THE ABBREVIATED PROFILE OF HEARING-AID BENEFIT

THE ABBREVIATED PROFILE OF HEARING-AID BENEFIT
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DOI:
10.1097/00003446-199504000-00005
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发表时间:
1995-04-01
期刊:
影响因子:
3.7
通讯作者:
ALEXANDER, GC
ALEXANDER, GC
中科院分区:
医学1区
文献类型:
--
作者:
COX, RM;ALEXANDER, GC

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目的:设计:助听器益处简介(PHAB)是一个66项的自我评估,基于残疾的清单,可用于记录助听器验配的结果,比较几个验配,或随着时间的推移评估相同的验配。来自128个完成的PHAB的数据用于选择缩写PHAB的项目。Ah受试者是佩戴传统模拟助听器的老年听力受损者。每个APHAB分量表的得分分布和心理测量学特性的统计进行了测定。从27个类似的主题的数据被用来检查测试的重测性能的仪器。最后,相等百分位数的配置文件生成的独立,辅助和受益分数从成功的线性助听器的佩戴者。结果:APHAB使用的一个子集的24个66个项目的PHAB,在四个6项分量表得分。其中三个分量表,沟通便利性,混响和背景噪音解决了各种日常环境中的语音理解。第四个分量表,声音的厌恶,量化了对环境声音的负面反应。APHAB通常需要10分钟或更少的时间才能完成,它会为无辅助和辅助性能以及助听器益处产生分数。重测相关系数被认为是中等偏高,类似的内容和长度的其他尺度在文献中报道的。每个分量表单独采取的关键差异被判断为是相当大的,但是,从同一个人的两个测试之间的差异较小,可以显着,如果三个语音通信分量表被认为是共同的。结论:APHAB是一个潜在的有价值的临床仪器。它可以用于量化与听力损失相关的残疾以及使用助听器实现的残疾减少。
Objective: To develop and evaluate a shortened version of the Profile of Hearing Aid Benefit, to be called the Abbreviated Profile of Hearing Aid Benefit, or APHAB.Design: The Profile of Hearing Aid Benefit (PHAB) is a 66-item self-assessment, disability-based inventory that can be used to document the outcome of a hearing aid fitting, to compare several fittings, or to evaluate the same fitting over time. Data from 128 completed PHABs were used to select items for the Abbreviated PHAB. Ah subjects were elderly hearing-impaired who wore conventional analog hearing aids. Statistics of score distributions and psychometric properties of each of the APHAB subscales were determined. Data from 27 similar subjects were used to examine the test-retest properties of the instrument. Finally, equal-percentile profiles were generated for unaided, aided and benefit scores obtained from successful wearers of linear hearing aids.Results: The APHAB uses a subset of 24 of the 66 items from the PHAB, scored in four 6-item subscales. Three of the subscales, Ease of Communication, Reverberation, and Background Noise address speech understanding in various everyday environments. The fourth subscale, Aversiveness of Sounds, quantifies negative reactions to environmental sounds. The APHAB typically requires 10 minutes or less to complete, and it produces scores for unaided and aided performance as well as hearing aid benefit. Test-retest correlation coefficients were found to be moderate to high and similar to those reported in the literature for other scales of similar content and length. Critical differences for each subscale taken individually were judged to be fairly large, however, smaller differences between two tests from the same individual can be significant if the three speech communication subscales are considered jointly.Conclusions: The APHAB is a potentially valuable clinical instrument. It can be useful for quantifying the disability associated with a hearing loss and the reduction of disability that is achieved with a hearing aid.