The Hearing-Dependent Daily Activities Scale to Evaluate Impact of Hearing Loss in Older People

Abstract Purpose We wanted to design and validate the Hearing-Dependent Daily Activities (HDDA) Scale as a means of identifying the impact of hearing loss in older persons by measuring capacity to carry out hearing-dependent activities. Methods We undertook a cross-sectional, observational study to...

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Veröffentlicht in:Annals of family medicine 2008-09, Vol.6 (5), p.441-447
Hauptverfasser: Hidalgo, Jesús López-Torres, MD, Gras, Clotilde Boix, MD, Lapeira, Juan Manuel Téllez, MD, Martínez, Ignacio Párraga, MD, Verdejo, Maria Ángeles López, MD, Rabadán, Francisco Escobar, MD, Puime, Ángel Otero, MD
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container_end_page 447
container_issue 5
container_start_page 441
container_title Annals of family medicine
container_volume 6
creator Hidalgo, Jesús López-Torres, MD
Gras, Clotilde Boix, MD
Lapeira, Juan Manuel Téllez, MD
Martínez, Ignacio Párraga, MD
Verdejo, Maria Ángeles López, MD
Rabadán, Francisco Escobar, MD
Puime, Ángel Otero, MD
description Abstract Purpose We wanted to design and validate the Hearing-Dependent Daily Activities (HDDA) Scale as a means of identifying the impact of hearing loss in older persons by measuring capacity to carry out hearing-dependent activities. Methods We undertook a cross-sectional, observational study to validate a scale administered during a personal interview with 1,160 participants aged 65 years and older. When using the instrument to identify patients with hearing impairment, sensitivity and specificity were determined using an audiogram with Ventry and Weinstein criteria as the criterion standard. Standardized audiometries were performed blindly, without knowledge of results of the HDDA Scale. Results According to the criterion standard, 506 participants had hearing impairment (43.6%; 95% confidence interval [CI], 40.8%–46.5%). The HDDA scale showed high internal consistency (Cronbach's α = 0.91). Regarding hearing impairment criteria, the HDDA scale obtained a sensitivity of 80.0% (95% CI, 76.3%–83.3%) and a specificity of 70.2% (95% CI, 66.5%–73.5%). Conclusions The HDDA scale constitutes a clinically useful instrument for identifying the impact of hearing loss on daily life in the elderly, a condition frequently overlooked during routine medical check-ups. This tool has acceptable psychometric properties and high internal consistency.
doi_str_mv 10.1370/afm.890
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Methods We undertook a cross-sectional, observational study to validate a scale administered during a personal interview with 1,160 participants aged 65 years and older. When using the instrument to identify patients with hearing impairment, sensitivity and specificity were determined using an audiogram with Ventry and Weinstein criteria as the criterion standard. Standardized audiometries were performed blindly, without knowledge of results of the HDDA Scale. Results According to the criterion standard, 506 participants had hearing impairment (43.6%; 95% confidence interval [CI], 40.8%–46.5%). The HDDA scale showed high internal consistency (Cronbach's α = 0.91). Regarding hearing impairment criteria, the HDDA scale obtained a sensitivity of 80.0% (95% CI, 76.3%–83.3%) and a specificity of 70.2% (95% CI, 66.5%–73.5%). Conclusions The HDDA scale constitutes a clinically useful instrument for identifying the impact of hearing loss on daily life in the elderly, a condition frequently overlooked during routine medical check-ups. This tool has acceptable psychometric properties and high internal consistency.</description><identifier>ISSN: 1544-1709</identifier><identifier>EISSN: 1544-1717</identifier><identifier>DOI: 10.1370/afm.890</identifier><identifier>PMID: 18779549</identifier><language>eng</language><publisher>United States: American Academy of Family Physicians</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Audiometry ; Cross-Sectional Studies ; Female ; Hearing Loss - complications ; Hearing Loss - diagnosis ; Hearing Loss - psychology ; Humans ; Internal Medicine ; Male ; Methodology ; Persons With Hearing Impairments - psychology ; Reproducibility of Results ; Sensitivity and Specificity ; Severity of Illness Index ; Sickness Impact Profile</subject><ispartof>Annals of family medicine, 2008-09, Vol.6 (5), p.441-447</ispartof><rights>Annals of Family Medicine, Inc.</rights><rights>Copyright © Copyright 2008 Annals of Family Medicine, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-918e1285b6745e853260eb18b3706b151a10c5715aadb807e33e23925c16493e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2532761/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2532761/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18779549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hidalgo, Jesús López-Torres, MD</creatorcontrib><creatorcontrib>Gras, Clotilde Boix, MD</creatorcontrib><creatorcontrib>Lapeira, Juan Manuel Téllez, MD</creatorcontrib><creatorcontrib>Martínez, Ignacio Párraga, MD</creatorcontrib><creatorcontrib>Verdejo, Maria Ángeles López, MD</creatorcontrib><creatorcontrib>Rabadán, Francisco Escobar, MD</creatorcontrib><creatorcontrib>Puime, Ángel Otero, MD</creatorcontrib><title>The Hearing-Dependent Daily Activities Scale to Evaluate Impact of Hearing Loss in Older People</title><title>Annals of family medicine</title><addtitle>Ann Fam Med</addtitle><description>Abstract Purpose We wanted to design and validate the Hearing-Dependent Daily Activities (HDDA) Scale as a means of identifying the impact of hearing loss in older persons by measuring capacity to carry out hearing-dependent activities. Methods We undertook a cross-sectional, observational study to validate a scale administered during a personal interview with 1,160 participants aged 65 years and older. When using the instrument to identify patients with hearing impairment, sensitivity and specificity were determined using an audiogram with Ventry and Weinstein criteria as the criterion standard. Standardized audiometries were performed blindly, without knowledge of results of the HDDA Scale. Results According to the criterion standard, 506 participants had hearing impairment (43.6%; 95% confidence interval [CI], 40.8%–46.5%). The HDDA scale showed high internal consistency (Cronbach's α = 0.91). Regarding hearing impairment criteria, the HDDA scale obtained a sensitivity of 80.0% (95% CI, 76.3%–83.3%) and a specificity of 70.2% (95% CI, 66.5%–73.5%). Conclusions The HDDA scale constitutes a clinically useful instrument for identifying the impact of hearing loss on daily life in the elderly, a condition frequently overlooked during routine medical check-ups. 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Gras, Clotilde Boix, MD ; Lapeira, Juan Manuel Téllez, MD ; Martínez, Ignacio Párraga, MD ; Verdejo, Maria Ángeles López, MD ; Rabadán, Francisco Escobar, MD ; Puime, Ángel Otero, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-918e1285b6745e853260eb18b3706b151a10c5715aadb807e33e23925c16493e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Audiometry</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Hearing Loss - complications</topic><topic>Hearing Loss - diagnosis</topic><topic>Hearing Loss - psychology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Methodology</topic><topic>Persons With Hearing Impairments - psychology</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Sickness Impact Profile</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hidalgo, Jesús López-Torres, MD</creatorcontrib><creatorcontrib>Gras, Clotilde Boix, MD</creatorcontrib><creatorcontrib>Lapeira, Juan Manuel Téllez, MD</creatorcontrib><creatorcontrib>Martínez, Ignacio Párraga, MD</creatorcontrib><creatorcontrib>Verdejo, Maria Ángeles López, MD</creatorcontrib><creatorcontrib>Rabadán, Francisco Escobar, MD</creatorcontrib><creatorcontrib>Puime, Ángel Otero, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of family medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hidalgo, Jesús López-Torres, MD</au><au>Gras, Clotilde Boix, MD</au><au>Lapeira, Juan Manuel Téllez, MD</au><au>Martínez, Ignacio Párraga, MD</au><au>Verdejo, Maria Ángeles López, MD</au><au>Rabadán, Francisco Escobar, MD</au><au>Puime, Ángel Otero, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Hearing-Dependent Daily Activities Scale to Evaluate Impact of Hearing Loss in Older People</atitle><jtitle>Annals of family medicine</jtitle><addtitle>Ann Fam Med</addtitle><date>2008-09-01</date><risdate>2008</risdate><volume>6</volume><issue>5</issue><spage>441</spage><epage>447</epage><pages>441-447</pages><issn>1544-1709</issn><eissn>1544-1717</eissn><abstract>Abstract Purpose We wanted to design and validate the Hearing-Dependent Daily Activities (HDDA) Scale as a means of identifying the impact of hearing loss in older persons by measuring capacity to carry out hearing-dependent activities. Methods We undertook a cross-sectional, observational study to validate a scale administered during a personal interview with 1,160 participants aged 65 years and older. When using the instrument to identify patients with hearing impairment, sensitivity and specificity were determined using an audiogram with Ventry and Weinstein criteria as the criterion standard. Standardized audiometries were performed blindly, without knowledge of results of the HDDA Scale. Results According to the criterion standard, 506 participants had hearing impairment (43.6%; 95% confidence interval [CI], 40.8%–46.5%). The HDDA scale showed high internal consistency (Cronbach's α = 0.91). Regarding hearing impairment criteria, the HDDA scale obtained a sensitivity of 80.0% (95% CI, 76.3%–83.3%) and a specificity of 70.2% (95% CI, 66.5%–73.5%). 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Activities of Daily Living
Aged
Aged, 80 and over
Audiometry
Cross-Sectional Studies
Female
Hearing Loss - complications
Hearing Loss - diagnosis
Hearing Loss - psychology
Humans
Internal Medicine
Male
Methodology
Persons With Hearing Impairments - psychology
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
Sickness Impact Profile
title The Hearing-Dependent Daily Activities Scale to Evaluate Impact of Hearing Loss in Older People
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