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20Q: Outcome Measures in Clinical Practice

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1.  An outcome measure: is a way to verify a clinical procedure validates a clinical procedure or service by providing the patient's perspective after some period is useful in laboratory research, not in clinical practice should only consider the professional's perspective, not the patient's

2.  Which of the following is an example of validation? probe mic measurements of gain and output of a hearing aid aided and unaided pure tone thresholds in a soundfield speechmapping a survey to assess how a patient feels he/she is performing with their new hearing aids in various situations

3.  Which of the following statements best describes audiologists' use of outcome measures in clinical practice, per the author? most audiologists don't use outcomes measures most audiologists use outcome measures exactly half of practicing audiologists use outcome measures no audiologists use outcome measures as they are not considered best practices by audiology associations

4.  Which of the following is NOT an example of an outcome measure for measuring hearing aid benefit? COSI HAFUS Speechmapping Hearing Aid Performance Inventory

5.  According to the author, results of an outcome measure assessing hearing aid benefit should: indicate all patients hear what they want to hear in all surveyed listening situations compare favorably with normative data, and measure up to expectations given individual factors such as degree of loss, age, etc. ensure all patients do better than average in noisy situations not require any follow up on the part of the audiologist

6.  To increase the response rate to a patient survey, the author recommends: incentivizing patients with gift cards to local restaurants if they complete the survey calling patients on the phone weekly until they complete the survey telling patients about the survey at their last follow up visit and sending the survey in the mail a second time if they don't respond to the first mailing scheduling an appointment for the patient to fill out the survey on an iPad in your office

7.  The author estimates the cost of implementing a new outcome measure via a survey to 20 patients fit with hearing aids to be approximately: $0 $40 $250 $1000

8.  An outcome measure of hearing aid benefit: may reveal a subpar outcome that can be remedied by follow up finetuning, counseling or other means can serve as a baseline to reference over time can help identify issues in patients a few months after a new hearing aid fitting all of the above

9.  To obtain a patient's "benefit" score with new hearing aids, the author did the following: Conducted items from the HAFUS both pre-fitting and post-fitting and calculated the difference asked the patient's spouse to rate the improvement in communication difficulties on a 1 to 10 scale asked the patient to rate overall benefit on a 1 to 10 scale reviewed data logging information and based the benefit on the patient's wear time

10.  The author indicates that using an outcome measure to assess hearing aid benefit: is time consuming and not worth it is costly and not worth it is probably a good idea but not practical in a busy practice provides audiologists with more knowledge about the fitting and power to provide better care