Brooke Cameron, E. Cunningham, A. Lindner, L. Nicol, L. Chenoweth, C. Driscoll
{"title":"Hearing Aid Use and Satisfaction in Young Australian Adults with Severe to Profound Hearing Loss","authors":"Brooke Cameron, E. Cunningham, A. Lindner, L. Nicol, L. Chenoweth, C. Driscoll","doi":"10.1375/AUDI.30.1.59","DOIUrl":"https://doi.org/10.1375/AUDI.30.1.59","url":null,"abstract":"The primary aim of the present research was to investigate factors affecting amplification use and satisfaction in young Australian adults with severe to profound hearing impairment. Opinions were gathered from 57 subjects (40 male and 17 female), with a mean age of 23.6 years, through self-administration of the Factors Affecting Hearing Aid Use in Adults (FAHA) questionnaire. A significant difference in opinions between those who wore hearing aids daily and those who did not was noted for 10 of the 49 questionnaire statements. The findings suggested that there are a number of factors that impact on amplification use in young Australian adults with severe to profound hearing impairment. These related to self-perceived aided benefit, services and costs, hearing aid performance, locus of control, and the 'hearing aid effect'. It is hoped that these findings have provided valuable insight into potential areas for improvement in audiological and social service provision for this population.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123456694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceptual Consequences of Conductive Hearing Loss: Speech Perception in Indigenous Students Learning English as a 'School' Language","authors":"Sreedevi Aithal, A. Yonovitz, Venkatesh Aithal","doi":"10.1375/AUDI.30.1.1","DOIUrl":"https://doi.org/10.1375/AUDI.30.1.1","url":null,"abstract":"The high incidence of ear disease and hearing loss in Australian Indigenous children is well documented. This study aims to consider the effect of hearing loss and native-language phonology on learning English by Australian Indigenous children. Twenty-one standard Australian English consonants were considered in a consonant-vowel (CV) context. Each consonant was paired with each other to yield 'same' and 'different' consonant pairs. The participants were classified into three groups: (1) English speaking, non- Indigenous children without history of hearing loss and otitis media (three males, four females, mean age 13.7 years); (2) Indigenous children speaking Tiwi as their native language, without history of hearing loss and otitis media and learning English as a second language (two males, three females, mean age 12.1 yrs) and (3) Indigenous children speaking Tiwi as their native language, with a history of hearing loss and otitis media since childhood (six females, mean age 13.1 years). The reaction time from the onset of the second word of the pair to the pressing of a 'same' or 'different' button was measured. The results demonstrated that discrimination of consonants was differentially affected by differences in language. Hearing loss further complicated the difficulties that a child was already having with English. Hearing loss tended to affect discrimination of English consonants more than those in the native language. The study suggests that amplification alone does not suffice and recommended that phonological awareness programs, with or without amplification, need to be part of a reading program from preschool with Indigenous children learning English as a 'school' language.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116357666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Strange, April N. Johnson, Brigitte-Jane Ryan, A. Yonovitz
{"title":"The Stigma of Wearing Hearing Aids in an Adolescent Aboriginal Population","authors":"A. Strange, April N. Johnson, Brigitte-Jane Ryan, A. Yonovitz","doi":"10.1375/AUDI.30.1.19","DOIUrl":"https://doi.org/10.1375/AUDI.30.1.19","url":null,"abstract":"The occurrence of otitis media (OM) and associated conductive hearing loss in rural and remote Aboriginal communities is extraordinarily high. Despite the increasing number of people experiencing difficulties with hearing, hearing aids are not being used to the extent that they should be given the magnitude of the hearing problem. This study explored whether a 'Hearing Aid Effect' (HAE) (negative stigma attached to the presence of a hearing aid) is a basis for the lack of amplification use. A sample of Northern Territory Indigenous adolescents boarding at high schools in Alice Springs participated and were asked to judge, using a purpose-designed attitude scale, 12 photo - graphs of male and female peers wearing a behind the ear hearing aid, or a bone conductor hearing aid or wearing no hearing aids. The results indicated that the more visible the hearing aid, the more negatively the adolescents viewed the individual. There was also a trend towards a response bias as a function of the gender of the hearing-aid user. Interestingly, it was found that a brief intervention explaining the benefits of hearing aids provided some desensitisation to the bias of the HAE indicated by reduced stigma in participants.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123229055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Habituation of Auditory Evoked Potentials: The Dynamics of Waveform Morphology","authors":"April N. Johnson, A. Yonovitz","doi":"10.1375/AUDI.29.2.77","DOIUrl":"https://doi.org/10.1375/AUDI.29.2.77","url":null,"abstract":"Habituation of auditory evoked potentials is central to our understanding of the processes of attention within the auditory neuronal pathways and clinical applications in audiological diagnosis. This study presents a unique methodology to elaborate on auditory habituation over time with the acquisition of evoked potentials. Subjects were presented with clicks at a rate of 1 per second for 90 min. Each subject listened to a total of 5400 click stimuli (trials). A time epoch of 500 ms was used and each trial was digitised at a sample rate of 12,800 samples per second. The trials were individually saved and 4401 evoked potentials were obtained offline using a moving average of 1000 trials (1-1000; 2-1001, and so on). A unique paradigm was developed, which allowed the early, middle and late components of the auditory evoked potential to be acquired simultaneously and also permitted the study of amplitude and latency interdifferences between the evoked potentials in order to observe the progression of habituation. Amplitude changes occurred as the subject progressed through various states of alertness and attentiveness. The results of the study indicated that the habituation process modulates the waveform at different response latencies over a 90 minute time period. Similar patterns were found for all subjects in the sample. The habituation was found to be the greatest for the late evoked potentials, in agreement with the involvement of higher order functioning related to structures such as the frontal cortex and auditory regions of the hippocampus. The middle latency components were also found to be affected by the process of habituation, with visible amplitude and latency changes, while only modest changes were observed in the auditory brainstem response components over the 90 minute time period. This implies that within the auditory pathway and the entire auditory evoked potential there is a follow on or cumulative effect of habituation that increases within the sampled time epoch during auditory habituation and attention fluctuations.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121739846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Hearing Loss on Tinnitus Severity","authors":"G. Searchfield, C. Jerram, K. Wise, S. Raymond","doi":"10.1375/AUDI.29.2.67","DOIUrl":"https://doi.org/10.1375/AUDI.29.2.67","url":null,"abstract":"It is generally accepted that tinnitus severity is influenced by stress and depression (Folmer, Griest, Meikle, and Martin, 1999) while the contribution of hearing loss to tinnitus severity is unclear (Baskill and Coles, 1999). Functional imaging has suggested that the degree of cortical reorganisation following hearing loss contributes to tinnitus severity (Muhlnickel, Elbert, Taub, and Flor, 1998) while more severe tinnitus has also been associated with gently sloping audiograms (Weisz, Voss, Berg, and Elbert, 2004). This study related results for two self-report questionnaires, the Tinnitus Handicap Questionnaire (THQ) (Kuk, Tyler, Russell, and Jordan, 1990) and the Tinnitus Severity Index (TSI) (Meikle, Griest, Stewart, and Press, 1995) to audiometric results from 79 patients attending a tinnitus clinic. The TSI did not show a statistically significant correlation with any variables obtained from the audiogram. The Tinnitus Handicap Questionnaire score was correlated to aspects of the pure tone audiometry in particular elevated low frequency thresholds were correlated with greater tinnitus handicap. The relationship between hearing loss and measures of tinnitus impact are discussed.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116885348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application of ASSR in the Hearing Aid Selection Process","authors":"Venkata Damarla, P. Manjula","doi":"10.1375/AUDI.29.2.89","DOIUrl":"https://doi.org/10.1375/AUDI.29.2.89","url":null,"abstract":"The present study investigated the possible use of the auditory steady state response (ASSR) technique in hearing aid fitting. The relationship between the real ear insertion gain (REIG) and ASSR gain (unaided ASSR threshold vs. aided ASSR threshold) was examined. Thirty subjects with mild to moderately severe sensorineural hearing loss with age range of 15 years to 50 years (mean age 32 years) participated in the study. Based on the degree, configuration and type of hearing loss, two digital BTE hearing aids were preselected. For each subject insertion gain and ASSR gain were measured at 500 Hz, 1 kHz, 2 kHz and 4 kHz. The hearing aid that best matched with the target curve during insertion gain measurement was selected for the ASSR measurement. ASSR gain and REIG were highly correlated with significance values p < .05. Paired sample t tests revealed that there was no significant difference at all test frequencies. The ASSR technique shows great promise in hearing aid fitting for those who can not reliably respond on behavioral testing.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132639944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer L. Smart, Andrea S. Kelly, April Lyons, J. Houghton
{"title":"Rehabilitation of Adults with Auditory Processing Disorder and Normal Peripheral Hearing: Two Case Studies","authors":"Jennifer L. Smart, Andrea S. Kelly, April Lyons, J. Houghton","doi":"10.1375/AUDI.29.1.53","DOIUrl":"https://doi.org/10.1375/AUDI.29.1.53","url":null,"abstract":"The management of auditory processing disorder (APD) is frequently discussed for the school-aged population but management strategies are also needed for adults with APD. The strategies established for rehabilitation of APD are often targeted towards children and may not be appropriate for adults. These two case studies explore the results of utilising low-gain hearing aids coupled to an FM system for adults with APD and normal peripheral hearing. Results suggest that with appropriate management and follow up the utilisation of low-gain hearing aids coupled to an FM system may be a beneficial rehabilitation option.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114202893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case Study of an 11-year-old with Auditory Processing Disorder","authors":"Mridula Sharma, S. Purdy","doi":"10.1375/AUDI.29.1.40","DOIUrl":"https://doi.org/10.1375/AUDI.29.1.40","url":null,"abstract":"The article presents a case study of a child ('Sally') with multiple risk factors for auditory processing disorder (APD), including low birth weight and a history of otitis media. Sally presented for auditory processing assessment at age 7 years 9 months due to learning difficulties, despite normal intelligence. Sally had persistent mild hearing loss associated with repeated middle ear infections and hearing aids were trailed at 22 months. Mother reported increased vocalisations and improved listening with hearing aids. Three years later, hearing aids were withdrawn, as Sally's hearing thresholds had improved. Following diagnosis of APD an FM device was trailed successfully, but Sally is no longer using the device. Trial of more discrete FM devices is recommended. Despite using hearing aids as a preschooler and using an FM device for a year, Sally has continued to have auditory difficulties. An inter-disciplinary approach involving the family and other professionals such as teachers, educational psychologists, speech pathologists, and audiologists, might have ensured better outcomes for Sally.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128706734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Normative Data for Behavioural Tests of Auditory Processing for New Zealand School Children Aged 7 to 12 Years","authors":"Andrea S. Kelly","doi":"10.1375/AUDI.29.1.60","DOIUrl":"https://doi.org/10.1375/AUDI.29.1.60","url":null,"abstract":"One of the recommendations for administrating behavioural tests of auditory processing disorders (APD) is the collection of normative data from the local population (Bellis, 1996). Additionally, if test scores are dependent upon understanding verbal tokens it is sensible to rerecord the material using a local speaker to remove the effect of foreign accents. This article explains the need and the method of collection of normative data for behavioural tests.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124503429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Central Auditory Processing (CAP) Abnormalities in Older Adults: A Review","authors":"Maryanne Golding","doi":"10.1375/AUDI.29.1.2","DOIUrl":"https://doi.org/10.1375/AUDI.29.1.2","url":null,"abstract":"Older adults, with and without measured hearing loss, often report difficulties in following rapid speech and difficulties in understanding speech in noisy environments. It is likely that these difficulties arise from: (a) deteriorating peripheral hearing and/or (b) structural changes to the central auditory system (CAS) and/or (c) changes to normal cognitive function. This review will focus on the structural changes to the CAS and the likely central auditory processing (CAP) abnormality arising from these changes. Older, compared with young normal hearing adults, show physiological and behavioural differences on measures of sound localisation, and in the detection of small and/or rapid changes to the temporal properties of various auditory stimuli. This article will review these differences together with prevalence and risk factors for CAP abnormality in older adults. The impact of this condition on the older adult as well as potential approaches to rehabilitation and (re)training will also be reviewed.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125131596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}