Cochrane · systematic review · CD010342
Interventions to improve hearing aid use in adult auditory rehabilitation
Barker, F, Mackenzie, E, Elliott, L, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
15
No studies
6
Included studies
NR
No studies 6 · 28.6%Ungraded 0 · 0%Very low 11 · 52.4%Low 4 · 19%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlySelf‐management support interventions for adults with hearing loss who use hearing aids
Population: adults with hearing loss who use hearing aids
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence | no estimate extracted | NR | No studies |
Daily hours of hearing aid use | no estimate extracted | NR | No studies |
Adverse effects | no estimate extracted | NR | No studies |
Quality of life Validated self‐report measures. WHODAS 2.0 scale from: 0 to 100 | no estimate extracted | 1 study · 35 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Self‐reported hearing handicap Validated self‐report measure: HHIE (Ventry 1982) scale from 0 to 100 | no estimate extracted | 2 studies · 87 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Hearing aid benefit | no estimate extracted | NR | No studies |
Communication Validated self‐report measure: verbal subscale of the CPHI (Demorest 1987) scale from 0 to 5 | no estimate extracted | 1 study · 52 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Delivery system design interventions for adults with hearing loss who use hearing aids
Population: adults with hearing loss who use hearing aids
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence Number of people fitted with hearing aid/number of people who use the aids | RR 1.02 [0.99, 1.05] | 2 studies · 686 participants | Low Downgraded: indirectness |
Daily hours of hearing aid use Average self‐reported or data‐logged hours of use per day. Scale from: 0 to 12 hours | no estimate extracted | 4 studies · 700 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse effects Number of outstanding complaints | RR 0.75 [0.5, 1.12] | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Quality of life | no estimate extracted | NR | No studies |
Self‐reported hearing handicap Validated self‐report measure HHIE scale from: 0 to 100 (Ventry 1982) | no estimate extracted | 2 studies · 628 participants | Very low Downgraded: imprecision, indirectness |
Hearing aid benefit Validated self‐report measure. Outer EAR scale from: 0 to 100 | no estimate extracted | 1 study · 582 participants | Very low Downgraded: imprecision, indirectness |
Communication Validated self‐report measure: verbal subscale of the CPHI scale from 0 to 5 (Demorest 1987) | no estimate extracted | 1 study · 588 participants | Very low Downgraded: imprecision, indirectness |
Combined self‐management support/delivery system design interventions for adults with hearing loss who use hearing aids
Population: adults with hearing loss who use hearing aids
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence Number of people fitted with hearing aid/number of people who use the aids | RR 1.06 [1, 1.12] | 1 study · 162 participants | Low Downgraded: imprecision, indirectness |
Daily hours of hearing aid use Self‐reported or data‐logged average hours of use per day. Scale from: 0 to 12 hours | no estimate extracted | 2 studies · 69 participants | Very low Downgraded: imprecision, inconsistency |
Adverse effects | no estimate extracted | NR | No studies |
Quality of life Validated self‐report measures. IOI‐HA item 7 scale from: 1 to 5 | no estimate extracted | 2 studies · 69 participants | Low Downgraded: imprecision |
Self‐reported hearing handicap Validated self‐report measures | no estimate extracted | 3 studies · 88 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Hearing aid benefit Validated self‐report measures (IOI‐HA item 4). Scale from: 1 to 5 | no estimate extracted | 2 studies · 69 participants | Low Downgraded: imprecision |
Use of verbal communication strategy Validated self‐report measures (verbal subscale of the CPHI (Demorest 1987)). Scale from: 0 to 5 | no estimate extracted | 1 study · 34 participants | Very low Downgraded: imprecision, indirectness |
Self management support interventions for adults with hearing loss who use hearing aids
Population: adults with hearing loss who use hearing aids
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence | no estimate extracted | NR | No studies |
Daily hours of hearing aid use | no estimate extracted | NR | No studies |
Adverse effects | no estimate extracted | NR | No studies |
Quality of life Validated self report measures. WHODAS 2.0 scale from: 0 to 100 | no estimate extracted | 1 study · 35 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Self reported hearing handicap Validated self report measure: HHIE (Ventry 1982) scale from 0 to 100 | no estimate extracted | 2 studies · 87 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Hearing aid benefit | no estimate extracted | NR | No studies |
Communication Validated self report measure: verbal subscale of the CPHI (Demorest 1987) scale from 0 to 5 | no estimate extracted | 1 study · 52 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Delivery system design interventions for adults with hearing loss who use hearing aids
Population: adults with hearing loss who use hearing aids
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence Number of people fitted with hearing aid/number of people who use the aids | RR 1.02 [0.99, 1.05] | 2 studies · 686 participants | Low Downgraded: indirectness |
Daily hours of hearing aid use Average self reported or data‐logged hours of use per day. Scale from: 0 to 12 hours | no estimate extracted | 4 studies · 700 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse effects Number of outstanding complaints | RR 0.75 [0.5, 1.12] | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Quality of life | no estimate extracted | NR | No studies |
Self reported hearing handicap Validated self report measure HHIE (Ventry 1982) scale from: 0 to 100 | no estimate extracted | 2 studies · 628 participants | Very low Downgraded: imprecision, indirectness |
Hearing aid benefit Validated self report measure. Outer EAR scale from: 0 to 100 | no estimate extracted | 1 study · 582 participants | Very low Downgraded: imprecision, indirectness |
Communication Validated self report measure: verbal subscale of the CPHI (Demorest 1987) scale from 0 to 5 | no estimate extracted | 1 study · 588 participants | Very low Downgraded: imprecision, indirectness |
Combined self management support/delivery system design interventions for adults with hearing loss who use hearing aids
Population: adults with hearing loss who use hearing aids
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence | no estimate extracted | NR | No studies |
Daily hours of hearing aid use Self reported or data‐logged average hours of use per day Scale from: 0 to 12 hours | no estimate extracted | 2 studies · 69 participants | Very low Downgraded: imprecision, inconsistency |
Adverse effects | no estimate extracted | NR | No studies |
Quality of life Validated self report measures. IOI‐HA item 7 scale from: 1 to 5 | no estimate extracted | 2 studies · 69 participants | Low Downgraded: imprecision |
Self reported hearing handicap Validated self report measures | no estimate extracted | 3 studies · 88 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Hearing aid benefit Validated self report measures (IOI‐HA item 4) Scale from: 1 to 5 | no estimate extracted | 2 studies · 69 participants | Low Downgraded: imprecision |
Use of verbal communication strategy Validated self report measures (verbal subscale of the CPHI (Demorest 1987)) scale from: 0 to 5 | no estimate extracted | 1 study · 34 participants | Very low Downgraded: imprecision, indirectness |