{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T09:35:42Z","timestamp":1764322542096,"version":"3.46.0"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To validate the Hearing Utility Measure (HUM), a tool designed to quantify hearing loss impact on health and quality of life for use in economic evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary academic center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cochlear implant (CI) candidates were enrolled between June 25, 2020, and March 17, 2024. Participants completed HUM alongside other assessments, including Health Utilities Index, Mark\u20103 (HUI\u20103), Speech, Spatial and Qualities of Hearing Scale (SSQ\u201049), Cochlear Implant Quality of Life Profile (CIQOL\u201035), and Tinnitus Handicap Inventory (THI) at the time of CI evaluation and 12 months post\u2010activation. A subgroup with stable hearing status completed HUM twice, 6 months apart, to assess test\u2010retest reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 1315 participants, HUM showed strong correlations with CIQOL\u2010global (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.69; 95% CI: 0.66\u20100.72) and SSQ\u2010overall (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.70; 95% CI: 0.67\u20100.73), supporting construct validity. HUM Tinnitus domain correlated negatively with THI (\u22120.75; \u22120.77, \u22120.73), as expected. Test\u2010retest reliability was excellent (Intraclass Correlation Coefficient [ICC] 0.90, 95% CI: 0.83\u20100.94). HUM hearing utility was higher for candidates with single\u2010sided deafness (SSD) (0.76) than with traditional and asymmetric hearing loss (0.58,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Median HUM improved from 0.70 to 0.78 for SSD recipients (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.002) and 0.57 to 0.75 for traditional recipients (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HUM is a reliable, valid, and responsive measure of hearing\u2010related health in adults with advanced hearing loss. Unlike traditional instruments such as SSQ and CIQOL, which capture patient\u2010reported outcomes but are not designed for economic analysis, HUM is a preference\u2010based utility instrument that enables cost\u2010effectiveness evaluation. It outperforms the available HUI\u20103 by better reflecting hearing loss impact and complements existing nonutility instruments used in clinical and health policy decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70033","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T06:42:22Z","timestamp":1760424142000},"page":"1470-1477","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation of the Hearing Utility Measure (HUM) in Cochlear Implant Candidates and Users"],"prefix":"10.1002","volume":"173","author":[{"given":"Peter R.","family":"Dixon","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9839-4374","authenticated-orcid":false,"given":"Anuja H.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore R.","family":"McRackan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Feeny","sequence":"additional","affiliation":[{"name":"Health Utilities Incorporated and Department of Economics and Centre for Health Economics and Policy Analysis McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon L.","family":"Cushing","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery, Hospital for Sick Children University of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Tomlinson","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management &amp; Evaluation University of Toronto Toronto Ontario Canada"},{"name":"Toronto Health Economics and Technology Assessment (THETA) Collaborative Univeristy of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph M.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery, Sunnybrook Health Sciences Centre University of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.0674"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001021"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0220439"},{"issue":"6","key":"e_1_2_9_5_1","first-page":"1","article-title":"Bilateral cochlear implantation: a health technology assessment","volume":"18","author":"Health Quality Ontario","year":"2018","journal-title":"Ont Health Technol Assess Ser"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-007-9237-x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-54"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001287"},{"issue":"1","key":"e_1_2_9_9_1","first-page":"1","article-title":"Implantable devices for single\u2010sided deafness and conductive or mixed hearing loss: a health technology assessment","volume":"20","author":"Health Quality Ontario","year":"2020","journal-title":"Ont Health Technol Assess Ser"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001022"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003689"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31590"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-021-02822-4"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0046016"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24902"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.03.006"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00211-0"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T09:31:24Z","timestamp":1764322284000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.70033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,13]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/ohn.70033"],"URL":"https:\/\/doi.org\/10.1002\/ohn.70033","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2025,10,13]]},"assertion":[{"value":"2025-05-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}