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Adjusting Expectations: Hearing Abilities in a Population-Based Sample Using an SSQ Short Form.

Abstract

The German short form of the Speech, Spatial, and Qualities of Hearing Scale (SSQ) was administered in a cross-sectional study based on stratified random samples complemented by audiometric tests and a general interview. Data from 1,711 unaided adults aged 18 to 97 years were analyzed in order to determine a distribution of hearing abilities considered as normal and the main factors that impact self-assessments. An innovative mathematical approach was used to overcome the constraints of statistics based on the mean. Quantile regression analysis yielded a benchmark distribution of SSQ scores that might support audiologists in setting realistic SSQ score targets and estimated how the effect of auditory and nonauditory factors changes across the distribution of SSQ scores. Regression models showed significant effects for nonauditory factors on SSQ ratings when controlled for pure-tone hearing and interaural asymmetry. Self-reporting of hearing difficulties, when asked in general terms, was substantially related to SSQ ratings. This effect was observed in both high and low scoring participants and led to a considerable score decrease in all SSQ subscales. Gender, educational level, and self-reporting of health issues also were significantly related to SSQ ratings, but the corresponding effects were regularly unbalanced across the score distribution and particularly large at lower quantiles. The estimated effects of age, however, were mostly small in size, inconsistent regarding the direction, and failed significance for all SSQ items. Overall, the results suggest that nonauditory factors and cumulative effects must be considered when evaluating rehabilitative interventions against an ideal outcome.

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  • Authors+Show Affiliations

    ,

    1 Institute of Hearing Technology and Audiology, Jade University of Applied Sciences, Oldenburg, Germany. 2 Cluster of Excellence Hearing4all, Oldenburg, Germany.

    ,

    3 Division of Epidemiology and Biometry, School for Medicine and Health Sciences, Carl von Ossietzky University, Oldenburg, Germany.

    1 Institute of Hearing Technology and Audiology, Jade University of Applied Sciences, Oldenburg, Germany. 2 Cluster of Excellence Hearing4all, Oldenburg, Germany.

    Source

    Trends in hearing 22: pg 2331216518784837

    MeSH

    Adult
    Aged
    Aged, 80 and over
    Audiometry
    Audiometry, Pure-Tone
    Cross-Sectional Studies
    Female
    Germany
    Hearing
    Hearing Loss
    Humans
    Male
    Middle Aged
    Regression Analysis
    Self Report
    Speech Perception
    Surveys and Questionnaires
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    30022731

    Citation

    von Gablenz, Petra, et al. "Adjusting Expectations: Hearing Abilities in a Population-Based Sample Using an SSQ Short Form." Trends in Hearing, vol. 22, 2018, p. 2331216518784837.
    von Gablenz P, Otto-Sobotka F, Holube I. Adjusting Expectations: Hearing Abilities in a Population-Based Sample Using an SSQ Short Form. Trends Hear. 2018;22:2331216518784837.
    von Gablenz, P., Otto-Sobotka, F., & Holube, I. (2018). Adjusting Expectations: Hearing Abilities in a Population-Based Sample Using an SSQ Short Form. Trends in Hearing, 22, p. 2331216518784837. doi:10.1177/2331216518784837.
    von Gablenz P, Otto-Sobotka F, Holube I. Adjusting Expectations: Hearing Abilities in a Population-Based Sample Using an SSQ Short Form. Trends Hear. 2018;22:2331216518784837. PubMed PMID: 30022731.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Adjusting Expectations: Hearing Abilities in a Population-Based Sample Using an SSQ Short Form. AU - von Gablenz,Petra, AU - Otto-Sobotka,Fabian, AU - Holube,Inga, PY - 2018/7/20/entrez PY - 2018/7/20/pubmed PY - 2019/3/6/medline KW - age KW - hearing difficulties KW - hearing loss KW - questionnaire KW - self-reporting SP - 2331216518784837 EP - 2331216518784837 JF - Trends in hearing JO - Trends Hear VL - 22 N2 - The German short form of the Speech, Spatial, and Qualities of Hearing Scale (SSQ) was administered in a cross-sectional study based on stratified random samples complemented by audiometric tests and a general interview. Data from 1,711 unaided adults aged 18 to 97 years were analyzed in order to determine a distribution of hearing abilities considered as normal and the main factors that impact self-assessments. An innovative mathematical approach was used to overcome the constraints of statistics based on the mean. Quantile regression analysis yielded a benchmark distribution of SSQ scores that might support audiologists in setting realistic SSQ score targets and estimated how the effect of auditory and nonauditory factors changes across the distribution of SSQ scores. Regression models showed significant effects for nonauditory factors on SSQ ratings when controlled for pure-tone hearing and interaural asymmetry. Self-reporting of hearing difficulties, when asked in general terms, was substantially related to SSQ ratings. This effect was observed in both high and low scoring participants and led to a considerable score decrease in all SSQ subscales. Gender, educational level, and self-reporting of health issues also were significantly related to SSQ ratings, but the corresponding effects were regularly unbalanced across the score distribution and particularly large at lower quantiles. The estimated effects of age, however, were mostly small in size, inconsistent regarding the direction, and failed significance for all SSQ items. Overall, the results suggest that nonauditory factors and cumulative effects must be considered when evaluating rehabilitative interventions against an ideal outcome. SN - 2331-2165 UR - https://www.unboundmedicine.com/medline/citation/30022731/Adjusting_Expectations:_Hearing_Abilities_in_a_Population-Based_Sample_Using_an_SSQ_Short_Form L2 - http://journals.sagepub.com/doi/full/10.1177/2331216518784837?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -