Establishment of quantitative evaluation system for cochlear implant effectiveness for hearing-impaired children
Qing-Yuan Feng1
Song Li1
Yong-Mao Cao2
Chuan-Xin Duan3
Lu Ma4
Dan Wu3
Ze-Zhang Tao1
1.Department of Otolaryngology-Head and Neck Surgery,Renmin Hospital of Wuhan University,238 Jie-Fang Road,Wuhan,Hubei,430060,China2.Department of Otolaryngology-Head and Neck Surgery,Renmin Hospital of Wuhan University,238 Jie-Fang Road,Wuhan,Hubei,430060,China;Editorial Department of Journal of Audiology and Speech Pathology,Wuhan University,Wuhan,430071,China3.Department of Otolaryngology,Huazhong University of Science and Technology,Tongji Medical College Maternal and Child Health Hospital of Hubei Province,Wuhan,430070,China4.Department of Epidemiology and Biostatistics,School of Health Sciences,Wuhan University,Wuhan,430071,China
摘要：Introduction:Cochlear implant is currently the most widely proven interventions for auditory rehabilitation for children with severe sensorineural hearing impairment.However,there are obvious limitations in these current evaluation methods.This study aims to develop an evaluation system for quantitatively evaluating the effec-tiveness of cochlear implants for hearing-impaired children.
Methods:A correspondence questionnaire was developed based on an initial indicator system that was developed based on the literature focused on the evaluation of cochlear implant outcomes in children.Twenty-five experts in otology,clinical audiology,rehabilitation audiology,and mental health from nine provinces in China were consulted.The degree of authority and coordination of experts and the indicators and weights of the quantitative evaluation system were analyzed.Seventy-eight children aged 3-11 years after cochlear implantation were recruited from two centers in Hubei province to evaluate the reliability and validity of the quantitative evalu-ation system.
Results:The opinions of experts converged after the second round of correspondence,and the coordination and authority of the expert consensus were met.The recall rate of the questionnaire was 100％for both rounds.Five secondary indicators,including auditory ability,verbal ability,behavioral assessment,learning capabilities,and quality of life,and 13 tertiary indicators were reserved for the evaluation of cochlear implant effectiveness.The weight of each indicator was calculated.The Cronbach's α coefficient of the quantitative evaluation system based on the standardized items was 0.930,and the three extracted common factors could explain 78.86％of the total variance.
Conclusions:An expert consensus-based evaluation system that can quantitatively evaluate the effectiveness of cochlear implants in children has been developed with good reliability and validity.
机标关键词：effectivenessquantitativeevaluationchildrensystemcochlearestablishmenthearing
论文发表日期：2024-06-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：8( 77-84 )
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