Core Rehabilitation Outcome Set for Single Sided Deafness (CROSSSD) study: protocol for an international consensus on outcome measures for single sided deafness interventions using a modified Delphi survey

Trials. 2020 Mar 4;21(1):238. doi: 10.1186/s13063-020-4094-9.


Background: Single-sided deafness (SSD) describes the presence of a unilateral severe to profound sensorineural hearing loss. SSD disrupts spatial hearing and understanding speech in background noise. It has functional, psychological and social consequences. Potential options for rehabilitation include hearing aids and auditory implants. Benefits and harms of these interventions are documented inconsistently in the literature, using a variety of outcomes ranging from tests of speech perception to quality of life questionnaires. It is therefore difficult to compare interventions when rehabilitating SSD. The Core Rehabilitation Outcome Set for Single Sided Deafness (CROSSSD) study is an international initiative that aims to develop a minimum set of core outcomes for use in future trials of SSD interventions.

Methods/design: The CROSSSD study adopts an international two-round online modified Delphi survey followed by a stakeholder consensus meeting to identify a patient-centred core outcome domain set for SSD based on what is considered critical and important for assessing whether an intervention for SSD has worked.

Discussion: The resulting core outcome domain set will act as a minimum standard for reporting in future clinical trials and could have further applications in guiding the use of outcome measures in clinical practice. Standardisation will facilitate comparison of research findings.

Keywords: Consensus methods; Core outcome set; Delphi technique; Single-sided deafness.

MeSH terms

  • Cochlear Implantation / methods*
  • Cochlear Implants
  • Consensus*
  • Deafness / physiopathology
  • Deafness / rehabilitation*
  • Delphi Technique
  • Hearing Aids*
  • Hearing Loss, Unilateral / physiopathology
  • Hearing Loss, Unilateral / rehabilitation*
  • Humans
  • Noise
  • Observational Studies as Topic
  • Prospective Studies
  • Quality of Life
  • Research Design
  • Speech Perception*
  • Surveys and Questionnaires
  • Tinnitus
  • Treatment Outcome