Journal article
Hearing handicap ratings among different profiles of adult cochlear implant users
Ear and hearing, Vol.29(1), pp.112-120
01/2008
DOI: 10.1097/aud.0b013e31815d6da8
PMID: 18091100
Abstract
The aim was to compare outcomes in the domain of self-reported hearing handicap across groups of patients fit with one versus two cochlear implants (CI, CI + CI), or with an implant and a hearing aid (HA) in the nonimplanted ear (CI + HA).
The design was retrospective, and a preliminary step was to factor analyze the two measures used, namely, the Hearing Handicap Inventory for the Elderly (HHIE) and the Hearing Handicap Questionnaire (HHQ). Longer versus shorter-term experience with a single implant profile was compared, and further analysis confined to patients fit for less than 100 mo across the three profiles. Pre- versus postimplant self-report and performance (speech test, localization) data were also compared.
Three factors were identified in the HHIE, labeled Emotional Distress (HHIE), Difficulty in Hearing, and Social Restriction (HHIE). Highest handicap score for Emotional Distress (HHIE) was observed in the CI + HA group. There were significantly lower scores for Difficulty in Hearing in the CI + CI group than in the CI (p = 0.02) or CI + HA (p = 0.001) groups. On the Social Restriction (HHIE) subscale, the CI + CI group reported significantly lower rating than the CI (p = 0.009) or CI + HA (p = 0.006) groups. Two factors were identified in the HHQ, labeled Emotional Distress (HHQ) and Social Restriction (HHQ). Significantly higher Emotional Distress (HHQ) score was observed in the CI + HA group than in the CI + CI group (p = 0.002); significantly lower Social Restriction (HHQ) score was found in the CI + CI group than in the CI (p = 0.02) or CI + HA (p < 0.001) groups. Pre-post speech test performance showed least contrast in the CI + HA group.
Outcomes demonstrate an evident reduction from single or bilateral implantation in the area of emotional distress and a further advantage from bilateral implantation in the areas of hearing difficulty and social restriction.
Details
- Title: Subtitle
- Hearing handicap ratings among different profiles of adult cochlear implant users
- Creators
- William Noble - School of Psychology, University of New England, AustraliaRichard TylerCamille DunnNavjot Bhullar
- Resource Type
- Journal article
- Publication Details
- Ear and hearing, Vol.29(1), pp.112-120
- Publisher
- United States
- DOI
- 10.1097/aud.0b013e31815d6da8
- PMID
- 18091100
- ISSN
- 0196-0202
- eISSN
- 1538-4667
- Grant note
- P50 DC000242-21 / NIDCD NIH HHS
- Language
- English
- Date published
- 01/2008
- Academic Unit
- Communication Sciences and Disorders; Otolaryngology
- Record Identifier
- 9984002435702771
Metrics
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