Clinical evaluation of an over-the-counter hearing aid (TEO First®) in elderly patients suffering of mild to moderate hearing loss

Sacco, Guillaume; Gonfrier, Sébastien; Teboul, Bernard; Gahide, I.; Prate, Frédéric; Demory-Zory, Mathilde; Turpin, Jean-Michel; Vuagnoux, Claire; Genovese, Philippe; Schneider, Stéphane; Guérin, Olivier; Guevara, N.

doi:10.1186/s12877-016-0304-4

Cited by 23 publications

(24 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It should be noted that there is large variability in study design within the included studies. There are two pilot studies [ 22 , 23 ], two single-group open trials [ 24 , 25 ], one study that utilized randomization and a control group [ 26 ] and one study that only measured clinical outcomes [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

Outcomes of Direct-to-Consumer Hearing Devices for People with Hearing Loss: A Review

Tran

Manchaiah

2018

J Audiol Otol

View full text Add to dashboard Cite

As the population of those with mild to moderate hearing loss increases the need remains for amplification solutions. There is a trend to offer alternative amplification options beyond traditional hearing aids. Due to reduced medical risk associated with the most common types of hearing loss (i.e., presbycusis and noise induced), many individuals with such audiological configurations may have success with direct-to-consumer hearing devices (DCHD). The current paper presents a literature review of studies focused on the outcomes of DCHDs for people with hearing loss. Search of electronic databases were used to identify relevant articles for review. Studies on outcomes of DCHDs mainly focused on older adults and reported consistently positive results in clinical and self-reported outcome measures. Improvements in auditory ability, communicative function, social engagement, quality of life, and reduction of self-reported hearing disability were observed. The nature of the direct-to-consumer method makes it challenging to design studies that will accurately represent outcomes for patients due to the extensive dissimilarities in patient journey and device selection options. Accordingly, a majority of the studies conducted on this topic are of low quality of evidence and only provide short-term (i.e., less than one year) outcomes. In addition, results may have been influenced by researcher and/or clinician involvement in choosing the devices and by provision of additional support (i.e., incorporation of a communication partner and communication strategies training). Overall, the literature suggests positive outcomes and self-reported benefit of DCHDs in older adults with hearing loss. However, additional research is needed in this area to verify outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Outcomes of Direct-to-Consumer Hearing Devices for People with Hearing Loss: A Review

Tran

Manchaiah

2018

J Audiol Otol

View full text Add to dashboard Cite

show abstract

“…The studies on outcome evaluation suggested that the OTC devices appear to have some benefit for elderly people with mild-to-moderate hearing loss 32,33. These benefits ranged from improved hearing in quiet and in noisy situations, improved communication, and activities of daily living.…”

Section: Discussionmentioning

confidence: 99%

“…The literature review identified two studies, published in peer-reviewed journals that evaluated the outcome of OTC hearing aids 32,33. Another study examined the preference between PSAPs and hearing aids in a laboratory condition 34.…”

Section: Summary Of Studies On Direct-to-consumer Hearing Devicesmentioning

confidence: 99%

Applications of direct-to-consumer hearing devices for adults with hearing loss: a review

Manchaiah

Taylor²,

Dockens

et al. 2017

CIA

View full text Add to dashboard Cite

BackgroundThis systematic literature review is aimed at investigating applications of direct-to-consumer hearing devices for adults with hearing loss. This review discusses three categories of direct-to-consumer hearing devices: 1) personal sound amplification products (PSAPs), 2) direct-mail hearing aids, and 3) over-the-counter (OTC) hearing aids.MethodA literature review was conducted using EBSCOhost and included the databases CINAHL, MEDLINE, and PsycINFO. After applying prior agreed inclusion and exclusion criteria, 13 reports were included in the review.ResultsIncluded studies fell into three domains: 1) electroacoustic characteristics, 2) consumer surveys, and 3) outcome evaluations. Electroacoustic characteristics of these devices vary significantly with some meeting the stringent acoustic criteria used for hearing aids, while others producing dangerous output levels (ie, over 120-dB sound pressure level). Low-end (or low-cost) devices were typically poor in acoustic quality and did not meet gain levels necessary for most adult and elderly hearing loss patterns (eg, presbycusis), especially in high frequencies. Despite direct-mail hearing aids and PSAPs being associated with lower satisfaction when compared to hearing aids purchased through hearing health care professionals, consumer surveys suggest that 5%–19% of people with hearing loss purchase hearing aids through direct-mail or online. Studies on outcome evaluation suggest positive outcomes of OTC devices in the elderly population. Of note, OTC outcomes appear better when a hearing health care professional supports these users.ConclusionWhile some direct-to-consumer hearing devices have the capability to produce adverse effects due to production of dangerously high sound levels and internal noise, the existing literature suggests that there are potential benefits of these devices. Research of direct-to-consumer hearing devices is limited, and current published studies are of weak quality. Much effort is needed to understand the benefits and limitations of such devices on people with hearing loss.

show abstract

“…Two small cohort studies of elderly participants using hearing aids have shown quality-of-life improvements from baseline when the devices were fit using an OTC HA delivery model without audiologist involvement. 26,27 Importantly, a recent large double-blind randomized control trail reported a consumer-driven approach to hearing aid selection and fitting was efficacious compared with audiology best practices, revealing similar effect sizes between the two cohorts based on the Profile of Hearing Aid Benefit. 28 It is important to note that in all of these OTC HA studies, the participants with hearing loss were provided instructions on the proper usage of hearing aids, which were developed by hearing care professionals.…”

Section: Over-the-counter Service Delivery Modelmentioning

confidence: 99%

Pilot Comparison of Adjustment Protocols of Personal Sound Amplification Products

et al. 2019

View full text Add to dashboard Cite

The Over-the-Counter Hearing Aid Act of 2017 was signed into law in August 2017 and facilitates the introduction of direct-to-consumer sales of hearing aids for adults with mild-to-moderate hearing loss. Among many questions surrounding over-the-counter sales is the ability of users to self-fit amplification. Many studies have conducted self-fitting procedures using guidance materials provided by audiologists. In this pilot, we explore the ability of users to self-adjust personal sound amplification devices using only materials provided by the manufacturer and contrast this with models that involve a hearing professional. Outcomes to assess adjustments included clinic-based speech-in-noise measures and ability to approximate NAL-NL2 prescriptive targets. We found that an audiologist-driven model provided the best outcomes. However, it is unknown if the difference is clinically meaningful.

show abstract

Clinical evaluation of an over-the-counter hearing aid (TEO First®) in elderly patients suffering of mild to moderate hearing loss

Cited by 23 publications

References 21 publications

Outcomes of Direct-to-Consumer Hearing Devices for People with Hearing Loss: A Review

Outcomes of Direct-to-Consumer Hearing Devices for People with Hearing Loss: A Review

Applications of direct-to-consumer hearing devices for adults with hearing loss: a review

Pilot Comparison of Adjustment Protocols of Personal Sound Amplification Products

Contact Info

Product

Resources

About