Article record

面向远程人工耳蜗管理核心结局域集的开发

Towards the development of a core outcome domain set for remote cochlear implant management.

临床研究耳科IF 2.3Q2

文献信息

PMID	42844221
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	David Allen 查看其他 4 位作者 Cathy Sucher；Emma Laird；Isabelle Boisvert；Melanie Ferguson
作者单位	Incept Labs, Sydney, Australia. 查看其他 6 条单位信息 School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.；Curtin School of Allied Health, Curtin University, Perth, Australia.；Medical School, The University of Western Australia, Perth, Australia.；Department of Community and Clinical Health, La Trobe University, Melbourne, Australia.；Sydney School of Health Sciences, University of Sydney, Sydney, Australia.；Curtin enAble Institute, Curtin University, Perth, Australia.
期刊	International journal of audiology
SCI 分区	Q2
IF	2.3
研究类型	临床研究 · 临床
所属专科	耳科

中文摘要

目的： 远程技术用于人工耳蜗（CI）服务提供有望增加获得个性化、高效、有效和公平的CI服务的机会。使用相关结局指标评估远程服务可改善可用于做出关于患者护理的知情决策的证据。本研究的目的是确定远程CI服务的核心结局域集（CODS）。
设计： 一项三轮两组在线交叉德尔菲评审。参与者对先前通过系统评价和三次在线研讨会确定的三个超域中的结局域（n=57）进行评分，并在最后一轮进行排序。该研究已在Core Outcome Measures in Effectiveness Trials网站注册。
研究样本： 来自澳大利亚、英国和美国的CI用户（n=114）和专业人员（n=77）。
结果： 两组共同确定的域包括：远程服务对客户端的可用性、可靠性和可及性（服务超域）；设备完整性和状态、言语识别和 device use（临床超域）；以及参与限制、听力相关生活质量、客户端设备满意度和心理健康与福祉（患者超域）。
结论： CI用户和专业人员之间在临床和患者结局域排序上的显著不匹配表明观点存在重要差异。相互教育对于确保需求被相互理解并满足至关重要。

英文摘要

OBJECTIVES: Remote technologies for cochlear implant (CI) service provision promises to increase access to personalised, efficient, effective, and equitable CI services. Evaluating remote services using relevant outcome measures improves evidence available to make informed decisions about patient care. The objective of this study was to identify a core outcome domain set (CODS) for remote CI services.
DESIGN: A three-round two-group online crossover Delphi review. Participants rated, and in the final round, ranked outcome domains (n = 57) in three supra-domains previously identified by a systematic review and three online workshops. The study is registered on the Core Outcome Measures in Effectiveness Trials website.
STUDY SAMPLE: CI users (n = 114) and professionals (n = 77) from Australia, the UK, and the USA.
RESULTS: Domains identified across both groups were: Usability, Reliability, and Accessibility of the remote service to the client (Service supra-domain); Device Integrity and Status, Speech Discrimination, and Device Use (Clinical supra-domain); and Participation Restriction, Hearing-Related Quality of Life, Client Device Satisfaction, and Mental Health and Wellbeing (Patient supra-domain).
CONCLUSION: The substantial mismatch between the ranking of Clinical and Patient outcome domains between CI users and professionals suggests important differences in perspectives. Mutual education is essential to ensure needs are mutually understood and met.