Luciana Bramati, Lys Maria Allenstein Gondim, Lucas Schmidt, Débora Lüders, Karinna Veríssimo Meira Taveira, Noémi Néron, Cristiano Miranda de Araujo, Adriana Bender Moreira de Lacerda
{"title":"Effectiveness of educational programs in hearing health: a systematic review and meta-analysis.","authors":"Luciana Bramati, Lys Maria Allenstein Gondim, Lucas Schmidt, Débora Lüders, Karinna Veríssimo Meira Taveira, Noémi Néron, Cristiano Miranda de Araujo, Adriana Bender Moreira de Lacerda","doi":"10.1080/14992027.2024.2313025","DOIUrl":"10.1080/14992027.2024.2313025","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of hearing health education programs aimed at preventing noise-induced hearing loss (NIHL), of recreational and occupational origin, by means of a systematic review and meta-analysis.</p><p><strong>Design: </strong>The search strategy was carried out in on five electronic databases, as well as referrals from experts. The risk of bias was judged, and the random effects meta-analysis was performed. The certainty of the evidence was assessed.</p><p><strong>Study sample: </strong>Effectiveness studies that used educational intervention in hearing health and prevention of NIHL were included.</p><p><strong>Results: </strong>42 studies were included. The Dangerous Decibels program was the only one that could be quantitatively analysed and showed improvement in the post-intervention period of up to one week [SMD = 0.60; CI95% = 0.38-0.82; I2 = 92.5%) and after eight weeks [SMD = 0.45; CI95% = 0.26-0.63; I2 = 81.6%) compared to the baseline. The certainty of evidence was judged as very low.</p><p><strong>Conclusions: </strong>The Dangerous Decibels program is effective after eight weeks of intervention. The other programs cannot be quantified. They still present uncertainty about their effectiveness. The level of certainty is still low for this assessment.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"936-947"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971810","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":"Reasons for hearing aid uptake in the United States: a qualitative analysis of open-text responses from a large-scale survey of user-perspectives.","authors":"Megan Knoetze, Eldre Beukes, Vinaya Manchaiah, Ilze Oosthuizen, De Wet Swanepoel","doi":"10.1080/14992027.2023.2279513","DOIUrl":"10.1080/14992027.2023.2279513","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the main reasons for hearing aid uptake from a user perspective and recommendations to others with hearing difficulties.</p><p><strong>Design: </strong>A cross-sectional survey design was used. Responses to a single open-ended question were analysed using qualitative content analysis.</p><p><strong>Study sample: </strong>Participants (n = 642) included adult hearing aid users sampled from the Hearing Tracker website community and Lexie Hearing user databases in the United States.</p><p><strong>Results: </strong>Participants had a mean age of 65.4 years (13.7 SD) and included 61.8% males, 37.7% females, 0.3% non-binary, and 0.2% preferred not to say. Reasons for hearing aid uptake were categorised into three domains (personal impact, social difficulties, and auditory difficulties), containing 11 main categories and 48 sub-categories. User recommendations to others with hearing difficulties constituted eight main categories (timely help, trial period, support, affordability, technology, direct-to-consumer hearing aids, adjustments, and advocacy) and 32 sub-categories.</p><p><strong>Conclusions: </strong>The decision to take up hearing aids included intrinsic factors like readiness to change and extrinsic factors such as the availability of finances. The most frequent recommendation to others was not to delay seeking hearing help and to get hearing aids. Our findings may support strategies to facilitate behaviour change for improved hearing aid uptake.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"975-986"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138290894","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}
Natalie Carmody, Michael Hunter, Robert H Eikelboom
{"title":"Help-seeker satisfaction with diagnosis and treatment of tinnitus.","authors":"Natalie Carmody, Michael Hunter, Robert H Eikelboom","doi":"10.1080/14992027.2023.2292964","DOIUrl":"10.1080/14992027.2023.2292964","url":null,"abstract":"<p><strong>Objective: </strong>To examine help-seeker satisfaction with the first communication of a tinnitus diagnosis by a healthcare provider, whether help-seekers undertook treatment and how they rated this treatment.</p><p><strong>Design: </strong>A survey design assessed tinnitus characteristics and distress, health status, help-seeking, diagnosis communication, treatment and patient satisfaction.</p><p><strong>Study sample: </strong>A self-selected cohort and a population-based cohort.</p><p><strong>Results: </strong>Satisfaction scores were examined against demographic, clinical factors, and type of healthcare provider. A total of 281 adults participated (median age 61.6, IQR = 10.8 years), 52.3% sought help for tinnitus and 22.4% received treatment. The most frequently seen healthcare providers were general practitioners (34.0%), audiologists (29.3%) and ear, nose and throat specialists (25.9%). About two-thirds (64.1%) of help-seekers were unsatisfied with the first communication of a tinnitus diagnosis they received, and 56.5% rated their first tinnitus treatment as poor. Help-seekers were significantly more satisfied with audiologists than other providers regarding the communication of the first tinnitus diagnosis. Higher tinnitus distress scores were significantly associated with lower patient satisfaction with communication of first tinnitus diagnosis. No other factors were associated with patient satisfaction.</p><p><strong>Conclusion: </strong>There are significant communication barriers along the tinnitus clinical pathway. Identifying and addressing these barriers could improve patient satisfaction.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1019-1026"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138794494","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}
Julie Beadle, Lorienne Jenstad, Diana Cochrane, Jeff Small
{"title":"Perceptions of older and younger adults who wear hearing aids.","authors":"Julie Beadle, Lorienne Jenstad, Diana Cochrane, Jeff Small","doi":"10.1080/14992027.2024.2305279","DOIUrl":"10.1080/14992027.2024.2305279","url":null,"abstract":"<p><strong>Objective: </strong>To investigate older and younger adults' perceptions of older and younger adults who wear hearing aids.</p><p><strong>Design: </strong>Participants completed two Implicit Association Tests: One with images of older adults (OA-IAT) and one with images of younger adults (YA-IAT), either wearing or not wearing hearing aids. Participants also rated age, attractiveness, and intelligence of younger and older adults pictured with or without a hearing aid.</p><p><strong>Study sample: </strong>Thirty older adults (<i>M</i> age = 70 years, SD = 4.38) and 30 younger adults (<i>M</i> age = 23 years, SD = 3.01) who reported not having hearing aids or a diagnosed hearing impairment.</p><p><strong>Results: </strong>For both IATs, older and younger participants responded faster and more accurately when images of individuals wearing hearing aids were paired with negative words in comparison to positive words. Photo ratings did not vary in relation to the presence or absence of hearing aids for either age group.</p><p><strong>Conclusion: </strong>Although the photo rating tasks indicate neutral <i>explicit</i> attitudes towards individuals who wear hearing aids, our interpretation of the IAT results indicates that younger and older adults may hold negative <i>implicit</i> attitudes towards both older and younger hearing aid users.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"957-965"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520651","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}
Pushkar Deshpande, Christian Brandt, Stefan Debener, Tobias Neher
{"title":"Does experience with hearing aid amplification influence electrophysiological measures of speech comprehension?","authors":"Pushkar Deshpande, Christian Brandt, Stefan Debener, Tobias Neher","doi":"10.1080/14992027.2023.2284675","DOIUrl":"10.1080/14992027.2023.2284675","url":null,"abstract":"<p><strong>Objective: </strong>To explore if experience with hearing aid (HA) amplification affects speech-evoked cortical potentials reflecting comprehension abilities.</p><p><strong>Design: </strong>N400 and late positive complex (LPC) responses as well as behavioural response times to congruent and incongruent digit triplets were measured. The digits were presented against stationary speech-shaped noise 10 dB above individually measured speech recognition thresholds. Stimulus presentation was either acoustic (digits 1-3) or first visual (digits 1-2) and then acoustic (digit 3).</p><p><strong>Study sample: </strong>Three groups of older participants (<i>N</i> = 3 × 15) with (1) pure-tone average hearing thresholds <25 dB HL from 500-4000 Hz, (2) mild-to-moderate sensorineural hearing loss (SNHL) but no prior HA experience, and (3) mild-to-moderate SNHL and >2 years of HA experience. Groups 2-3 were fitted with test devices in accordance with clinical gain targets.</p><p><strong>Results: </strong>No group differences were found in the electrophysiological data. N400 amplitudes were larger and LPC latencies shorter with acoustic presentation. For group 1, behavioural response times were shorter with visual-then-acoustic presentation.</p><p><strong>Conclusion: </strong>When speech audibility is ensured, comprehension-related electrophysiological responses appear intact in individuals with mild-to-moderate SNHL, regardless of prior experience with amplified sound. Further research into the effects of audibility versus acclimatisation-related neurophysiological changes is warranted.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"987-996"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444558","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}
Guido Cattani, Koenraad S Rhebergen, Adriana L Smit
{"title":"An audibility model of the headband trial with a bone conduction device in single-sided deaf subjects.","authors":"Guido Cattani, Koenraad S Rhebergen, Adriana L Smit","doi":"10.1080/14992027.2023.2299927","DOIUrl":"10.1080/14992027.2023.2299927","url":null,"abstract":"<p><strong>Objective: </strong>Modelling the head-shadow effect compensation and speech recognition outcomes, we aimed to study the benefits of a bone conduction device (BCD) during the headband trial for single-sided deafened (SSD) subjects.</p><p><strong>Design: </strong>This study is based on a database of individual patient measurements, fitting parameters, and acoustic BCD properties retrospectively measured on a skull simulator or from existing literature. The sensation levels of the Bone-Conduction and Air-Conduction sound paths were compared, modelling three spatial conditions with speech in quiet. We calculated the phoneme score using the Speech Intelligibility Index for the three conditions in quiet and seven in noise.</p><p><strong>Study sample: </strong>Eighty-five SSD adults fitted with BCD during headband trial.</p><p><strong>Results: </strong>According to our model, most subjects did not achieve a full head-shadow effect compensation with the signal at the BCD side and in front. The modelled speech recognition in the quiet conditions did not improve with the BCD on the headband. In noise, we found a slight improvement in some specific conditions and minimal worsening in others.</p><p><strong>Conclusions: </strong>Based on an audibility model, this study challenges the fundamentals of a BCD headband trial in SSD subjects. Patients should be counselled regarding the potential outcome and alternative approaches.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"948-956"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021663","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}
Andrea Frosolini, Leonardo Franz, Giulio Badin, Antonio Mancuso, Cosimo de Filippis, Gino Marioni
{"title":"Quality of life improvement in Cochlear implant outpatients: a non-randomized clinical trial of an auditory music training program.","authors":"Andrea Frosolini, Leonardo Franz, Giulio Badin, Antonio Mancuso, Cosimo de Filippis, Gino Marioni","doi":"10.1080/14992027.2024.2428421","DOIUrl":"https://doi.org/10.1080/14992027.2024.2428421","url":null,"abstract":"<p><strong>Objective: </strong>Research on Cochlear implant (CI) outcomes has been mainly focused on verbal communication, whereas music perception has been less extensively explored. This study evaluated a music rehabilitation program, based on the mobile phone app Meludia (Meludia, France) to improve quality of life (QoL) and verbal perception in CI patients.</p><p><strong>Design: </strong>In this non-randomised clinical trial, the experimental group underwent 16 Meludia sessions, while controls did not receive any music-specific rehabilitation. Patient-reported outcome (PRO) measures, including the MUSQUAV questionnaire and NCIQ domains, were utilised alongside Matrix speech perception tests (which measure speech understanding in noise).</p><p><strong>Study sample: </strong>Forty patients with CI were considered: experimental group (21 patients) and control group (19 patients).</p><p><strong>Results: </strong>Significant improvements (<i>p</i> = 0.017, and <i>p</i> < 0.001) in music-related PRO (MUSQUAV), and general CI PRO measures (NCIQ), respectively, were found in the experimental group. No significant differences were found in Matrix speech perception tests post-rehabilitation. Overall, 57% of participants in the experimental group reported subjective improvements in music perception.</p><p><strong>Conclusions: </strong>This study showed the potential of home-based music rehabilitation in enhancing QoL for CI patients, supporting the possibility of implementing specific musical training programs in audiological care. Larger, randomised, controlled trials are necessary for further characterisation of this topic.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749972","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}
Pernilla K Andersen, Lukas Jürgensen, Florian Denk, Hendrik Husstedt, Tim Jürgens, Tobias Neher
{"title":"Evaluation of a research hearing aid for audiological testing.","authors":"Pernilla K Andersen, Lukas Jürgensen, Florian Denk, Hendrik Husstedt, Tim Jürgens, Tobias Neher","doi":"10.1080/14992027.2024.2431830","DOIUrl":"https://doi.org/10.1080/14992027.2024.2431830","url":null,"abstract":"<p><strong>Objective: </strong>Open-source hearing aid (HA) research tools provide avenues for testing new audiological concepts. This study compared a wearable research HA (RHA) - the \"Portable Hearing Laboratory\" - to a high-end commercial HA (CHA) in terms of aided outcome. Using this RHA, it also evaluated a fitting approach based on non-individualised gain presets.</p><p><strong>Design: </strong>Using a randomised repeated-measures design, participants completed speech recognition and speech quality assessments under unaided and several aided (RHA and CHA with omnidirectional and directional microphone settings) conditions. Furthermore, two approaches for prescribing amplification were evaluated with the RHA: (1) a preset approach based on non-verified clinical gain targets calculated for three standard audiograms, and (2) a best-practice approach based on individually prescribed and verified clinical gain targets.</p><p><strong>Study sample: </strong>Fifteen adults aged 50-78 years with symmetrical, mild-to-moderate sensorineural hearing losses.</p><p><strong>Results: </strong>The RHA and CHA gave similar audibility, speech recognition in quiet and in noise, and speech quality ratings in quiet and in noise. Relative to the best-practice approach, the preset approach resulted in less audibility but similar speech recognition in quiet and in noise.</p><p><strong>Conclusion: </strong>The RHA appears suited for testing new audiological concepts such as preset-based approaches to HA fitting.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716135","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 age and hearing loss on thresholds measured using the TFS-AF test.","authors":"Emanuele Perugia, Melanie Lough, Michael A Stone","doi":"10.1080/14992027.2024.2427252","DOIUrl":"https://doi.org/10.1080/14992027.2024.2427252","url":null,"abstract":"<p><strong>Objective: </strong>The upper limit of sensitivity to binaural temporal fine structure (TFS) is around 1400 Hz. Higher values have been reported when keeping interaural phase differences fixed and varying the frequency adaptively, as in the adaptive-frequency TFS test [TFS-AF, Füllgrabe et al., Int J Audiol, 56, 926-935]. The probability of TFS-AF thresholds exceeding 1400 Hz, and the influence of age and hearing threshold were assessed.</p><p><strong>Design and study sample: </strong>TFS-AF thresholds from 277 participants across five studies were re-analysed as a function of Age, low-frequency pure-tone average threshold (PTL; 250, 500, 1000 and 2000 Hz), and high-frequency pure-tone average threshold (PTH; 6000 and 8000 Hz). The 95% confidence intervals on TFS-AF thresholds were computed. The effects of Age and Hearing threshold on the TFS-AF thresholds were assessed using a multiple-regression model.</p><p><strong>Results: </strong>The bootstrapped 95% confidence interval for this dataset around the median was 1030 to 1122 Hz, similar to that predicted by Monte Carlo simulation. This range was affected by Age and PTL. Regression modelling showed that the occurrence rate of TFS-AF thresholds exceeding 1400 Hz increased with younger Age and better PTL.</p><p><strong>Conclusions: </strong>TFS-AF thresholds exceeding 1400 Hz are more likely for lower ages and better hearing thresholds.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686789","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}
Xinyang Wang, Wan Nur Asyiqin Rasidi, Kumar Seluakumaran
{"title":"Simplified frequency selectivity measure as a potential candidate for hearing screening: changes with masker level and test-retest reliability of self-administered testing.","authors":"Xinyang Wang, Wan Nur Asyiqin Rasidi, Kumar Seluakumaran","doi":"10.1080/14992027.2024.2429025","DOIUrl":"https://doi.org/10.1080/14992027.2024.2429025","url":null,"abstract":"<p><strong>Objectives: </strong>This two-part pilot study investigated the feasibility of using a frequency selectivity measure (T<sub>FS</sub>) to develop a novel hearing screening test for cooperative adults. Study 1 determined the optimal masker level, while Study 2 assessed the reliability of a self-administered T<sub>FS</sub> test prototype performed at the selected masker level.</p><p><strong>Design and study sample: </strong>Study 1 (normal hearing, <i>n</i> = 20) examined masker-level effects on T<sub>FS</sub> using a manual threshold determination method from an earlier study. Study 2 (normal hearing, <i>n</i> = 21; hearing loss, <i>n</i> = 5) evaluated the reliability of a self-administered T<sub>FS</sub> test using a new automated threshold determination procedure.</p><p><strong>Results: </strong>Moderate masker levels (30-40 dB SPL) were suitable for the T<sub>FS</sub> measurements, with 40 dB SPL being optimal. Lower level (20 dB SPL) led to floor effects, while higher level (50 dB SPL) broadened cochlear tuning and reduced T<sub>FS</sub> values. The self-administered test demonstrated ±9 dB limit of agreement, with intra-subject absolute mean differences of 1.8-2.7 dB across test frequencies, indicating greater variability compared to the manual method.</p><p><strong>Conclusions: </strong>The self-administered T<sub>FS</sub> test is a candidate for hearing screening, particularly for mild sensorineural hearing loss. However, further research is needed to reduce measurement variability and optimise testing for real-world use.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675800","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}