Carl Pedersen, Ellen Raben Pedersen, Chris Bang Sørensen, Søren Laugesen, Raul Sanchez-Lopez, Jacob Nielsen, Jesper Hvass Schmidt
{"title":"Accuracy of automated and non-audiologist-operated audiometry compared to gold-standard testing.","authors":"Carl Pedersen, Ellen Raben Pedersen, Chris Bang Sørensen, Søren Laugesen, Raul Sanchez-Lopez, Jacob Nielsen, Jesper Hvass Schmidt","doi":"10.1080/14992027.2025.2505983","DOIUrl":"https://doi.org/10.1080/14992027.2025.2505983","url":null,"abstract":"<p><strong>Objective: </strong>This study compared the accuracy of automated user-operated and manual non-audiologist driven audiometry, two potential alternatives for test settings with limited audiologist resources. The accuracy was investigated by assessing the two test methods with gold-standard manual audiometry conducted by trained audiologists.</p><p><strong>Design: </strong>This comparative study was conducted in a clinical setting. The audiometry conducted by non-audiologist operators took place at the participants' local Ear, Nose, and Throat specialists. Both the user-operated and gold-standard audiometry were conducted on the same day at Odense University Hospital, approximately one month after the initial assessment using the non-audiologist driven audiometry.</p><p><strong>Study sample: </strong>221 adults (median age of 69 years) referred for hearing-aid treatment.</p><p><strong>Results: </strong>Both test methods showed statistically significant differences from the gold standard, but the user-operated audiometry demonstrated closer agreement at all tested frequencies. Across frequencies, user-operated audiometry differed by -0.1 dB (95% CI -0.9 to 0.8) to 2.6 dB (95% CI 1.7-3.5), while non-audiologist driven audiometry differed by 6.2 dB (95% CI 5.5-6.9) to 11.1 dB (95% CI 10.0-12.3).</p><p><strong>Conclusion: </strong>The accuracy of automated user-operated audiometry was within general measurement uncertainty for gold-standard audiometry, whereas the manual non-audiologist driven audiometry may introduce additional variability.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078068","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}
Ellen Bothe, Rebecca J Bennett, Kerry A Sherman, Barbra H B Timmer, Bronwyn Myers, Melanie A Ferguson
{"title":"\"I feel a little bit clueless\" perceived barriers and enablers to help-seeking and informed decision-making in hearing care: a qualitative study.","authors":"Ellen Bothe, Rebecca J Bennett, Kerry A Sherman, Barbra H B Timmer, Bronwyn Myers, Melanie A Ferguson","doi":"10.1080/14992027.2025.2493918","DOIUrl":"https://doi.org/10.1080/14992027.2025.2493918","url":null,"abstract":"<p><strong>Objective: </strong>To explore perceived barriers and enablers to help-seeking and informed decision-making in hearing care in order to inform an intervention targeted at maximising uptake of hearing care (<i>HearChoice</i>).</p><p><strong>Design: </strong>Data were collected using semi-structured interviews and analysed qualitatively using a hybrid deductive and inductive thematic analysis approach based on the COM-B model of behaviour change.</p><p><strong>Study sample: </strong>Sixteen adults with hearing difficulty took part (9 male, 7 female, age range 27 - 90), nine of whom had sought professional help for hearing difficulties and seven of whom had not.</p><p><strong>Results: </strong>Participants described a range of interacting barriers and enablers to help-seeking and decision-making for hearing care that relate to psychological capability (e.g. knowledge; skills), environmental and social opportunity (e.g. supportive social circle and health care providers) and automatic and reflective motivation (e.g. shame; trust; beliefs about effectiveness of hearing aids).</p><p><strong>Conclusion: </strong>Interventions to facilitate help-seeking and informed decision-making about care options for adults with hearing difficulties are likely to be most effective if factors that increase psychological capability, environmental and social opportunity, and automatic and reflective motivation are maximised. The framework developed from this study will inform the development of <i>HearChoice</i> and future research on help-seeking and decision-making.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078066","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}
Carlos R Benítez-Barrera, Mary Skorupa, Benjamin W Y Hornsby, Daniel M Bolt, Beatriz de Diego-Lázaro
{"title":"Psychometric validation of the Spanish-versions of the Vanderbilt fatigue scales for adults.","authors":"Carlos R Benítez-Barrera, Mary Skorupa, Benjamin W Y Hornsby, Daniel M Bolt, Beatriz de Diego-Lázaro","doi":"10.1080/14992027.2025.2502453","DOIUrl":"https://doi.org/10.1080/14992027.2025.2502453","url":null,"abstract":"<p><strong>Objective: </strong>Listening-related fatigue can be a significant problem for some people with hearing loss. However, such fatigue is rarely assessed by audiologists due, in part, to the scarcity of assessment tools, especially in non-English languages. The goal of this study was to validate the short and long versions of the Spanish Vanderbilt Fatigue Scales for Adults (SP-VFS-As).</p><p><strong>Design: </strong>A between-groups, cross-sectional, study was used to evaluate the psychometric properties, validity, and reliability of the SP-VFS-As. Participants completed the scales online using Qualtrics software.</p><p><strong>Study sample: </strong>Participants were 287 adults between 18 to >86 years old (206 females; 117 with hearing loss) from 17 countries. Of these, 81 participants completed the scales a second time for reliability purposes.</p><p><strong>Results: </strong>Analyses revealed excellent known-groups validity. The test-retest reliability showed high internal consistency. Factor analyses suggested a unidimensional structure for the scales, consistent with the original English versions.</p><p><strong>Conclusions: </strong>The SP-VFS-As are psychometrically valid, reliable, and appropriate for assessing listening-related fatigue in Spanish speakers.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078071","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":"Perceptions of a common hearing aid outcomes questionnaire within a humanitarian effort in the Dominican Republic.","authors":"Katherine Riedstra, Ashok Jagasia, Uzma S Akhtar","doi":"10.1080/14992027.2025.2502443","DOIUrl":"https://doi.org/10.1080/14992027.2025.2502443","url":null,"abstract":"","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-2"},"PeriodicalIF":1.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078070","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":"Who do you tell about your hearing loss? A stigma-induced identity-threat model for adults with hearing loss.","authors":"Katie Ekberg, Mansoureh Nickbakht, Carly Meyer, Monique Waite, Barbra Timmer, Nerina Scarinci, Louise Hickson","doi":"10.1080/14992027.2025.2489569","DOIUrl":"https://doi.org/10.1080/14992027.2025.2489569","url":null,"abstract":"<p><strong>Objective: </strong>This paper collates findings from six studies in the special issue and maps them onto the Major and O'Brien (2005) model for a holistic representation of how adults with hearing loss (HL) experience stigma-induced identity threat, how they respond, and the association with hearing aid (HA) use.</p><p><strong>Design: </strong>Findings were obtained using a range of methods: qualitative interviews, Ecological Momentary Assessment, and Conversation Analysis in phase 1; and online self-report surveys in phase 2. Data from phase 1 informed the survey used in phase 2.</p><p><strong>Study sample: </strong>Phase 1 included 20 adults with HL and their significant others (SOs). Phase 2 included 331 adults with HL and 313 SOs.</p><p><strong>Results: </strong>Findings support the view of stigma being context and relationship specific as suggested by the Major and O'Brien (2005) model. 'Not telling' was found to be a key way that the stigma of HL is responded to in everyday life. HL disclosure, in addition to attitudes towards HAs, stereotypical beliefs, and personal characteristics, were associated with HA use.</p><p><strong>Conclusions: </strong>Clinical implications are discussed, including how hearing care professionals might support adults with HL and their SOs who experience stigma related to HL and/or HAs.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078076","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":"The influence of electrical dynamic range in cochlear implants of children at age 3 years on speech perception, vocabulary and quality-of-life outcomes at age 9 years.","authors":"Teresa Y C Ching, Sanna Hou, Paola Incerti","doi":"10.1080/14992027.2025.2502445","DOIUrl":"https://doi.org/10.1080/14992027.2025.2502445","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate 1) the influence of electrical dynamic range (DR) in cochlear implants (CI) of children at 3 years of age on their speech perception, vocabulary, and health-related quality of life (HRQOL) at 9 years of age; and 2) changes in electrical stimulation levels and DR over the first 10 years of life.</p><p><strong>Design: </strong>This is a prospective longitudinal study on outcomes of children with congenital hearing loss. Outcomes at 9 years were measured using standardised tests. Generalised linear models were used to examine the effects of DR in CIs at age 3 years on children's 9-year outcomes.</p><p><strong>Study sample: </strong>One hundred and two children who received CIs before 3 years of age.</p><p><strong>Results: </strong>On average, vocabulary and HRQOL were within the range of typically hearing peers. A wider DR at 3 years was associated with better self-rated HRQOL at 9 years of age. Parent-proxy ratings of HRQOL were higher for children with better vocabulary. Earlier CI activation was associated with better speech perception and vocabulary. DR was stable over time.</p><p><strong>Conclusion: </strong>The findings lend support to early cochlear implantation and emphasise the importance of optimising stimulation levels and DR at a young age to maximise longer-term outcomes.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078074","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}
Anja Pähler Vor der Holte, Lisa Krech, Merle Bock, Martin Seidel, Meike Ricke, Hans-Jürgen Welkoborsky
{"title":"HEARINGtogether study: barriers to hearing aid acquisition and use in German nursing homes - The residents' perspective.","authors":"Anja Pähler Vor der Holte, Lisa Krech, Merle Bock, Martin Seidel, Meike Ricke, Hans-Jürgen Welkoborsky","doi":"10.1080/14992027.2025.2497928","DOIUrl":"https://doi.org/10.1080/14992027.2025.2497928","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigates barriers to hearing aid acquisition and usage in nursing homes from the residents' perspective.</p><p><strong>Design and study sample: </strong>85 residents (mean age 83.8 years) were recruited from four nursing homes. Residents underwent pure tone and speech audiograms, completed the Nursing Home Hearing Index (NHHI), and a questionnaire on hearing aids.</p><p><strong>Results: </strong>25 residents had untreated severe hearing loss (29.4%), but many were reluctant to pursue rehabilitation (15/25). Those hesitant to adopt hearing aids had less severe hearing loss (55.2 dB vs. 66.0 dB for residents open towards hearing aids), were less aware of their hearing loss, felt less impact in their daily life (NHHI 29.3pts vs. 40.4pts), and held more negative preconceptions towards hearing aids. Among residents that already used hearing aids, problems with practical handling were the predominant barrier to regular use, followed by lack of perceived benefit, and barriers in healthcare access.</p><p><strong>Conclusions: </strong>Raising early awareness for hearing loss is important to improve chances for rehabilitation. Educating medical staff in hearing health is crucial to raise awareness for hearing loss, support residents in daily life, and improve adherence to hearing aids. On-site services are essential for nursing homes to facilitate access to healthcare providers.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992328","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}
Verena Müller, Amanuel Ukuwait, Katrin Frößler, Ruth Lang-Roth
{"title":"Effect of ambient noise reduction on speech recognition and listening effort in noise in MED-EL cochlear implant users.","authors":"Verena Müller, Amanuel Ukuwait, Katrin Frößler, Ruth Lang-Roth","doi":"10.1080/14992027.2025.2499099","DOIUrl":"https://doi.org/10.1080/14992027.2025.2499099","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated whether the SONNET 2 audio processor's ambient noise reduction (ANR) algorithm improves speech recognition and listening effort in cochlear implant (CI) users as a function of different noise signals.</p><p><strong>Design: </strong>Speech recognition and listening effort were measured in the presence of four different noise signals, including stationary and fluctuating noise, and including a speech masker. Speech was presented from the front (S0) and noise from two sources from the back (N ± 135).</p><p><strong>Study sample: </strong>20 adult CI users.</p><p><strong>Results: </strong>With the ANR, speech recognition significantly improved in the presence of one stationary noise and in the presence of one fluctuating noise. The ANR had no significant effect on listening effort.</p><p><strong>Conclusions: </strong>When activating the ANR algorithm of the SONNET 2 audio processor, speech recognition improved in some conditions. Listening effort was equal in all conditions. In corresponding everyday situations, it can be recommended to use the ANR algorithm.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010546","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}
Anthony Marcotti, Sebastián Rivera, Catherine Silva-Letelier, Pablo Martinez-Amezcua, Eduardo Fuentes-López
{"title":"Effectiveness of active communication education to improve hearing aid usage among Chilean older adults: a randomised clinical trial.","authors":"Anthony Marcotti, Sebastián Rivera, Catherine Silva-Letelier, Pablo Martinez-Amezcua, Eduardo Fuentes-López","doi":"10.1080/14992027.2025.2496749","DOIUrl":"https://doi.org/10.1080/14992027.2025.2496749","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effectiveness of the Active Communication Education (ACE) program in improving usage, perceived benefit, and success with hearing aids (HAs).</p><p><strong>Design: </strong>A multicentre, double-blind, randomised parallel design clinical trial with masked outcome assessments was conducted at primary healthcare centres. Participants were randomised into either an intervention group (ACE) or a control group (social intervention). The primary outcome was HAs usage (question 1 of IOI-HA) and secondary outcomes were perceived benefit (question 2 of IOI-HA) and success with HAs (usage for at least 1 hour/day as per question 1 of IOI-HA and at least moderate perceived benefit as per question 2 of IOI-HA). Data collection occurred before, right after, and at 6 and 12 months following the intervention.</p><p><strong>Study sample: </strong>114 older adults who use HAs.</p><p><strong>Results: </strong>The intervention group significantly increased HAs usage compared to baseline right after the intervention, as well as at 6- and 12-month follow-ups, in comparison to the control group. Secondary outcomes also showed improvements at all follow-up measurements, although these were less consistent.</p><p><strong>Conclusions: </strong>The ACE program is an effective strategy for enhancing HAs usage among older adults, with improvements that are sustainable over time.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979154","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}
Tana B Carson, Angela M Medina, Yuxi Qiu, Katherine L Long, Monica Niebles, Alexandra Palacio-Raine, Taylor Saenz
{"title":"The pediatric misophonia and hyperacusis questionnaire (PMHQ): a screening tool inspired by the MisoQuest and hyperacusis questionnaire.","authors":"Tana B Carson, Angela M Medina, Yuxi Qiu, Katherine L Long, Monica Niebles, Alexandra Palacio-Raine, Taylor Saenz","doi":"10.1080/14992027.2025.2478519","DOIUrl":"https://doi.org/10.1080/14992027.2025.2478519","url":null,"abstract":"<p><strong>Objective: </strong>Decreased Sound Tolerance (DST) conditions often emerge in childhood, making early identification and treatment important. This paper details the development and validation of the Paediatric Misophonia and Hyperacusis Questionnaire (PMHQ), a dual DST parent-report screening tool intended to provide early identification of misophonia and hyperacusis among children with and without autism age 6-17 years.</p><p><strong>Study designs and samples: </strong>Three studies were completed including (1) content development with input from audiology experts (n = 9) and parents of children with DST conditions (n = 20); (2) content revision to improve relevance to autism with input from parents of children with autism (n = 15); and (3) psychometric analysis of item characteristics of the PMHQ based on responses from parents of children age 6-17 years (n = 200).</p><p><strong>Results: </strong>The PMHQ-4 demonstrates adequate psychometric properties at the item level (item discrimination, difficulty, item information function) and at the test level (test information function). A definitive version of the PMHQ with recommended cut-off scores for each subscale is provided.</p><p><strong>Conclusions: </strong>The resulting PMHQ-4 is a 14-item screening tool comprised of 8 misophonia and 6 hyperacusis items. The PMHQ-4 can provide a valid measure of misophonia and hyperacusis for children age 6-17 years. Further evaluation is warranted in clinical DST samples.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999966","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}