家长和听力学家对个性化听力损失模拟的看法：对咨询及儿童助听器使用的影响

文献信息

中文摘要

目的： 探讨家长和听力学家对儿科听力学中个性化听力损失模拟的看法，并评估模拟对11岁以下儿童数据记录的助听器使用的影响。
设计： 在将听力损失模拟器引入标准护理后，对匿名临床记录进行混合方法回顾性审查。数据包括儿童年龄和听力水平、助听器数据记录、家长对模拟的反应以及听力学家完成的问卷。
研究样本： 审查了85份记录。52名儿童有数据记录可用。
结果： 大多数家长选择听取模拟（94%），几乎所有家长都认为有帮助（97%），无论其孩子的听力水平如何。模拟为家长提供了超越以往描述的洞察，改变了他们对孩子体验的理解。它促发了关于情绪、行为和助听器使用的对话。听力学家认为模拟对家长有帮助，但可能导致具有挑战性的对话。在家长听取模拟后，儿童的助听器使用小时数没有显著变化。
结论： 家长表示，对其孩子听力的个性化模拟是有帮助的。该模拟是一种有效的咨询工具，为家长和听力学家所接受。然而，分享模拟并未增加儿童的每日助听器使用。

英文摘要

OBJECTIVE: To explore parent and audiologist perspectives on personalised hearing loss simulations in paediatric audiology, and to assess the impact of simulations on data-logged hearing aid use in children under 11.
DESIGN: A mixed-methods retrospective review of anonymised clinical records following the introduction of a hearing loss simulator into standard care. Data included child age and hearing level, hearing aid datalogging, parents' responses to the simulations and questionnaires completed by audiologists.
STUDY SAMPLE: 85 records were reviewed. Datalogging was available for 52 children.
RESULTS: Most parents opted to hear the simulation (94%), and nearly all found it helpful (97%), irrespective of their child's hearing level. The simulation offered parents insight beyond previous descriptors, modifying their understanding of their child's experience. It prompted conversations about emotions, behaviour, and hearing aid use. Audiologists felt simulations were helpful for parents but could lead to challenging conversations. Children's hours of hearing aid use did not change significantly after their parents heard the simulation.
CONCLUSIONS: Parents say that a personalised simulation of their child's hearing is helpful. The simulation is an effective counselling tool, acceptable to both parents and audiologists. However, sharing a simulation, did not increase daily hearing aid use in children.