International Journal of Audiology最新文献

{"title":"Smartphone accessible audiology modules: improving access to basic ear and hearing health education for primary care providers in Tanzania.","authors":"Christopher P Kruglik, James D Komanya, Sabina Yungert, Halima N Shemsi, Annastazia M Shelembi, Gustave E Buname, Christopher J Waterworth, Lia K Jacobson","doi":"10.1080/14992027.2025.2549462","DOIUrl":"https://doi.org/10.1080/14992027.2025.2549462","url":null,"abstract":"<p><strong>Objective: </strong>To develop and pilot test a combined-learning intervention for Tanzanian primary healthcare workers on ear and hearing care (EHC), comprising five self-led smartphone-based modules and in-person workshops.</p><p><strong>Design: </strong>The intervention was piloted with primary healthcare workers in Tanzania. Pre- and post-training surveys assessed knowledge, confidence, and attitudes towards EHC via Likert scales. Statistical analysis (paired <i>t</i>-tests, McNemar tests) evaluated outcomes; <i>p</i> < 0.05 was considered statistically significant.</p><p><strong>Study sample: </strong>24 local Tanzanian primary healthcare workers.</p><p><strong>Results: </strong>Post-training, participants showed significant improvements in EHC education and skills, including auditory pathology and anatomy (<i>p</i> < 0.01), cerumen extraction (<i>p</i> < 0.01), infection prevention protocols (<i>p</i> < 0.01), otoscopy (<i>p</i> = 0.02), paediatric referral protocols (<i>p</i> = 0.02), diagnostic identification of common otologic conditions (<i>p</i> < 0.01), and management of ear discharge (<i>p</i> < 0.01). However, confidence in interpreting audiograms (<i>p</i> = 0.08) and tympanograms (<i>p</i> = 0.19) remained unchanged, with participants requesting further hands-on training.</p><p><strong>Conclusions: </strong>Smartphone-based learning paired with in-person training effectively enhanced practical EHC skills among primary healthcare workers, supporting task-shifting in low-resource settings. Perceived gaps in interpreting audiological tests highlight the need for further hands-on training. This model demonstrates scalability potential, particularly with rising smartphone access in Africa. Future iterations should prioritise longitudinal competency assessments and adaptive content to address clinical interpretation challenges, advancing equitable EHC delivery.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023241","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":"Evaluation of speech perception deficit compensation in patients with hearing loss.","authors":"Maria Yu Boboshko, Ekaterina S Garbaruk, Ekaterina V Zhilinskaya, Svetlana A Pyko, Nikita S Pyko, Mikhail Ì Bogachev, Oleg A Markelov","doi":"10.1080/14992027.2025.2550526","DOIUrl":"10.1080/14992027.2025.2550526","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate speech perception deficit compensation and predict potential hearing aids (HA) effectiveness in patients with hearing loss (HL).</p><p><strong>Design: </strong>The patients underwent pure-tone audiometry and various speech tests in quiet (evaluating the peripheral auditory system and cognitive compensation) and in noise (to quantify central compensation through auditory processing and cognitive abilities).</p><p><strong>Study sample: </strong>513 HL patients aged 19-93 years, including 403 HA users.</p><p><strong>Results: </strong>Speech Perception Deficit Compensation Index (SPDCI) was obtained from the residuals between individual speech perception test results and their predictions based on individual pure tone thresholds (PTT) data, thus characterising solely the patient's hearing abilities, generated using a Bayesian network trained on the cohort-wide partial correlations between PTT and speech test results. The SPDCI quantifies the contribution of central compensation mechanisms (auditory processing performance and cognitive abilities) to the speech perception effectiveness in HL patients. Potential HA effectiveness was evaluated using Bayesian inference of speech test results with HA from individual PTT and speech test results without HA.</p><p><strong>Conclusions: </strong>The proposed approach is instrumental for the differential diagnosis of HL and impaired speech perception, leading to a better understanding of the potential usefulness of hearing aids and, ultimately, to more informed management of these groups.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023267","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":"Barriers and enablers to hearing service provision in aged care settings in Australia: perspectives from hearing clinicians.","authors":"Najwan El-Saifi, Megan E J Campbell, Neha George, Lisa Keay, Sheela Kumaran, Carly Meyer, Amanda Miller Amberber, John Newall, Piers Dawes","doi":"10.1080/14992027.2025.2554236","DOIUrl":"https://doi.org/10.1080/14992027.2025.2554236","url":null,"abstract":"<p><strong>Objective: </strong>To explore the barriers and enablers hearing clinicians face providing services for people in home and residential aged care settings in Australia.</p><p><strong>Design: </strong>Semi-structured interviews were conducted using the Capability, Opportunity, Motivation Behaviour model (COM-B). Deductive and inductive qualitative analysis were applied using Braun and Clarke's method.</p><p><strong>Study sample: </strong>Thirty audiologists and audiometrists from private and public hearing clinics across urban and regional areas of Australia.</p><p><strong>Results: </strong>Five themes emerged: (1) clinical knowledge and skills, (2) practical challenges in service delivery, (3) collaboration and support, (4) resources: training, time and funding, and (5) self-motivation and well-being. Barriers included limited knowledge and training in dementia care, counselling, and emotional self-care, as well as unsuitable workspaces, poor coordination, time constraints and emotional toll. Enablers included on-the-job experience, clear protocols for working in aged care settings, collaborative support from care staff and families, and clinicians' intrinsic motivation. Hearing care clinicians could be supported to work in aged care settings through training in working with people with dementia, counselling, and in managing the emotional impact of work in aged care.</p><p><strong>Conclusion: </strong>Implementing effective education programs for staff and establishing dedicated hearing liaison roles will enhance hearing service provision in aged care.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000393","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":"Effects of age, sex, language ability and second language listening on children's recognition of nonwords and sentences in noise and reverberation.","authors":"Xuehan Zhou, Harvey Dillon, Dani Tomlin, Kelly Burgoyne, Helen Gurteen, Grace Nixon, Sharon Cameron, Alisha Isaac Gudkar, Antje Heinrich","doi":"10.1080/14992027.2025.2552264","DOIUrl":"https://doi.org/10.1080/14992027.2025.2552264","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate children's ability to recognise speech and its relationship to language ability using two newly developed tests: the Listening in Spatialised Noise and Reverberation test (LiSN-R) and the Test of Listening Difficulties - Universal (ToLD-U).</p><p><strong>Design: </strong>LiSN-R and ToLD-U used nonword and sentence recognition in spatially separated noise and reverberation. Language ability was assessed using the Clinical Evaluation of Language Fundamentals (CELF) sentence recall.</p><p><strong>Study sample: </strong>Normally-hearing children aged 6-11 years, who spoke English either as a Second Language (ESL) or natively. LiSN-R was completed by 134 children and ToLD-U by 171.</p><p><strong>Results: </strong>Children's speech reception thresholds improved with age (∼1 dB/year) with no sex differences for both tests. Nonword recognition (LiSN-R) was not significantly affected by ESL status or language ability. Sentence recognition (ToLD-U) was significantly affected by ESL status and predicted by language ability (β = 0.75). ToLD-U and LiSN-R performance were significantly correlated (<i>r</i> = 0.49).</p><p><strong>Conclusion: </strong>This is the first study to demonstrate the complementary value of LiSN-R and ToLD-U for assessing phonological and sentence-level listening, under ecologically valid conditions in children as young as six. Findings clarify the interaction between linguistic proficiency and listening performance, thereby informing the refinement of auditory assessment protocols.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000480","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 outcomes of the Cochlear Osia 2 bone conduction system implanted under expanded indications in a pediatric population.","authors":"Viral D Tejani, Shawn Stevens, Abby Meyer, Megan Bartoshuk, Stephanie Berry, Page Aubuchon, Marine Cismas, Shannon Doolittle, Jennifer Drob, Nancy Flores, Lindsay M Hill, Erin M Levy, Hannah Litton, Rebecca Maher, Amanda Marchegiani, Laurie Mauro, Catherine Moyer, Jessica L S Novak, Julie Purdy, Melissa Tribble, Gail Murray","doi":"10.1080/14992027.2025.2550530","DOIUrl":"https://doi.org/10.1080/14992027.2025.2550530","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the audiological outcomes of the Cochlear Osia^® 2 Bone Conduction System implanted in children ages 5-11 years old.</p><p><strong>Design: </strong>A pivotal, prospective, open-label, multicentre clinical trial to expand access to the Osia 2 system to children ages 5-11 years old.</p><p><strong>Study sample: </strong>Children aged 5-11 years old who presented with either (1) a conductive or mixed hearing loss where the pure tone average bone conduction threshold (measured at 500, 1000, 2000, and 3000 Hz) was ≤ 55 dB HL or (2) single-sided deafness where the ear to be implanted had a profound sensorineural hearing loss and the pure tone average air conduction threshold (measured at 500, 1000, 2000, and 3000 Hz) in the contralateral ear was ≤ 20 dB HL.</p><p><strong>Results: </strong>Significant improvements were seen for objective word recognition measures (CNC, BKB-SIN) and subjective measures (SSQ questionnaire). Average device daily wear time was 10 hours, based on parental reports. Improvements were comparable to those shown with previous bone conduction technology in adults and older children.</p><p><strong>Conclusions: </strong>The Osia 2 Bone Conduction System provides significant improvements in audiological outcomes in children ages 5-11 years. Data from this trial led to FDA cleared age expansion in April 2024.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000467","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":"Limited usable hearing unilaterally (LUHU) in infants and young children: a scoping review of technology considerations and developmental outcomes.","authors":"Christine L Brown, Marlene Bagatto","doi":"10.1080/14992027.2025.2549465","DOIUrl":"10.1080/14992027.2025.2549465","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this scoping review was to examine the developmental impact of limited usable hearing unilaterally (LUHU) and surgical and non-surgical technology outcomes specific to infants and young children who have LUHU.</p><p><strong>Design: </strong>The Joanna Briggs Institute (JBI) Model of Evidence-Based Healthcare provided a framework. Covidence software was used to manage the articles. Literature searches were conducted in November 2022 and May 2023. Three research audiologists screened the articles followed by full text review by the authors.</p><p><strong>Results: </strong>The searches resulted in 2953 articles. After removal of duplicates, 888 abstracts were screened. 429 articles underwent full text review. Various selection criteria were applied leaving 66 articles for extraction.</p><p><strong>Conclusions: </strong>The developmental impact of LUHU is comparable to unilateral hearing loss in general. Hearing-related quality of life and listening fatigue are also impacted. Management counselling to review the various technology options should be guided by Magnetic Resonance Imaging (MRI) results. Bilateral listening benefits may be achieved through cochlear implantation. A remote microphone (RM) system, coupled to the normal hearing ear can improve performance in settings where noise and localisation are problematic. A bone conduction device (BCD) or contralateral routeing of signal (CROS) system may mitigate head shadow effects.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953110","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":"Adult client perspectives of barriers and facilitators to successfully communicating about listening needs and concerns during audiology appointments: a qualitative study.","authors":"Zoe McNeice, Dani Tomlin, Barbra Timmer, Camille E Short, Karyn Galvin","doi":"10.1080/14992027.2025.2467775","DOIUrl":"10.1080/14992027.2025.2467775","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to understand clients' perspectives on the barriers and facilitators experienced when communicating about their listening needs and concerns with their audiologist.</p><p><strong>Design: </strong>Qualitative descriptive methodology using individual semi-structured interviews. Template analysis was used to analyse the data.</p><p><strong>Study sample: </strong>Fifteen audiology clients who self-reported listening difficulties.</p><p><strong>Results: </strong>Six themes relating to barriers and/or facilitators were identified: (1) audiologist's communication style, (2) audiologist's demonstrations of understanding, (3) development of therapeutic relationship, (4) client's awareness and understanding, (5) client's personality and lifestyle characteristics and (6) clinic's operational factors.</p><p><strong>Conclusion: </strong>Identified barriers and facilitators suggest that audiologists should tailor their communication style for individual clients and invest in developing strong therapeutic relationships. Supporting clients' awareness and understanding can be achieved through improved appointment preparation, such as by encouraging client self-reflection on their listening needs and concerns and providing information about appointment expectations. Audiology clinics should consider all aspects of their service provision and how these relate to communication during appointments. An intervention approach addressing these reported barriers and facilitators could support clients to successfully communicate about their listening needs and concerns with their audiologist.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"934-944"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482995","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":"Dissociable effects of hyperacusis and misophonia severity imply different mechanisms of decreased sound tolerance.","authors":"Rebecca Smees, Julia Simner, Derek J Hoare, Jamie Ward","doi":"10.1080/14992027.2024.2419558","DOIUrl":"10.1080/14992027.2024.2419558","url":null,"abstract":"<p><strong>Objective: </strong>It is thought that decreased sound tolerance can be subdivided into distinct types including misophonia (involving specific trigger sounds) and hyperacusis (broader in profile). However, there are few established methods for differentially assessing these disorders and this is complicated by the fact that some measures (e.g. the HQ Hyperacusis Questionnaire) were developed before the concept of misophonia was accepted.</p><p><strong>Design/study sample: </strong>We took a group of <i>N</i> = 119 participants with misophonia (varying in severity) and asked them about the presence of hyperacusis (based on a scoping review definition).</p><p><strong>Results: </strong>Scores for some items on the HQ were correlated with scores for misophonia severity (e.g. social impact of sound) and others with scores for hyperacusis (e.g. ability to concentrate in noise). Similarly, some trigger sounds were more indicative of hyperacusis (e.g. dishes being stacked) and others were more indicative of misophonia in the absence of hyperacusis (e.g. chewing).</p><p><strong>Conclusions: </strong>These double dissociations provide compelling evidence for separable forms of sound intolerance. Moreover, our research suggests that a single-item question about hyperacusis is associated with other characteristics of hyperacusis, even when assessed 18 months later.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"964-971"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557770","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":"Evaluating psychometric properties of the Cantonese integrated Digit-in-Noise Test: perhaps the 2-digit sequence can also be used for hearing screening.","authors":"Lena L N Wong, Shangqiguo Wang, Alice I C Ieong, Cappy M Y Man, Tsz Yau Pan","doi":"10.1080/14992027.2024.2424877","DOIUrl":"10.1080/14992027.2024.2424877","url":null,"abstract":"<p><strong>Objective: </strong>This study developed and validated the Cantonese integrated Digit-in-Noise Test (iDIN) for speech-in-noise measurement and hearing screening.</p><p><strong>Design: </strong>The development of the Cantonese iDIN followed the International Collegium of Rehabilitative Audiology guidelines. Its psychometric properties, including normative data, psychometric function, test-retest reliability, and criterion validity, were established. Additionally, a preliminary comparison of the effectiveness of 2- and 3-digit SRTs in hearing screening was conducted.</p><p><strong>Study sample: </strong>The sample included 40 young adults with normal hearing and 65 older adults, with and without hearing loss.</p><p><strong>Results: </strong>Mean SRTs for 2-, 3-, and 5-digit with forward recall were -11.5 ± 1.3, -12.0 ± 1.0, and -11.3 ± 0.9 dB SNR in young adults, respectively. The slopes for the psychometric functions of these sequences were 20.26, 18.61, and 19.10 %/dB, respectively, and measurement errors were 0.80, 0.61, and 0.71 dB. The area under the receiver operating characteristic curves for the 2- and 3-digit SRTs were .941 and .974, indicating high discriminative ability in hearing screening.</p><p><strong>Conclusions: </strong>The Cantonese iDIN shows robust psychometric properties. Despite the 3-digit test's slightly better screening performance, shorter test during associated with the 2-digit suggests its potential for hearing screening.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"952-957"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590830","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":"Correction.","authors":"","doi":"10.1080/14992027.2024.2391249","DOIUrl":"10.1080/14992027.2024.2391249","url":null,"abstract":"","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"972"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971054","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}