Hearing Impaired Clinical Trial
Official title:
Functioning, Disability, and Quality of Life in the Adult Hearing Impaired
The short-term research objectives of the proposed study are as follows:
1. To measure the effects of audiological intervention on selected domain specific (i.e.,
Communicative, Interpersonal, and Social roles) and overall functioning using the
WHO-DASII, a generic health measure conceptually grounded in the ICIDH-2 model of
disablement and functioning.
2. To measure the effects of audiological intervention on selected domain specific (i.e.,
Role Functioning-Emotional; and, Social Functioning) and overall functioning using the
MOS-SF36V, a generic health measure currently utilized in the Veteran's Health
Administration.
3. To determine the accuracy with which measures of audibility (SII), hearing handicap
(HHIE), and, hearing disability (APHAB) predict domain specific and overall
functioning, and life-satisfaction as measured by the WHO-DASII and the MOS-SF36V will
be evaluated.
4. To compare hearing aid treatment effects as measured by changes in WHO-DASII domain
specific and overall functioning scores to those measured by changes in disease
specific instruments examining similar constructs.
5. To compare hearing aid treatment effects as measured by changes in MOS-SF36V domain
specific and overall functioning scores to those measured by changes in disease
specific instruments examining similar constructs.
6. To determine and compare cost-effectiveness of hearing aid intervention as calculated
using WHO-DASII and MOS SF-36V outcome data.
The long-term research objective is to compare the cost-effectiveness and cost-utility of
audiologic intervention with those of other health care interventions commonly associated
with the veteran population (e.g. mental health, cardiology, pulmonary, orthopedic, etc.).
Specific Objectives with Projected Timetable:
1. . Short-term objectives:
1. . To measure the effects of audiological intervention on selected domain specific
(i.e., Communicative, Interpersonal, and Social roles) and overall functioning
using the WHO-DAS II, a generic health measure conceptually grounded in the
International Classification of Impairment, Disability, and Handicap (ICIDH)-2
model of disablement and functioning (WHO, 1999).
2. . To measure the effects of audiological intervention on selected category
specific (i.e., Role Functioning-Emotional and Social Functioning) and overall
functioning using the MOS-SF36V, a generic health measure currently utilized in
the Veterans Health Administration.
3. . To determine the accuracy with which measures of audibility (SII), hearing
handicap (HHIE), and, hearing disability (APHAB) predict domain specific and
overall functioning, and life-satisfaction as measured by the WHO-DAS II and the
MOS-SF36V will be evaluated.
4. . To compare hearing aid treatment effects as measured by changes in WHO-DAS II
domain specific and overall functioning scores to those measured by changes in
disease specific instruments examining similar constructs.
5. . To compare hearing aid treatment effects as measured by changes in MOS-SF36V
domain specific and overall functioning scores to those measured by changes in
disease specific instruments examining similar constructs.
6. . To determine and compare cost-effectiveness of hearing aid intervention as
calculated using WHO-DAS II and MOS-SF36V outcome data.
2. . Long-term objective: To compare the cost-effectiveness and cost-utility of audiologic
intervention with those of other health care interventions commonly associated with the
veteran population (e.g. mental health, cardiology, pulmonary, orthopedic, etc.).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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