PEPPER : persistent ear problems, providing evidence for referral

W. Lok

Research output: ThesisDoctoral ThesisInternal

543 Downloads (Pure)


This PhD research describes the first steps to develop an instrument for children with glue ears (otitis media) and impaired hearing, who need referral and perhaps treatment with tympanotomy tubes. For this purpose a questionnaire is used with risk factors for glue ears (the existing PEPPER questionnaire, 'Persistent Ear Problems, Providing Evidence for Referral'). A score form has been developed that predicts on the basis of a model with ten risk factors which children in the PEPPER study have been treated with tubes. The score form seems promising, but further research will have to investigate among others the practical usability.

Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • Maastricht University
  • Kremer, Bernd, Supervisor
  • Haggard, M.P., Supervisor, External person
  • Anteunis, Lucien, Co-Supervisor
Award date9 Mar 2012
Place of PublicationMaastricht
Print ISBNs9789461911841
Publication statusPublished - 1 Jan 2012


  • impaired hearing
  • children
  • tympanotomy tubes
  • score form

Cite this