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助听器服务模型,技术和患者结果:一项随机临床试验

Yu-Hsiang Wu¹, Elizabeth Stangl¹, Kjersten Branscome²

¹Department of Communication Sciences and Disorders, University of Iowa, Iowa City.

JAMA otolaryngology-- head & neck surgery

|May 15, 2025

概括

听力学家安装的助听器 (HA) 提供了比非处方药 (OTC) 选择更好的结果. 然而,OTC和混合OTC+模型都显示出积极的结果,HA技术水平并没有显著影响结果.

科学领域:

听力学听力学是指听力学.
医疗保健服务研究医疗服务研究
医疗器械医疗器械

背景情况:

助听器 (HA) 的负担能力是采用的障碍.
由听力学家 (AUD) 和高端设备安装的成本更高的HAs预计将比场外 (OTC) 选择产生更好的结果.

研究的目的:

将不同HA服务模式 (AUD,OTC+,OTC) 和技术水平 (高端,低端) 的患者结果进行比较.

主要方法:

这是一项随机临床试验,涉及245名55岁以上的成年人,他们有轻度至中度听力损失,以前没有HA经验.
参与者被分配到6组中的1组 (3个服务模型×2个技术水平).
使用格拉斯哥助听器好处概况 (EMA-GHABP) 的生态瞬间评估版本来衡量结果.

主要成果:

听力学家配备的HAs (AUD) 比OTC+和OTC模型显示出明显更好的结果.
在OTC+和OTC模型中,患者获得了积极的结果,两者之间没有显著差异.
在高端和低端HAs之间没有发现结果的显著差异.

结论:

虽然AUD服务型号带来了卓越的助听器益处,但OTC和OTC+型号为轻度至中度听力损失的人提供了有效和积极的结果.
该研究没有发现证据支持高端助听器的更高成本,因为技术水平没有影响结果.

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