人工耳蜗音频处理器的用户满意度：源自大规模调查活动的群体常模

文献信息

中文摘要

引言： 人工耳蜗（CI）需要外部音频处理器（AP），这会给用户带来责任和挑战。监测用户满意度对于识别和解决可能导致设备使用减少的问题至关重要。音频处理器满意度问卷（APSQ）被开发用于测量用户在三个分量表上的满意度：用户舒适度、社交生活和设备可用性。
方法： 我们分析了2019年至2023年间从德国和英国CI用户收集的861份APSQ回复。使用多变量分位数和有序逻辑回归模型来检查与满意度和每日使用时长相关的因素。为总分和分量表建立了群体常模值。
结果： APSQ总分中位数较高（8.7/10）。男性和单侧耳聋（SSD）用户报告的满意度略低。耳外（OTE）处理器产生的可用性评分略高。较高的APSQ分数与更长的每日CI使用时间强烈相关。总分每增加一分，每天使用CI至少多3小时的几率增加44%。与双侧CI用户相比，SSD和双模式用户显示更短使用时间的几率更高。项目级比较表明，OTE用户戴眼镜时佩戴舒适度更高，而耳背式（BTE）用户戴头饰时佩戴舒适度更高。
结论： 通过APSQ测量，CI用户满意度普遍较高，并且与每日使用时长呈正相关。APSQ是监测用户体验和识别有减少CI使用风险人群的宝贵工具。群体常模值有助于解释临床获得的APSQ分数。

英文摘要

INTRODUCTION: Cochlear implants (CIs) require an external audio processor (AP), which can impose responsibilities and challenges for the user. Monitoring user satisfaction is crucial to identify and address issues that may lead to reduced device usage. The audio processor satisfaction questionnaire (APSQ) was developed to measure user satisfaction across three subscales: user comfort, social life, and device usability.
METHODS: We analyzed 861 APSQ responses collected between 2019 and 2023 from CI users in Germany and the UK. Multivariable quantile and ordinal logistic regression models were used to examine factors associated with satisfaction and daily usage duration. Population norm values were established for the total score and subscales.
RESULTS: Median total APSQ scores were high (8.7/10). Males and users with single-sided deafness (SSD) reported slightly lower satisfaction. Off-the-ear (OTE) processors produced marginally higher usability ratings. Higher APSQ scores were strongly associated with longer daily CI usage. Each additional point on the total score was associated with 44% higher odds of using the CI at least 3 h longer per day. SSD and bimodal users showed higher odds of shorter use relative to bilateral CI users. Item-level comparisons indicated greater wearing comfort with glasses for OTE users and with headwear for behind-the-ear (BTE) users.
CONCLUSION: CI user satisfaction, as measured by the APSQ, is generally high and is positively associated with daily usage duration. The APSQ is a valuable tool for monitoring user experience and identifying populations at risk of reduced CI use. The population norm values facilitate the interpretation of clinically acquired APSQ scores.