Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity

Olze, Heidi; Szczepek, Agnieszka J.; Haupt, H.; Förster, Ulrike; Zirke, Nina; Gräbel, Stefan; Mazurek, Birgit

doi:10.1002/lary.22145

Cited by 121 publications

(168 citation statements)

References 21 publications

(11 reference statements)

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“…The version of the NCIQ translated into Brazilian Portuguese showed good internal consistency (Cronbach's α coefficient of 0.78), corroborating the data described in the literature (8,18) . Thus, as observed in previous studies, the results of this research showed that, after one year and five months of CI activation and regardless of gender, there was a positive effect on the users' QoL for all domains evaluated: physical, social, and psychological (8,21,22) . The overall score obtained in the group of individuals evaluated by the NCIQ-P version (70.25) was close to the data reported by other authors, (74.2) and (63.26), and described in the scientific literature (18,22) .…”

Section: Resultssupporting

confidence: 87%

Nijmegen Cochlear Implantation Questionnaire (NCIQ): tradução, adaptação cultural e aplicação em adultos usuários de implante coclear

Santos

Couto

Martinho-Carvalho

2017

CoDAS

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Purpose: Cross-cultural adaptation and translation of the Nijmegen Cochlear Implant Questionnaire (NCIQ) into Brazilian Portuguese and analysis of quality of life (QoL) results in adults with cochlear implant (CI). Methods: The NCIQ instrument was translated into Brazilian Portuguese and culturally adapted. After that, a cross-sectional and clinical QoL evaluation was conducted with a group of 24 adults with CI. Results: The questionnaire title in Brazilian Portuguese is 'Questionário Nijmegen de Implantes Cocleares' (NCIQ-P). The version of the NCIQ questionnaire translated into Brazilian Portuguese presented good internal consistency (0.78). The social and physical domains presented the highest scores, with the basic and advanced sound perception subdomains achieving the highest scores. No correlation between gender and time of device use was found for the questionnaire domains and subdomains. Conclusion: The cross-cultural adaptation and translation of the NCIQ into Brazilian Portuguese suggests that this instrument is reliable and useful for clinical and research purposes in Brazilian adults with CI. RESUMOObjetivo: Traduzir e adaptar culturalmente para o Português Brasileiro o Nijmegen Cochlear Implantation Questionnaire (NCIQ) e descrever os resultados de qualidade de vida em adultos. Método: Tradução e adaptação cultural do NCIQ. Depois desta etapa, foi realizado um estudo transversal e clínico de avaliação da qualidade de vida em um grupo de 24 adultos usuários de implante coclear (IC). Resultados: O título do questionário na versão traduzida para o Português Brasileiro foi definido em Questionário Nijmegen de Implantes Cocleares (NCIQ-P). A versão traduzida do questionário NCIQ-P apresentou boa consistência interna para todos os domínios existentes no questionário (0,78). Os resultados de qualidade de vida em adultos demonstraram que os domínios mais pontuados foram o social e o físico, sendo os subdomínios percepção básica e avançada os de maior pontuação. Não foi observada correlação entre gênero e tempo de uso do dispositivo para os domínios e subdomínios existentes no questionário. Conclusão: A tradução e adaptação cultural do NCIQ-P sugere que o instrumento é válido e útil para o uso clínico e de pesquisa em adultos usuários de IC e falantes do Português Brasileiro.Santos et al. CoDAS 2017;29(6):e20170007

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Section: Resultssupporting

confidence: 87%

Nijmegen Cochlear Implantation Questionnaire (NCIQ): tradução, adaptação cultural e aplicação em adultos usuários de implante coclear

Santos

Couto

Martinho-Carvalho

2017

CoDAS

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“…Overall, implanted adults showed significant improvement in QoL after implantation [Chung et al, 2012;Hawthorne et al, 2004;Klop et al, 2007Klop et al, , 2008Mo et al, 2005;Olze et al, 2011;Zhao et al, 2008] and attained significantly higher QoL than their nonimplanted (hearing-aided) peers [Cohen et al, 2004;Looi et al, 2011]. There were no differences in QoL between implanted adults and normal-hearing peers [Rembar et al, 2012].…”

Section: Summary Of Findings For Adultsmentioning

confidence: 98%

“…These include the Nijmegen Cochlear Implant Questionnaire (NCIQ) [Cohen et al, 2004;Damen et al, 2007;Fuller et al, 2013;Klop et al, 2007;Looi et al, 2011;Olze et al, 2011 ], the Cochlear Implant Function Index (CIFI) [Fuller et al, 2013], the Speech, Spatial and Qualities Questionnaire (SSQ) [Fuller et al, 2013], Patient Quality of Life Form (PQLF) [Mo et al, 2005], Index Relative Questionnaire Form (IRQF) [Mo et al, 2005], the Hearing Participation Scale (HPS) [Hawthorne et al, 2004], and the Complete Intelligibility Spatiality Quality (CISQ) [Looi et al, 2011].…”

Section: Disease-specific Instruments In Adultsmentioning

confidence: 99%

Quality of Life and Cost-Effectiveness of Cochlear Implants: A Narrative Review

et al. 2017

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Objectives: To review evidence regarding the health-related quality of life (HRQoL) and cost-effectiveness of unilateral and bilateral cochlear implantation (CI) among children and adults with severe-to-profound hearing loss. Study Design: Narrative review. Methods: Publications related to quality of life (QoL) and costs of care in CI were acquired through searches in English-language databases. Studies were included if they had identified the HRQoL attainment, cost of care, cost-utility, or cost-effectiveness associated with CI. Results: 57 studies were critically reviewed. The QoL outcome metrics used in these articles were divided into 2 categories - generic and condition specific. In studies investigating children, many reported no significant difference in QoL attainment between CI recipients and normal-hearing peers. In adults, significant improvements in QoL after implantation and higher QoL than in their nonimplanted (hearing-aided) peers were frequently reported. Studies involving an older adult cohort reported significant improvement in QoL after implantation, which was often independent of audiological performance. Overall, the calculated cost-utility ratios consistently met the threshold of cost acceptance, indicating acceptable values for expenditures on CI. Conclusions: Considerable work has been done on the QoL attainment and health economic implications of CI. Unilateral CI across all age groups leads to reported sustained benefits in the recipients' overall and disease-specific QoL. With increased cost associated with bilateral CI, further study is needed to characterize its costs and benefits with respect to the recipients' health, well-being, and contributions to society.

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“…The present results suggest that CI users may experience a relief in tinnitus persistence, but not a complete abolition of tinnitus or tinnitus-related distress. Studies investigating other aspects of tinnitus handicap in CI users are encouraging (e.g., anxiety and depression; Andersson et al 2009;Olze et al 2011;Kloostra et al 2015), but a more comprehensive characterization of tinnitus symptoms is still needed to understand the burden of tinnitus after cochlear implantation. It is only through such understanding that appropriate interventions for alleviating the burden of tinnitus in implant users can be identified and developed.…”

Section: Discussionmentioning

confidence: 99%

Tinnitus and Sleep Difficulties After Cochlear Implantation

et al. 2016

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Objectives: To estimate and compare the prevalence of and associations between tinnitus and sleep difficulties in a sample of UK adult cochlear implant users and those identified as potential candidates for cochlear implantation. Design:The study was conducted using the UK Biobank resource, a population-based cohort of 40-to 69-year olds. Self-report data on hearing, tinnitus, sleep difficulties, and demographic variables were collected from cochlear implant users (n = 194) and individuals identified as potential candidates for cochlear implantation (n = 211). These "candidates" were selected based on (i) impaired hearing sensitivity, inferred from self-reported hearing aid use and (ii) impaired hearing function, inferred from an inability to report words accurately at negative signal to noise ratios on an unaided closed-set test of speech perception. Data on tinnitus (presence, persistence, and related distress) and on sleep difficulties were analyzed using logistic regression models controlling for gender, age, deprivation, and neuroticism.Results: The prevalence of tinnitus was similar among implant users (50%) and candidates (52%; p = 0.39). However, implant users were less likely to report that their tinnitus was distressing at its worst (41%) compared with candidates (63%; p = 0.02). The logistic regression model suggested that this difference between the two groups could be explained by the fact that tinnitus was less persistent in implant users (46%) compared with candidates (72%; p < 0.001). Self-reported difficulties with sleep were similar among implant users (75%) and candidates (82%; p = 0.28), but participants with tinnitus were more likely to report sleep difficulties than those without (p < 0.001). The prevalence of sleep difficulties was not related to tinnitus persistence (p = 0.28) or the extent to which tinnitus was distressing (p = 0.55). Conclusions:The lack of association between tinnitus persistence and sleep difficulties is compatible with the notion that tinnitus is suppressed in implant users primarily during active electrical stimulation and may return when the implant is switched off at night time. This explanation is supported by the similar prevalence of sleep problems among implant users and potential candidates for cochlear implantation, despite differences between the groups in tinnitus persistence and related emotional distress. Cochlear implantation may therefore not be an appropriate intervention where the primary aim is to alleviate sleep difficulties.

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Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity

Cited by 121 publications

References 21 publications

Nijmegen Cochlear Implantation Questionnaire (NCIQ): tradução, adaptação cultural e aplicação em adultos usuários de implante coclear

Nijmegen Cochlear Implantation Questionnaire (NCIQ): tradução, adaptação cultural e aplicação em adultos usuários de implante coclear

Quality of Life and Cost-Effectiveness of Cochlear Implants: A Narrative Review

Tinnitus and Sleep Difficulties After Cochlear Implantation

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