ࡱ> c Fbjbj 7dMbMb1@ @ 8|= Bbbbb={H$Չn==bb˄6 vbb  y(bqҸ9F|N|<=}CC((C<@ % =C@ B : Ohio Academy of Audiology Journal Club Appraisal Form Date: 2/6/2020 Journal Club Clinical Question (PICOT): In adults with hearing loss, what is the effect of hearing aid fitting approach on verification and validation of hearing aid benefit? ARTICLE APPRAISAL Valente, M., Oeding, K., Brockmeyer, A., Smith, S., & Kallogjeri, D. (2018) Differences in Word and Phoneme Recognition in Quiet, Sentence Recognition in Noise, and Subjective Outcomes between Manufacturer First-Fit and Hearing Aids Programmed to NAL-NL2 Using Real-Ear Measures. Journal of the American Academy of Audiology 29 (8), 706-721. DOI:  HYPERLINK "https://urldefense.proofpoint.com/v2/url?u=https-3A__doi.org_10.3766_jaaa.17005&d=DwMGaQ&c=FGzDrZ8hK6OoO1oc9Smc5l64O0n3B5aByDFzrvN9KLI&r=dyw1mxLBD6RXHUjGh88mVxVNlp_UjVJcdNWgofLu5N_QUo7UoXGAbU9Os88T3MqG&m=ZOMxlb_ZL8UIO_ktPiSeuqCs6G_YMu2Rqfdryjy_3gc&s=xj-xn4Y2DQuXS49YqDYMh2W8dMSybZ7i5Nur-9y338w&e=" https://doi.org/10.3766/jaaa.17005 What is the Clinical Question (PICOT) for this article? Patient/Problem: _____________________________________________________________________ ____________________________________________________________________________________ Intervention: _________________________________________________________________________ ____________________________________________________________________________________ Comparison: _________________________________________________________________________ ____________________________________________________________________________________ Outcome: ___________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Time (if applicable): ___________________________________________________________________ Level of Evidence (refer to Helpful Hints):  FORMCHECKBOX  I  FORMCHECKBOX  II  FORMCHECKBOX  III  FORMCHECKBOX  IV  FORMCHECKBOX  V Quality of Evidence: Are the results valid within the study?  HYPERLINK \l "Validity" Validity:  FORMCHECKBOX Low  FORMCHECKBOX Medium  FORMCHECKBOX High Are the results statistically significant?  FORMCHECKBOX No  FORMCHECKBOX Some  FORMCHECKBOX Yes Are the results generalizable to your practice?  HYPERLINK \l "Transferability" Transferability:  FORMCHECKBOX Low  FORMCHECKBOX Medium  FORMCHECKBOX High Take Home Points: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ CLINICAL BOTTOM LINE What do you still have questions about? _____________________________________________________ _______________________________________________________________________________________ What needs to be considered for your clinical practice? (Changes to protocols, confirmation protocols are correct, etc) _______________________________________________________________________________________ _______________________________________________________________________________________ Do you foresee changes in your own clinical practice after reading this article?  FORMCHECKBOX Yes  FORMCHECKBOX Maybe  FORMCHECKBOX No If so, what resources and support would you need to successfully implement change? ______________________________________________________________________________________________________________________________________________________________________________ HELPFUL HINTS Level of Evidence: Level Study Design/Methodology of articles*  FORMCHECKBOX  I Systematic reviews, meta-analysis, randomized controlled trials  FORMCHECKBOX  II Two groups, nonrandomized studies (e.g.: cohort, case-control)  FORMCHECKBOX  III One group, nonrandomized (e.g.: before and after, pretest and post-test)  FORMCHECKBOX  IV Descriptive studies that include analysis of outcomes (single subject design, case series)  FORMCHECKBOX  V Case reports and expert opinion, which include narrative literature reviews and consensus statements. Validity: Are the results valid within the study? Did they truly measure what they claimed to measure? How rigorous were the design and methods?  Consider: Were participants randomly selected or consecutive admissions (to minimize selection bias)? Was there an independent, blind comparison with a reference gold standard of diagnosis? Was the reference (gold) standard applied regardless of the index test results (ideally both should be carried out on all participants)? Was the study conducted in a controlled environment (lab)? Did they use the best tools/methods to answer their question (i.e. specific tests used)? Transferability: Are the results generalizable outside the study?  Consider: Was the diagnostic test evaluated in a representative spectrum of clients like you would see in clinic (different degrees of the disorder, early and late onset of disorder)? Were study settings/conditions natural? Was the rapport with testers/observers adequate? Were procedures/tasks natural? Was the timing and length of the study appropriate? Were results restricted to a specific time in history?*The Level of Evidence table was presented in the AOTA EBP Project CAP Guidelines Evidence Exchange and was adapted from Sackett, D.L., Rosenberg, W.M., Muir Gray, J.A., Haynes, R.B. & Richardson, W.S. (1996). Evidence-based medicine: What it is and what it isnt. British Medical Journal, 312, 71-72).     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