashekhar Bellur

Category: Healthcare

Abstract:Hearing impairment is one of the most frequent sensory deficits in human population, affecting more than 250 million people in the world. It affects the overall well being and cognition which results in depression and reduced quality of life (QOL).Hearing aids are used to rehabilitate these individuals and quantifying the results of a hearing aid fitting is often an overlooked aspect of the patient rehabilitation. Therefore self reported measures play a major role in assessing the outcomes in aural rehabilitation Objective: To assess the self reported hearing aid outcome using disease specific questionnaire, Abbreviated Profile of Hearing Aid Benefit (APHAB) in hearing impaired adults. Method: 15 subjects with age range of 18-60 years
were participated in the study to compare the pre and post (two months) amplification changes with the hearing aid. The outcome of hearing aid fitting was evaluated using APHAB. Results: There were significant changes in hearing aid related aspects and its use. However, it is reported that more benefit with the hearing aid is seen when the device is worn at least for a period of one year. Conclusion: The use of self reported measures in routine clinical settings helps the clinician to select an appropriate amplification device and also provide a scientifically defensible way to measure the real-life success of the hearing aid fitting program and thereby improving their overall quality of life

Keywords: Hearing impairment, self reported measures QOL, APHAB.

Full Text:

INTRODUCTION

Hearing impairment is one of the most frequent sensory deficits in human population, affecting more than 250 million people in the world [1]. According to the World Health Organization (WHO), hearing impairment and deafness are serious disabilities that can impose a heavy social and economic burden on individual‘s families. Hearing loss can occur at any age; it has grave consequences on adults, as most of them are employed and will face problems in working situations. The extent of auditory disability again depends upon the degree, the type of loss and the pattern of auditory configuration. Myklebust [2] suggested that hearing loss between 45 and 65 dBHL clearly affects the social interaction and the background information. Mulrow, Aguilar, Endicott, Tuley, Velez, Charlip, et al. [3] reported that the hearing impairment will affect the overall well being and cognition which results in depression. Dalton, Cruickshanks, Klein, Klein,Wiley and Nondahl [4] stated that the hearing loss is associated with reduced quality of life (QOL), hearing handicap and self-reported communication difficulties in older adults.

To overcome such difficulties, auditory rehabilitation is necessary and it can be achieved through hearing aids. It may be true to a certain degree that hearing aid technology has provided a much better performance but, still are not the same as biological ears. Therefore theses individuals face difficulties with the hearing aid when they use it for first time [5]. Therefore, it is important to know how well an individual is getting benefited with the hearing aid and how it contributes to his / her daily life [6]. Quantifying the results of a hearing aid fitting is often an overlooked aspect of the patient rehabilitation. However, quantification helps the clinicians to precisely assess the subjective benefit, a patient perceives from amplification. Cox [7] reported that the patient based outcomes have become increasingly important in evaluating the overall effectiveness of the treatment. The outcome of audiological rehabilitation involving hearing aid fitting is typically evaluated with the use of self-reported measures using standardized questionnaires such as disease specific questionnaires. These measures may include assessment of satisfaction with hearing aids, benefits from hearing aids and also reduction in client‘s perceived handicap due to the fact that they are wearing hearing aid. In the new era of consumer driven health care, the client‘s point of view is being increasingly accepted as a valid and important indicator in the success of treatment. Therefore in the long run, what the practitioner thinks may not matter very much if the client has a different opinion [8]. However until recently, these were given in informal discussions with non-professionals. Most of the professionals (Audiologists) often did not look at client‘s opinions [9] and they were not regarded as serious scientific data. Therefore, it is important to gather information from the patient‘s perspective regarding the hearing aid use or benefit.

Lack of published studies and research in hearing aid outcome measures in the Indian scenario has led to the present study. Mortensen [10] stated that the use of disease specific questionnaires, gives an overall understanding of QOL and hearing aid related information. Hence, in the present study, Abbreviated Profile of Hearing Aid Benefit (APHAB)[11], a disease specific questionnaire is administered on hearing aid users before and after two months of hearing aid use to assess the hearing aid benefit in order to understand the hearing impaired individuals as a whole.

MATERIALS AND METHODS

The study was carried out in the Department of Speech and Hearing, Manipal University. Fifteen participants were recruited for the study. A disease specific questionnaire-APHAB was administered before and two months after hearing aid fitting. All the subjects were explained about the potential importance and scientific benefit of reporting the data and consensus obtained. Participants were selected based on following criteria. They should have bilateral moderate senosri-neural hearing loss with an age range between 18 years to 60 years. All the participants were fitted with digital hearing aid monaurally and most importantly a first time user. People with congenital hearing loss and with past history of hearing aid usage were excluded from the study. Age, gender and duration of loss are noted in order to avoid its influence on the outcome of the study. APHAB is used to quantify everyday life problems associated with hearing impairment. It is a 24 item self-assessment inventory (table1).APHAB provides scores for 4 subscales. Each item contributes to only one subscale, and there are six items for each subscale, distributed randomly within the inventory. A higher APHAB score indicates more perceived difficulty in a particular situation and also certain items are written with a reversed logic (i.e., ?always‘ means fewer problems). This pattern is followed to maximize the validity and reliability of the data. Once the participants fulfil the selection criteria

 

 

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Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


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A study by Muhas C. et al. entitled \"Study on Knowledge & Awareness About Pharmacovigilance Among Pharmacists in South India\" is awarded Best article for Vol 14 issue 22
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A study by Alice Alice entitled \"Strengthening of Human Milk Banking across South Asian Countries: A Next Step Forward\" is awarded Best article of Vol 14 issue 20
A study by Sathyanarayanan AR et al. entitled \"The on-task Attention of Individuals with Autism Spectrum Disorder-An Eye Tracker Study Using Auticare\" is awarded Best article of Vol 14 issue 19
A study by Gupta P. et al. entitled \"A Short Review on \"A Novel Approach in Fast Dissolving Film & their Evaluation Studies\" is awarded Best Article of Vol 14 issue 18.
A study by Shafaque M. et al. entitled \"A Case-Control Study Performed in Karachi on Inflammatory Markers by Ciprofloxacin and CoAmoxicillin in Patients with Chronic Suppurative Otitis Media\" is awarded Best Article of Vol 14 issue 17
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A study by Singh R. et al. entitled \"A Prospective Study to Find the Association of Astigmatism in Patients of Vernal Keratoconjunctivitis (VKC) in a Tertiary Health Care Centre in India (Vindhya Region MP)\" is awarded Best Article for Vol 14 issue 15
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A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
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A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
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A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
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A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
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A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
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A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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