Jourdan T Holder1, Lindsay S Mayberry2, René Gifford1. 1. Department of Hearing and Speech Sciences. 2. Division of General Internal Medicine & Public Health, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Abstract
OBJECTIVE: The objective was to design a questionnaire to identify daily cochlear implant (CI) use habits and barriers to daily CI use and to administer this questionnaire to adult CI users. We hypothesized that recipients who reported a greater number of barriers to daily CI use would show lower daily CI use. STUDY DESIGN: Questionnaire. SETTING: Academic medical center. PATIENTS: Hundred adult CI recipients. MAIN OUTCOME MEASURES: Questionnaire responses and amount of CI use per day as measured from the CI software. RESULTS: The cochlear implant use questionnaire (CIUQ) was created and responses were obtained from 100 participants. The CIUQ yielded an average overall score of 23 (range, 3-54) out of 100; responses were variable, and CI recipients experienced different barriers to using their CI processor. The CIUQ overall score was significantly correlated with recipients' daily CI use (h/d) (rs = -0.561, p < 0.0001, 95% confidence interval [-0.694, -0.391]), which provides evidence of construct validity. Responses were immediately useful for identifying and overcoming barriers to consistent CI use with our study participants. CONCLUSIONS: Increasing evidence suggests that daily CI use is correlated with speech recognition outcomes. To optimize outcomes, clinicians should consider implementing this questionnaire to identify and overcome barriers to consistent, full-time CI processor use.
OBJECTIVE: The objective was to design a questionnaire to identify daily cochlear implant (CI) use habits and barriers to daily CI use and to administer this questionnaire to adult CI users. We hypothesized that recipients who reported a greater number of barriers to daily CI use would show lower daily CI use. STUDY DESIGN: Questionnaire. SETTING: Academic medical center. PATIENTS: Hundred adult CI recipients. MAIN OUTCOME MEASURES: Questionnaire responses and amount of CI use per day as measured from the CI software. RESULTS: The cochlear implant use questionnaire (CIUQ) was created and responses were obtained from 100 participants. The CIUQ yielded an average overall score of 23 (range, 3-54) out of 100; responses were variable, and CI recipients experienced different barriers to using their CI processor. The CIUQ overall score was significantly correlated with recipients' daily CI use (h/d) (rs = -0.561, p < 0.0001, 95% confidence interval [-0.694, -0.391]), which provides evidence of construct validity. Responses were immediately useful for identifying and overcoming barriers to consistent CI use with our study participants. CONCLUSIONS: Increasing evidence suggests that daily CI use is correlated with speech recognition outcomes. To optimize outcomes, clinicians should consider implementing this questionnaire to identify and overcome barriers to consistent, full-time CI processor use.
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