Hearing and quality of life in a south European BAHA population

Otolaryngologic Clinics of North America, 1995

Otology & Neurotology, 2010

Objective: Benefit and quality-of-life analysis in the older adult bone-anchored hearing aid (BAHA) users. Study Design: Retrospective evaluation. Methods: Four questionnaires (Glasgow Benefit Inventory, Abbreviated Profile of Hearing Aid Benefit [APHAB], Nijmegen Cochlear Implant Questionnaire [NCIQ], and the Hearing Handicap Inventory for the Elderly screening version [HHIE-S]) were used. Results: The response rate was 80%, mean age was 75 years (range, 62Y93 yr), and mean pure-tone average at frequencies of 500, 1,000, 2,000, and 4,000 Hz for bone conduction was 42 T 13 dBHL. More than 80% of the patients were using their BAHA for more than 8 hours a day. To obtain a Bsnapshot[ of current BAHA use, the NCIQ, HHIE-S, and the APHAB were used. The NCIQ showed good disability and handicap results (score range, 49Y64). The HHIE-S showed that 60% of the patients had a mild to moderate handicap. The APHAB aided scores ranged from 39 to 58%. Mean benefit scores of the Glasgow Benefit Inventory were positive in 112 of the 134 patients (84%). The APHAB showed clinically significantly more benefit with the BAHA than with the previous aided or unaided situation. A trend could be seenVthe higher the puretone average at frequencies of 500, 1,000, 2,000, and 4,000 Hz for bone conduction, the smaller the mean benefit scores on the questionnaires. Conclusion: Bone-anchored hearing aid users aged 60 years or older were able to place and handle the device very adequately and clean the skin around the implant. Most patients reported comparable or increased general benefit and good quality of life with the BAHA. Key Words: Abbreviated Profile of Hearing Aid BenefitVBone-anchored hearing aidVElderlyVGlasgow Benefit InventoryVHearing Handicap Inventory for the Elderly screening versionVNijmegen Cochlear Implant QuestionnaireV Older adultsVQuality-of-life questionnaire.

Indian Journal of Otolaryngology and Head & Neck Surgery, 2017

The cross sectional study was conducted in Universiti Kebangsaan Malaysia Medical Center (UKMMC), Malaysia from August 2012 to December 2013. All patients implanted with in UKMMC from December 2001 until December 2012 was included. Glasgow Benefit Inventory (GBI) questionnaires and UKMMC questionnaires were used as part of the assessment tool. The GBI is a scoring which measures the change in health status produced by surgical interventions. UKMMC questionnaires was invented by our department to assess questions related to social and life style of patients and also the cosmetic perspective Baha implant and other daily related activities. The audiological assessment was assessed using hearing aid gain threshold. Complication with regards to skin reaction was graded using Holger Skin Classification. A total of 40 patients underwent Baha implant were recruited but only 35 patients fulfilled the criteria and included in this study for analysis. Age of patients ranged from 5 year old to 38 year old, with median of 13 years old. There were 22 patients (62.8%) were male and 13 patients (37.1%) were females. Almost all cases were canal atresia except one adult patient was a case of bilateral chronic discharging ear with chronic irritation with ear mould. Majority of patients 21 (60%) have hearing level of moderate to severe hearing loss (40-89 dB) and 14 patients (40%) have mild to moderate hearing loss (20-39 dB). The level of hearing was retested post operatively. All of the patients have improvement in their aided hearing with the range of 10-25 dBL which is statistically significant at p value of \0.05. The GBI was scored positively in all subscales. Majority of patients (91.4%) used BAHA more than 4 h per day and 88.6% agreed that BAHA is cosmetically acceptable. All patients experienced some form of skin irritation (Holger grade 1-2) however only 20% required surgical intervention. All our patients have range of 10-25 dB improvement of their aided hearing which is statistically significant at p value of \0.05. BAHA has been proven to show significant benefit in audiological improvement and quality of life.

European Archives of Oto-Rhino-Laryngology, 2009

Self-reported outcome on hearing disability and handicap as well as overall health-related quality of life were measured after hearing-aid Wtting in a large-scale clinical population. Fitting was performed according to two diVerent procedures in a double-blind study design. We used a comparative procedure based on optimizing speech intelligibility scores and a strictly implemented Wtting formula. Hearing disability and handicap were assessed with the hearing handicap and disability inventory and beneWt of hearing aids with the abbreviated proWle of hearing aid ben-eWt. EVects on health-related quality of life and depression were assessed with the EuroQol-5D questionnaire and the geriatric depression scale. We found that hearing-aid Wtting according to either procedure had a signiWcantly positive eVect on disability and handicap associated with hearing loss. This eVect lasted for several months. Only the eVect on disability persisted after 1-year of follow-up. Selfreported beneWt from hearing aids was comparable for both Wtting procedures. Unaided hearing disability was more pronounced in groups of participants with greater hearing loss, while the beneWt of hearing aids was independent from the degree of hearing impairment. First-time hearing aid users reported greater beneWt from their hearing aids. The added value from a bilateral hearing-aid Wtting was not sig-niWcant. Overall health-related quality of life and incidence of depression did not alter after hearing-aid Wtting.

International Journal of Audiology, 2021

Objective: Primarily to understand whether clinically relevant factors affect the International Outcome Inventory (IOI-HA) scores and to examine if IOI-HA scores improve when renewing the hearing aids (HA) for experienced users. Secondly, to estimate the overall HA effectiveness using the IOI-HA. Design: A prospective observational study. Study sample: In total, 1961 patients with hearing loss were included. All patients underwent a hearing examination, were fitted with HAs, and answered the IOI-HA. Factor analysis of IOI-HA separated the items into a Factor 1 (use of HA, perceived benefits, satisfaction, and quality of life) and Factor 2 (residual activity limitation, residual participation restriction and impact on others) score. Results: Degree of hearing loss, word recognition score, motivation, HA usage time, tinnitus, asymmetry, and sex were significantly associated with total IOI-HA, Factor 1, or Factor 2 scores. The seven IOI-HA items increased on average by 0.4 (p < 0.001) when renewing HAs. The total median IOI-HA score at follow-up was 29 (7) for experienced (n ¼ 460) and first-time users (n ¼ 1189), respectively. Conclusions: Degree of hearing loss, word recognition score, motivation, tinnitus, asymmetry, and sex may be used to identify patients who require special attention to become successful HA users.

International Journal of Otolaryngology and Head &amp; Neck Surgery, 2016

The objective of this study is to determine the auditory gain, quality of life, audiological benefits, in bone-anchored hearing device users (BAHA). It is a retrospective and concurrent evaluation of thirty patients fitted unilaterally and seven fitted bilaterally for at least six months. Patients were assessed with audiometric testing and application of Glasgow Benefit Inventory (GBI) and Abbreviated Profile of Hearing Aid Benefit (APHAB). Regarding sound-field pure audiometry results, we found a statistically significant gain in all frequencies using the bone-anchored device. APHAB scores showed statistically significant subjective audiological gains in all subscales except for the aversiveness subscale. GBI mean scores for all items in both groups were all above 3, suggesting quality of life improvement in conductive and mixed hearing loss patients. BP100 users showed a greater clinical gain in the APHAB global score and subscales compared with Divino users. In conclusion the BAHA provides significant auditory gain, subjective audiological benefits and improves quality of life in all BAHA users. This study shows a significant clinical and statistical benefit of BAHA measured by audiometric testing and by the APHAB and GBI questionnaires. A. Peñaranda et al.

The International Tinnitus Journal, 2019

Aim: Benefit and satisfaction from hearing aids can be measured in different ways. The aim of this study is to evaluate the benefits and satisfaction of the users from the hearing aids whose fitting are done suitably for hearing loss including ear mould. Material and method: In this study Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire which consists of 24 questions was used for hearing aid satisfaction assessment. Total 301 people having different type and degree hearing loss participated in the study. The ages of 141 men and 160 women participants were between 18-65 and the average age was 49.11 ± 13.89 year. 187 of the participants had hearing aid in only one ear and the 114 had in both ears. Degree of unilateral hearing loss was 31 slight, 64 moderate, 49 moderately severe, 35 severe and 8 profound. In the ear in which hearing aid was used, there was 134 sensorineural hearingloss, 53 mixture hearing loss. Degree of hearing loss of the people using hearing aid bilaterally was 24 slight, 79 moderate, 54 moderately severe, 48 severe and 23 profound. In 162 ears of people using hearing aid bilaterally there was sensorineural hearing loss and in 53 ears there was mixture hearing loss. Results: In right ear average score of the maximum satisfaction was between 4.23-5.75 and in left ear it was between 4.20-5.72. While the degree of hearing loss was increasing, the average of satisfaction score was decreasing. In terms of using unilateral and bilateral hearing aid, statistically considerable difference was found. In terms of hearing loss statistically considerable difference couldn't be found. Conclusion: Satisfaction of hearing aid is decreasing inversely proportional with increasing of hearing loss (slight-profound degree) While the furthest satisfaction for right and left ear was slight degree, the least satisfaction was observed for profound hearing loss. Aid using satisfaction changes depend on using the aid in the right ear or in the left ear. Using bilateral hearing aid has increased patient satisfaction much more.

Pakistan BioMedical Journal, 2021

The regular use of hearing aids (more than 8 hours a day) benefits people in hearing for bettercommunication than those who are less-likely to use hearing aids Objective: The objective of thestudy was to assess the impact of hearing aids on the quality of life of hearing impaired individualsMethods: In this cross-sectional study total 50 participants were recruited by convenient samplingtechnique from Lahore, Pakistan. 50 patients who were diagnosed with hearing loss and wererecommended with hearing aids of both genders were included in the study. The International OutcomeInventory for Hearing Aids (IOI-HA), questionnaire was used for data collection. Data were analyzedthrough Statistical Package for Social Sciences (SPSS) version 23.0 Results: In this research 50hearing impaired individuals who were hearing aid users, participated. The mean age of participants was64.10+15.88 years. Among which 25 (50%) were males and 25(50%) were females. The average time ofhearing aid use was 3.88...

Eur Arch Oto Rhino Laryngol, 2009

Self-reported outcome on hearing disability and handicap as well as overall health-related quality of life were measured after hearing-aid Wtting in a large-scale clinical population. Fitting was performed according to two diVerent procedures in a double-blind study design. We used a comparative procedure based on optimizing speech intelligibility scores and a strictly implemented Wtting formula. Hearing disability and handicap were assessed with the hearing handicap and disability inventory and beneWt of hearing aids with the abbreviated proWle of hearing aid ben-eWt. EVects on health-related quality of life and depression were assessed with the EuroQol-5D questionnaire and the geriatric depression scale. We found that hearing-aid Wtting according to either procedure had a signiWcantly positive eVect on disability and handicap associated with hearing loss. This eVect lasted for several months. Only the eVect on disability persisted after 1-year of follow-up. Selfreported beneWt from hearing aids was comparable for both Wtting procedures. Unaided hearing disability was more pronounced in groups of participants with greater hearing loss, while the beneWt of hearing aids was independent from the degree of hearing impairment. First-time hearing aid users reported greater beneWt from their hearing aids. The added value from a bilateral hearing-aid Wtting was not sig-niWcant. Overall health-related quality of life and incidence of depression did not alter after hearing-aid Wtting.

Archives of Acoustics, 2019

The study presents evaluating the effectiveness of the hearing aid fitting process in the short-term use (7 days). The evaluation method consists of a survey based on the APHAB (Abbreviated Profile of Hearing Aid Benefit) questionnaire. Additional criteria such as a degree of hearing loss, number of hours and days of hearing aid use as well as the user’s experience were also taken into consideration. The outcomes of the benefit obtained from the hearing aid use in various listening environments for 109 hearing aid users are presented, including a degree of their hearing loss. The research study results show that it is possible to obtain relevant and reliable information helpful in assessing the effectiveness of the shortterm (7 days) hearing aid use. The overall percentage of subjects gaining a benefit when communicating in noise is the highest of all the analyzed and the lowest in the environment with reverberation. The statistical analysis performed confirms that in the listening ...