Assistive and Therapeutic Effects of Amplification for Auditory Processing Disorder

Keith, William J.; Purdy, Suzanne C.

doi:10.1055/s-0033-1363522

Cited by 18 publications

(3 citation statements)

References 29 publications

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“…Fortunately, an alternative to HAT, the SFA system, would solve such concerns. It includes a microphone and transmitter worn by the speaker (as per the HAT) and self-adaptive control loudspeakers that will change the output volume in keeping with the background noise to maintain a fixed ideal SNR of the signal (American Academy of Audiology, 2011; Davis, 1991;Keith & Purdy, 2014). Loudspeakers can be placed in the classroom to enhance listening conditions.…”

Section: Limitationsmentioning

confidence: 99%

Hearing Assistive Technology Facilitates Sentence-in-Noise Recognition in Children with Autism Spectrum Disorder

Xu¹,

Fan²,

Zhang³

et al. 2023

Preprint

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Purpose: Hearing assistive technology (HAT) has been shown to be a viable solution to the speech-in-noise perception (SPIN) issue in children with autism spectrum disorder (ASD); however, little is known about its efficacy in tonal language speakers. This study compared sentence-level SPIN performance between Chinese children with ASD and neurotypical (NT) children and evaluated HAT use in improving SPIN performance and easing SPIN difficulty. Methods: Children with ASD (n=26) and NT children (n=19) aged 6-12 performed two adaptive tests in steady-state noise and three fixed-level tests in quiet and steady-state noise with and without using HAT. Speech recognition thresholds (SRT) and accuracy rates were assessed using adaptive and fixed-level tests, respectively. Parents or teachers of the ASD group completed a questionnaire regarding children’s listening difficulty under six circumstances before and after a ten-day trial period of HAT use. Results: Although the two groups of children had comparable SRTs, the ASD group showed a significantly lower SPIN accuracy rate than the NT group. Also, a significant impact of noise was found in the ASD group’s accuracy rate, but not in the NT group’s. There was a general improvement in the ASD group’s SPIN performance with HAT and a decrease in their listening difficulty ratings across all conditions after the device trial. Conclusion: The findings indicated inadequate SPIN in the ASD group using a relatively sensitive measure to gauge SPIN performance among children. The markedly increased accuracy rate in noise during HAT-on sessions for the ASD group confirmed the feasibility of HAT for improving SPIN performance in controlled laboratory settings, and the reduced post-use ratings of listening difficulty further confirmed the benefits of HAT use in daily scenarios.

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Section: Limitationsmentioning

confidence: 99%

Hearing Assistive Technology Facilitates Sentence-in-Noise Recognition in Children with Autism Spectrum Disorder

Xu¹,

Fan²,

Zhang³

et al. 2023

Preprint

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“…Since then, a new technique, known as “conformal radiation therapy”, in which a target is irradiated by conformal beams from several fixed directions, has emerged and is widely used. At the turn of the new millennium, a more sophisticated treatment technique, known as intensity-modulated radiation therapy (IMRT), has been introduced in this field 6 , 7) , with developments in this technology advancing virtually every year. It can be used to treat patients using an acceptable dose distribution ( Figure 3 ).…”

Section: Developments In Radiation Therapy Since 1981mentioning

confidence: 99%

My 42-year Experience in Radiation Oncology

Sasai

2022

Juntendo Medical Journal

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In the present review, I provide an overview of the development of radiation therapy and short history of the Department of Radiation Oncology, Juntendo University. I also emphasize the importance of radiation therapy as a major treatment modality for cancers.Radiation therapy is a standard treatment for malignant tumors. It aims to deliver a sufficient radiation dose to a target volume to eradicate tumor cells or relieve symptoms of disease. Therapy can achieve good results in many types of cancers.Although radiation therapy sometimes causes undesirable adverse events, it is generally less invasive than other treatment modalities and does not alter the shape and function of healthy organs. When the author joined this field in 1981, radiation therapy techniques were highly primitive; however, during the past 42 years, treatment has advanced rapidly with the development of computer science, mechanical techniques and instrumentation. Currently, patients can be treated with precise radiation techniques, including intensity-modulated radiation therapy, image-guided radiation therapy, stereotactic irradiation, and brachytherapy. We also introduced a new treatment planning system that uses not only anatomical but also metabolic imaging, which permits correct delineation of the target volume. Therefore, it is crucial to stay up to date with advances and developments in rapidly emerging technologies to maintain high-quality treatment. The Department of Radiation Oncology at Juntendo University (Tokyo, Japan) is still small; however, it is gradually expanding and conducting research in both clinical and basic fields. It is the author's hope that many young investigators will join this field in the future.

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“…One of the management strategies recommended to children with APD is the use of Remote Microphone Hearing Aids (RMHAs) in the classroom. The use of this system helps improve the signal-to-noise ratio for children and bypasses the negative effects of background noise and reverberation in the classroom (Johnston et al, 2009; British Society of Audiology, 2011 3 ; Keith and Purdy, 2014). However, only a handful of studies examined the effects of sustained RMHA use on children with APD on specific measures (when not using the devices), such as listening in noise, language and communication, and some attention and memory skills (Johnston et al, 2009;Umat et al, 2011;Smart et al, 2018), with just one using a randomised controlled design (Sharma et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Remote Microphone Hearing Aid Use Improves Classroom Listening, Without Adverse Effects on Spatial Listening and Attention Skills, in Children With Auditory Processing Disorder: A Randomised Controlled Trial

et al. 2020

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Background: Children with Auditory Processing Disorder (APD) often have poor auditory processing skills in the presence of normal peripheral hearing. These children have worse listening-in-noise skills compared to typically developing peers, while other commonly reported symptoms include poor attention and distractibility. One of the management strategies for children with APD is the use of Remote Microphone Hearing Aids (RMHAs), which can help improve the signal-to-noise ratio in the child's ears. The aim of this randomised controlled trial was to examine whether RMHAs improved classroom listening in children with APD, and to further test their effects on children's listening-in-noise and attention skills following a 6-month intervention. Methods: Twenty-six children diagnosed with APD, aged 7-12, in primary mainstream education, were randomised into the intervention (N = 13) and control group (N = 13). The primary outcome measure was the Listening Inventory for Education-Revised questionnaire, completed by children to assess their listening using RMHAs under several acoustically challenging situations in the classroom. Secondary outcome measures included the Listening in Spatialised Noise-Sentences test, assessing speech-in-noise perception and spatial listening, and the Test of Everyday Attention for Children, assessing different types of attention skills. Tests were conducted in unaided conditions. Mixed analysis of variance was used to analyse the data. The clinical trial was registered at clinicaltrials.gov (unique identifier: NCT02353091). Results: The questionnaire scores of self-reported listening skills in the classroom significantly improved in the intervention group after 3, MD = 7.31, SE = 2.113,

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Assistive and Therapeutic Effects of Amplification for Auditory Processing Disorder

Cited by 18 publications

References 29 publications

Hearing Assistive Technology Facilitates Sentence-in-Noise Recognition in Children with Autism Spectrum Disorder

Hearing Assistive Technology Facilitates Sentence-in-Noise Recognition in Children with Autism Spectrum Disorder

My 42-year Experience in Radiation Oncology

Remote Microphone Hearing Aid Use Improves Classroom Listening, Without Adverse Effects on Spatial Listening and Attention Skills, in Children With Auditory Processing Disorder: A Randomised Controlled Trial

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