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Short-term hearing aid benefit in a large group.

机译:短期助听器在一大群人中受益。

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Short-term benefit in a very large group (N = 4,584) following hearing aid treatment was estimated using a revised version of the Self-Assessment of Communication (SAC-Hx). A total of 4,584 veterans with adult-onset hearing loss and mean audiometric findings consistent with a mild to severe, sloping, symmetrical, sensorineural hearing impairment were fitted with hearing aids. Responses to the SAC-Hx were gathered prior to and then 6 weeks following hearing aid fitting. Benefit was defined as the difference between the baseline and the posttreatment SAC-Hx scores. Hearing aid treatment resulted in robust and statistically significant benefit in each category of self-perceived communication consequences. Prior experience influenced benefit: New hearing aid users demonstrated the greatest magnitude of benefit, but even previously satisfied and dissatisfied users obtained significant benefit after new hearing aid fitting. Duration of experience did not have a remarkable effect on the magnitude of benefit: All groups with various durations of experience obtained comparable benefit. Severity of the baseline scores paralleled degree of hearing impairment when impairment was defined using a better ear pure tone average at 1,000, 2,000, 3,000, and 4,000 Hz. Also, severity of perceived communication consequences paralleled poorer monosyllabic word recognition. Hearing aid treatment provided a functional, robust, and statistically significant benefit to individuals in all categories of hearing impairment (normal, mild, moderate, severe, and profound). This report demonstrates the feasibility of the SAC-Hx as a tool to efficiently assess outcome domains in hearing aid fitting.
机译:使用修订版的《交流自我评估》(SAC-Hx)评估了助听器治疗后非常大的一组人群(N = 4,584)的短期获益。总共有4,584名患有成人发作性听力损失且平均听力测验与轻度至重度,倾斜,对称性,感音神经性听力障碍一致的退伍军人安装了助听器。在安装助听器之前和之后的6周收集对SAC-Hx的反应。收益定义为基线与治疗后SAC-Hx评分之间的差异。助听器治疗在每一类自我感知的交流后果中均带来了稳健且具有统计学意义的收益。先前的经验会影响收益:新的助听器使用者表现出最大的收益,但即使是先前满意和不满意的使用者,在安装新的助听器后也能获得可观的收益。经历的持续时间对收益的大小没有显着影响:经历持续时间不同的所有组均获得了可比的收益。当使用更好的耳朵纯音平均频率(1,000、2,000、3,000和4,000 Hz)定义障碍时,基线评分的严重程度与听力障碍的程度平行。同样,感知到的交流后果的严重性与较差的单音节单词识别相平行。助听器治疗为所有类别的听力障碍(正常,轻度,中度,重度和重度)的个体提供了功能,强大且在统计学上显着的收益。该报告证明了SAC-Hx作为有效评估助听器安装结果域的工具的可行性。

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