title: Self-reported cochlear implant management skills: development and validation of the self-administered Cochlear Implant Management Skills (CIMS-self) survey.
abstract: OBJECTIVE
  A self-administered device management survey was developed and validated to investigate the ability of cochlear implant recipients to self-report physical handling and care for their hearing implant device(s) and to identify factors that may influence self-reported management skills.
  
  
  METHODS
  Survey development and validation. A prospective convenience cohort design study.
  
  
  METHODS
  Specialist hearing implant clinic.
  
  
  METHODS
  Forty-nine post-lingually hearing impaired, adult cochlear implant recipients, at least 12 months postoperative.
  
  
  METHODS
  Survey test-retest reliability, responsiveness, criterion validity and sensitivity and specificity compared to clinician evaluation of device management skills. Correlations between self-reported management skills and participant demographic, audiometric, cognitive function, clinical outcomes and device factors.
  
  
  RESULTS
  The self-administered Cochlear Implant Management Skills survey was developed, demonstrating high test-retest reliability (ICC = 0.884, P < 0.001; CI 95%: 0.721-0.952), responsiveness to intervention (management skills training) [t(20) = -3.245, P = 0.004], criterion validity (ICC = 0.765, P < 0.001; CI 95%: 0.584-0.868) and sensitivity (0.89). No associations were found between self-reported management skills and participant factors.
  
  
  CONCLUSIONS
  This study demonstrated that a self-report survey is an effective method for the evaluation of skills required for cochlear implant device management.
authors.affiliation: Ear Science Institute Australia, Subiaco, WA, Australia.|Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, WA, Australia.
authors.forename: R J
authors.initials: RJ
authors.lastname: Bennett
authors.affiliation: Ear Science Institute Australia, Subiaco, WA, Australia.|Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, WA, Australia.
authors.forename: D M P
authors.initials: DM
authors.lastname: Jayakody
authors.affiliation: Ear Science Institute Australia, Subiaco, WA, Australia.|Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, WA, Australia.|Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.
authors.forename: R H
authors.initials: RH
authors.lastname: Eikelboom
authors.affiliation: Ear Science Institute Australia, Subiaco, WA, Australia.|Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, WA, Australia.
authors.forename: M D
authors.initials: MD
authors.lastname: Atlas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019929:Cochlear Implantation; D003054:Cochlear Implants; D003071:Cognition; D005260:Female; D034381:Hearing Loss / Q000209:etiology / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D015203:Reproducibility of Results; D012648:Self Care; D057566:Self Report; D012680:Sensitivity and Specificity; D013647:Task Performance and Analysis