Development and initial validation of the ‘Clinical Global Impression’ to measure outcomes for audiological rehabilitation

Öberg, Marie; Wänström, Gunilla; Hjertman, Heléne; Lunner, Thomas; Andersson, Gerhard

doi:10.1080/09638280802621408

Cited by 14 publications

(8 citation statements)

References 18 publications

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“…Historically, audiologists have tried to quantify the benefits of audiologic rehabilitation efforts through the use of objective outcome measures, including the estimated degree of improvement in communication function after intervention (Bess, 2000). Such objective outcome measures may include speech perception testing, aided loudness judgements, and real ear insertion gain measurements (Cox, 2003;Öberg, Wänström, Hjertman, Lunner, & Andersson, 2009). Whilst performance measures are an essential component of the validation procedure, they alone do not provide a holistic evaluation of rehabilitation efforts aligned with patient/family-centred care principles (Gatehouse, 1999).…”

Section: Validation Of Adult Audiologic Rehabilitationmentioning

confidence: 99%

Readability of Patient-Reported Outcome Measures in Adult Audiologic Rehabilitation

Douglas

Kelly-Campbell

2018

Am J Audiol

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When developing or reevaluating PROMs designed for use in adult audiologic rehabilitation, researchers should consider ways to improve the readability of their measure, as poor readability may affect the validity of the empirical data collected using the PROM. Additionally, the adequate readability of audiologic PROMs is required if patient/family-centered care values are to be adhered to within the field of adult audiologic rehabilitation.

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Section: Validation Of Adult Audiologic Rehabilitationmentioning

confidence: 99%

Readability of Patient-Reported Outcome Measures in Adult Audiologic Rehabilitation

Douglas

Kelly-Campbell

2018

Am J Audiol

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“…Although users of a self-fitting hearing aid will be completing the fitting and fine-tuning process on their own, there is potentially still a role for hearing health care professionals, particularly in the areas of auditory rehabilitation and “arm’s length” assistance with device management issues. In support of this, a study by Öberg, Wänström, Hjertman, Lunner, and Andersson (2009) demonstrated that audiologists are able to effectively use telephone interviews to determine the outcome of a hearing aid fitting among clients who are new to amplification. Several additional studies have shown that patients and health care providers have been able to successfully manage such chronic conditions as depression and diabetes via telephone or Internet consultations (Simon, Von Korff, Rutter, & Wagner, 2000; Wakefield et al, 2011).…”

Section: Introductionmentioning

confidence: 95%

Perception of a Self-Fitting Hearing Aid Among Urban-Dwelling Hearing-Impaired Adults in a Developed Country

Convery

Keidser

Hartley

2011

Trends in Amplification

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A self-fitting hearing aid is a personal amplification device that is designed to be assembled, programmed, and fine-tuned by the user, without the need for additional equipment or professional support. A written description of the device was presented to 80 older adults with a hearing impairment, all of whom were residents of an urban area in a developed country. In response to a structured questionnaire, the majority of participants reported that the self-fitting hearing aid concept was a good idea (83%), would be of personal benefit (60%), and could be managed independently by the user (90%). Overall, half of the participant group agreed with all three statements. Two were uncertain about the concept, but none of the participants rejected it outright. There were no significant differences between the opinions of participants with previous hearing aid experience and those without. Participant responses to open-ended questions revealed that the main benefits of a self-fitting hearing aid were thought to be the ability to self-adjust the device's settings (reported by 33% of participants) and increased convenience (20% of participants). The main drawback, mentioned by 25% of participants, was a preference for professional guidance through the fitting process. These results suggest that the self-fitting hearing aid may present as an alternative product in developed countries for those users who prefer to be in control of the fitting process.

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“…The questionnaires measure hearing-aid benefit, hearing-aid satisfaction, activity limitation and participation restriction. The chosen questionnaires are considered reliable and internally valid [15,16], but none have been validated for Internet use. In a randomised cross-over design, half of the participants answered the online versions of the questionnaires first and the paper versions second, and the other half of the participants answered the questionnaires in the opposite order.…”

Section: Introductionmentioning

confidence: 99%

The use of research questionnaires with hearing impaired adults: online vs. paper-and-pencil administration

Thorén

Andersson

Lunner

2012

BMC Ear Nose Throat Disord

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BackgroundWhen evaluating hearing rehabilitation, it is reasonable to use self-report questionnaires as outcome measure. Questionnaires used in audiological research are developed and validated for the paper-and-pencil format. As computer and Internet use is increasing, standardized questionnaires used in the audiological context should be evaluated to determine the viability of the online administration format.The aim of this study was to compare administration of questionnaires online versus paper- and pencil of four standardised questionnaires used in hearing research and clinic. We included the Hearing Handicap Inventory for the Elderly (HHIE), the International Outcome Inventory for Hearing Aids (IOI-HA), Satisfaction with Amplification in Daily Life (SADL), and the Hospital Anxiety and Depression Scale (HADS).MethodsA cross-over design was used by randomly letting the participants complete the questionnaires either online or on paper. After 3 weeks the participants filled out the same questionnaires again but in the other format. A total of 65 hearing-aid users were recruited from a hearing clinic to participate on a voluntary basis and of these 53 completed both versions of the questionnaires.ResultsA significant main effect of format was found on the HHIE (p < 0.001), with participants reporting higher scores on the online format than in the paper format. There was no interaction effect. For the other questionnaires were no significant main or interaction effects of format. Significant correlations between the two ways of presenting the measures was found for all questionnaires (p<0.05). The results from reliability tests showed Cronbachs α’s above .70 for all four questionnaires and differences in Cronbachs α between administration formats were negligible.ConclusionsFor three of the four included questionnaires the participants’ scores remained consistent across administrations and formats. For the fourth included questionnaire (HHIE) a significant difference of format with a small effect size was found. The relevance of the difference in scores between the formats depends on which context the questionnaire is used in. On balance, it is recommended that the administration format remain stable across assessment points.

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Development and initial validation of the ‘Clinical Global Impression’ to measure outcomes for audiological rehabilitation

Abstract: It is suggested that the brevity and usefulness of the AR-CGI makes it a potential tool for further use in audiological settings.

Cited by 14 publications

References 18 publications

Readability of Patient-Reported Outcome Measures in Adult Audiologic Rehabilitation

Readability of Patient-Reported Outcome Measures in Adult Audiologic Rehabilitation

Perception of a Self-Fitting Hearing Aid Among Urban-Dwelling Hearing-Impaired Adults in a Developed Country

The use of research questionnaires with hearing impaired adults: online vs. paper-and-pencil administration

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