{"title":"Effect of pre-school sound exposure on children's hearing function: results from preparatory studies assessing hearing function by distortion product otoacoustic emissions.","authors":"Loisa Sandström, Kerstin Persson Waye, Sofie Fredriksson","doi":"10.1080/14992027.2025.2459228","DOIUrl":"10.1080/14992027.2025.2459228","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the potential impact of sound exposure in preschools on children's hearing function by measuring distortion product otoacoustic emissions (DPOAE) over time.</p><p><strong>Design: </strong>A longitudinal repeated-measures approach was employed to evaluate how DPOAE amplitudes varied with sound exposure and pre-school attendance duration, analysed using general estimation equation (GEE) modelling.</p><p><strong>Study sample: </strong>The sample included 62 children aged three to six years attending preschools. Sound exposure levels and DPOAE amplitudes were measured during time being indoor.</p><p><strong>Results: </strong>Average indoor sound levels (time indoors (<sub>Ti</sub>)) were 81 dB LAeq<sub>Ti</sub>, with highest noise events reaching 112 dB LAFmax. A total of 31 measurements (52%) exceeded 80 dB LAeq<sub>Ti</sub>. GEE analysis showed a significant decrease in DPOAE amplitudes at 6 and 8 kHz in the right ear in relation to sound exposure levels, suggesting a sound level-dependent effect. Time spent in pre-school revealed a decrease in DPOAE amplitudes at 3 and 4 kHz in the right ear over the day and week, indicating cumulative effects of sound exposure.</p><p><strong>Conclusions: </strong>The findings suggest that pre-school sound exposure may adversely affect children's hearing, particularly at higher frequencies and over time. Further research is needed to validate these results and explore long-term implications of early-age noise exposure.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1008-1016"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079980","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}
April Pike, Joanne Smith-Young, Terry-Lynn Young, Sheila Moodie, Karen Parsons, Anne Griffin, Leon Mills
{"title":"Embodying hearing loss: confronting the issue and adjusting to a new norm.","authors":"April Pike, Joanne Smith-Young, Terry-Lynn Young, Sheila Moodie, Karen Parsons, Anne Griffin, Leon Mills","doi":"10.1080/14992027.2025.2473689","DOIUrl":"https://doi.org/10.1080/14992027.2025.2473689","url":null,"abstract":"<p><strong>Objective: </strong>To understand how older adults living with hearing loss cope with and manage their hearing loss.</p><p><strong>Design: </strong>Grounded theory methodology with a patient-oriented approach was used to generate a theory grounded in data obtained from older adults living with hearing loss. Constant comparative analysis was used.</p><p><strong>Study sample: </strong>Participants included 68 individuals aged 50 years and older with self-reported hearing loss living in Newfoundland and Labrador, Canada.</p><p><strong>Results: </strong>We report on two theoretical constructs of the psychosocial process of embodying hearing loss. 'Confronting the issue' captures individuals' experiences after they reached a turning point in acknowledging their hearing loss journey and began searching for services and supports that includes (1) accessing services and supports, (2) receiving the diagnosis, and (3) teasing out options. 'Adjusting to a new norm' describes participants' experiences as they started to navigate their life with hearing loss that includes (1) benefits and challenges living with a hearing assistive device, (2) developing coping strategies, and (3) envisioning a future living with hearing loss.</p><p><strong>Conclusions: </strong>Embodying hearing loss includes both understanding the concept of hearing loss and engaging with the challenges, emotions and experiences associated with it to help promote understanding, support and inclusion in society for those affected by hearing loss.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":"64 10","pages":"1073-1082"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191654","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}
Aoi A Hunsaker, Kristin M Uhler, Kerry A Walker, Nathaniel T Greene, Andrew D Brown
{"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":"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":"1055-1062"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353098/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fleurtje Antonia Johanna Schornagel, Wim Soede, Ann Clementina Theodora Maria Vossen, Anne Marie Oudesluys-Murphy
{"title":"Enhanced auditory brainstem response device (Vivosonic Integrity) in young children, in the child's home and hospital.","authors":"Fleurtje Antonia Johanna Schornagel, Wim Soede, Ann Clementina Theodora Maria Vossen, Anne Marie Oudesluys-Murphy","doi":"10.1080/14992027.2025.2502441","DOIUrl":"https://doi.org/10.1080/14992027.2025.2502441","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the performance of an enhanced Auditory Brainstem Response (ABR) device (Vivosonic Integrity) in testing the hearing of young children under two years of age in the child's home or in a hospital.</p><p><strong>Design: </strong>A prospective observational study for assessing ABR thresholds in children aged between 18 months and 2 years of age. The ABR tests were performed at home or in a regular hospital consultation room without soundproofing adaptations or electromagnetic shielding.</p><p><strong>Study sample: </strong>Hearing was assessed in a total of 31 children (mean age 21.4 ± 3 months), with 20 tested at home and 11 in a hospital setting. These children, all with a congenital cytomegalovirus (cCMV) infection, were participants in the CONCERT-trial (ClinicalTrials.gov Identifier: NCT02005822).</p><p><strong>Results: </strong>In 20 children tested at home, conclusive hearing thresholds were established at the first attempt in 91.7% of tested ears and in 100% following a second attempt. The first attempt was conclusive in all hospital-tested children.</p><p><strong>Conclusions: </strong>Conclusive ABR results are achievable with the Vivosonic Integrity in young children under 2 years of age in home and hospital settings, even when awake, restless, talking, eating, drinking or watching television. This eliminates the need for sleep deprivation, sedation or general anaesthesia.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199274","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":"Effect of forward masking on auditory brainstem response in individuals with tinnitus.","authors":"Durga S Kumar, Sreeraj Konadath","doi":"10.1080/14992027.2025.2561888","DOIUrl":"https://doi.org/10.1080/14992027.2025.2561888","url":null,"abstract":"<p><strong>Objective: </strong>To examine the impact of forward masking (FM), both on-frequency and off-frequency, on low (0.5 kHz), mid (1 & 2 kHz), and high-frequency (4 kHz) probe stimuli in Auditory brainstem response (ABR) test for individuals with tinnitus.</p><p><strong>Design: </strong>The experimental design followed a standard group comparison research, where ABR was acquired across three experimental conditions: unmasked, off-frequency FM, and on-frequency FM.</p><p><strong>Study sample: </strong>Thirty participants with tinnitus and 30 without tinnitus were recruited.</p><p><strong>Results: </strong>The between-group comparison showed that the tinnitus group exhibited a longer wave V peak absolute latency and smaller response amplitude than controls for unmasked conditions. However, when the masker was introduced in both FM conditions, the tinnitus group tended to have an unidentifiable wave V peak response, which was significant at higher masker intensities.</p><p><strong>Conclusions: </strong>The altered ABR in the tinnitus group under FM conditions could suggest altered neural synchrony and reduce nerve fiber firing at the subcor tical level in individuals with tinnitus.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137384","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}
Gemma Perfect, Karolina Smeds, Antje Heinrich, Gabrielle H Saunders
{"title":"Responses to listening difficulty in in-person conversation: a survey-based synthesis of communication strategies used by people with hearing loss, communication partners, and hearing-care professionals.","authors":"Gemma Perfect, Karolina Smeds, Antje Heinrich, Gabrielle H Saunders","doi":"10.1080/14992027.2025.2558689","DOIUrl":"https://doi.org/10.1080/14992027.2025.2558689","url":null,"abstract":"<p><strong>Objective: </strong>To explore communication strategies employed or recommended in everyday listening situations by people with hearing loss (PHL), communication partners (CPs), and healthcare professionals (HCPs), and to evaluate which strategies the groups thought were most helpful for PHL.</p><p><strong>Design and study sample: </strong>An online survey with open-ended questions was completed by 95 PHL, 49 CPs, and 86 HCPs.</p><p><strong>Results: </strong>Qualitative analyses of responses were conducted. Responses from PHL and CPs were inductively coded. Codes were combined into categories and subcategories. Next, the responses of HCPs were analysed deductively using the categories and subcategories identified in the PHL and CP data. These analyses were then used to develop themes and a framework for understanding how PHL and CPs manage hearing difficulties. The four themes are: \"Signal,\" \"Repair,\" \"Relations,\" and \"Preparation and Recuperation.\" Some strategies were identified as being used but not helpful, and vice versa. There was sometimes a disconnect between strategies PHL find helpful and the extent to which they request others use them.</p><p><strong>Conclusions: </strong>This framework for understanding the perspectives of three key stakeholder groups on the use of communication strategies will be used to develop evidence-based rehabilitation/counselling programs for PHL.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137321","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}
Kaitlyn A Cau, Lorienne M Jenstad, Brenda T Poon, Chris Atchison, Sandra Baker
{"title":"Clinician-developed modifiable script to support informational counselling during real-ear measurements.","authors":"Kaitlyn A Cau, Lorienne M Jenstad, Brenda T Poon, Chris Atchison, Sandra Baker","doi":"10.1080/14992027.2025.2559322","DOIUrl":"10.1080/14992027.2025.2559322","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to have experienced audiologists identify the key ideas to convey to clients about real-ear measurement (REM) verification and create a modifiable script to use for REM informational counselling.</p><p><strong>Design: </strong>A modified concept mapping design was used.</p><p><strong>Study sample: </strong>Seventeen experienced audiologists participated in one or more research activities: brainstorming individual counselling statements; rating statements on importance and feasibility; and discussing in a focus group how the statements can be used in a counselling script.</p><p><strong>Results: </strong>Brainstorming generated 227 statements. Researchers cleaned, combined, and recirculated the statements to participants for further ideas, resulting in 136 statements for sorting and rating. Sorting yielded eight categories: Other uses of the hearing aid (HA) test system (11 statements); Purpose of REM (24 statements); Description of procedure (14 statements); Personalisation of hearing aids (14 statements); Setting expectations (21 statements); Speech map stimulus levels (17 statements); Client preparation (19 statements); and On-screen orientation (16 statements). After rating and discussion in the focus group, the final script included 57 statements.</p><p><strong>Conclusions: </strong>This study identified the key ideas to convey during REM informational counselling and produced a modifiable script that individuals can use when conducting REM.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124692","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}
Gaurav N Pradhan, Sarah E Kingsbury, Jan Stepanek, Michael J Cevette
{"title":"Establishing equivalence between acoustic and electrical auditory thresholds: a first step towards hearing via electrostimulation.","authors":"Gaurav N Pradhan, Sarah E Kingsbury, Jan Stepanek, Michael J Cevette","doi":"10.1080/14992027.2025.2561029","DOIUrl":"https://doi.org/10.1080/14992027.2025.2561029","url":null,"abstract":"<p><strong>Objective: </strong>Transmitting auditory information through non-invasive electrical conduction warrants greater investigation for medical, entertainment, and military purposes. The objective of the current study is to establish threshold equivalence between acoustic stimulation, measured in sound pressure level decibels (dB SPL), with electrical stimulation amplitude, measured in milliamperes (mA).</p><p><strong>Design and study sample: </strong>Sixty-eight participants (55 with normal-hearing and 13 with hearing loss) completed acoustic pure tone audiometric testing at 0.25, 0.5, 1, 2, 4, 8, 10, 12.5, and 16 kHz. 29 normal hearing participants and all 13 hearing loss patients completed electrical pure tone testing to measure electrical auditory thresholds for the same frequencies at three locations (forehead, mastoid, and neck). To enhance the predictive capabilities of the models, 26 normal-hearing participants underwent electrical pure tone testing with three levels of narrowband masking noise to elevate their hearing thresholds.</p><p><strong>Results: </strong>Predictive regression models between the electrical and air conduction thresholds were developed from the data of the normal-hearing participants at the forehead, mastoid, and neck for all frequencies. Data from hearing loss patients was used to assess the goodness of predictive fit for the regression models.</p><p><strong>Conclusions: </strong>This is the foundational work necessary for further development of electrical hearing technology.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124676","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}
Klaudia Edinger Andersson, Jeppe Høy Christensen, Jack Holman, Tobias Neher
{"title":"Exploring real-world listening motivation in hearing aid users: associations between heart rate, ambient acoustics, and self-reported importance to hear well.","authors":"Klaudia Edinger Andersson, Jeppe Høy Christensen, Jack Holman, Tobias Neher","doi":"10.1080/14992027.2025.2558690","DOIUrl":"https://doi.org/10.1080/14992027.2025.2558690","url":null,"abstract":"<p><strong>Objective: </strong>According to the Framework for Understanding Effortful Listening (FUEL), motivation is a key component of successful listening. So far, little is known about physiological and context-dependent correlates of listening motivation in real-world settings. Physiological measures such as heart rate can index arousal, while ecological momentary assessments (EMAs) can provide context-related information about real-world listening. This study explored associations between heart rate and listening motivation in different real-world listening situations.</p><p><strong>Design: </strong>During a 2-week field trial, participants used a smartphone-based EMA-app to report their listening intents in the situations they encountered using a dropdown menu. As a proxy for listening motivation, they also rated the importance to hear well on a continuous visual analogue scale. Simultaneously, they wore hearing aids (HAs) and wristbands that collected ambient acoustic and heart rate data.</p><p><strong>Study sample: </strong>25 experienced HA users aged 53-83 years with symmetrical mild-to-moderate sensorineural hearing losses.</p><p><strong>Results: </strong>Linear mixed-effects models showed that higher heart rate was associated with a higher importance to hear well during conversations with one person in relatively quiet environments, and during group conversations in relatively loud environments.</p><p><strong>Conclusion: </strong>These results suggest that heart rate can index real-world listening motivation during speech-related listening in different acoustic environments.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091672","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}
Hendrik Husstedt, Larissa Warkentin, Florian Denk, Inga Holube
{"title":"Monaural and binaural speech-recognition curves for the freiburg monosyllabic speech test in quiet.","authors":"Hendrik Husstedt, Larissa Warkentin, Florian Denk, Inga Holube","doi":"10.1080/14992027.2025.2552988","DOIUrl":"https://doi.org/10.1080/14992027.2025.2552988","url":null,"abstract":"<p><strong>Objective: </strong>Determination of monaural and binaural speech-recognition curves for the Freiburg monosyllabic speech test (FMST) in quiet to update and supplement existing normative data.</p><p><strong>Design: </strong>Monaural and binaural speech-recognition tests were performed in free field at five speech levels in two anechoic test rooms at two sites (Lübeck and Oldenburg, Germany). For the monaural tests, one ear was occluded with a foam earplug.</p><p><strong>Study sample: </strong>40 young participants (30 females) aged between 18 and 25 years (Mean: 22.0 years) with German as their first language were included. All participants were otologically normal according to ISO 8253-3.</p><p><strong>Results: </strong>No asymmetries were found between the left and right ears. Significant differences were observed when compared to the original monaural curve defined in DIN 45626-1 obtained with headphones. In addition, a binaural speech-recognition curve was measured. The results indicate that the binaural curve is highly sensitive to perturbation.</p><p><strong>Conclusion: </strong>While the newly obtained monaural curve is moderately consistent with existing normative data, verification remains essential to ensure quality and reliability. Establishing a binaural reference curve is long overdue. Although site-specific differences led to some ambiguity regarding the binaural advantage, a binaural advantage of 3 dB is proposed for the FMST in quiet.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029626","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}