Term
| something that changes in the pt’s life as a consequence of service or device(s) provided |
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Definition
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Term
| to determine the impact of intervention the perceived disability attributed to hearing loss |
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Definition
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Term
| Why should we validate outcomes? |
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Definition
1. We can't know if the treatment helped or not
2. To quantify the extent of "help" from the HAs or other assistive tech
3. To improve quality |
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Term
Goals of Outcome Measurement:
-To document the ___ of services
-To identify patients who need more ___
-To ___ the success of services overall
-To justify recommendations for technology to third-party payers (___) and demonstrate ___ and/or ___ in disability from hearing loss
-To document/provide ___ for a raise
-Healthcare professionals are expected to collect & report ___ data |
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Definition
| success; help; improve; insurance; improvements; reduction; justification; outcome |
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Term
| What are the 3 ways to measure outcomes? |
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Definition
1. Ask the patient (and family) questions & document responses
2. Use self-report questionnaires
3. Test aided & unaided speech understanding ability in quiet & noise |
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Term
| Post-fitting considerations (all of the complaints and problem areas) are typically addressed ___ to outcomes |
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Definition
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Term
| What questionnaire asks the patient how long they wear their HA's per day? |
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Definition
| The Hearing Aid User's Questionnaire (HAUQ) |
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Term
| What are the 4 outcome domains? |
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Definition
| Disability, handicap, benefit, and satisifaction |
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Term
| occurs as a result of some type of disease process or malformation of the auditory system (e.g. presbycusis) |
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Definition
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Term
| any loss or abnormality of psychological, physiologic, or anatomic structure or function (e.g. high-frequency hearing loss) |
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Definition
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Term
any restriction or lack of ability to perform an activity in the manner or within the range considered normal (e.g. unable to
understand average speech in background noise) |
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Definition
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Term
a disadvantage for a given individual, resulting from an impairment or a disability, that limits or prevents the fulfillment of a role that is normal, based on their age, gender, social, &
cultural factors (e.g. unable to keep coaching sport due to problems understanding speech in noise) |
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Definition
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Term
| difficulties an individual may have in carrying out activities (e.g. unable to understand TV when background noise is present) |
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Definition
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Term
problems an individual might experience in individual life
situations (e.g. avoids gatherings with friends to watch favorite sporting event on TV) |
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Definition
| Participation restrictions |
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Term
| when individuals restrict activities due to hearing loss |
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Definition
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Term
individual, who wears hearing aids, increases participation in
social, occupational, & recreational events |
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Definition
| Decreased hearing handicap |
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Term
| patients with hearing loss, who wear hearing aids, report increased communication-related activities |
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Definition
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Term
Hearing Handicap Inventory – Elderly (HHIE):
-Has been used in numerous ___
-For pts __+ years
-25 items on ___ point scale; 2 subscales (E =___, S=___)
-Measures decrease in ___ (with HAs)
-higher scores mean ___ handicap
-lower scores mean ___ handicap
-After HAF, scores typically decrease __-__ points |
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Definition
| studies; 65; 100; emotional; social; handicap; MORE; LESS; 20-30 |
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Term
| The Hearing Handicap Inventory – Adults (HHIA) is the same as the HHIE except that the questions are modified for pts less than ___ years old |
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Definition
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Term
HHIE-S:
-10 items (40 points total): higher scores mean ___ handicap and lower scores mean ___ handicap
-YES (__ pts), NO (__ pts), SOMETIMES (__ pts)
-95% confidence interval = ___ points
-(so a > ___ point change suggests a true change in self-perceived handicap pre- & post HAF |
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Definition
| MORE; LESS; 4; 0; 2; 9.3; 10 |
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Term
| often defined as the difference between aided & unaided scores |
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Definition
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Term
Abbreviated Profile of Hearing Aid Benefit (APHAB):
-Consists of __ items with 4 categories
-What are the 4 categories?
-larger numbers suggest ___ amounts of difficulty/disability
-smaller numbers mean “___ of disability”
-Benefit =___ minus ___ numbers (large “benefit” number suggests MORE HA benefit) |
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Definition
| 24; EC: ease of communication (quiet), RV: reverberation, BN: background noise, and AV: aversiveness to sounds (tests negative reactions to loud sounds); greater; reduction; aided; unaided |
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Term
| What are some factors that affect HA satisfaction? |
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Definition
| HA benefit, expectations about HAs, financial costs, psychological components, problems, and remaining communication difficulties |
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Term
| This survey asks about satisfaction of results and the whole process of getting fitted with HAs |
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Definition
| The Satisfaction with Amplification in Daily Life (SADL) |
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Term
| What are the sub-scales of the SADL? |
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Definition
| Positive effect, cost and service, negative features, and personal image |
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Term
| How many items are on the SADL? |
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Definition
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Term
Client-oriented Scale of Improvement (COSI):
-List ___ ___ situations reported by patient.
-Pt rates ___ with HAs as “much better”, “better”, “slightly better”, “no better”, or “worse” |
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Definition
| difficult listening; environment |
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Term
| The COSI is best used to detect pts who report abnormally ___ benefit. |
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Definition
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Term
International Outcomes Inventory- Hearing Aids IOI-HA:
-___-item survey
-Normative data ___
-What are the 7 domains? |
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Definition
| 7; available; Daily use, benefit, limits on activities, satisfaction, restrictions on participation, impact on others, and quality of life. |
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Term
Limitations of Questionnaires:
-Some pts can not or do not ___ them
-Some audiologists do not like to ___ them and/or are ___ to use them
-Standard questionnaires may not give information about __ or __ situations in which an individual needs help |
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Definition
| complete; complete; unable; 1 or 2 (specific) |
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