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Auteur Eithne Heffernan |
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trié(s) par (Pertinence décroissant(e), Titre croissant(e)) Faire une suggestion Affiner la rechercheApplication of Rasch Analysis to the Evaluation of the Measurement Properties of the Hearing Handicap Inventory for the Elderly / Eithne Heffernan in Ear and hearing, Vol. 41, n°5 (Septembre-octobre 2020)
Titre : Application of Rasch Analysis to the Evaluation of the Measurement Properties of the Hearing Handicap Inventory for the Elderly Type de document : Article Auteurs : Eithne Heffernan ; Barbara E. Weinstein ; Melanie A. Ferguson Année de publication : 2020 Article en page(s) : p. 1125-1134 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Perte d'audition ; Psychométrie ; Sujet âgéMots-clés : Rasch analysis Résumé : Objectives: The aim of this research was to evaluate the measurement properties of the Hearing Handicap Inventory for the Elderly (HHIE). The HHIE is one of the most widely used patient-reported outcome measures in audiology. It was originally developed in the United States in the 1980s as a measure of the social and emotional impact of hearing loss in older adults. It contains 25 items that are accompanied by a 3-point response scale. To date, the measurement properties of the HHIE have primarily been assessed via traditional psychometric analysis techniques (e.g., Cronbach's alpha and Principal Components Analysis). However, traditional techniques are now known to have several limitations in comparison to more modern approaches. Therefore, this research used a modern psychometric analysis technique, namely Rasch analysis, to evaluate the HHIE.
Design: Rasch analysis was performed on HHIE data collected from 380 adults with hearing loss. The participants were principally recruited from the participant database of the National Institute for Health Research Nottingham Biomedical Research Centre in the United Kingdom. Additional participants were recruited from two UK audiology clinics and the online forum of a UK hearing loss charity. Rasch analysis was used to assess the measurement properties of the HHIE (i.e., fit to the Rasch model, unidimensionality, targeting, and person separation reliability) and its individual items (i.e., response dependency, fit, Differential Item Functioning, and threshold ordering).
Results: The HHIE was found to have several strong measurement properties. Specifically, it was well-targeted and had high person separation reliability. However, it displayed poor fit to the Rasch model and was not unidimensional. The majority of the items were free of response dependency (i.e., redundancy) and were suited to the 3-point response scale. However, two items were found to be better suited to a dichotomous response scale. Furthermore, nine items were identified as being candidates for removal from the questionnaire, as they exhibited poor fit and/or Differential Item Functioning (i.e., item bias) associated with gender. The measurement properties of the HHIE could be improved by removing these items and adjusting the scores of the two items that require a dichotomous response scale. These amendments resulted in a 16-item version of the HHIE that had good fit to the Rasch model and that was unidimensional.
Conclusions: It is vital to ensure that high-quality outcome measures are used in audiology research and practice. This study evaluated one of the foremost outcome measures in this field: the HHIE. The results demonstrated that the HHIE had several strong measurement properties. Amending the HHIE, such as by removing items exhibiting poor fit, could further enhance its quality. A unique aspect of this study was the application of Rasch analysis to the evaluation of the HHIE. It is recommended that future studies use modern techniques to develop and identify high-quality, hearing-specific outcome measures.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267952
in Ear and hearing > Vol. 41, n°5 (Septembre-octobre 2020) . - p. 1125-1134[article]
Titre : Audiological approaches to address the psychosocial needs of adults with hearing loss: perceived benefit and likelihood of use Type de document : Article Auteurs : Rebecca J. Bennett ; Caitlin Barr ; Alex Cortis ; Robert H. Eikelboom ; Melanie A. Ferguson ; Daniel Gerace ; Eithne Heffernan ; Louise Hickson ; Lisette M. van Leeuwen ; Joseph J. Montano ; Jill E. Preminger ; Marieke Pronk ; Gabrielle H. Saunders Année de publication : 2021 Article en page(s) : p. 12-19 Langues : Anglais (eng) Descripteurs : HE Vinci
Approche psychosociale ; Audiologues ; Déficience auditive ; Relation audiologue patient ; Soins centrés sur le patientRésumé : Objective
To explore the perceived benefit and likely implementation of approaches used by audiologists to address their adult clients’ psychosocial needs related to hearing loss.
Design
Adults with hearing loss and audiologists completed separate, but related, surveys to rate their perceived benefit and also their likely use of 66 clinical approaches (divided over seven themes) that aim to address psychosocial needs related to hearing loss.
Study sample
A sample of 52 Australian adults with hearing loss, and an international sample of 19 audiologists.
Results
Overall, participants rated all of the approaches highly on both benefit and likelihood of use; the highest ranked theme was Providing Emotional Support. Cohort comparisons showed that audiologists ranked the approaches significantly higher than did adults with hearing loss. Overall, participants ranked the themes higher on benefit than on the likelihood to use scales.
Conclusions
Adults with hearing loss and audiologists recognise the importance of approaches that address the psychosocial impacts of hearing loss in audiological rehabilitation. However, both groups placed slightly greater value on the internal-based approaches (the clients own emotional response, empowerment, and responsibility), and slightly less emphasis on the external-based approaches (being supported by communication partners, support groups or other health professionals).DOI : https://doi.org/10.1080/14992027.2020.1839680|1 Accès : Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne plus Disponible en ligne : Oui En ligne : https://www.tandfonline.com/doi/full/10.1080/14992027.2020.1839680 Format de la ressource électronique : Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=287048
in International Journal of Audiology IJA > Vol. 60, S.2 (2021) . - p. 12-19[article]
Titre : Comprendre les expériences psychosociales des adultes souffrant d'une perte auditive légère à modérée: une application du modèle d'autorégulation de Leventhal Type de document : Article Auteurs : Eithne Heffernan ; Neil S. Coulson ; Helen Henshaw ; [et al.] Année de publication : 2016 Article en page(s) : p. S3-S12 Langues : Anglais (eng) Descripteurs : HE Vinci
Approche psychosociale ; Perte d'audition
Autres descripteurs
Representation de la maladieMots-clés : Modèle d'autorégulation de Leventhal Résumé : Objectif : Cette étude a exploré les expériences psychosociales des adultes malentendants en utilisant le modèle d'autorégulation comme cadre théorique. Les principales composantes du modèle, à savoir les représentations cognitives, les représentations émotionnelles et les réponses d'adaptation, ont été examinées. Conception : Des entretiens individuels semi-structurés ont été menés. Les données ont été analysées à l'aide d'une procédure d'analyse thématique établie. Échantillon de l'étude : Vingt-cinq adultes ayant une perte auditive légère à modérée du Royaume-Uni et neuf professionnels de la santé auditifs du Royaume-Uni, des États-Unis et du Canada ont été recrutés par échantillonnage à variation maximale. Résultats: Représentations cognitives: La plupart des participants ont décrit leur perte auditive comme ayant des connotations et des conséquences négatives, même s'ils n'étaient pas particulièrement préoccupés par la progression ou la contrôlabilité / curabilité de la condition. Les opinions divergeaient quant aux avantages de comprendre en détail les causes de la perte auditive. Représentations émotionnelles: les émotions négatives dominaient, bien que certaines aient vécu des émotions positives ou des émotions en sourdine. Réponses d'adaptation: adaptation engagée (par exemple, appareils auditifs, tactiques de communication) et adaptation désengagée (par exemple retrait des situations, retrait dans les situations): les deux avaient des avantages et des inconvénients perçus. Conclusions: Cette nouvelle application du modèle d'autorégulation démontre qu'il peut être utilisé pour capturer les expériences psychosociales clés (c.-à-d. Les perceptions, les émotions et les réponses d'adaptation) des adultes ayant une perte auditive légère à modérée dans un cadre unique et unificateur. Disponible en ligne : Oui En ligne : https://www-tandfonline-com.ezproxy.vinci.be/doi/pdf/10.3109/14992027.2015.11176 [...] Format de la ressource électronique : Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=253961
in International Journal of Audiology IJA > Vol. 55, S.3 [01/08/2016] . - p. S3-S12[article]
Titre : Development of the Social Participation Restrictions Questionnaire (SPaRQ) through consultation with adults with hearing loss, researchers, and clinicians: a content evaluation study Type de document : Article Auteurs : Eithne Heffernan ; Neil S. Coulson ; Melanie A. Ferguson Année de publication : 2018 Article en page(s) : p. 791-799 Langues : Anglais (eng) Résumé : Objective: This research aimed to evaluate the content of the Social Participation Restrictions Questionnaire (SPaRQ) in terms of its relevance, clarity, comprehensiveness, acceptability to adults with hearing loss, and responsiveness.
Design: Cognitive interviews and a subject matter expert survey were conducted. The interview data were analysed using thematic analysis and a taxonomy of questionnaire clarity problems. Descriptive statistics were calculated for the survey data.
Study sample: Fourteen adults with hearing loss participated in the cognitive interviews. Twenty clinicians and academics completed the subject matter expert survey.
Results: The majority of the SPaRQ content was found to be relevant, clear, comprehensive, and acceptable. However, an important clarity problem was identified: many adults with hearing loss struggled to switch from answering positively worded items (e.g. “I can attend social gatherings”) to answering negatively-worded items (e.g. “I feel isolated”). Several subject matter experts found responsiveness difficult to assess. The SPaRQ was amended where necessary.
Conclusion: Few hearing-specific questionnaires have undergone content evaluation. This study highlights the value of content evaluation as a means of identifying important flaws and improving the quality of a measure. The next stage of this research is a psychometric evaluation of the measure.Accès : Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne plus Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.tandfonline.com/doi/full/10 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=210563
in International Journal of Audiology IJA > Vol. 57, n°1-12 (January-December 2018) . - p. 791-799[article]Exemplaires (1)
Cote Support Localisation Section Disponibilité International journal of audiology IJA. Vol. 57, n°1-12 (January-December 2018) Périodique papier Ixelles Rez Consultation sur place uniquement
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Titre : Evaluation of the psychometric properties of the social isolation measure (SIM) in adults with hearing loss Type de document : Article Auteurs : Eithne Heffernan ; Alia Habib ; Melanie A. Ferguson Année de publication : 2019 Article en page(s) : p. 45-52 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Isolement social ; Psychométrie ; Rééducation auditiveRésumé : This study aimed to evaluate the psychometric properties of a brief, hearing-specific outcome measure: the Social Isolation Measure (SIM).
Design: In Phase 1, adults with hearing loss were invited to complete an online survey that contained the SIM, a hearing-specific participation questionnaire, a generic activity and participation questionnaire, and a generic loneliness questionnaire. In Phase 2, the participants were asked to complete the SIM for a second time 2–3 weeks following Phase 1.Accès : Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne plus Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.tandfonline.com/doi/pdf/10. [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=249421
in International Journal of Audiology IJA > Vol. 58, n°1 (Janvier 2019) . - p. 45-52[article]
