Some Considerations for the Use of the Abbreviated Profile of Hearing Aid Benefit (APHAB) as a Hearing-Aid Outcome Measure.

IF 3 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Trends in Hearing Pub Date : 2025-01-01 Epub Date: 2025-07-21 DOI:10.1177/23312165251359755
Larry E Humes, Sumitrajit Dhar, Jasleen Singh
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Abstract

The Abbreviated Profile of Hearing Aid Benefit (APHAB) has been one of the most frequently used patient-reported outcome measures (PROMs) since its inception 30 years ago. For the APHAB, single-valued 95% critical differences have been presented for the identification and interpretation of meaningful benefits in research and in the clinic. A narrative literature review of studies that used the global APHAB score as a hearing-aid outcome measure showed that the average benefit varied directly with the average unaided baseline score for each measure. Next, data from 584 older adults enrolled in our recently completed randomized controlled hearing-aid trial were examined. The same dependence of benefit scores on unaided baseline scores was observed in these data. Regression to the mean made relatively minor contributions to the observed dependence of APHAB scores on baseline unaided scores. These results indicate that the application of a single value for the 95% critical difference is not valid for the interpretation of APHAB scores. Rather, baseline-specific benefit criteria are needed. Based on these results, baseline-specific Minimal Detectable Differences (MDDs; or 95% critical differences) and Minimal Clinically Important Differences (MCIDs) using both distribution-based and anchor-based approaches were generated for the APHAB-global score.

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使用助听器效益简表(APHAB)作为助听器结果测量的一些考虑。
自30年前开始使用以来,助听器效益简表(APHAB)一直是最常用的患者报告结果测量(PROMs)之一。对于APHAB,单值95%的关键差异已被提出,用于识别和解释研究和临床中有意义的益处。一项使用全球APHAB评分作为助听器结果测量的研究的叙述性文献综述显示,平均获益与每项测量的平均无辅助基线评分直接相关。接下来,我们检查了584名老年人的数据,这些老年人参加了我们最近完成的随机对照助听器试验。在这些数据中观察到同样的受益评分对独立基线评分的依赖性。回归均值对观察到的APHAB评分对基线独立评分的依赖性贡献相对较小。这些结果表明,95%临界差的单一值应用于APHAB评分的解释是无效的。相反,需要制定特定于基线的福利标准。基于这些结果,基线特异性最小可检测差异(mdd);使用基于分布和基于锚定的方法对APHAB-global评分产生最小临床重要差异(MCIDs)。
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来源期刊
Trends in Hearing
Trends in Hearing AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGYOTORH-OTORHINOLARYNGOLOGY
CiteScore
4.50
自引率
11.10%
发文量
44
审稿时长
12 weeks
期刊介绍: Trends in Hearing is an open access journal completely dedicated to publishing original research and reviews focusing on human hearing, hearing loss, hearing aids, auditory implants, and aural rehabilitation. Under its former name, Trends in Amplification, the journal established itself as a forum for concise explorations of all areas of translational hearing research by leaders in the field. Trends in Hearing has now expanded its focus to include original research articles, with the goal of becoming the premier venue for research related to human hearing and hearing loss.
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