Communicative participation in adults with hearing impairment: Associated variables and correlations with the Communicative Participation Item Bank (CPIB) and existing measures.
Degree GrantorUniversity of Canterbury
Degree NameMaster of Audiology
Background: Although a multitude of assessment tools exist in the audiology field, there is a lack of tools which specifically target participation, and more specifically communicative participation. Purpose: This study aimed to identify variables associated with self-reported communicative participation in a sample of community-dwelling older adults with hearing impairment (HI), and examine the relationship between the Communicative Participation Item Bank (CPIB) and existing measures of hearing and health-related quality of life (HRQoL). Method: Demographic, audiometric and self-report data was collected from 68 older adults with HI in New Zealand. Self-report assessments included: the CPIB – a measure of communicative participation; Hearing Handicap Inventory for the Elderly (Ventry & Weinstein, 1982) and Adults (Newman, Weinstein, Jacobson, & Hug, 1990); Self-efficacy for Situational Management Questionnaire (Jennings, 2005); and a generic measure of HRQoL, the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36; Ware & Sherbourne, 1992). Results: Measured HI and self-perceived hearing ability were significant (p-values .038 and <.001 respectively) predictors of communicative participation, accounting for 48% of the variance. The CPIB was highly correlated with condition-specific self-report measures used, but was not significantly correlated with the generic measure of HRQoL, the SF-36. Conclusion: This study adds to the understanding of factors which influence the daily life of older adults with HI, and is the one of first studies to specifically examine communicative participation in this population. The CPIB may be appropriate for use in the assessment of communicative participation in adults with HI.