Related Experiment Video
Updated: Mar 9, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Item Response Theory Applied to Factors Affecting the Patient Journey Towards Hearing Rehabilitation
Michelene Chenault1, Martijn Berger2, Bernd Kremer3
1Department of Otorhinolaryngology and Head and Neck Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands; Department of Health, Ethics and Society, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands; CAPHRI (School for Public Health and Primary Care), Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Abstract:
To develop a tool for use in hearing screening and to evaluate the patient journey towards hearing rehabilitation, responses to the hearing aid rehabilitation questionnaire scales aid stigma, pressure, and aid unwanted addressing respectively hearing aid stigma, experienced pressure from others; perceived hearing aid benefit were evaluated with item response theory. The sample was comprised of 212 persons aged 55 years or more; 63 were hearing aid users, 64 with and 85 persons without hearing impairment according to guidelines for hearing aid reimbursement in the Netherlands. Bias was investigated relative to hearing aid use and hearing impairment within the differential test functioning framework. Items compromising model fit or demonstrating differential item functioning were dropped. The aid stigma scale was reduced from 6 to 4, the pressure scale from 7 to 4, and the aid unwanted scale from 5 to 4 items. This procedure resulted in bias-free scales ready for screening purposes and application to further understand the help-seeking process of the hearing impaired.
More Related Videos
Related Concept Videos
Factors Affecting Drug Response: Overview
Factors Affecting Perception
An illustrative example of a perceptual set is the scenario where an airline pilot told...
Auditory Pathway
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking...
Factors Affecting Illness
For instance, risk factors are connected to illness,...

