PDF(Pubmed)
Abstract：
UNASSIGNED: This study evaluated the Hearing Environments and Reflection on Quality of Life (HEAR-QL) questionnaire in rural Alaska, including an addendum crafted through community feedback to reflect the local context. The objectives were to assess whether HEAR-QL score was inversely correlated with hearing loss and middle ear disease in an Alaska Native population.
UNASSIGNED: The HEAR-QL questionnaires for children and adolescents were administered as part of a cluster randomized trial in rural Alaska from 2017 to 2019. Enrolled students completed an audiometric evaluation and HEAR-QL questionnaire on the same day. A cross-sectional evaluation of questionnaire data was utilized.
UNASSIGNED: A total of 733 children (ages 7-12 years) and 440 adolescents (ages ≥13 years) completed the questionnaire. Median HEAR-QL scores were similar among children with and without hearing loss (Kruskal-Wallis, p = .39); however, adolescent HEAR-QL scores significantly decreased with increasing hearing loss (p < .001). Median HEAR-QL scores were significantly lower in both children (p = .02) and adolescents (p < .001) with middle ear disease compared with those without. In both children and adolescents, the addendum scores were strongly correlated with total HEAR-QL score (ρSpearman = 0.72 and 0.69, respectively).
UNASSIGNED: The expected negative association between hearing loss and HEAR-QL score was observed in adolescents. However, there was significant variability that could not be explained by hearing loss, and further investigation is warranted. The expected negative association was not observed in children. HEAR-QL scores were associated with middle ear disease in both children and adolescents, making it potentially valuable in populations where the prevalence of ear infections is high.
UNASSIGNED: Level 2 Clinicaltrials.gov registration numbers: NCT03309553.
UNASSIGNED: The HEAR-QL questionnaires for children and adolescents were administered as part of a cluster randomized trial in rural Alaska from 2017 to 2019. Enrolled students completed an audiometric evaluation and HEAR-QL questionnaire on the same day. A cross-sectional evaluation of questionnaire data was utilized.
UNASSIGNED: A total of 733 children (ages 7-12 years) and 440 adolescents (ages ≥13 years) completed the questionnaire. Median HEAR-QL scores were similar among children with and without hearing loss (Kruskal-Wallis, p = .39); however, adolescent HEAR-QL scores significantly decreased with increasing hearing loss (p < .001). Median HEAR-QL scores were significantly lower in both children (p = .02) and adolescents (p < .001) with middle ear disease compared with those without. In both children and adolescents, the addendum scores were strongly correlated with total HEAR-QL score (ρSpearman = 0.72 and 0.69, respectively).
UNASSIGNED: The expected negative association between hearing loss and HEAR-QL score was observed in adolescents. However, there was significant variability that could not be explained by hearing loss, and further investigation is warranted. The expected negative association was not observed in children. HEAR-QL scores were associated with middle ear disease in both children and adolescents, making it potentially valuable in populations where the prevalence of ear infections is high.
UNASSIGNED: Level 2 Clinicaltrials.gov registration numbers: NCT03309553.
摘要：
未经评估：这项研究评估了阿拉斯加农村地区的听力环境和对生活质量的反思（HEAR-QL）问卷，包括通过社区反馈制作的附录，以反映当地情况。目的是评估阿拉斯加原住民人群的HEAR-QL评分是否与听力损失和中耳疾病成反比。
UNASSIGNED：儿童和青少年的HEAR-QL问卷是2017年至2019年在阿拉斯加农村进行的一项整群随机试验的一部分。入学的学生在同一天完成了听力测量评估和HEAR-QL问卷。对问卷数据进行了横断面评估。
UNASSIGNED：共有733名儿童（7-12岁）和440名青少年（13岁以上）完成了问卷调查。有听力损失和无听力损失的儿童的平均听力-QL评分相似(Kruskal-Wallis，p=.39)；然而，青少年HEAR-QL评分随着听力损失的增加而显著降低(p<.001)。与没有中耳疾病的儿童（p=.02）和青少年（p<.001）相比，中值HEAR-QL评分均显着降低。在儿童和青少年中，附录评分与HEAR-QL总分密切相关(ρSpearman分别为0.72和0.69).
UNASSIGNED：在青少年中观察到听力损失与HEAR-QL评分之间的预期负相关。然而,有明显的变异性，不能用听力损失来解释，需要进一步调查。在儿童中未观察到预期的负关联。HEAR-QL评分与儿童和青少年的中耳疾病相关，使其在耳部感染患病率高的人群中具有潜在价值。
UNASSIGNED：Level2Clinicaltrials.gov注册号：NCT03309553。
UNASSIGNED：儿童和青少年的HEAR-QL问卷是2017年至2019年在阿拉斯加农村进行的一项整群随机试验的一部分。
UNASSIGNED：共有733名儿童（7-12岁）和440名青少年（13岁以上）完成了问卷调查。
UNASSIGNED：在青少年中观察到听力损失与HEAR-QL评分之间的预期负相关。
UNASSIGNED：Level2Clinicaltrials.gov注册号：NCT03309553。
