Protocol for the development and validation of a patient-reported experience measure (PREM) for people with hearing loss:the PREM-HeLP


INTRODUCTION: Hearing loss is a common chronic health condition and adversely affects communication and social function resulting in loneliness, social isolation and depression. We know little about the patient experience of living with hearing loss and their views on the quality of the audiology service. In this study, we will develop and validate the first patient-reported experience measure (PREM) to understand patients' experiences of living with hearing loss and their healthcare interactions with audiology services. METHODS AND ANALYSIS: We will develop the PREM in three phases: (1) development of PREM prototype (items/statements) derived from previous qualitative work and narrative review, (2) cognitive interview testing of the PREM prototype using a 'think aloud' technique to examine the acceptability and comprehensibility of the tool and refine accordingly and (3) psychometric testing of the modified PREM with 300 participants to assess the reliability and validity of the tool using Rasch analyses with sequential item reduction. Eligible participants will be young people and adults aged 16 years and over who have hearing loss. Participants will be recruited from three clinical sites located in England (Bath, Bristol) and Scotland (Tayside) and non-clinical settings (eg, lip-reading classes, residential care settings, national charity links, social media). ETHICS AND DISSEMINATION: The study was approved by the West of Scotland Research Ethics Service (approval date: 6 May 2022; ref: 22/WS/0057) and the Health Research Authority and Health and Care Research Wales (HCRW) Approval (approval date: 14 June 2022; IRAS project ID: 308816). Findings will be shared with our patient and public involvement groups, academics, audiology communities and services and local commissioners via publications and presentations. The PREM will be made available to clinicians and researchers without charge.

Publication DOI:
Divisions: College of Health & Life Sciences > School of Optometry > Audiology
College of Health & Life Sciences
College of Health & Life Sciences > School of Psychology
College of Health & Life Sciences > Aston Institute of Health & Neurodevelopment (AIHN)
Funding Information: This study is supported by an NIHR HSDR grant (Funding stream REF NIHR 131597). The sponsor for this study is the University Hospitals Bristol and Weston NHS Foundation Trust. Aston University (Applied Audiology research group, College of Health and Life
Additional Information: Copyright © Author(s) (or their employer(s)), 2023. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:
Publication ISSN: 2044-6055
Last Modified: 07 Jun 2024 07:22
Date Deposited: 01 Dec 2023 13:27
Full Text Link:
Related URLs: https://bmjopen ... t/13/11/e075229 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2023-11-29
Accepted Date: 2023-11-14
Submitted Date: 2023-04-30
Authors: Pryce, Helen (ORCID Profile 0000-0001-5183-6236)
Smith, Sian Karen
Burns-O'Connell, Georgina (ORCID Profile 0000-0001-6430-8627)
Knibb, Rebecca (ORCID Profile 0000-0001-5561-0904)
Greenwood, Rosemary
Shaw, Rachel (ORCID Profile 0000-0002-0438-7666)
Hussain, Saira (ORCID Profile 0000-0002-8422-1366)
Banks, Jonathan
Hall, Amanda (ORCID Profile 0000-0001-8520-6005)
Straus, Jean
Noble, Sian



Version: Published Version

License: Creative Commons Attribution

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