Sprachverstehen mit Hörgeräten in Abhängigkeit vom Tongehör

Hoppe, Ulrich; Hast, Anne; Hocke, Thomas

doi:10.1007/s00106-013-2813-1

Cited by 45 publications

(66 citation statements)

References 17 publications

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“…Fig. 4 displays the present results in relation to earlier data from 2011 and 2012 [7]. The grey areas in the figure represent the 95% confidence interval of the logistical regression of the reference data [7]: dark grey for WRSmax and light grey for WRS65(HA).…”

Section: Introductionmentioning

confidence: 80%

“…as a function of hearing loss, four-frequency pure-tone average (4FPTA), for N and S-type audiograms according to Bisgaard et al [1]. The grey areas represent the 95% confidence interval of the logistical regression according to Hoppe et al [7]. The black (blue) lines are the regression curves of the present data for the N-type (S-type) audiograms Table 2 Speech-audiometric parameters for four cases in which the monosyllable recognition with hearing aid (WRS65[HA])was 10 percentage points below the maximum word recognition score (WRSmax).…”

Section: Practical Aspects Of Hearing Aid Evaluation Using Speech Audmentioning

confidence: 99%

“…A previous study [7] investigated the relationship between unaided audiometric measures and speech recognition with hearing aids. Speech recognition in quiet was adopted as a surrogate parameter for success of the hearing aid provided.…”

Section: Introductionmentioning

confidence: 99%

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Speech recognition with hearing aids for 10 standard audiograms

Dörfler

Hocke²,

Hast

et al. 2020

HNO

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Background Improvement of speech perception in quiet is an important goal of hearing aid provision. In practice, results are highly variable. The aim of this study was to investigate the relationship between type and extent of hearing loss (audiogram type), maximum word recognition score, and aided speech perception. Materials and methods Pure tone and speech audiometric data of 740 ears in 370 patients were reviewed. All subjects visited our hearing center for hearing aid evaluation between 2012 and 2017. The maximum word recognition score (WRS max ) and the monosyllabic speech recognition score with hearing aids, WRS 65 (HA) were analyzed for 10 different standard audiogram types. Results The WRS 65 (HA) with hearing aids for different degrees of hearing loss is, within error boundaries, comparable to previous investigations and shows a difference of 10–20 percentage points to the WRS max . This difference tends to be larger for flat and moderately sloping audiograms compared to steep-sloping audiograms. The ratio WRS 65 (HA)/WRS max can be interpreted as an efficiency factor for hearing aid provision, since it relates speech recognition with hearing aids to the maximally achievable information carrying capacity of the hearing impaired. Conclusion The expectation regarding hearing aid provision has to be adjusted according to maximum word recognition score, the derived quality measures, degree of hearing loss, and audiogram type.

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Section: Introductionmentioning

confidence: 80%

Section: Practical Aspects Of Hearing Aid Evaluation Using Speech Audmentioning

confidence: 99%

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Speech recognition with hearing aids for 10 standard audiograms

Dörfler

Hocke²,

Hast

et al. 2020

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“…Der APHAB gliedert sich in 4 Untergruppen zu je 6 Fragen. Drei Untergruppen überprüfen dabei das Sprachverstehen in verschiedenen Alltagssituationen, je 3 Fragen in der zweiten und dritten Skala sind invers formuliert (*): F Einfache Hörsituation ("ease of communication") -EC-Skala (Fragen 4, 10,12,14,15,23), F Hören im Störgeräusch ("background noise") -BN-Skala (Fragen 1*, 6, 7, 16*, 19*, 24), F Hören von Sprache in Echo-oder Hallsituationen ("reverberation") -RV-Skala (Fragen 2, 5, 9*, 11*, 18, 21*).…”

Section: Hintergrundunclassified

“…Doch sowohl im klinischen Alltag als auch aus der Literatur ist bekannt, dass die Ergebnisse der Tonschwellenaudiometrie nur bedingt mit den Ergebnissen der Sprachaudiometrie ohne und mit Hörge-räten korrelieren und die Resultate dieser beiden Methoden nur wenig mit dem Leiden und Handicap der Patienten über-einstimmen [11,12]. Wenn also die Korrelation von Handicap und Alltagsproblemen unabhängig vom Hörverlust und Sprachverstehen ist, muss dies separat erfasst werden, um das Ausmaß einer Hör-störung und die Veränderung nach Versorgung mit Hörhilfen treffend zu charakterisieren.…”

Section: Notwendigkeit Von Frageninventaren In Der Audiologischen Diaunclassified

Entwicklung und Anwendung einer APHAB-Datenbank

Löhler¹,

Akcicek²,

Kappe

et al. 2014

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A specific quality assurance questionnaire concerned with the provision of hearing aids was introduced that assesses elements of patient satisfaction within Germany's statutory healthcare system. A questionnaire-based assessment is now relevant for all physicians involved in the care of statutorily insured patients in Germany. The APHAB (Abbreviated Profile of Hearing Aid Benefit) questionnaire is the most widely used. The APHAB assesses several different situations: the normal hearing situation, hearing in noise, comprehension of speech in situations of echo or reverberation and hearing in loud situations. The APHAB questionnaire-based patient evaluation of the benefit of hearing aids represents the third pillar of audiological diagnostics, alongside classical pure-tone and speech audiometry. The objective of the APHAB database is to allow evaluation of individual patient data on the basis of a larger volume of data.

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