J Am Acad Audiol 1999; 10(01): 46-62
DOI: 10.1055/s-0042-1748330
Original Article

Some Limitations of Evaluative Investigations Based Solely on Normed Outcome Measures

Jean-Pierre Gagné
École d’orthophonie et d’audiologie, Université de Montréal, Montréal, Québec
,
Stéphane McDuff
Institut Raymond-Dewar, Montréal, Québec
,
Louise Getty
École d’orthophonie et d’audiologie, Université de Montréal, Montréal, Québec
› Author Affiliations

Abstract

The present article argues that evaluative research in audiologic rehabilitation should be consistent with contemporary conceptual frameworks of rehabilitation. Moreover, comprehensive evaluative research investigations should include an evaluation of (1) the process of intervention and (2) the impacts and consequences of the intervention program. An approach to rehabilitation based on the principle that intervention should be viewed as a solution-centered problem-solving process is outlined. Then, three illustrative cases are described and compared from the perspective of traditional evaluative research paradigms and from the perspective that audiologic rehabilitation is a solution-centered problem-solving process. Some shortcomings of traditional approaches to evaluative research are discussed. Finally, some guidelines that could lead to the development of comprehensive evaluative research in rehabilitation are outlined.



Publication History

Article published online:
23 April 2022

© 1999. American Academy of Audiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • REFERENCES

  • Barlow DH, Hersen M. (1984). Single Case Experimental Designs: Strategies for Studying Behavior Change. 2nd Ed. New York: Pergamon Press.
  • Bilger RC. (1984). Speech recognition test development. ASHA Reports 14:2–7.
  • Canadian Society for the International Classification of Impairments, Disabilities, and Handicaps. (1991). The handicaps creation process: analysis of the consultation, new full proposals. ICIDH Int Network 4(1–2).
  • Cardillo JE, Smith A. (1994a). Psychometric issues. In: Kiresuk TJ, Smith A, Cardillo JE, eds. Goal Attainment Scaling: Applications, Theory, and Measurement. Hillsdale, NJ: Lawrence Erlbaum Associates, 173–212.
  • Cardillo JE, Smith A. (1994b). Reliability of Goal Attainment Scores. In: Kiresuk TJ, Smith A, Cardillo JE, eds. Goal Attainment Scaling: Applications, Theory, and Measurement. Hillsdale, NJ: Lawrence Erlbaum Associates, 213–241.
  • Cornelisse LE, Seewald RC, Jamieson DG. (1995). The input/output (I/O) formula: a theoretical approach to the fitting of personal amplification devices. J Acoust Soc Am 97:1854–1864.
  • Cox RM. (1995). Using loudness data for hearing aid selection: The IHAFF approach. Hear J 47(2):10, 39–42.
  • Cox RM, Alexander CG, Gilmore C. (1987). Development of the Connected Speech Test (CST). Ear Hear 8(Suppl):119–126S.
  • Cox RM, Alexander CG, Gilmore C. (1988). Use of the Connected Speech Test (CST) with hearing-impaired listeners. Ear Hear 9:198–207.
  • Cox RM, Gilmore C. (1990). Development of the Profile of Hearing Aid Performance (PHAP). J Speech Hear Res 33:343–357.
  • Cox RM, Riviera IM. (1992). Predictability and reliability of hearing aid benefit using the PHAB. J Am Acad Audwl 3:242–254.
  • Demorest ME, Erdman SA. (1987). Development of the Communication Profile for the Hearing Impaired. J Speech Hear Disord 52:129–143.
  • Demorest ME, Erdman SA. (1994). Research in audio-logical rehabilitation: the challenges. In: Gagné JP, Tye-Murray N, eds. Research in audiological rehabilitation: current trends and future directions. J Acad Rehab Audiol 27(Monograph Suppl):291–315.
  • Dillon H. (in press). Measuring the outcomes of a national rehabilitation program: normative data for the client oriented scale of improvement (COSI) and the hearing aid user’s questionnaire (HAUQ). J Am Acad Audiol.
  • Dillon H, James A, Ginis J. (1997). Client Oriented Scale of Improvement (COSI) and its relationship to several other measurements of benefit and satisfaction provided by hearing aids. J Am Acad Audiol 8:27–43.
  • Dillon H, Koritschoner E, Battaglia J, Lovegrove R, Ginis J, Mavrias G, Carnie L, Ray P, Forsythe L, Towers E, Goulias H, Macaskill F. (1991a). Rehabilitation effectiveness I: assessing the needs of clients entering a national hearing rehabilitation program. Aust J Audiol 13:55–65.
  • Dillon H, Koritschoner E, Battaglia J, Lovegrove R, Ginis J, Mavrias G, Carnie L, Ray P, Forsythe L, Towers E, Goulias H, Macaskill F. (1991b). Rehabilitation effectiveness II: assessing the outcomes for clients of a national hearing rehabilitation program. Aust J Audiol 13:68–82.
  • Gagné JP. (1997, November). An Ecological Model of Audiological Rehabilitation. Paper presented at the Workshop on Communication in the Hearing-impaired and Deaf: From Signal to Dialogue, Linkoping, Sweden.
  • Gagné JP. (in press). Reflections on evaluative research in audiological rehabilitation. Scand Audiol.
  • Gagné JP, Hétu R, Getty L, McDuff S. (1995). Towards the development of paradigms to conduct functional evaluative research in audiological rehabilitation. J Acad Rehab Audiol 28:7-25.
  • Gagné JP, McDuff S, Charron D, Getty L. (1998, June). The Application of a Client-centered Approach to Evaluate the Effectiveness of Intervention Programs for Persons with a Hearing Loss. Paper presented at the Summer Institute of the Academy of Rehabilitative Audiology, Lake Geneva, WI.
  • Gatehouse S. (1997). Validation of the Glasgow Hearing Benefit Profile. (Personal communication, June 1997).
  • Gatehouse G. (in press). Glasgow hearing aid benefit profile: derivation and validation of a client-centered outcome measure for hearing aid services. J Am Acad Audiol.
  • Getty L, Hétu R, Waridel S. (1995). Étude du Processus de Réadaptation Chez des Travailleurs Atteints de Surdité Professionelle. Final Report: CQRS Grant #EA319/092.
  • Hétu R. (1996). The stigma attached to hearing impairment. Scand Audiol 25 (Suppl 43): 12–24.
  • Hyde ML, Riko K. (1994). A decision-analytic approach to audiological rehabilitation. In: Gagné JP, Tye-Murray N, eds. Research in audiological rehabilitation: current trends and future directions. J Acad Rehab Audiol 27 (Monograph Suppl):337–374.
  • Kiresuk TJ, Smith A, Cardillo JE, eds. (1994). Goal Attainment Scaling: Applications, Theory, and Measurement. Hillsdale, NJ: Lawrence Erlbaum Associates.
  • Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. (1990). The Canadian Occupational Performance Measure: an outcome measure for occupational therapy. Can J Occup Ther 57:82–87.
  • Law M, Polatajko H, Pollock N, McColl M, Carswell A, Baptiste S. (1994). Pilot testing of the Canadian Occupational Performance Measure: clinical and measurement issues. Can J Occup Ther 61:191–197.
  • McKenna L. (1987). Goal planning in audiological rehabilitation. Br J Audiol 21:5–11.
  • Moore BCJ. (1997). An Introduction to the Psychology of Hearing. 4th Ed. Baltimore: University Park Press.
  • Mueller GH. (1998). Prescriptive methods: the next generation. Hear J 50(1): 10–19.
  • Noble W. (in press). Nonuniformities in self-assessed outcomes of hearing aid use. J Am Acad Audiol.
  • Noble W, Hétu R. (1994). An ecological approach to disability and handicap in relation to impaired hearing. Audiology 33:117–126.
  • Resnick SB, Dubno JR, Hoffnung S, Levitt H. (1975). Phoneme errors on a nonsense syllable test. J Acoust Soc Am 58(Suppl 1); 114.
  • Siegel GM, Spradlin JE. (1985). Therapy and research. J Speech Hear Disord 50:226–230.
  • Skinner MW. (1988). Hearing Aid Evaluation. Englewood Cliffs, NJ: Prentice-Hall.
  • Smith A, Cardillo JE. (1994). Perspective on validity. In: Kiresuk TJ, Smith A, Cardillo JE, eds. Goal Attainment Scaling: Applications, Theory, and Measurement. Hillsdale, NJ: Lawrence Erlbaum Associates, 243–272.
  • Stephens D. (1996). Hearing rehabilitation in a psychosocial framework. Scand Audiol 25(Suppl 43):57–66.
  • Stephens D, Hétu R. (1991). Impairment, disability and handicap in audiology: towards a consensus. Audiology 30:185–200.
  • Ventry IM, Weinstein BE. (1982). The Hearing Handicap Inventory for the Elderly: a new tool. Ear Hear 3:128–134.
  • Walden BE, Demorest ME, Hepler EL. (1984). Self-report approach to assessing benefit derived from amplification. J Speech Hear Res 27:49–56.
  • World Health Organization. (1980). International classification of Impairments, Disabilities and Handicaps. A Manual of Classification Relating to the Consequences of Diseases. Geneva: WHO.
  • World Health Organization. (1997). ICIDH-2. International Classification of Impairments, Activities and Participation: A Manual of Dimensions of Disablement ana1 Functioning. [Online]. Available: http://www.who.int/msa/mnh/ems/icidh/index.htm.