Table 1 Cochlear P-IROS evaluation schedule illustrating electronic case report forms used against the recommended evaluation time-point
Electronic case report form | Evaluation time point (Months post-implant) | |||||||
|---|---|---|---|---|---|---|---|---|
0 | 6 | 12 | 18 | 24 | 36 | 48 | 60 | |
Clinician baseline form | ■ | - | - | - | - | - | - | - |
Clinician follow-up form | - | ■ | ■ | ■ | ■ | □ | □ | □ |
Implant recipient baseline form | ■ | - | - | - | - | - | - | - |
Implant recipient follow-up form | - | ■ | ■ | ■ | ■ | □ | □ | □ |
Children using Hearing Implants Quality of Life (CuHI-QoL) Questionnaire | ■ | ■ | ■ | ■ | ■ | □ | □ | □ |
Health Utility Index Mark III (HUI3)** | ■ | ■ | ■ | ■ | ■ | □ | □ | □ |
Categories of Auditory Performance-II (CAP-II) Questionnaire | ■ | ■ | ■ | ■ | ■ | □ | □ | □ |
Speech Spatial Qualities (SSQ) Parents Version Questionnaire (SSQ-P) | □ | □ | □ | - | □ | □ | □ | □ |
Speech Spatial Qualities (SSQ) Standard Version** | □ | □ | □ | - | □ | □ | □ | □ |
Unaided hearing thresholds form | □ | □ | □ | □ | □ | □ | □ | □ |
Aided hearing thresholds form | □ | □ | □ | □ | □ | □ | □ | □ |
End of study form | To be completed once when patient exits study | |||||||