Application of Patient Reported Outcome Measures in Cochlear Implant Patients: Implications for the Design of Specific Rehabilitation Programs
Introduction: Cochlear implants (CI) have been developed to enable satisfying verbal communication, while music perception has remained in the background in both the research and technological development, thus making CI users dissatisfied by the experience of listening to music. Indications for cli...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/22/22/8770 |
| _version_ | 1797463965943463936 |
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| author | Andrea Frosolini Giulio Badin Flavia Sorrentino Davide Brotto Nicholas Pessot Francesco Fantin Federica Ceschin Andrea Lovato Nicola Coppola Antonio Mancuso Luca Vedovelli Gino Marioni Cosimo de Filippis |
| author_facet | Andrea Frosolini Giulio Badin Flavia Sorrentino Davide Brotto Nicholas Pessot Francesco Fantin Federica Ceschin Andrea Lovato Nicola Coppola Antonio Mancuso Luca Vedovelli Gino Marioni Cosimo de Filippis |
| author_sort | Andrea Frosolini |
| collection | DOAJ |
| description | Introduction: Cochlear implants (CI) have been developed to enable satisfying verbal communication, while music perception has remained in the background in both the research and technological development, thus making CI users dissatisfied by the experience of listening to music. Indications for clinicians to test and train music abilities are at a preliminary stage compared to the existing and well-established hearing and speech rehabilitation programs. The main aim of the present study was to test the utility of the application of two different patient reporting outcome (PRO) measures in a group of CI users. A secondary objective was to identify items capable of driving the indication and design specific music rehabilitation programs for CI patients. Materials and Methods: A consecutive series of 73 CI patients referred to the Audiology Unit, University of Padova, was enrolled from November 2021 to May 2022 and evaluated with the audiological battery test and PRO measures: Musica e Qualità della Vita (MUSQUAV) and Nijmegen Cochlear Implant Questionnaire (NCIQ) Italian version. Results: The reliability analysis showed good consistency between the different PRO measures (Cronbach’s alpha = 0.873). After accounting for the epidemiological and clinical variables, the PRO measures showed a correlation with audiological outcomes in only one case (rho = −0.304; adj. <i>p</i> = 0.039) for NCIQ-T with the CI-pure tone average. A willingness for musical rehabilitation was present in 63% of patients (Rehab Factor, mean value of 0.791 ± 0.675). Conclusions: We support the role of the application of MUSQUAV and NCIQ to improve the clinical and audiological evaluation of CI patients. Moreover, we proposed a derivative item, called the rehab factor, which could be used in clinical practice and future studies to clarify the indication and priority of specific music rehabilitation programs. |
| first_indexed | 2024-03-09T18:01:08Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-03-09T18:01:08Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-8c564dbf22bf4da38ddaa8eb226dfd7c2023-11-24T09:55:28ZengMDPI AGSensors1424-82202022-11-012222877010.3390/s22228770Application of Patient Reported Outcome Measures in Cochlear Implant Patients: Implications for the Design of Specific Rehabilitation ProgramsAndrea Frosolini0Giulio Badin1Flavia Sorrentino2Davide Brotto3Nicholas Pessot4Francesco Fantin5Federica Ceschin6Andrea Lovato7Nicola Coppola8Antonio Mancuso9Luca Vedovelli10Gino Marioni11Cosimo de Filippis12Audiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyDepartment of Information Science, University of Milan, 20133 Milan, ItalyDepartment of Information Science, University of Milan, 20133 Milan, ItalyUnit of Biostatistics, Epidemiology, and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35100 Padova, ItalyOtolaryngology Section, Department of Neuroscience DNS, University of Padova, 35100 Padova, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyIntroduction: Cochlear implants (CI) have been developed to enable satisfying verbal communication, while music perception has remained in the background in both the research and technological development, thus making CI users dissatisfied by the experience of listening to music. Indications for clinicians to test and train music abilities are at a preliminary stage compared to the existing and well-established hearing and speech rehabilitation programs. The main aim of the present study was to test the utility of the application of two different patient reporting outcome (PRO) measures in a group of CI users. A secondary objective was to identify items capable of driving the indication and design specific music rehabilitation programs for CI patients. Materials and Methods: A consecutive series of 73 CI patients referred to the Audiology Unit, University of Padova, was enrolled from November 2021 to May 2022 and evaluated with the audiological battery test and PRO measures: Musica e Qualità della Vita (MUSQUAV) and Nijmegen Cochlear Implant Questionnaire (NCIQ) Italian version. Results: The reliability analysis showed good consistency between the different PRO measures (Cronbach’s alpha = 0.873). After accounting for the epidemiological and clinical variables, the PRO measures showed a correlation with audiological outcomes in only one case (rho = −0.304; adj. <i>p</i> = 0.039) for NCIQ-T with the CI-pure tone average. A willingness for musical rehabilitation was present in 63% of patients (Rehab Factor, mean value of 0.791 ± 0.675). Conclusions: We support the role of the application of MUSQUAV and NCIQ to improve the clinical and audiological evaluation of CI patients. Moreover, we proposed a derivative item, called the rehab factor, which could be used in clinical practice and future studies to clarify the indication and priority of specific music rehabilitation programs.https://www.mdpi.com/1424-8220/22/22/8770cochlear implanthearing lossmusic rehabilitationPRO measuresNCIQMuRQoL |
| spellingShingle | Andrea Frosolini Giulio Badin Flavia Sorrentino Davide Brotto Nicholas Pessot Francesco Fantin Federica Ceschin Andrea Lovato Nicola Coppola Antonio Mancuso Luca Vedovelli Gino Marioni Cosimo de Filippis Application of Patient Reported Outcome Measures in Cochlear Implant Patients: Implications for the Design of Specific Rehabilitation Programs Sensors cochlear implant hearing loss music rehabilitation PRO measures NCIQ MuRQoL |
| title | Application of Patient Reported Outcome Measures in Cochlear Implant Patients: Implications for the Design of Specific Rehabilitation Programs |
| title_full | Application of Patient Reported Outcome Measures in Cochlear Implant Patients: Implications for the Design of Specific Rehabilitation Programs |
| title_fullStr | Application of Patient Reported Outcome Measures in Cochlear Implant Patients: Implications for the Design of Specific Rehabilitation Programs |
| title_full_unstemmed | Application of Patient Reported Outcome Measures in Cochlear Implant Patients: Implications for the Design of Specific Rehabilitation Programs |
| title_short | Application of Patient Reported Outcome Measures in Cochlear Implant Patients: Implications for the Design of Specific Rehabilitation Programs |
| title_sort | application of patient reported outcome measures in cochlear implant patients implications for the design of specific rehabilitation programs |
| topic | cochlear implant hearing loss music rehabilitation PRO measures NCIQ MuRQoL |
| url | https://www.mdpi.com/1424-8220/22/22/8770 |
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