The development and validation of the quick self-assessment questionnaire for cochlear implant out-come
10.3969/j.issn.1006-7299.2025.05.009
- VernacularTitle:人工耳蜗预期使用效果快速自测问卷的开发和验证
- Author:
Carol PANG
1
;
Qingyuan FENG
;
Li YIN
;
Yongmao CAO
;
Shanxian GAO
;
Yanni CHEN
;
Xiaoqiang ZHANG
;
Qiaoling SHI
;
Zhen SU
;
Mingyuan SUN
Author Information
1. 诺尔康听觉言语医学研究院(杭州 311100);浙江省神经电子与脑机接口技术重点实验室(杭州 311100)
- Publication Type:Journal Article
- Keywords:
Cochlear implant;
CI self-assessment questionnaire;
Cochlear implant outcomes
- From:
Journal of Audiology and Speech Pathology
2025;33(5):454-459
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop and validate a"quick self-assessment questionnaire for cochlear implant out-come(QSACI)".Methods A research team,composed of audiologists,otolaryngologists,data analysis experts,and cochlear implant(CI)recipients,was formed to establish objectives,research subject criteria,and framework of the QSACI.An item pool was creaed through literature review and brainstorming.Question items were evaluated and screened,and the framework and answer options of the questionnaire were established.The comprehensibility,etc.,was analyzed and refined through pilot test,interviews,and expert consultation,leading to the development of the final version.A total of 39 post-lingually deafened adults with known stable outcomes completed the question-naire.The split-half and test-retest reliabilty of the questionnaire was analyzed,and the validity was quantitatively analyzed by comparing scores with the categories of auditory performance(CAP)scores.Results The initial item pool of the questionnaire had 18 items,and the final questionnaire consisted of 12 questions in four dimensions:com-munication status,audiological status,medical factors,and other factors.The average score of 39 recipients was 88.81±6.17 and CAP was 6.19±0.94.The questionnaire showed good reliability and validity,with a Cronbach's alpha coefficient of 0.71 and a test-retest reliability of 0.824(P＜0.05).The criterion-related validity,assessed by the correlation between the self-assessment questionnaire scores and CAP scores,showed a significant moderate pos-itive correlation(r=0.512,P＜0.05).The correlation coefficient between self-assessment and professional assess-ment was 0.720(P＜0.05),indicating a significant correlation.The area under the receiver operating characterstic(ROC)curve was 0.82(P＜0.05),the cutoff values corresponding to the maximal Youden index were 82.5 and 88.6,therefore score of 85 was taken as the median threshold score of judgement.Conclusion The QSACI reflects the post-imlplant outcomes,and it can serve as a tool for people with postlingually deafness and their families to un-derstand the eligbility of CI and the expected outcomes,helping to establish realistic expectations before CI surgery.
