Evidence map›Paper›PMID 28772297›Full record

ArticleJAMA otolaryngology-- head & neck surgery2017

Use of Adult Patient Focus Groups to Develop the Initial Item Bank for a Cochlear Implant Quality-of-Life Instrument.

Theodore R McRackan, Craig A Velozo, Meredith A Holcomb, Elizabeth L Camposeo, Jonathan L Hatch, Ted A Meyer, Paul R Lambert, Cathy L Melvin, Judy R Dubno

Abstract read
In one paragraph

Article in JAMA otolaryngology-- head & neck surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. A qualitative systematic review of the impact of hearing on quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
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  5. Health-Related Quality of Life Changes Associated With Hearing Loss.JAMA otolaryngology-- head & neck surgery · 2020
    Pooled it
  6. Pooled it
  7. Observational
  8. Article
  9. Factors Associated with Preoperative Patient Expectations in the Cochlear Implant Evaluation Process.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2025
    Article
  10. Article
  11. Predictors of Short-Term Changes in Quality of Life after Cochlear Implantation.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2023
    Observational
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  15. The impact of cochlear implantation on health-related quality of life in older adults, measured with the Health Utilities Index Mark 2 and Mark 3.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Theodore R McRackanDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.
Craig A VelozoDivision of Occupational Therapy, Medical University of South Carolina, Charleston.
Meredith A HolcombDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.
Elizabeth L CamposeoDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.
Jonathan L HatchDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.
Ted A MeyerDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.
Paul R LambertDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.
Cathy L MelvinDepartment of Public Health Sciences, Medical University of South Carolina, Charleston.
Judy R DubnoDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: No instrument exists to assess quality of life (QOL) in adult cochlear implant (CI) users that has been developed and validated using accepted scientific standards. Objective: To develop a CI-specific QOL instrument for adults in accordance with the Patient Reported Outcomes Measurement Information System (PROMIS) guidelines. Design, Setting, and Participants: As required in the PROMIS guidelines, patient focus groups participated in creation of the initial item bank. Twenty-three adult CI users were divided into 1 of 3 focus groups stratified by word recognition ability. Three moderator-led focus groups were conducted based on grounded theory on December 3, 2016. Two reviewers independently analyzed focus group recordings and transcripts, with a third reviewer available to resolve discrepancies. All data were reviewed and reported according to the Consolidated Criteria for Reporting Qualitative Research. The setting was a tertiary referral center. Main Outcomes and Measures: Coded focus group data. Results: The 23 focus group participants (10 [43%] female; mean [range] age, 68.1 [46.2-84.2] years) represented a wide range of income levels, education levels, listening modalities, CI device manufacturers, duration of CI use, and age at implantation. Data saturation was determined to be reached before the conclusion of each of the focus groups. After analysis of the transcripts, the central themes identified were communication, emotion, environmental sounds, independence and work function, listening effort, social isolation and ability to socialize, and sound clarity. Cognitive interviews were carried out on 20 adult CI patients who did not participate in the focus groups to ensure item clarity. Based on these results, the initial QOL item bank and prototype were developed. Conclusions and Relevance: Patient focus groups drawn from the target population are the preferred method of identifying content areas and domains for developing the item bank for a CI-specific QOL instrument. Compared with previously used methods, the use of patient-centered item development for a CI-specific QOL instrument will more accurately reflect patient experience and increase our understanding of how CI use affects QOL.

Indexed as

Cochlear ImplantsPatient Reported Outcome MeasuresQuality of LifeAdultAgedAged, 80 and overCochlear ImplantationFemaleFocus GroupsHearing DisordersHumansMaleMiddle AgedPatient SatisfactionReproducibility of ResultsSpeech Perception

Identifiers

PMID28772297
PMCPMC5710256

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.