Educational Program for Hearing Aid Users With Internet Support
A Randomized, Controlled Trial Evaluating the Short- and Long-term Effects of an Internet-based Aural Rehabilitation Program for Hearing Aid Users Implemented in a General Clinical Practice
研究概览
详细说明
Aural rehabilitation aims to improve communication for people with hearing impairment. Education is widely regarded as an integral part of rehabilitation, but the effect of the delivery method of an educational program on the experience of hearing problems has rarely been investigated in controlled trials. Internet as a complement to aural rehabilitation has been tested in different studies with promising results. Though, until now not applied clinically as a part of an aural rehabilitation, focusing on hearing aid users with persistent self- reported hearing problems.
The purpose of this study was to evaluate the effect of an internet-based aural rehabilitation for hearing aid users from a clinical population.
Participants were randomly assigned to an intervention or control group. The intervention group followed a five-week program that consisted of reading material, home training assignments, online and telephone interaction with an audiologist, and participation in a discussion forum. The control group only had access to reading material.
The Hearing Handicap Inventory for the Elderly (HHIE), the Hospital Anxiety and Depression Scale (HADS) and the Communication Strategies Scale (CSS) were used to measure the outcomes of this study; and were recorded before and directly after the intervention as well as 6 months post-intervention.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Vastra Gotalandsregion
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Boras、Vastra Gotalandsregion、瑞典、501 82
- Hearing Clinic, Hearing Organization
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- the hearing aid users to be between 20 and 80 yr of age,
- the hearing aid users to have conductive or sensorineural hearing loss of mild to moderate degree (20-60 decibel Hearing Level pure-tone average measured across 500, 1000, and 2000 Hertz),
- the hearing aid users to have completed a hearing aid fitting at least 3 months before the study began (regardless of hearing aid manufacturer, model, or hearing aid outcomes),
- the hearing aid users to have a Hearing Handicap Inventory for the Elderly (HHIE) score of >20 points (indicative of some residual self-reported hearing problems),
- the hearing aid users to provide informed consent to participate
Exclusion Criteria:
- the hearing aid users who are not fulfilling the conditions to participate
学习计划
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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有源比较器：Control group
no professional support
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The intervention group followed a five-week program that consisted of reading material, home training assignments, online and telephone interaction with an audiologist, and participation in a discussion forum.
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实验性的：Intervention group
Professional support via Internet
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The control group only had access to reading material.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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The Hearing Handicap Inventory for the Elderly (HHIE)
大体时间：5 weeks, 6 months
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The HHIE measures the experience of hearing loss in older people by focusing on the psycosocial and emotional effects of hearing loss.
Higher score reflects a higher self-reported hearing problem.
Minimum score for the total scale (reported) is 0 and maximum score is 100 points.
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5 weeks, 6 months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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International Outcome Inventory for Hearing Aids (IOI-HA)
大体时间：pre-measurement
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The IOI-HA measures hearing aid outcomes.
The IOI-HA includes seven questions, measuring specific dimensions of hearing aid outcomes: daily use, benefits, remaining activity limitations, satisfaction, remaining participation restrictions, impact on the environment, and quality of life.
Each question is scored from 1 to 5 (reported), where a higher score indicates a better outcome.
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pre-measurement
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Hospital Anxiety and Depression Scale (HADS)
大体时间：5 weeks, 6 months
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The HADS contains 14 items.
Responses are scored from 0 to 3 and a higher score indicates more symptoms of anxiety and depression.
Minimum score for the total scale (reported) is 0 and maximum score for the total scale is 42.
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5 weeks, 6 months
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Communication Strategies Scale (CSS)
大体时间：5 weeks, 6 months
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CSS is designed to analyze participants' behavior in various communication situations.
Scoring for CSS ranges from 1 almost never to 5 almost always for subscales Verbal- and Nonverbal Strategies and conversely for Maladaptive Behaviors; indicating how frequent a specific situation or behavior occurs.
Minimum score for the total scale (reported) is 0 and maximum score for the total scale is 125.
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5 weeks, 6 months
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合作者和调查者
调查人员
- 首席研究员：Gerhard Andersson, Professor、Department of Clinical and Experimental Medicine, Division of Technical Audiology, Linkoping University, Sweden; Department of Behavioral Sciences and Learning, Swedish Institute.
- 首席研究员：Thomas Lunner, Professor、Department of Clinical and Experimental Medicine, Division of Technical Audiology, Linkoping University, Sweden; Oticon A/S, Research Centre Eriksholm, Snekkersten, Denmark.
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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