Transcript EVALUATION QUESTIONNAIRES - University of Manchester

Evaluation Questionnaires
LIFE-UK IHP
LSQ
PEACH
Wave 4 EJB 17/05/04
Modernising Children’s
Hearing Aid Services
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
 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
Modernising Children’s Hearing Aid Services
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
Modernising Children’s Hearing Aid Services
1.
There is a lot of noise outside the classroom.
These prompts were
added to clarify situation



Teacher-Child
No lipreading
Noise
FM System Yes / No
How well can you hear the words the teacher is saying?
Always
easy
Mostly
easy
Sometimes
difficult
Mostly
Difficult
Always
difficult
Modernising Children’s Hearing Aid Services
1. It is a quiet day and there is no noise from outside the classroom.



Teacher-Child
No lipreading
Quiet
FM System Yes / No
How well can you hear the words the teacher is saying?
Always
easy
Mostly
easy
Sometimes
difficult
Mostly
difficult
Always
difficult
Modernising Children’s Hearing Aid Services
1. The class have just finished an activity and are tidying up. The
teacher says something to the class.



Teacher-Child
Lipreading
Noise
FM System Yes / No
How well can you hear the words the teacher is saying?
Always
easy
Mostly
easy
Sometimes
difficult
Mostly
difficult
Always
difficult
Modernising Children’s Hearing Aid Services
Comment
Always Easy
Mostly Easy
Sometimes
Difficult
Mostly Difficult
Always Difficult
Score
1
2
3
4
5
Interaction
Lipreading
Noise
Type
EXAMPLE
Q1
Q2
Q3
Q4
Q5
Q6
Q7
Q8
Q9
Q10
Q11
Q12
Q13
Q14
Q15
Q16
Q17
Q18
Type Totals
Teacher - Child
Yes
No
Yes No Yes No
A
B
C
D
3
Child - Child
Yes
No
Yes No Yes No
E
F
G
H
Comments
4
3
3
4
2
3
4
5
2
4
3
2
3
2
3
4
11
5
17
7
2
7 2
4
4
4
Modernising Children’s Hearing Aid Services
Teacher Child Exchanges
Always easy
Mostly easy
Sometimes difficult
Mostly difficult
Always difficult
Type
Child Child Exchanges
4-7
2-3
4-7
2-3
8 - 11
4-5
8 - 11
4-5
12 - 15
6-7
12 - 15
6-7
16 - 19
8-9
16 - 19
8-9
20
10
20
10
A B C D
Noise Quiet Noise Quiet
Lipreading No Lipreading
Always easy
3-5
1
Mostly easy
6-8
2
Sometimes difficult 9 - 11
3
Mostly difficult
12 - 14
4
Always difficult
15
5
Type E
F
Noise Quiet
Lipreading
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
Modernising Children’s Hearing Aid Services
1
1
2
2
3
3
4
4
5
5
G
H
Noise Quiet
No Lipreading
LIFE-IHP UK Scoring on a PMS
Modernising Children’s Hearing Aid Services
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
Modernising Children’s Hearing Aid Services
1. Listening to what is said in a noisy room at school by teacher
How important is this situation?





Very important
Important
Slightly important
Not at all important
How often does this happen?
Very often
Often
Sometimes
Hardly ever





In this situation with a hearing aid how
much difficulty does your child have?
A great deal

Quite a lot


A little

None at all

Never wears an aid

Modernising Children’s Hearing Aid Services
2. Listening to instructions from an adult when out of doors
How important is this situation?





Very important
Important
Slightly important
Not at all important
How often does this happen?
Very often
Often
Sometimes
Hardly ever
In this situation with a hearing aid how
much difficulty does your child have?
A great deal

Quite a lot

A little


None at all

Never wears an aid

Modernising Children’s Hearing Aid Services





3. Listening to the doorbell or telephone ring when you are in
another room
How important is this situation?





Very important
Important
Slightly important
Not at all important
How often does this happen?
Very often
Often
Sometimes
Hardly ever
In this situation with a hearing aid how
much difficulty does your child have?
A great deal

Quite a lot

A little


None at all

Never wears an aid

Modernising Children’s Hearing Aid Services


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

LSQ Scoring




Very Important/Very Often/ A great deal
Important/ Often/ Quite a lot
Slightly Important/ Sometimes/ A Little
Not at all important/ Hardly ever/ None at all
Score 4
Score 3
Score 2
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
Modernising Children’s Hearing Aid Services
LSQ-P Scoring
Question Number
1
2
3
4
5
6
7
8
9
10
TOTALS
Importance
4
4
4
4
4
4
4
4
4
4
3
3
3
3
3
3
3
3
3
3
2
2
2
2
2
2
2
2
2
2
Frequency
1
1
1
1
1
1
1
1
1
1
4
4
4
4
4
4
4
4
4
4
3
3
3
3
3
3
3
3
3
3
2
2
2
2
2
2
2
2
2
2
Difficulty
1
1
1
1
1
1
1
1
1
1
4
4
4
4
4
4
4
4
4
4
3
3
3
3
3
3
3
3
3
3
35
2
2
2
2
2
2
2
2
2
2
34
23
35+34+23 = 92
Total Overall Score __________________________________
23
Total Difficulty Score __________________________________
Modernising Children’s Hearing Aid Services
1
1
1
1
1
1
1
1
1
1
LSQ-P Scoring on PMS
Modernising Children’s Hearing Aid Services
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
Modernising Children’s Hearing Aid Services
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?“
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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
Modernising Children’s Hearing Aid Services
 Probe 2
 Goal of Probe. Can the 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 weeks has …….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.

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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
Modernising Children’s Hearing Aid Services
 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 parent to 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 parent to give examples of when and where that
occurred.
 Scoring

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
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4
3
2
1
0
_____
Never, if no examples can be given. (0%)
Seldom, if one or two examples can be given. (Around 25% of the time)
Sometimes, if several examples can be given. (Around 50% of the time)
Often, if numerous examples can be given. (Around 75% of the time)
Always. (100% of the time)
 Examples
Modernising Children’s Hearing Aid Services
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Modernising Children’s Hearing Aid Services
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%
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 !
Modernising Children’s Hearing Aid Services
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
Modernising Children’s Hearing Aid Services