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Evaluation Questionnaires

Evaluation Questionnaires. LIFE-UK IHP LSQ PEACH. Wave 4 EJB 17/05/04. MCHAS Modernising Children’s Hearing Aid Services. Recommended Questionnaires. MCHAS Recommend the following School age LIFE (Listening Inventory for Education—UK) (Canning) ToD/teacher and child

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Evaluation Questionnaires

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  1. Evaluation Questionnaires LIFE-UK IHP LSQ PEACH Wave 4 EJB 17/05/04 MCHAS Modernising Children’s Hearing Aid Services

  2. Recommended Questionnaires • MCHAS Recommend the following • School age • LIFE (Listening Inventory for Education—UK) (Canning) • ToD/teacher and child • LSQ-P (Listening Situations Questionnaire for Parents) (IHR, Grimshaw) • Parent • Pre-school • PEACH (Parents’ Evaluation of the Aural performance of Children) (NAL) • ToD and parent

  3. Listening Inventories For Education UK Individual Hearing Profile (LIFE-UK IHP) • Adapted from Dave Canning City University (original version www.hear2learn.com) • Completed by child (with TOD help) Age 5-7+ • Designed to isolate issues regarding • Listening in noise and quiet • With/without lipreading • Present version has 18 situations • Used in 1st wave studies • Identified differences in analogue & DSP HA

  4. These prompts were added to clarify situation

  5. 4 3 3 4 2 3 4 5 4 2 3 2 3 2 3 4 4 2 4 4 11 5 17 7 7 2

  6. Child relies on lip reading, particularly in noise Consider FM if not wearing one If wearing FM, check function/balance Check position in class, room acoustics, counselling with teacher etc

  7. LIFE-IHP UK Scoring on a PMS

  8. Listening Situations Questionnaire (LSQ-P) • Designed by MRC Institute of Hearing Research • Used in 1st wave studies • Parents were positive • Involves 10 listening situations • Deemed to be most important for HI child • Great deal of validation undertaken • Administered by Teacher (or Health ?) • Completed by parents of children • MCHAS reviewing questions & photos

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  12. LSQ Scoring • Very Important/Very Often/ A great deal Score 4 • Important/ Often/ Quite a lot Score 3 • Slightly Important/ Sometimes/ A Little Score 2 • Not at all important/ Hardly ever/ None at all Score 1 • If answers ‘Never wears an aid’, prompt to see if this is because child experiences ‘A great deal of difficulty’ or ‘No difficulty at all’ and score accordingly • Overall Score Minimum= 30, Maximum=120 • Overall Scores over 100 need examination of hearing provision • Difficulty Scores of over 22 need examination of listening situations in which child experiences difficulties, and examination of hearing provision

  13. LSQ-P Scoring 35 34 23 35+34+23 = 92 Total Overall Score __________________________________ Total Difficulty Score __________________________________ 23

  14. LSQ-P Scoring on PMS

  15. Parents Evaluation of Aural Performance of Children (PEACH) • Designed by NAL • To be used with children of pre school age • TOD may give parent questionnaire prior to visit • will record responses to questions in an interview style at subsequent visit. • Incorporates questions relevant to • Preschool population • identifying areas of concern listening in noise, quiet, env • hearing aid use • Some normative data available

  16. PEACH • Probe 1 • Goal of probe. How often does the child wear his/her hearing aid/cochlear implant? • * #  Examiner instructions. Ask the parent, “Can you tell me about …….. routine for wearing his/her hearing aid/cochlear implant in the last two weeks?“ • Scoring _____ • 0 Never. (0%) • 1 Seldom. (Around 25% of the time) • 2 Sometimes. (Around 50% of the time) • 3 Often. (Around 75% of the time) • 4 Always. (100% of the time) • Examples

  17. Probe 2 • Goal of Probe. Canthe child monitor the proper functioning of the hearing aid/ cochlear implant? • * Examiner instructions. Ask the parent, “Has........ told you if his/her hearing aid/cochlear implant hasn't been working in the last two weeks?” If yes, “Can you give me some examples of the problems he reported?” “Have you ever checked the hearing aid/cochlear implant and found it not switched on or not working properly or has a flat battery?” If the answer to this question is yes, ask for examples that have occurred in the last two weeks. • # OR:Ask the parent, ” In the last two weekshas …….given any indication to show that his/her hearing aid/cochlear implant hasn’t been working? ( e.g. he/she may appear grumpy, agitated, cry, pull at the hearing aids) when the hearing aid /cochlear implant is not functioning If the answer to this question is yes, ask for examples that have occurred in the last two weeks. •  This question may not be applicable for infants < 12 months. • Scoring _____ • 0 Never, if no examples can be given. (0%) • 1 Seldom, if one or two examples can be given. (Around 25% of the time) • 2 Sometimes, if several examples can be given. (Around 50% of the time) • 3 Often, if numerous examples can be given. (Around 75% of the time) • 4 Always. (100% of the time) • Examples

  18. Probe 3 • Goal of probe. Is the child bothered/upset by any loud sounds? • * Examiner instructions. Ask the parent, “ Has ... complained about / or been upset by any some loud sounds in the last two weeks?” If yes, ask the parentto give examples of when and where that occurred. • # OR: Ask the parent, “Has …….shown that he/she has been upset by any loud sounds in the last two weeks?” ( He /she may startle and/or cry, cover his/her ears, pull his/her hearing aids off , or show some other sign of discomfort)." If yes, ask the parentto give examples of when and where that occurred. • Scoring _____ • 4 Never, if no examples can be given. (0%) • 3 Seldom, if one or two examples can be given. (Around 25% of the time) • 2 Sometimes, if several examples can be given. (Around 50% of the time) • 1 Often, if numerous examples can be given. (Around 75% of the time) • 0 Always. (100% of the time) • Examples

  19. 3  2   3 8/12  3  3 3   3  2 14/12 2   2  2 3  9/16 1  1/4  2  2 4/8 46 46/60 =76%

  20. Questionnaire Issues • LIFE-UK • Generally seems good • LSQ-P • Pictures, prompts being reviewed • PEACH • Uptake within MCHAS appears poor, Why ? • Some normative data now available • Work with NAL to revise format • The available tools are not perfect • This is not an excuse to do nothing !

  21. Questionnaire Summary • Use recommended validated questionnaires • LSQ-P, LIFE-UK, PEACH • Complements/captures informal observations • Extra work or a different way of working ? • Culture ? • Embed in PMS, access by health & education • “Home Grown” questionnaires • Where’s the normative data ? • Are you plagiarising someone else’s work ? • Other future options • ESPP, IT-MAIS

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