Determinants of Cochlear Implant Satisfaction and Decisional Regret in Adult Cochlear Implant Users.
Journal
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
ISSN: 1537-4505
Titre abrégé: Otol Neurotol
Pays: United States
ID NLM: 100961504
Informations de publication
Date de publication:
01 Dec 2023
01 Dec 2023
Historique:
medline:
10
11
2023
pubmed:
19
10
2023
entrez:
19
10
2023
Statut:
ppublish
Résumé
Determine associations expected and actual cochlear implant (CI) outcomes, decisional regret, and satisfaction in experienced adult CI users. Cross-sectional cohort study. Tertiary medical center. Thirty-nine adult CI users meeting traditional bilateral hearing loss indications with ≥12 months CI experience. Patients completed the validated Satisfaction with Amplification in Daily Living and Decisional Regret instruments. Pre- and post-CI outcomes (CI Quality of Life [CIQOL]-Expectations; CIQOL-35 Profile; CNC words, AzBio Sentences) were obtained from a prospectively maintained clinical database. Using established cutoff scores, 29% of patients reported a substantial degree of post-CI decisional regret. For each CIQOL domain, patients without decisional regret obtained post-CI outcome scores closer to pre-CI expectations compared with patients with decisional regret ( d = 0.34 to 0.91); similar results were observed with higher CI user satisfaction ( d = 0.17-0.83). Notably, the degree of pre- to post-CI improvement in CNC or AzBio scores did not differ between patients with and without decisional regret or with lower and higher satisfaction. Finally, greater pre-/postimprovement in CIQOL-35 Profile domain scores demonstrated far stronger associations with lower decisional regret and higher satisfaction than changes in speech recognition scores. Patients with better alignment of their pre-CI expectations and post-CI outcomes and greater pre-/post-CIQOL improvement had lower decisional regret and higher satisfaction. This emphasizes the importance of evidence-based pre-CI counseling regarding real-world CI benefits and caution against assuming that improvements in speech recognition are related to patient satisfaction.
Identifiants
pubmed: 37853774
doi: 10.1097/MAO.0000000000004028
pii: 00129492-990000000-00425
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e722-e729Informations de copyright
Copyright © 2023, Otology & Neurotology, Inc.
Déclaration de conflit d'intérêts
Conflicts of interest: T.R.M. is on the medical advisory board for Envoy Medical.
Références
World Health Organization. Deafness and Hearing loss . Geneva, Switzerland: World Health Organization; 2021.
Bear ZW, Mikulec AA. Turn on the music: cochlear implants. Mo Med 2016;113:68–71.
National Institute on Deafness and Other Communication Disorders. Cochlear Implants. Available at: www.nidcd.nih.gov/health/cochlear-implants . Accessed February 2023.
Agabigum B, Mir A, Arianpour K, et al. Evolving trends in cochlear implantation: a critical look at the older population. Otol Neurotol 2018;39:e660–4.
American Cochlear Implant Alliance. Steps to a Cochlear Implant. Available at: https://www.acialliance.org/page/StepstoaCochlearImplant . Accessed February 2023.
Ma C, Fried J, Nguyen SA, et al. Longitudinal speech recognition changes after cochlear implant: systematic review and meta-analysis. Laryngoscope 2023;133:1014–24. doi:10.1002/lary.30354.
doi: 10.1002/lary.30354
Dornhoffer JR, Reddy P, Meyer TA, et al. Individual differences in speech recognition changes after cochlear implantation. JAMA Otolaryngol Head Neck Surg 2021;147:280–6.
McRackan TR, Bauschard M, Hatch JL, et al. Meta-analysis of quality-of-life improvement after cochlear implantation and associations with speech recognition abilities. Laryngoscope 2018;128:982–90.
McRackan TR, Bauschard M, Hatch JL, et al. Meta-analysis of cochlear implantation outcomes evaluated with general health-related patient-reported outcome measures. Otol Neurotol 2018;39:29–36.
McRackan TR, Hand BN, Velozo CA, Dubno JR; Cochlear Implant Quality of Life Development Consortium. Development and implementation of the Cochlear Implant Quality of Life (CIQOL) functional staging system. Laryngoscope . 2022;132(Suppl 12):S1–13.
Thompson A, Suñol R. Expectations as determinants of patient satisfaction: concepts, theory and evidence. Int J Qual Health Care 1995;7:127–41.
Cox RM, Alexander GC. Measuring Satisfaction with Amplification in Daily Life: the SADL scale. Ear Hear Aug 1999;20:306–20. doi:10.1097/00003446-199908000-00004.
doi: 10.1097/00003446-199908000-00004
Cox RM, Alexander GC. Validation of the SADL questionnaire. Ear Hear 2001;22:151–60.
Ou H, Dunn CC, Bentler RA, Zhang X. Measuring cochlear implant satisfaction in postlingually deafened adults with the SADL inventory. J Am Acad Audiol 2008;19:721–34.
Brehaut JC, O'Connor AM, Wood TJ, et al. Validation of a decision regret scale. Med Decis Making 2003;23:281–92.
Calderon C, Ferrando PJ, Lorenzo-Seva U, et al. Validity and reliability of the decision regret scale in cancer patients receiving adjuvant chemotherapy. J Pain Symptom Manage 2019;57:828–34.
Gonçalves V. Decisional regret in female oncofertility decision making—an integrative narrative review. Cancers (Basel) 2021;13:4735. doi:10.3390/cancers13194735.
doi: 10.3390/cancers13194735
Advani PG, Lei X, Swanick CW, et al. Local therapy decisional regret in older women with breast cancer: a population-based study. Int J Radiat Oncol Biol Phys 2019;104:383–91.
McRackan TR, Hand BN, Chidarala S, Dubno JR. Understanding patient expectations before implantation using the Cochlear Implant Quality of Life–Expectations Instrument. JAMA Otolaryngol Head Neck Surg 2022;148:870–8.
McRackan TR, Hand BN, Velozo CA, Dubno JR; Cochlear Implant Quality of Life Development Consortium. Cochlear Implant Quality of Life (CIQOL): development of a profile instrument (CIQOL-35 Profile) and a global measure (CIQOL-10 Global). J Speech Lang Hear Res 2019;62:3554–3563.
Causey GD, Hood LJ, Hermanson CL, Bowling LS. The Maryland CNC test: normative studies. Audiology 1984;23:552–68.
Spahr AJ, Dorman MF, Litvak LM, et al. Development and validation of the AzBio sentence lists. Ear Hear 2012;33:112–7.
Cohen J. Statistical Power Analysis for the Behavioral Sciences . 2nd ed. Hillsdale, NJ: LEA.
Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg 2018;126:1763–8.
OF A, Gantz BJ, Dunn C, Gurgel RK, Buchman CA. Minimum reporting standards for adult cochlear implantation. Otolaryngol Head Neck Surg 2018;159:215–9.
Nilsson M, Soli SD, Sullivan JA. Development of the hearing in noise test for the measurement of speech reception thresholds in quiet and in noise. J Acoust Soc Am 1994;95:1085–99.
Nilsson MMV, Soli S. Minimum Speech Test Battery for Adult Cochlear Implant Patients: User Manual . Los Angeles: House Ear Institute; 1996.
McRackan TR, Hand BN, Chidarala S, Velozo CA, Dubno JR; Cochlear Implant Quality of Life Development Consortium. Normative Cochlear Implant Quality of Life (CIQOL)-35 profile and CIQOL-10 global scores for experienced cochlear implant users from a multi-institutional study. Otol Neurotol 2022;43:797–802.
Harris MS, Capretta NR, Henning SC, et al. Postoperative rehabilitation strategies used by adults with cochlear implants: a pilot study. Laryngoscope Investig Otolaryngol 2016;1:42–8.
Illg A, Bräcker T, Batsoulis C, Opie JM, Lesinski-Schiedat A. CI decision making and expectations by older adults. Cochlear Implants Int 2022;23:139–47. doi:10.1080/14670100.2021.2019522.
doi: 10.1080/14670100.2021.2019522
Becker MH, Maiman LA. Strategies for enhancing patient compliance. J Community Health Winter 1980;6:113–35.
Schuh MR, Bush ML. Evaluating equity through the social determinants of hearing health. Ear Hear 2022;43(Suppl 1):15s–22s.
Tolisano AM, Schauwecker N, Baumgart B, et al. Identifying disadvantaged groups for cochlear implantation: demographics from a large cochlear implant program. Ann Otol Rhinol Laryngol 2020;129:347–54.
Balachandra S, Xierali IM, Nivet MA, Hunter JB. Trends in cochlear implantation in Texas: an exploration of outpatient discharge data, 2010 to 2017. Ann Otol Rhinol Laryngol 2022;131:86–93.
Grimm DR, Fakurnejad S, Alyono JC. Cochlear implantation and risk of falls in older adults. Otolaryngol Head Neck Surg 2022;167:531, 531–6. doi:10.1177/01945998211064981.
doi: 10.1177/01945998211064981
Dunn C, Miller SE, Schafer EC, et al. Benefits of a hearing registry: cochlear implant candidacy in quiet versus noise in 1,611 patients. Am J Audiol 2020;29:851–61. doi:10.1044/2020_AJA-20-00055.
doi: 10.1044/2020_AJA-20-00055