![]() These should be very specific areas that you can focus on, and, depending on what the patient says, you may want to do pre-fitting counseling. Tell me how you believe you will be performing a month or so after you have been using hearing aids.” Then the patients rate their expectations. You might say, “I’d like to see your expectations. These can then be used to measure patient expectations related to these specific goals. You work with the patient to identify three to five specific listening goals or communication needs-these should be selected by the patient. Many of you have used the COSI as a measurement of hearing aid benefit, but it is also possible to use the COSI for patient expectations. Similar to this, but not the same, is the COSI. Does the patient think the hearing aids whistle? Does the patient think they will make them look older?” You can look at these expectations and use the scores to help guide you in your pre-fitting counseling. One area is positive effect, meaning, what does the patient expect are the benefits of using hearing aids? Do they think they are going to be able to understand 100 percent of speech in noise once they start using amplification? Other areas of the ECHO are service and cost, the patient’s expectations about negative features and personal image. The ECHO helps to examine expectations in four different areas using 15 questions. Two other self-assessment scales that are, again, somewhat similar are the Expected Consequences of Hearing Aid Ownership (ECHO Cox & Alexander, 2000) and the Client Oriented Scale of Improvement (COSI Dillon, James, & Ginis, 1997). On the hand, some people have little understanding problems (good APHAB), but feel handicapped by this mild impairment (poor HHIE score). Consider that a person could have problems understanding in many different situations, yet it does not cause a social or emotional handicap for them. It also looks at how much the patient is bothered by loud environmental sounds, referred to as the “aversiveness scale.” So on the surface, perhaps, some of you might think that the HHIE and the APHAB are looking at the same thing, but they are not. When you conduct a pre-fitting APHAB, what you are looking at is the percent of problems that the patient has for different listening situations involving understanding in quiet, in background noise and in reverberation. The next questionnaire is the Abbreviated Profile of Hearing Aid Benefit (APHAB) developed by Robyn Cox and colleagues. In general, we are trying to answer the question, “How much does the hearing loss bother this person?” APHAB The goal of the questionnaire is to measure the degree of handicap for emotional and social issues related to having a hearing loss. Age 65 is the cutoff between the Adult and Elderly versions, and you will see one or two different questions, but basically the scales are pretty similar. One of the questionnaires that has been around as long as any is the Hearing Handicap Inventory for the Elderly (HHIE Ventry & Weinstein, 1982) or the Adult (HHIA Newman, Weinstein, Jacobson & Hug, 1990). If something strikes your fancy, you certainly can check it out further, or start using it if you want. My purpose today is to simply alert you to what is available. I think you are already familiar with some of them, but others might be new to you. I thought since Gary’s topic today relates to questionnaires, that I would give you a glimpse into seven good questionnaires that you might want to try out with your hearing aid patients. These are paper and pencil or computerized inventories that you would give to a patient before the hearing aid fitting. My colleague here at Vanderbilt, Todd Ricketts, and Ruth Bentler of the University of Iowa and I are working on a book related to hearing aid fittings, and one of the chapters in this book has to do with pre-fitting self-assessment inventories. What They’re Reading (and Writing) at Vandy Jacobson’s discussion of self-report measures in the assessment of dizziness and vertigo. This month, however, we're combining these two features into one, and the topic works well with Dr. These features enables us to cover a few additional articles of interest. Gary Jacobson, we have a few special features that are part of all our journal club sessions, What They are Reading at Vandy and of course, Gus’ Pick of the Month. We invite you to check out all the journal club courses in the AudiologyOnline library.īefore we turn things over to our presenter, Dr. At our club meetings, we discuss articles that are relatively recent, focus on a specific topic, and are pertinent to audiology clinical practice. We are finishing up our third year this is our 16th recorded Journal Club. ![]() Gus Mueller: Welcome to the Vanderbilt Audiology's Journal Club. Please download supplemental course materials. This text-based course is a transcript of a live seminar.
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