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. 2022 Jan 1;43(1):e23-e29.
doi: 10.1097/MAO.0000000000003341.

The Cochlear Implant Use Questionnaire: Assessing Habits and Barriers to Use

Jourdan T Holder  1 , Lindsay S Mayberry  2 , René Gifford  1
Affiliations

The Cochlear Implant Use Questionnaire: Assessing Habits and Barriers to Use

Jourdan T Holder et al. Otol Neurotol. .

Abstract

Objective: The objective was to design a questionnaire to identify daily cochlear implant (CI) use habits and barriers to daily CI use and to administer this questionnaire to adult CI users. We hypothesized that recipients who reported a greater number of barriers to daily CI use would show lower daily CI use.

Study design: Questionnaire.

Setting: Academic medical center.

Patients: Hundred adult CI recipients.

Main outcome measures: Questionnaire responses and amount of CI use per day as measured from the CI software.

Results: The cochlear implant use questionnaire (CIUQ) was created and responses were obtained from 100 participants. The CIUQ yielded an average overall score of 23 (range, 3-54) out of 100; responses were variable, and CI recipients experienced different barriers to using their CI processor. The CIUQ overall score was significantly correlated with recipients' daily CI use (h/d) (rs = -0.561, p < 0.0001, 95% confidence interval [-0.694, -0.391]), which provides evidence of construct validity. Responses were immediately useful for identifying and overcoming barriers to consistent CI use with our study participants.

Conclusions: Increasing evidence suggests that daily CI use is correlated with speech recognition outcomes. To optimize outcomes, clinicians should consider implementing this questionnaire to identify and overcome barriers to consistent, full-time CI processor use.

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Conflict of interest statement

CONFLICT(S) OF INTEREST TO DECLARE:

René Gifford: Advisory board for Advanced Bionics, Cochlear, and Frequency Therapeutics

Jourdan Holder: Speaking honoraria from Cochlear

Figures

Figure 1.
Figure 1.
An IMB model of cochlear implant processor use adherence, adapted from Fisher et al. , Amico et al. , and Mayberry & Osborn . Solid lines indicate effects between IMB components and desired adherence, and the dashed line shows a feedback loop in which the outcomes affect future adherence information and motivation.
Figure 2.
Figure 2.
The correlation (rs = −0.561, p<.0001) between the total score from the questionnaire and the participants’ daily CI use (data logging values mined from the CI software) is shown. This figure demonstrates construct validity of the Cochlear Implant Use Questionnaire (CIUQ).
Figure 3.
Figure 3.
Figure compares subjective and objective daily cochlear implant (CI) use. Individual data are shown for average daily CI use collected from the CI software (data logging) and from a question (participant report) on the Cochlear Implant Use Questionnaire (CIUQ).
See this image and copyright information in PMC

References

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    1. Holder JT, Dwyer N, Gifford R. Duration of processor use per day is significantly correlated with speech recognition abilities in adults with cochlear implants. Otol Neurotol. 2019. - PMC - PubMed

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