PMID- 18091100
OWN - NLM
STAT- MEDLINE
DCOM- 20080402
LR  - 20151119
IS  - 0196-0202 (Print)
IS  - 0196-0202 (Linking)
VI  - 29
IP  - 1
DP  - 2008 Jan
TI  - Hearing handicap ratings among different profiles of adult cochlear implant 
      users.
PG  - 112-20
AB  - OBJECTIVE: The aim was to compare outcomes in the domain of self-reported hearing 
      handicap across groups of patients fit with one versus two cochlear implants (CI, 
      CI + CI), or with an implant and a hearing aid (HA) in the nonimplanted ear (CI + 
      HA). DESIGN: The design was retrospective, and a preliminary step was to factor 
      analyze the two measures used, namely, the Hearing Handicap Inventory for the 
      Elderly (HHIE) and the Hearing Handicap Questionnaire (HHQ). Longer versus 
      shorter-term experience with a single implant profile was compared, and further 
      analysis confined to patients fit for less than 100 mo across the three profiles. 
      Pre- versus postimplant self-report and performance (speech test, localization) 
      data were also compared. RESULTS: Three factors were identified in the HHIE, 
      labeled Emotional Distress (HHIE), Difficulty in Hearing, and Social Restriction 
      (HHIE). Highest handicap score for Emotional Distress (HHIE) was observed in the 
      CI + HA group. There were significantly lower scores for Difficulty in Hearing in 
      the CI + CI group than in the CI (p = 0.02) or CI + HA (p = 0.001) groups. On the 
      Social Restriction (HHIE) subscale, the CI + CI group reported significantly 
      lower rating than the CI (p = 0.009) or CI + HA (p = 0.006) groups. Two factors 
      were identified in the HHQ, labeled Emotional Distress (HHQ) and Social 
      Restriction (HHQ). Significantly higher Emotional Distress (HHQ) score was 
      observed in the CI + HA group than in the CI + CI group (p = 0.002); 
      significantly lower Social Restriction (HHQ) score was found in the CI + CI group 
      than in the CI (p = 0.02) or CI + HA (p < 0.001) groups. Pre-post speech test 
      performance showed least contrast in the CI + HA group. CONCLUSIONS: Outcomes 
      demonstrate an evident reduction from single or bilateral implantation in the 
      area of emotional distress and a further advantage from bilateral implantation in 
      the areas of hearing difficulty and social restriction.
FAU - Noble, William
AU  - Noble W
AD  - School of Psychology, University of New England, Australia.
FAU - Tyler, Richard
AU  - Tyler R
FAU - Dunn, Camille
AU  - Dunn C
FAU - Bhullar, Navjot
AU  - Bhullar N
LA  - eng
GR  - P50 DC000242-21/DC/NIDCD NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Ear Hear
JT  - Ear and hearing
JID - 8005585
SB  - IM
MH  - *Cochlear Implants
MH  - *Disability Evaluation
MH  - Female
MH  - Hearing Disorders/*diagnosis/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Psychometrics
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
EDAT- 2007/12/20 09:00
MHDA- 2008/04/03 09:00
CRDT- 2007/12/20 09:00
PHST- 2007/12/20 09:00 [pubmed]
PHST- 2008/04/03 09:00 [medline]
PHST- 2007/12/20 09:00 [entrez]
AID - 10.1097/AUD.0b013e31815d6da8 [doi]
PST - ppublish
SO  - Ear Hear. 2008 Jan;29(1):112-20. doi: 10.1097/AUD.0b013e31815d6da8.