Assessment of Cochlear Implant Rehabilitation Success by Speech-Language Therapists Using International Classification of Functioning, Disability and Health Criteria.

IF 2.2 2区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Journal of Speech Language and Hearing Research Pub Date : 2024-10-04 DOI:10.1044/2024_JSLHR-23-00534

Susann Thyson, Maika Werminghaus, Simone Volpert, Laurenz Althaus, Lisa Buscher, Dorothee Schatton, Wiebke van Treeck, Thomas Klenzner

{"title":"Assessment of Cochlear Implant Rehabilitation Success by Speech-Language Therapists Using International Classification of Functioning, Disability and Health Criteria.","authors":"Susann Thyson, Maika Werminghaus, Simone Volpert, Laurenz Althaus, Lisa Buscher, Dorothee Schatton, Wiebke van Treeck, Thomas Klenzner","doi":"10.1044/2024_JSLHR-23-00534","DOIUrl":null,"url":null,"abstract":"Purpose: This study aims to introduce an assessment questionnaire based on the International Classification of Functioning, Disability and Health (ICF) to enable quantifiable clinical documentation. The questionnaire assists speech-language therapists (SLTs) in evaluating both non-audiological and audiological rehabilitation outcomes of patients with cochlear implants (CIs).Method: Six SLTs were recruited to evaluate the effectiveness of CI care using ICF criteria. We carefully selected 20 pertinent ICF criteria, and SLTs received thorough training in how to apply them uniformly. A cohort of 48 patients was evaluated at three distinct time points: presurgery, postsurgery, and 6 months post-initial CI fitting. Patients underwent dedicated speech-language therapy sessions throughout the treatment course.Results: A total of 144 complete datasets were scrutinized using a two-factor analysis of variance for ranks. Following CI care, patients exhibited substantial improvements in auditory perception, characterized by enhanced sound recognition and speech discrimination. Additionally, patients demonstrated improved attentional focus, proficiency in daily tasks and increased conversational engagement over time. Environmental factors, particularly sound perception, improved markedly, correlating with reported reductions in stress levels. Minimal changes were noted in stress management and communication techniques. Articulatory function, speech functions, and pain perception exhibited the least alteration.Conclusions: The data extracted from the ICF-based assessments underscore the vital significance of incorporating speech therapy-based metrics to evaluate both non-audiological and audiological factors in assessing the success of CI care within the SLTs domain. This approach proves to be highly relevant both in terms of demonstration and clinical applicability.","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Speech Language and Hearing Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2024_JSLHR-23-00534","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: This study aims to introduce an assessment questionnaire based on the International Classification of Functioning, Disability and Health (ICF) to enable quantifiable clinical documentation. The questionnaire assists speech-language therapists (SLTs) in evaluating both non-audiological and audiological rehabilitation outcomes of patients with cochlear implants (CIs).

Method: Six SLTs were recruited to evaluate the effectiveness of CI care using ICF criteria. We carefully selected 20 pertinent ICF criteria, and SLTs received thorough training in how to apply them uniformly. A cohort of 48 patients was evaluated at three distinct time points: presurgery, postsurgery, and 6 months post-initial CI fitting. Patients underwent dedicated speech-language therapy sessions throughout the treatment course.

Results: A total of 144 complete datasets were scrutinized using a two-factor analysis of variance for ranks. Following CI care, patients exhibited substantial improvements in auditory perception, characterized by enhanced sound recognition and speech discrimination. Additionally, patients demonstrated improved attentional focus, proficiency in daily tasks and increased conversational engagement over time. Environmental factors, particularly sound perception, improved markedly, correlating with reported reductions in stress levels. Minimal changes were noted in stress management and communication techniques. Articulatory function, speech functions, and pain perception exhibited the least alteration.

Conclusions: The data extracted from the ICF-based assessments underscore the vital significance of incorporating speech therapy-based metrics to evaluate both non-audiological and audiological factors in assessing the success of CI care within the SLTs domain. This approach proves to be highly relevant both in terms of demonstration and clinical applicability.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

言语语言治疗师使用国际功能、残疾和健康分类标准评估人工耳蜗康复的成功率。

目的：本研究旨在引入基于《国际功能、残疾和健康分类》（ICF）的评估问卷，以实现可量化的临床记录。该问卷有助于语言治疗师（SLTs）评估人工耳蜗（CIs）患者的非听力和听力康复效果：我们招募了六名语言治疗师，利用 ICF 标准评估 CI 治疗的有效性。我们精心挑选了 20 项相关的 ICF 标准，并就如何统一应用这些标准对 SLT 进行了全面培训。我们在三个不同的时间点对 48 名患者进行了评估：手术前、手术后和首次安装 CI 后 6 个月。在整个治疗过程中，患者都接受了专门的言语治疗：采用双因素方差分析对总共 144 个完整数据集进行了等级分析。在接受 CI 治疗后，患者的听觉感知能力有了显著改善，声音识别和语音辨别能力均有所提高。此外，随着时间的推移，患者的注意力集中度、日常工作的熟练程度和对话参与度都有所提高。环境因素，尤其是声音感知能力显著改善，与所报告的压力水平降低相关。压力管理和沟通技巧方面的变化甚微。发音功能、语言功能和疼痛感的变化最小：从基于 ICF 的评估中提取的数据突出表明，在评估 SLT 领域内的 CI 治疗成功与否时，纳入基于言语治疗的指标来评估非听力和听力因素具有重要意义。事实证明，这种方法在示范性和临床适用性方面都具有高度相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Speech Language and Hearing Research AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

4.10

自引率

19.20%

发文量

538

审稿时长

4-8 weeks

期刊介绍： Mission: JSLHR publishes peer-reviewed research and other scholarly articles on the normal and disordered processes in speech, language, hearing, and related areas such as cognition, oral-motor function, and swallowing. The journal is an international outlet for both basic research on communication processes and clinical research pertaining to screening, diagnosis, and management of communication disorders as well as the etiologies and characteristics of these disorders. JSLHR seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of communication sciences and disorders, including speech production and perception; anatomy and physiology of speech and voice; genetics, biomechanics, and other basic sciences pertaining to human communication; mastication and swallowing; speech disorders; voice disorders; development of speech, language, or hearing in children; normal language processes; language disorders; disorders of hearing and balance; psychoacoustics; and anatomy and physiology of hearing.