International Journal of Audiology最新文献

{"title":"The development of a clinical practice guideline for the audiological management of infants and young children with permanent unilateral hearing loss using an integrated knowledge translation approach.","authors":"Christine L Brown, Marlene Bagatto","doi":"10.1080/14992027.2025.2477035","DOIUrl":"https://doi.org/10.1080/14992027.2025.2477035","url":null,"abstract":"<p><strong>Objective: </strong>To describe the development and implementation of a management pathway for infants and young children identified with permanent unilateral hearing loss within an early hearing detection and intervention program in Ontario, Canada.</p><p><strong>Design: </strong>An integrated knowledge translation approach was used to synthesise knowledge and generate a product: an updated clinical practice guideline. Current unilateral hearing loss guidelines were combined with the results of a scoping literature review focusing on technology options and outcomes for children with limited usable hearing unilaterally.</p><p><strong>Collaborators: </strong>Five paediatric audiologists partnered with two researchers to develop the knowledge product. A draft was provided to 75 audiologists who provide amplification services and was subsequently tailored to support clinical uptake by incorporating the audiologists' comments.</p><p><strong>Results: </strong>The updated clinical practice guideline describes a care pathway for children with unilateral hearing loss. Tools and graphics were developed as part of the integrated knowledge translation approach. Following standardised, competency-based training, the co-created guideline was implemented.</p><p><strong>Conclusions: </strong>Through an integrated knowledge translation approach, an updated unilateral hearing loss clinical practice guideline was co-created and implemented. The guideline provides information for the management of infants and young children with permanent unilateral hearing loss to support the operationalisation of current evidence-informed care.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634030","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":"Social coaching: applying Keyes' Model of Social Wellbeing to audiological support for older adults with hearing loss.","authors":"Rebecca J Bennett, Gabrielle H Saunders, Joseph J Montano, Barbra H B Timmer, Emma Laird, Johanna C Badcock","doi":"10.1080/14992027.2025.2467788","DOIUrl":"https://doi.org/10.1080/14992027.2025.2467788","url":null,"abstract":"<p><strong>Objective: </strong>To propose the application of Keyes's Model of Social Wellbeing to guide hearing care professionals (HCPs) in providing social coaching to address the impact of hearing loss on social wellbeing in older adults.</p><p><strong>Design: </strong>A discussion paper introducing Keyes's Model of Social Wellbeing and its application in enhancing the social wellbeing of older adults with hearing loss. Qualitative insights and evidence from various studies are provided to support the application of the proposed model. Examples of how HCPs can use social coaching to help address the effects of hearing loss on social coherence, integration, acceptance, contribution, and actualisation are provided.</p><p><strong>Study sample: </strong>N/A.</p><p><strong>Results: </strong>Hearing loss significantly impacts all five constructs of Keyes's Model of Social Wellbeing, leading to challenges in social coherence, integration, acceptance, contribution, and actualisation. Effective social coaching by HCPs can mitigate these impacts by providing tailored support, enhancing communication skills, and fostering a sense of belonging and purpose.</p><p><strong>Conclusions: </strong>Integrating social coaching into audiology practice and policy, guided by Keyes's Model, can improve social wellbeing for older adults with hearing loss. This person-centred approach requires HCPs to understand the social implications of hearing loss and deliver targeted interventions to support their clients' social and emotional needs.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624475","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":"Work absence and ability in tinnitus patients: the role of hyperacusis and tinnitus severity.","authors":"Kaia Ringstad Andreassen, Andreas Falck, Tove Bring Solum, Guri Engernes Nielsen","doi":"10.1080/14992027.2025.2477038","DOIUrl":"https://doi.org/10.1080/14992027.2025.2477038","url":null,"abstract":"<p><strong>Objective: </strong>Identify factors predicting work capacity among patients with tinnitus and hyperacusis.</p><p><strong>Design and study sample: </strong>This study employed a cross-sectional design, collecting data from four Norwegian audiology clinics (N = 80) and two Norwegian rehabilitation centres (N = 47). The patients in this study were invited to complete a web-based questionnaire.</p><p><strong>Results: </strong>This study found significant positive correlations between levels of tinnitus, hyperacusis, and mental distress (<i>r</i>s in the range .51 - .74). Logistic regression models showed that reduced work capacity was predicted by both tinnitus (OR = 1.07) and hyperacusis (OR = 1.13), and that hyperacusis predicted work absence (OR = 1.08).</p><p><strong>Conclusion: </strong>The findings demonstrate a moderate association between tinnitus and hyperacusis (<i>r</i> = .51), with both conditions affecting the work capacity of more than 50% of participants in the study. Moreover, the results indicate that the severity of tinnitus and hyperacusis is directly related to impaired work capacity and higher rates of work absence.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624479","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":"Hearing loss configurations in low- and middle-income countries.","authors":"John Newall, Rebecca Kim, Piers Dawes, Fadwa Alnafjan, Glyn Vaughan, Donna Carkeet, Heba Ghannoum, Bradley McPherson, Nitish Ranjan Patel, Megha Sasidharan, Nitin K Damam, S P Goswami, Geetha Chinnaraj, Dahlia Eka Sartika, Sara Alhanbali, Rebecca A Bartlett, Afzarini Hasnita Ismail, Mike C F Smith, Anup Ghimire, Shankar Shah, Norberto V Martinez, Hubert D Ramos, Ultima Angela Alparce, George A Tavartkiladze, Vigen Bakhshinyan, Maria Boboshko, Annette Kasper, Sione Pifeleti, De Wet Swanepoel, Herman C Myburgh, Caitlin Frisby, Pittayapon Pitathawatchai, Ahmet Atas, Bulent Serbetcioglu, Gonca Sennaroglu, Ozlem Konukseven, Suna Tokgoz Yilmaz, Meral Didem Turkyilmaz, Merve Batuk, Eyyup Kara, Duygu Hayir Senkaya, Gizem Babaoglu, Yesim Oruc, Melek Basak Ozkan, Merve Meral Cetinkaya, Aysenur Kucuk Ceyhan, Inci Adali","doi":"10.1080/14992027.2025.2466746","DOIUrl":"https://doi.org/10.1080/14992027.2025.2466746","url":null,"abstract":"<p><strong>Objective: </strong>The majority of individuals with hearing loss worldwide reside in low- and middle-income countries (LMICs), but there is limited information regarding the characteristics of hearing loss in these regions. This descriptive study aims to address this knowledge gap by analysing audiogram patterns in LMIC populations. Greater knowledge about the properties of hearing loss in LMICs allows for improved planning of interventions.</p><p><strong>Study sample: </strong>Retrospective data from 23 collaborating centres across 16 LMICs were collected. All participants were adults seeking help for hearing problems. A machine learning approach was utilised to classify the hearing threshold data and identify representative profiles. The study comprised 5773 participants.</p><p><strong>Results: </strong>The results revealed mildly sloping audiometric patterns with varying severity. The patterns differed from previous studies conducted in high-income regions which included more steeply sloping losses. The findings also indicated a higher proportion of more severe levels of hearing loss.</p><p><strong>Conclusions: </strong>These variations could be attributed to population-level differences in the causative mechanisms of hearing loss in LMICs, such as a higher prevalence of infectious disease-related hearing loss. The results may also reflect differences in health seeking behaviours. This study highlights the need for tailored, scalable, hearing interventions for LMICs.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566793","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":"Towards improved measurements of bone conduction auditory brainstem responses in infants and adults: mitigation of stimulus artefact.","authors":"Aoi A Hunsaker, Kristin M Uhler, Kerry A Walker, Nathaniel T Greene, Andrew D Brown","doi":"10.1080/14992027.2025.2465767","DOIUrl":"https://doi.org/10.1080/14992027.2025.2465767","url":null,"abstract":"<p><strong>Objective: </strong>To reduce the amplitude of stimulus artefacts present in bone conduction auditory brainstem response (BC ABR) measurements.</p><p><strong>Design: </strong>Electromagnetic shielding was applied to the surface of a clinical BC transducer. A foam pad was also placed on the shielded mastoid-contacting plate of the transducer. Acoustic impacts of these modifications were evaluated using an artificial mastoid. Unmodified and modified (shielding with pad) transducers were then used to elicit BC ABRs in adults and infants. Stimulus artefact amplitudes were compared across transducers.</p><p><strong>Study sample: </strong>Six adults (24-42 years old) and 13 typically developing infants (mean age 48.77 days) with no sensorineural hearing loss.</p><p><strong>Results: </strong>Shielding alone slightly decreased acoustic transducer output above approximately 1000 Hz. The addition of a foam pad largely negated this loss, while lower-frequency (500-1000 Hz) acoustic transducer output was slightly increased. The modified transducer produced significantly less stimulus artefact, although variation across subjects was also evident. In a clinical setting, Wave V was detected at similar rates for both transducers.</p><p><strong>Conclusion: </strong>While artefact was not eliminated, direct attenuation of artefact amplitude (versus software-based mitigation strategies) could simplify BC ABR and other evoked potential measurement protocols and support more stringent artefact rejection criteria to yield more informative recordings.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566813","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":"Validation of a smartphone-based digits-in-noise hearing test in Mandarin Chinese.","authors":"Xin Gu, Yuzhen Mima, De Wet Swanepoel, Cas Smits, Jing Li, Shuo Wang, Xinxing Fu","doi":"10.1080/14992027.2025.2473051","DOIUrl":"10.1080/14992027.2025.2473051","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to provide normative ranges of Chinese smartphone-based digits-in-noise (DIN) test results, to explore the association between speech reception threshold (SRT) and pure-tone average (PTA) threshold, and to verify the effectiveness and feasibility of the Chinese DIN.</p><p><strong>Design: </strong>Chinese-speaking adult subjects with varying types, symmetry and degrees of hearing loss, were recruited. All participants completed a pure-tone audiometric hearing test and DIN test with dichotic and antiphasic stimulus presentation.</p><p><strong>Study sample: </strong>The overall sample consisted of 191 subjects, 24 with normal hearing and 167 with hearing loss.</p><p><strong>Results: </strong>There was a positive correlation between antiphasic DIN SRTs and PTA thresholds. Receiver operating characteristic curves (ROC) were calculated based on the classification of poorer ears. When SRT was ≥ -15.8 dB, it suggested the possible presence of mild or more severe hearing loss; when SRT was ≥ -14.2 dB, it suggested the possible presence of moderate or more severe hearing loss.</p><p><strong>Conclusion: </strong>The Chinese DIN SRT showed a highly positive correlation with PTA and exhibited high sensitivity and specificity in detecting hearing loss. Poorer ear PTA was the primary predictor of the antiphasic DIN SRT. The present results verify the validity of the Chinese DIN in its purpose of hearing screening.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556783","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":"Development and validation of SLPS: Slovak semantically predictable sentences.","authors":"Dominika Húdoková, Vojtech Chmelík, Monika Rychtáriková, Astrid van Wieringen","doi":"10.1080/14992027.2025.2471001","DOIUrl":"https://doi.org/10.1080/14992027.2025.2471001","url":null,"abstract":"<p><strong>Objective: </strong>Well-balanced, semantically predictable sentence materials do not exist in the Slovak language. The primary goal of the current study was to develop and validate a set of sentences in stationary, speech-weighted noise that are equally difficult at the 50% point of a performance intensity curve.</p><p><strong>Design: </strong>Listening tests were performed using a fixed signal-to-noise ratio (SNR), encompassing five different SNR levels. The selected sentences were validated using an adaptive method.</p><p><strong>Study sample: </strong>Reference data were obtained from native Slovakian adults with normal hearing (85 participants in the first phase and 37 participants in the second phase).</p><p><strong>Results: </strong>The study yielded 18 sets of 10 sentences with an average fitted SRT (at 50% point) in noise of -4.5 dB SNR (SD = ±0.6 dB). The average slope of the performance intensity function was 14.4%/dB (SD = ±3.8%/dB).</p><p><strong>Conclusions: </strong>The Slovakian sentence test material can assess speech understanding in noise across various clinical and non-clinical applications.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604789","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":"Audiological profile of first-time hearing aid users - implications for the development of a fast-track fitting protocol.","authors":"Jukka Kokkonen, Fanni Svärd, Sini Varonen, Heikki Löppönen, Aarno Dietz","doi":"10.1080/14992027.2025.2471000","DOIUrl":"https://doi.org/10.1080/14992027.2025.2471000","url":null,"abstract":"<p><strong>Objective: </strong>To assess the feasibility of implementing a fast-track process (single-session assess-and-fit appointment with no ENT specialist's examination) in hearing rehabilitation by investigating the accuracy of the protocol assignment applying various cut-off criteria and describing the audiometric profile of patients being evaluated for their first hearing aids.</p><p><strong>Design: </strong>Retrospective chart review.</p><p><strong>Study sample: </strong>Patients from a single institution (n = 1807, median age 75 years, IQR 67-82 years) undergoing the evaluation for their first hearing aid fitting.</p><p><strong>Results: </strong>There were no audiometric signs warranting further diagnostic evaluation in 1259 subjects (69.7%). These subjects could be identified using a single criterion: the average threshold difference between the ears in the frequencies from 0.5 to 4 kHz less than 10 dB. Age was found to be a good predictor for the success of a single-session evaluation and fitting, with a cut-off value of 75 years. Altogether, 593 persons (32.8%) were candidates for a fast-track process. The time-saving from a single-session process was estimated to be 1.0%.</p><p><strong>Conclusions: </strong>It is feasible to have a fast-track hearing aid fitting protocol. Patients can be preselected with excellent accuracy using a single audiometric criterion and an age limit of 75. Time savings for a single-session process are insignificant.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541977","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":"An easy method to determine crucial AMEI performance parameters from clinical routine data in individuals - Part 1: maximum output.","authors":"Hannes Maier, Thomas Lenarz, Susan Busch","doi":"10.1080/14992027.2024.2341100","DOIUrl":"10.1080/14992027.2024.2341100","url":null,"abstract":"<p><strong>Objective: </strong>The frequency specific maximum output (MO) of active middle ear implants is the most crucial parameter for speech intelligibility. We determined individual MO from clinical routine data in round window (RW) coupling of the Vibrant Soundbridge (VSB).</p><p><strong>Design: </strong>Monocentric, retrospective analysis.</p><p><strong>Study sample: </strong>68 ears implanted with the VSB at the RW were analysed. Using bone conduction and direct threshold, MO was determined for combinations of implants (VORP502, VORP503) and processors (Samba, Amadé). Coupling modes were: (A) without coupler (N = 28), (B) spherical coupler (N = 19), (C) soft coupler (N = 10) or (D) custom-made \"Hannover coupler\" (N = 11).</p><p><strong>Results: </strong>The MO frequency dependence was similar for coupling types (A-D) with a maximum at 1.5 kHz. No differences between groups were observed, although the average MO of the soft coupler was 10 dB lower. The average MO (0.5, 1.0, 2.0, 4.0 kHz) was (A) 77.6 ± 15.0 dB HL, (B) 81.0 ± 11.1 dB HL, (C) 67.6 ± 17.9 dB HL (C), and (D) 79.6 ± 11.7 dB HL (D).</p><p><strong>Conclusion: </strong>The individual MO can be determined from patients' clinical data. It permits in-depth analyses of patient outcomes and definition of evidence-based indication and decision criteria.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"290-297"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848966","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":"Spanish version of the hearing loss acceptance and action questionnaires.","authors":"Guadalupe G San Miguel, Karen Muñoz","doi":"10.1080/14992027.2024.2353270","DOIUrl":"10.1080/14992027.2024.2353270","url":null,"abstract":"","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"283-285"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957297","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}