Helen Pryce, Sian Smith, Georgie Burns O'Connell, Saira Hussain, Jean Straus, Rachel Shaw
{"title":"The lived experience of hearing loss - an individualised responsibility.","authors":"Helen Pryce, Sian Smith, Georgie Burns O'Connell, Saira Hussain, Jean Straus, Rachel Shaw","doi":"10.1080/14992027.2024.2351037","DOIUrl":"10.1080/14992027.2024.2351037","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to provide a conceptual model to understand what typifies the lived experience of hearing loss.</p><p><strong>Design: </strong>A grounded theory informed study of adults with hearing loss (<i>n</i> = 46) who participated in individual interviews. The data were analysed in line with the constant comparative approach of grounded theory. A substantial patient and public engagement (PPIE) strategy underpinned decisions and processes throughout.</p><p><strong>Study sample: </strong>Adults were recruited from age bands (16-29; 30-49;50-79 and 80 upwards) to provide different lived experience. We recruited individuals from across the UK including urban, sub-urban and rural communities and included a typical constituency of each location including black and minority ethnic participants. Our PPIE groups included adults often marginalised in research including South Asian community groups, adults in residential care and those with additional disabilities.</p><p><strong>Results: </strong>We identified the consistent features of the lived experience with hearing loss, as the individualised responsibility that hearing loss confers. These are an individual auditory lifeworld; social comparison and social support; individual and patient-centred care and individual agency and capability.</p><p><strong>Conclusions: </strong>This work provides new insights for those practising audiology and highlights the importance of building social support systems through implementation of family and peer support approaches.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"365-373"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electroacoustic evaluation of the bone conduction transducer B250 for vestibular and hearing diagnostics in comparison with Radioear B71 and B81.","authors":"Karl-Johan Fredén Jansson, Bo Håkansson, Ann-Charlotte Persson, Luca Verrecchia, Sabine Reinfeldt","doi":"10.1080/14992027.2024.2352054","DOIUrl":"10.1080/14992027.2024.2352054","url":null,"abstract":"<p><strong>Objective: </strong>The objective is to evaluate the electroacoustic performance of the B250 transducer and to compare it with the two most widely used audiometric transducers B71 and B81.</p><p><strong>Design: </strong>The electroacoustic performance was evaluated in terms of sensitivity level, distortion, maximum hearing level and electrical impedance.</p><p><strong>Study sample: </strong>Six B250 prototype transducers were evaluated and compared with published data of B71 and B81 together with complementary measurements of maximum hearing level at 125 Hz and phase of electrical impedance. Differences in reference equivalent threshold vibratory force levels were estimated by comparing hearing threshold measurements of 60 healthy ears using B81 and B250.</p><p><strong>Results: </strong>B250 has approximately 27 dB higher sensitivity levels than both B71 and B81 at 250 Hz and can generate higher maximum hearing level at low frequencies: 11.8 to 35.8 dB (125-1000 Hz) higher than B71, and 1.4 to 18.6 dB (125-750 Hz) higher than B81. The maximum average difference in reference threshold force levels was 13.5 ± 8.7 dB higher for B250 at 250 Hz compared to B81.</p><p><strong>Conclusions: </strong>B250 can produce higher output force with less distortion than B71 and B81, especially at 125 and 250 Hz, which could possibly improve low frequency investigations of the audio-vestibular system.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"320-326"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julien Zanin, Jonathan Vaisberg, Sarah Swann, Gary Rance
{"title":"Evaluating benefits of remote microphone technology for adults with hearing loss using behavioural and predictive metrics.","authors":"Julien Zanin, Jonathan Vaisberg, Sarah Swann, Gary Rance","doi":"10.1080/14992027.2024.2354500","DOIUrl":"10.1080/14992027.2024.2354500","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the benefit of remote-microphone (RM) systems for adults with sensory hearing loss.</p><p><strong>Design: </strong>Speech recognition in quiet and in background noise was assessed. Participants with hearing loss underwent testing in two device conditions: hearing aids (HAs) alone and HAs with a RM. Normal hearing participants completed testing in the unaided condition. Predictive speech intelligibility modelling using the Hearing-Aid Speech Perception Index (HASPI) was also performed on recordings of HA processed test material.</p><p><strong>Study sample: </strong>Twenty adults with sensory hearing loss and 10 adults with normal hearing participated.</p><p><strong>Results: </strong>Speech recognition for participants with hearing loss improved significantly when using the RM compared to HAs alone fit to Phonak's proprietary prescription. Largest benefits were observed in the most challenging conditions. At the lowest signal-to-noise ratio, participants with hearing loss using a RM outperformed normal hearing listeners. Predicted intelligibility scores produced by HASPI were strongly correlated to behavioural results.</p><p><strong>Conclusions: </strong>Adults using HAs who have significant difficulties understanding speech in noise will experience considerable benefits with the addition of a RM. Improvements in speech recognition were observed for all participants using RM systems, including those with relatively mild hearing loss. HASPI modelling reliably predicted the speech perception difficulties experienced.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"327-335"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peter Schleich, Christian Wirtz, Reinhold Schatzer, Peter Nopp
{"title":"Similar performance in sound localisation with unsynchronised and synchronised automatic gain controls in bilateral cochlear implant recipients.","authors":"Peter Schleich, Christian Wirtz, Reinhold Schatzer, Peter Nopp","doi":"10.1080/14992027.2024.2383700","DOIUrl":"10.1080/14992027.2024.2383700","url":null,"abstract":"<p><strong>Objective: </strong>One proposed method to improve sound localisation for bilateral cochlear implant (BiCI) users is to synchronise the automatic gain control (AGC) of both audio processors. In this study we tested whether AGC synchronisation in a dual-loop front-end processing scheme with a 3:1 compression ratio improves sound localisation acuity.</p><p><strong>Design: </strong>Source identification in the frontal hemifield was tested in in an anechoic chamber as a function of (roving) presentation level. Three different methods of AGC synchronisation were compared to the standard unsynchronised approach. Both root mean square error (RMSE) and signed bias were calculated to evaluate sound localisation in the horizontal plane.</p><p><strong>Study sample: </strong>Six BiCI users.</p><p><strong>Results: </strong>None of the three AGC synchronisation methods yielded significant improvements in either localisation error or bias, neither across presentation levels nor for individual presentation levels. For synchronised AGC, the pooled mean (standard deviation) localisation error of the three synchronisation methods was 24.7 (5.8) degrees RMSE, for unsynchronised AGC it was 27.4 (7.5) degrees. The localisation bias was 5.1 (5.5) degrees for synchronised AGC and 5.0 (3.8) for unsynchronised.</p><p><strong>Conclusions: </strong>These findings do not support the hypothesis that the tested AGC synchronisation configurations improves localisation acuity in bilateral users of MED-EL cochlear implants.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"411-417"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jasmijn M Rootlieb, Sigrid Polspoel, Patrick Brienesse, Cas Smits
{"title":"Remote self-testing for adult cochlear implant users: the effect of wireless streaming on speech recognition in noise.","authors":"Jasmijn M Rootlieb, Sigrid Polspoel, Patrick Brienesse, Cas Smits","doi":"10.1080/14992027.2024.2382201","DOIUrl":"10.1080/14992027.2024.2382201","url":null,"abstract":"<p><strong>Objectives: </strong>Wireless sound transfer methods for cochlear implant sound processors have become popular for remote self-assessed hearing tests. The aim of this study was to determine (1) spectral differences in stimuli between different wireless sound transfer options and (2) the effect on outcomes of speech recognition tests in noise.</p><p><strong>Design: </strong>In study 1, the frequency response of different streaming options (Phonak Roger Select, Cochlear Mini Mic 2+, telecoil and Bluetooth connection) was measured by connecting headphones to CI sound processors. Study 2 followed a repeated measures design in which digits-in-noise (DIN) tests were performed using wireless streaming to sound processors from Cochlear, Advanced Bionics, and MED-EL.</p><p><strong>Study sample: </strong>20 normal hearing participants.</p><p><strong>Results: </strong>Differences in frequency response between loudspeaker and wireless streaming conditions were minimal. We did not find significant difference in DIN outcome (F<sub>4,194</sub> = 1.062, p = 0.376) between the wireless transfer options with the Cochlear Nucleus 7 processor. No significant difference in DIN outcomes was found between Bluetooth streaming and the loudspeaker condition for all of the three tested brands. The mean standard error of measurement was 0.72 dB.</p><p><strong>Conclusions: </strong>No significant differences in DIN test outcomes between wireless sound transfer and the reference method were found.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"314-319"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zoe McNeice, Dani Tomlin, Barbra H B Timmer, Camille E Short, Karyn Galvin
{"title":"Adults' recollections of discussions with their audiologist: a qualitative study of what was and was not successfully communicated about listening difficulties.","authors":"Zoe McNeice, Dani Tomlin, Barbra H B Timmer, Camille E Short, Karyn Galvin","doi":"10.1080/14992027.2024.2351033","DOIUrl":"10.1080/14992027.2024.2351033","url":null,"abstract":"<p><strong>Objectives: </strong>Some adults experience challenges in successfully communicating their listening difficulties to their audiologist, and report feeling that they are not always listened to or understood. This project examined adults' recollections of discussions with their audiologist to explore (1) how adults report describing their listening difficulties and (2) information that adults report they do not communicate, or do not communicate successfully, to their audiologist.</p><p><strong>Design: </strong>Individual semi-structured interviews were conducted. Interview transcripts were analysed using a template analysis approach.</p><p><strong>Study sample: </strong>Fifteen adults who self-report listening difficulties, and who had previously consulted an audiologist.</p><p><strong>Results: </strong>Four themes were identified from adults' recollections of how they describe their listening difficulties: (1) situation or context of listening difficulties, (2) behavioural responses, (3) impacts of listening difficulties and (4) contributing factors. Adults report not always successfully communicating (1) emotional concerns and impacts, (2) descriptions of sound quality and (3) descriptions of changed listening experiences.</p><p><strong>Conclusion: </strong>Results provide insights about the times when adults feel that communication with their audiologist is successful, or unsuccessful. The results are useful for informing interventions to help adults and audiologists communicate more effectively together. To further inform interventions, factors affecting adults' communication should be explored.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"343-354"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacqueline Young, Harriet Withey, Sian Lloyd Jones, Luise V Marino, Abby Milchard, Lisa Garner, Annabel Forsdyke, Rachel Kidd
{"title":"My hearing explained for children: exploring use of this discussion tool in clinical practice.","authors":"Jacqueline Young, Harriet Withey, Sian Lloyd Jones, Luise V Marino, Abby Milchard, Lisa Garner, Annabel Forsdyke, Rachel Kidd","doi":"10.1080/14992027.2024.2369645","DOIUrl":"10.1080/14992027.2024.2369645","url":null,"abstract":"<p><strong>Objective: </strong>To explore the clinical use of 'My Hearing Explained for Children' (MHEfC) with children aged 8-11 years, from the perspectives of the child, parents and audiologist.</p><p><strong>Design: </strong>A mixed methods randomised control trial. Participants completed evaluation questionnaires after their appointment. Statistical and thematic analyses were used to examine the rating scale and open response elements of the questionnaires respectively.</p><p><strong>Study sample: </strong>45 families participated, 24 randomised to MHEfC and 21 to standard care.</p><p><strong>Results: </strong>Use of MHEfC increased the appointment duration by 8.2 minutes (95% CI 4.1 to 14.2 minutes), which was acceptable to parents (96%) and audiologists (67%). It promoted conversation around 'behavioural and communication tactics', 'specific listening situations' and 'listening effort' at the expense of 'anatomy/physiology/aetiology'. MHEfC positively impacted the discussion of test results (54%); ease of finding joint solutions to problems (71%); and the nature of issues and management options discussed (54%). Parental satisfaction with discussion was high on both pathways, so some parents and audiologists questioned MHEfC necessity and recommended targeted use in future.</p><p><strong>Conclusions: </strong>MHEfC was acceptable to children (70%) and parents (86%). It successfully promoted child-centred topics of discussion and can positively impact discussion outcomes.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"402-410"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141544802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reliability of an extended version of the 3m™ Eargage tool to assess earcanal size and assist earplug selection.","authors":"Bastien Poissenot-Arrigoni, Laurence Martin, Alessia Negrini, Djamal Berbiche, Olivier Doutres, Franck Sgard","doi":"10.1080/14992027.2024.2352045","DOIUrl":"10.1080/14992027.2024.2352045","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the ability of an extended version of the 3 M<sup>TM</sup> Eargage to estimate the earcanal size and assess the likelihood that a particular earplug can fit an individual's earcanal, ultimately serving as a tool for selecting earplugs in the field.</p><p><strong>Design: </strong>Earcanal morphology, assessed through earcanal earmolds scans, is compared to earcanal size assessed with the extended eargage (EE) via box plots and Pearson linear correlations coefficients. Relations between attenuation measured on participants (for 6 different earplugs) and their earcanal size assessed with the EE are established via comparison tests.</p><p><strong>Study sample: </strong>121 participants exposed to occupational noise (103 men, 18 women, mean age 47 year<i>s</i>).</p><p><strong>Results: </strong>The earcanal size assessed with the EE allows for estimating the area of the earcanal's first bend cross-section (correlation coefficient <math><mi> </mi><mi>r</mi></math> = 0.533, <i>p</i> < 0.001). Extremely large earcanals (12.7% of earcanals in our sample) lead to significantly lower earplug attenuation (potentially inadequate) than smaller earcanals.</p><p><strong>Conclusions: </strong>The EE is a simple and inexpensive tool easily deployable in the field to assist earplugs selection. When extended with sizes larger than the maximum size of the commercial tool, it allows for detecting individuals with extremely large earcanals who are most likely to be under-protected.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"392-401"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141156915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph A de Gruy, William W Laurenzo, Thanh-Huyen Vu, Oishika Paul, Christopher Lee, Christopher Spankovich
{"title":"Prevalence and predictors of problematic tinnitus.","authors":"Joseph A de Gruy, William W Laurenzo, Thanh-Huyen Vu, Oishika Paul, Christopher Lee, Christopher Spankovich","doi":"10.1080/14992027.2024.2378804","DOIUrl":"10.1080/14992027.2024.2378804","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence and characteristics of problematic tinnitus in a representative United States (US) sample.</p><p><strong>Design: </strong>Cross-sectional study of the NHANES database from 2011-2012 and 2015-2016.</p><p><strong>Study sample: </strong>8029 records were included for analysis.</p><p><strong>Results: </strong>The prevalence of any tinnitus was 16.32%. Only 1.38% reported tinnitus as a big problem or worse. Univariate analysis revealed a statistically significant relationship between tinnitus constancy and duration with severity, where more constant perception and longer duration was related to increased severity (<i>p</i> < 0.0001). Multivariable models showed a clear relationship of increased odds ratio (OR) of problematic tinnitus with constancy of tinnitus but not duration. Furthermore, multivariable models showed higher Body Mass Index (OR= 1.013, 95% CI: 0.99-1.03), sleep trouble (OR = 2.016, 95% CI: 1.52-2.66) and comorbidities (OR = 1.43, 95%CI: 1.06-1.94) were all associated with increased problematic tinnitus, but not non-problematic tinnitus.</p><p><strong>Conclusions: </strong>Our study demonstrated that the prevalence of problematic tinnitus is much lower than the prevalence of any tinnitus. There was also a relationship between BMI, sleep trouble, other comorbidities and increased odds of problematic tinnitus. Tinnitus severity was significantly related to constancy of perception but had a less clear relationship to duration.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"307-313"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}