HEARING IMPAIRMENTS IN MIDDLE AGE THE ACCEPTABILITY BENEFIT AND COST OF DETECTION ABCD
HEARING IMPAIRMENTS IN MIDDLE AGE THE ACCEPTABILITY BENEFIT AND COST OF DETECTION ABCD
复制标题
DOI：
10.3109/03005369209077866
复制
发表时间：
1992-01-01
期刊：
影响因子：
--
通讯作者：
THOMAS K
中科院分区：
文献类型：
--
作者：
DAVIS A;STEPHENS D;THOMAS K
听力障碍、残疾和残疾的主要流行病学调查表明，老年人是听力障碍最严重的群体。关于如何最有效地减轻下一代与年龄有关的听力障碍的负担，存在相当大的争论。“目标”个人与助听器的早期拟合可能会有所帮助，但有大量的方法学问题与进行和评估这样的研究计划（特别是回顾性的）。早期适应作为减少后期残疾的一种手段，其逻辑前提是确定早期干预的可接受性和益处。因此，本研究着手调查年龄/性别登记提供的初级医生（GP）作为一个适当的基础，以确定候选人的早期援助之间的样本中的中年患者（50-65岁）生活在罗斯，卡迪夫。在662名回复了最初联系信的人中（1050人在年龄/性别登记册上），21人已经拥有助听器。经过筛选和检查，66人被提供了某种形式的管理，其中43人在研究过程中接受。因此，在这一中年群体中，援助使用率从约3%增加到9%以上。2年的随访表明继续使用的艾滋病，并在语音接收任务的好处进行了测量。检测那些可能受益的人的成本是使用两个问题的“纸和笔”屏幕作为第一步计算的。如果实施一项旨在发现中频上至少45 dB HTL损害的标准，则威尔士的国家方案在最初的5年跨度内按1990年价格计算每年至少花费188，000英镑。对于35 dB的标准，成本将是378，000 pa。
The major epidemiological investigations of hearing impairment, disability and handicap show that the elderly are the group most disabled by their hearing impairment. There is considerable debate concerning the most efficient way of reducing this inevitable burden of age-related hearing impairments in the next generation. Early fitting of 'targeted' individuals with hearing aids may help but there are a large number of methodological problems associated with conducting and evaluating such a programme of research (especially retrospectively). The logical prerequisite to early fitting as a means of reducing later disability is to ascertain the acceptability of and benefit given by intervention at this early stage. This study therefore set out to investigate the age/sex register provided by the primary physician (GP) as an appropriate base to identify candidates for early aid fitting among a sample of middle-aged patients (50-65 years) living in Roath, Cardiff. Of the 662 who replied to an initial contact letter (1050 were on the age/sex register), 21 already possessed hearing aids. After screening and examination 66 people were offered some form of management which was accepted by 43 during the course of the study. Aid use thereby increased from about 3% to over 9% in this middle-aged group. A 2 year follow-up indicated continued use of the aids, and benefit on a speech reception task was measured. The cost of detecting those who might benefit was calculated using a two-question 'paper and pencil' screen as the first step. A national programme for Wales would cost at least .pnd.188,000 per annum at 1990 prices over an initial 5 year span if a criterion which aimed to find at least 45 dB HTL impairments over mid-frequencies was implemented. For a criterion of 35 dB the cost would be .pnd.378,000 pa.