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Ral vision subscale ), hearing situation, hearing loss (speechreceptionthreshold in noise)) Cognition (item screener MMSE) Depressive symptoms (CESD) Big life events involving baseline and followup Communication partners Key outcomes Coping with hearing loss (HHDI `reactions of others’ scale) Modify from hearing help use (IOIHASO) Change from communication techniques (IOIAISO) High-quality of life (CarerQoL) Evaluation of intervention Secondary outcomes Chronic fatigue (FAS) Depression (CESD) Wellness (subjective wellness, EQD) X X X X X X X X X X Xi X Xi X X X X X X X X X X X X X X X X X X Xi X X X X X X Xi XTable Measurements assessed in DSL patients and their communication partners at baseline and month followup (Continued)Covariates Demographic characteristics (e.g.age, gender) Partnership with patient (sort and high quality of relation) Selfefficacy (GSES) Expenses Healthcare use (iMCQ) Intervention costs (occupational therapists, travel charges, time communication partner) Fees informal care (SFHLQ, time spent on care for communication companion) Proxy Travel time and expenditures Proxy Time spent on care giving for communication partnerXi Assessed in intervention group only.X X X X XXX XiX X XXX(CPHI) is an instrument to measure coping behavior associated to hearing impairment and is divided into two domains `Communication Strategies’ and `Personal Adjustment’ .The `Communication Strategies’ domain from the Dutch item version of CPHI might be made use of to measure Communication (coping behavior in communicative conditions) and consists of 3 subscales `Maladaptive Behavior’; `Verbal Strategies’ and `Nonverbal Strategies’ .Selfreported change from communication methods reported by the participant is measured with all the Dutch version from the International Outcome Inventory for alternative techniques (IOIAI) .Each measures have been employed for evaluation of communication programs by, e.g.Kramer et al. and Hickson et al. ).Secondary outcome measuresX X X XSecondary outcomes are going to be coping, top quality of life, overall health, fatigue, loneliness, participation and autonomy.Initially, the domain `Personal Adjustment’ in the CPHI are going to be utilized to assess change in adjustment to hearing loss and consists of three subscales `SelfAcceptance’, `Acceptance of Loss’ and `Stress Withdrawal’ .Second, the Low Vision Good quality Of Life (LVQOL) questionnaire is used to assess visionrelated top quality of life outcomes of participants .The LVQOL consists of four scales Simple elements of vision, visionrelated Mobility, Adjustment to vision loss, Reading and fine operate.Well being was measured with an item on subjective overall health and with all the Euroqol Dimensions (EQD) questionnaire to measure wellness status .Fatigue is assessed together with the Fatigue Assessment Scale .To measure participation, numerous products of your Dutch ICF Activity Inventory will beVreeken et al.BMC Geriatrics , www.biomedcentral.comPage ofselected in the participation domain `Interpersonal interactions and relationships’, e.g.with regard to communication and understanding of DSL .Additionally, an item on withdrawal from social activities was included “Are there any activities you withdraw from because of your PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21562284 dual sensory impairment”.Autonomy challenges might be assessed using the item version with the Patient Autonomy Questionnaire (PAQ) .Feelings of emotional and social IQ-1S free acid Autophagy loneliness are going to be measured with the item Loneliness Scale .Examples of your products of this scale is going to be “I miss heaving a genuinely close friend” (emotional loneliness) a.

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