Predicting Success with Hearing Aids in Everyday Living

Walden, Therese C.; Walden, Brian E.

doi:10.3766/jaaa.15.5.2

Cited by 70 publications

(86 citation statements)

References 20 publications

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“…Killion and Gudmundsen (2005) did an evidenced-based review on the correlation between prefitting measures and hearing aid satisfaction based on self-report measures. In none of the reviewed studies significant correlations were found between traditional unaided prefitting speech measures and hearing aid satisfaction, except in a study by Walden and Walden (2004) for speech perception in noise. Wesselkamp, Margolf-Hackl, and Kiessling (2001) and Pastoors, Gebhart, and Kiessling (2001) investigated the effect of a fitting strategy based on loudness scaling.…”

Section: Introductionmentioning

confidence: 99%

Audiologist-Driven Versus Patient-Driven Fine Tuning of Hearing Instruments

Boymans

Dreschler

2011

Trends in Amplification

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Two methods of fine tuning the initial settings of hearing aids were compared: An audiologist-driven approach--using real ear measurements and a patient-driven fine-tuning approach--using feedback from real-life situations. The patient-driven fine tuning was conducted by employing the Amplifit ® II system using audiovideo clips. The audiologist-driven fine tuning was based on the NAL-NL1 prescription rule. Both settings were compared using the same hearing aids in two 6-week trial periods following a randomized blinded cross-over design. After each trial period, the settings were evaluated by insertion-gain measurements. Performance was evaluated by speech tests in quiet, in noise, and in time-reversed speech, presented at 0° and with spatially separated sound sources. Subjective results were evaluated using extensive questionnaires and audiovisual video clips. A total of 73 participants were included. On average, higher gain values were found for the audiologist-driven settings than for the patient-driven settings, especially at 1000 and 2000 Hz. Better objective performance was obtained for the audiologist-driven settings for speech perception in quiet and in time-reversed speech. This was supported by better scores on a number of subjective judgments and in the subjective ratings of video clips. The perception of loud sounds scored higher than when patient-driven, but the overall preference was in favor of the audiologist-driven settings for 67% of the participants.

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Section: Introductionmentioning

confidence: 99%

Audiologist-Driven Versus Patient-Driven Fine Tuning of Hearing Instruments

Boymans

Dreschler

2011

Trends in Amplification

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“…Patients with mild to moderate sensorineural hearing loss (SNHL) have significantly higher sentence reception thresholds (SeRTs), even with hearing aids [2][3][4][5], than subjects with normal hearing. This finding reflects a degradation of the acoustic cues that have their greatest impact on consonant discrimination [6].…”

Section: Introductionmentioning

confidence: 99%

Measuring consonant identification in nonsense syllables, words, and sentences

Woods

Yund²,

Herron³

2010

JRRD

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Abstract-Sensorineural hearing loss (SNHL) produces deficits in speech comprehension in noise that primarily are due to impairments in identifying consonants. Here, we describe the California Syllable Test (CaST) that quantifies the identification of common American English consonants. In experiment I, 16 young subjects with normal hearing identified 720 consonant-vowel-consonant (CVC) syllables in three test sessions. Consonants were identified slightly more accurately in words than nonsense syllables, and small interactions were found between the processing of initial and final consonants. Consonant-identification performance correlated strongly with sentence reception thresholds (SeRTs) measured with both the Hearing in Noise Test and QuickSIN (Etymotic Research; Elk Grove Village, Illinois). At SeRTs, subjects with normal hearing could identify 32.5% of consonants in isolated CVCs. In experiment II, a patient with moderate SNHL showed large elevations in consonant-identification thresholds and smaller elevations in SeRTs. At SeRT levels, the patient could identify only 12.5% of consonants in isolated CVCs, indicating that sentence comprehension relied disproportionately on vowel cues and semantic constraints. Consonant-profile analysis revealed disproportional impairments in identifying consonants dependent on high-frequency acoustic cues. Consonant confusion analysis revealed a reorganization of consonant perception. The CaST is a promising tool for evaluating consonantspecific processing deficits in patients with hearing impairment.

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“…For severe hearing losses, the potential HA performance is limited by an insufficient residual dynamic range [Zwartenkot et al, 2014] and the aversiveness to the high levels of acoustic amplification . Additionally, the effect of aging on cognitive processes is a major contributing factor affecting HA performance [Walden and Walden, 2004;Müller et al, 2016].…”

Section: Introductionmentioning

confidence: 99%

Speech Perception and Information-Carrying Capacity for Hearing Aid Users of Different Ages

Hoppe

Hocke²,

Müller

et al. 2016

Audiol Neurotol

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Hearing impairment in the elderly is usually treated with conventional hearing aids; however, a large number of older people do not achieve sufficient speech recognition with hearing aids. The aim of the study was to describe speech perception with hearing aids in comparison to pure-tone hearing loss and maximum speech recognition scores for phonemically balanced words. Data from 392 hearing aid users with different degrees of hearing loss were evaluated retrospectively. In particular, pure-tone thresholds, the maximum monosyllabic word score, and the monosyllabic word score in quiet at conversational level with a hearing aid were analysed. The results showed that speech perception scores decline with increasing age. Even when corrected for pure-tone hearing loss, a significant decline in speech recognition scores after the age of 80 years was observed. Regarding the maximum monosyllabic word score, the effect is smaller but still observable; thus, speech recognition with hearing aids is significantly lower for older subjects. This can be attributed partially to the reduction of the information-carrying capacity in this group.

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Predicting Success with Hearing Aids in Everyday Living

Cited by 70 publications

References 20 publications

Audiologist-Driven Versus Patient-Driven Fine Tuning of Hearing Instruments

Audiologist-Driven Versus Patient-Driven Fine Tuning of Hearing Instruments

Measuring consonant identification in nonsense syllables, words, and sentences

Speech Perception and Information-Carrying Capacity for Hearing Aid Users of Different Ages

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