Data on Hearing Research Described by Researchers at Oregon Health and Science University
2012 AUG 10 (VerticalNews) -- By a News Reporter-Staff News Editor at Ecology, Environment & Conservation -- A new study on Hearing Research is now available. According to news reporting originating in Portland, Oregon, by VerticalNews journalists, research stated, "Measurement of outcomes has become increasingly important to assess the benefit of audiologic rehabilitation, including hearing aids, in adults. Data from questionnaires, however, are based on retrospective recall of events and experiences, and often can be inaccurate."
The news reporters obtained a quote from the research from Oregon Health and Science University, "Questionnaires also do not capture the daily variation that typically occurs in relevant events and experiences. Clinical researchers in a variety of fields have turned to a methodology known as ecological momentary assessment (EMA) to assess quotidian experiences associated with health problems. The objective of this study was to determine the feasibility of using EMA to obtain real-time responses from hearing aid users describing their experiences with challenging hearing situations. This study required three phases: (1) develop EMA methodology to assess hearing difficulties experienced by hearing aid users; (2) make use of focus groups to refine the methodology; and (3) test the methodology with 24 hearing aid users. Phase 3 participants carried a personal digital assistant 12 hr per day for 2 weeks. The personal digital assistant alerted participants to respond to questions four times a day. Each assessment started with a question to determine whether a hearing problem was experienced since the last alert. If 'yes,' then up to 23 questions (depending on contingent response branching) obtained details about the situation. If 'no,' then up to 11 questions obtained information that would help to explain why hearing was not a problem. Each participant completed the Hearing Handicap Inventory for the Elderly (HHIE) both before and after the 2-week EMA testing period to evaluate for 'reactivity' (exacerbation of self-perceived hearing problems that could result from the repeated assessments). Participants responded to the alerts with a 77% compliance rate, providing a total of 991 completed momentary assessments (mean = 43.1 per participant). A substantial amount of data were obtained with the methodology. It is important to note that participants reported a 'hearing problem situation since the last alert' 37.6% of the time (372 responses). The most common problem situation involved 'face-to-face conversation' (53.8% of the time). The next most common problem situation was 'telephone conversation' (17.2%) followed by 'TV, radio, iPod, etc.' (15.3%), 'environmental sounds' (9.7%), and 'movies, lecture, etc.' (4.0%). Comparison of pre- and post-EMA mean HHIE scores revealed no significant difference (p > 0.05), indicating that reactivity did not occur for this group. It should be noted, however, that 37.5% of participants reported a greater sense of awareness regarding their hearing loss and use of hearing aids. Results showed participants were compliant, gave positive feedback, and did not demonstrate reactivity based on pre- and post-HHIE scores. EMA methodology is feasible with patients who use hearing aids and could potentially inform hearing healthcare (HHC) services. The next step is to develop and evaluate EMA protocols that provide detailed daily patient information to audiologists at each stage of HHC. The advantages of such an approach would be to obtain real-life outcome measures, and to determine within-and between-day variability in outcomes and associated factors."
According to the news reporters, the researchers concluded: "Such information at present is not available from patients who seek and use HHC services."
For more information on this research see: Feasibility of Ecological Momentary Assessment of Hearing Difficulties Encountered by Hearing Aid Users. Ear and Hearing, 2012;33(4):497-507. Ear and Hearing can be contacted at: Lippincott Williams & Wilkins, 530 Walnut St, Philadelphia, PA 19106-3621, USA. (Lippincott Williams and Wilkins - www.lww.com; Ear and Hearing - journals.lww.com/ear-hearing/pages/default.aspx)
Our news correspondents report that additional information may be obtained by contacting G. Galvez, Oregon Health Sciences University, Dept. of Otolaryngol Head & Neck Surg, Portland, OR 97201, United States.
Keywords for this news article include: Oregon, Ecology, Portland, United States, Hearing Research, North and Central America
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