Klinische Ergebnisse bei der Anwendung des APHAB (deutsche Version) in der Hörgeräteversorgung

Löhler, Jan; Möser, Ludwig; Heinrich, D.; Hörmann, K.; Walther, Leif Erik

doi:10.1007/s00106-011-2466-x

Cited by 25 publications

(30 citation statements)

References 12 publications

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“…In addition, we measured and recorded the pure-tone thresholds of the participants at all octave frequencies between 0.5 and 8.0 kHz by air conduction. The database did not include a record of patients who had a difference in hearing loss of >60 dB in comparisons of air conduction for both ears at frequencies at 0.5, 1.0, and 2.0 kHz, based on the three-frequency table [5, 6]. We excluded these patients to avoid the influence of compensatory effects in cases of severe hearing loss asymmetry.…”

Section: Methodsmentioning

confidence: 99%

“…Recently, the abbreviated profile of hearing aid benefit (APHAB), developed by Cox and Alexander [1, 2], has become an important audiological tool in Germany [3, 4], and it is currently the most commonly used diagnostic inventory for patients with statutory insurance in this country. There are no discernible differences between the original United States APHAB and the German adaptation [5, 6]. …”

Section: Introductionmentioning

confidence: 99%

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Sensitivity and specificity of the abbreviated profile of hearing aid benefit (APHAB)

Löhler¹,

Wollenberg

et al. 2017

Eur Arch Otorhinolaryngol

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Subjective hearing loss in hearing-impaired patients can be assessed by inventory questionnaires. The abbreviated profile of hearing aid benefit (APHAB) measures subjective hearing loss in four typical hearing situations (subscales). It is used to fit hearing aids in patients with statutory insurance in Germany. In addition, the unaided APHAB (APHABu) can be used as a primary diagnostic instrument in audiology. There are no published data regarding the sensitivity and specificity of the unaided APHABu. Therefore, we investigated these parameters for detecting hearing loss of at least 25 dB at any frequency between 0.5 and 8.0 kHz. We used the APHABu to determine hearing loss in 245 subjects aged 50 years and older without any reported disease of the ears. Due to incomplete answering of the APHAB form, 55 subjects have been excluded. We also measured the pure-tone thresholds by air conduction for all octave frequencies between 0.5 and 8 kHz. Receiver operating characteristic (ROC) curves and the Youden Index were used to determine the diagnostic value of the APHABu, particularly sensitivity and specificity, in three different ways: (1) separately for ease of communication (ECu), background noise (BNu), and hearing with reverberation (RVu) subscales; (2) with the mean value of ECu, BNu, and RVu; and (3) with a logistic regression model. The area under the ROC curve was lower for BN only (0.83) and nearly equal for all other methods (0.87–0.89). Depending on how we performed the analyses, the sensitivity of the APHABu was 0.70–0.84 (single subscales), 0.76 (mean value of ECu, BNu, and RVu), or 0.85 (logistic regression model). The specificity was 0.79–0.95. The use of single APHABu subscales for determining the sensitivity and specificity of the APHABu due to confusing results. In comparison, the use of the mean value of ECu, BNu, and RVu and the use of the logistic regression model due to equal values in the ROC curves but a higher sensitivity in the logistic regression model. Therefore, we would recommend the last method for determining the sensitivity and specificity of the APHABu.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sensitivity and specificity of the abbreviated profile of hearing aid benefit (APHAB)

Löhler¹,

Wollenberg

et al. 2017

Eur Arch Otorhinolaryngol

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“…Hintergrund Die moderne audiologische Primärdiagnostik stützt sich hinsichtlich der Bewertung des Ausmaßes einer Schwerhörigkeit und des Nutzens einer Hörgeräteversorgung (HGV) auf 3 Säulen: die Ton-und Sprachaudiometrie als (semi)objektive Verfahren und Frageninventare zur subjektiven Bewertung. Im Rahmen einer HGV nach der Hilfsmittel-Richtlinie [1] kommt dabei in Deutschland seit Jahren der APHAB-Fragebogen (Abbreviated Profile of Hearing Aid Benefit) obligatorisch zum Einsatz, Abweichungen der deutschen Perzentilverteilungen der APHAB-Antworten von der gegebenen US-Norm ließen sich nicht nachweisen [2][3][4][5].…”

Section: Aphab-scores Zur Individuellen Beurteilung Des Nutzens Von Hunclassified

“…

HintergrundDie moderne audiologische Primärdiagnostik stützt sich hinsichtlich der Bewertung des Ausmaßes einer Schwerhörigkeit und des Nutzens einer Hörgeräteversorgung (HGV) auf 3 Säulen: die Ton-und Sprachaudiometrie als (semi)objektive Verfahren und Frageninventare zur subjektiven Bewertung. Im Rahmen einer HGV nach der Hilfsmittel-Richtlinie [1] kommt dabei in Deutschland seit Jahren der APHAB-Fragebogen (Abbreviated Profile of Hearing Aid Benefit) obligatorisch zum Einsatz, Abweichungen der deutschen Perzentilverteilungen der APHAB-Antworten von der gegebenen US-Norm ließen sich nicht nachweisen [2][3][4][5].Der APHAB besteht aus 24 Einzelfragen aus 4 Unterskalen zu alltäglichen Hörsituationen. Die EC-Skala ("ease of communication") beschreibt einfache Hörsituationen ohne Nebengeräusche in ruhiger Umgebung, die BN-Skala ("background noise") stellt Hörsituationen mit Hintergrundgeräuschen dar, die RV-Skala ("reverberation") bildet Hörsituationen in großen Räumen mit Nachhall Tab.

…”

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APHAB-Scores zur individuellen Beurteilung des Nutzens von Hörgeräteversorgungen

Löhler¹,

Wollenberg

Schönweiler

2017

HNO

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“…Darüber hinaus werden noch 6 Fragen zum Hören in lauten Situationen gestellt ("aversiveness of sounds" -AV-Skala, Fragen 3,8,13,17,20,22). Die Patienten sollen auf einer 7-stufigen Skala beantworten, inwiefern sie die in der Frage gestellte Situation im Hören beeinträchtigt [immer (99%), fast immer (87%), häufig (75%), in der Hälfte der Fäl-le (50%), gelegentlich (25%), selten (12%), nie (1%)].…”

Section: Hintergrundunclassified

Entwicklung und Anwendung einer APHAB-Datenbank

Löhler¹,

Akcicek²,

Kappe

et al. 2014

HNO

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A specific quality assurance questionnaire concerned with the provision of hearing aids was introduced that assesses elements of patient satisfaction within Germany's statutory healthcare system. A questionnaire-based assessment is now relevant for all physicians involved in the care of statutorily insured patients in Germany. The APHAB (Abbreviated Profile of Hearing Aid Benefit) questionnaire is the most widely used. The APHAB assesses several different situations: the normal hearing situation, hearing in noise, comprehension of speech in situations of echo or reverberation and hearing in loud situations. The APHAB questionnaire-based patient evaluation of the benefit of hearing aids represents the third pillar of audiological diagnostics, alongside classical pure-tone and speech audiometry. The objective of the APHAB database is to allow evaluation of individual patient data on the basis of a larger volume of data.

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Klinische Ergebnisse bei der Anwendung des APHAB (deutsche Version) in der Hörgeräteversorgung

Cited by 25 publications

References 12 publications

Sensitivity and specificity of the abbreviated profile of hearing aid benefit (APHAB)

Sensitivity and specificity of the abbreviated profile of hearing aid benefit (APHAB)

APHAB-Scores zur individuellen Beurteilung des Nutzens von Hörgeräteversorgungen

Entwicklung und Anwendung einer APHAB-Datenbank

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