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A Systematic Review of Health-Related Quality of Life and Hearing Aids: Final Report of the American Academy of Audiology Task Force on the Health-Related Quality of Life Benefits of Amplification in Adults
Abstract
This is the final report of the American Academy of Audiology Task Force on the Health-Related Quality of Life (HRQoL) Benefits of Amplification in Adults. A systematic review with meta-analysis examined evidence pertaining to the use of hearing aids for improving HRQoL for adults with sensorineural hearing loss (SNHL). Relevant search strings applied to the CENTRAL, CINAHL, Cochrane Reviews, ComDisDome, EBMR, and PubMed databases identified randomized controlled trial, quasi-experimental, and nonexperimental prepost test designed studies. Sixteen studies met a priori criteria for inclusion in this review. A random-effects meta-analysis showed differential results for generic versus disease-specific HRQoL measures for within- and between-subject designs. Although generic measures used for within-subject designs did not demonstrate HRQoL benefits from hearing aids, mean effect sizes and confidence intervals for within-subject designs and disease-specific instruments suggested that hearing aids have a small-to-medium impact on HRQoL. Further, the between-subject studies supported at least a small effect for generic measures, and when measured by disease-specific instruments, hearing aids had medium-to-large effects on adults' HRQoL. This review concludes that hearing aids improve adults' HRQoL by reducing psychological, social, and emotional effects of SNHL. Future studies should include control groups using randomized controlled trials. Este es el reporte final del Grupo de Trabajo de la Academia Americana de Audiología en cuanto a los Beneficios en la Calidad de Vida Relacionados con la Salud (HRQoL) en la Amplificación en Adultos. Una revisión sistemática con meta-análisis examinó la evidencia relacionado con el uso de auxiliares auditivos (AA) para mejorar la HRQoL de adultos con hipoacusia sensorineural (SNHL). Pistas relevantes de búsqueda aplicadas a la base de datos de CENTRAL, del CINAHL, Revisiones Cochrane, el ComDisDome, la EBMR y PubMed identificaron estudios aleatorizados controlados, cuasi-experimentales, y estudios con diseño no experimental pre y post prueba. Dieciséis estudios cumplieron los criterios a priori para inclusión en esta revisión. Un meta-análisis de efectos aleatorios mostró resultados diferenciales para medidas de HRQoL genéricas vs. específicas para enfermedad, en diseños inter-sujetos y intra-sujeto. Aunque las medidas genéricas usadas para los diseños intra-sujeto no demostraron beneficios de los AA en HRQoL, los tamaños medios del efecto y los intervalos de confianza para los diseños intra-sujeto y los instrumentos específicos para enfermedad, sugieren que los AA tienen un impacto pequeño a mediano en la HRQoL. Más aún, los estudios entre sujetos apoyaron al menos un pequeño efecto para las medidas genéricas, y cuando se midió para instrumentos específicos de enfermedad, los AA tuvieron un efecto mediano a grande en la HRQoL de los adultos. Esta revisión concluye que los AA mejoran la HRQoL de los adultos, reduciendo los efectos psicológicos, sociales y emocionales de la SNHL. Los estudios futuros deberán incluir grupos de control utilizando estudios aleatorizados controlados.
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Metadata
- Authors
- Chisolm, T. H., Johnson, C. E., Danhauer, J. L., Portz, L. J. P., Abrams, H. B., Lesner, S., McCarthy, P. A., & Newman, C. W.
- Venue
- Journal of the American Academy of Audiology
- Publisher
- American Academy of Audiology
- Published
- 2007-02-01
- Volume
- 18
- Issue
- 2
- Pages
- 151-183
- ISSN
- 1050-0545 (ISSN-L)
- OpenAlex
- W1969961802
- Cited by
- 469
- References
- 60
- FWCI
- 6.34
- Type
- journal article
- Language
- en
- Open access
- closed
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