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Updated: Jan 8, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Valid and Reliable Patient-Reported Outcome Measures Used Within a Swedish Hearing Health Care Setting
Elin Karlsson1,2, Åsa Skagerstrand1,2
1Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Sweden.
Purpose:
The study investigated which hearing-related patient-related outcome measures (PROMs) are available for use within the Swedish hearing health care system. The study also investigated the translation process and psychometric evaluation of the identified PROMs.
Method:
A two-step method, including a literature review and an online survey, was used. The respondents of the online survey represented public and private hearing-related health care systems in Sweden. Thirty-three hearing health care clinics participated, representing 20 of 21 counties in Sweden.
Results:
Within Swedish hearing-related health care, a variation in the applicable PROMs was found. Usually, PROMs were used for adult patients but also can be applied to children. PROMs were primarily used for post-rehabilitation evaluations or prior hearing rehabilitation for diagnostics and/or hearing need assessment. Most PROMs measured hearing aid benefit and tinnitus-related issues. Overall, the study identified 29 PROMs available in Swedish for which all but two were validated with the translation process described in 12 studies.
Conclusions:
In Sweden, 29 hearing-related PROMs are available. Differences in PROM use between the hearing health care units were found, indicating a need for consensus and national guidelines.

