Measuring recovery in deaf, hard-of-hearing, and tinnitus patients in a mental health care setting: validation of the I.ROC

Karin C M Roze*, Corrie Tijsseling, Bridey Rudd, Bea G Tiemens

*Corresponding author for this work

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This study was aimed at validating the Individual Recovery Outcomes Counter (I.ROC) for deaf, hard-of-hearing, and tinnitus patients in a mental health care setting. There is a need for an accessible instrument to monitor treatment effects in this population. The I.ROC measures recovery, seeing recovery as a process of experiencing a meaningful life, despite the limitations caused by illness or disability. A total of 84 adults referred to 2 specialist mental health centers for deaf, hard-of-hearing, and tinnitus adults in the Netherlands completed the Dutch version of I.ROC and 3 other instruments. A total of 25 patients refused or did not complete the instruments: 50% of patients using sign language and 18% of patients using spoken language. Participants completed the measures at intake and then every 3 months. In this sample I.ROC demonstrated good internal consistency and convergent validity. Sensitivity to change was good, especially over a period of 6 or 9 months. This study provides preliminary evidence that the I.ROC is a valid instrument measuring recovery for hard-of-hearing and tinnitus patients using spoken language. For deaf patients using sign language, specifically those with limited language skills in spoken and written Dutch, more research is needed.

Original languageEnglish
Article numberenz043
Number of pages10
JournalJournal of Deaf Studies and Deaf Education
Early online date4 Dec 2019
Publication statusE-pub ahead of print - 4 Dec 2019


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