Nader G Zalaquett, Robert Frost, Brenton R Stucki, Komal Aggarwal, Mateo Useche, Ali F Jaffer, Lilian Wairimu Mokoh, Mary Jue Xu, Rolvix H Patterson, Sarah Chung, Nabin Lageju, Amani Mudekereza Édouard, Joyce Rodvie Sagun, Christopher J Waterworth
{"title":"Global disparities in hearing care services and infrastructure: findings from a 47-country international provider survey.","authors":"Nader G Zalaquett, Robert Frost, Brenton R Stucki, Komal Aggarwal, Mateo Useche, Ali F Jaffer, Lilian Wairimu Mokoh, Mary Jue Xu, Rolvix H Patterson, Sarah Chung, Nabin Lageju, Amani Mudekereza Édouard, Joyce Rodvie Sagun, Christopher J Waterworth","doi":"10.1080/14992027.2026.2687005","DOIUrl":"https://doi.org/10.1080/14992027.2026.2687005","url":null,"abstract":"<p><strong>Objective: </strong>Access to audiological services and support for individuals with hearing loss varies widely across low- and middle- income countries (LMICs) and high-income countries (HICs). This study examines disparities in the availability of audiological services across World Bank income groups.</p><p><strong>Design: </strong>An international cross-sectional survey was developed and distributed by the Global Otolaryngology Head and Neck Surgery Initiative. The survey evaluated the availability of audiology and support services across countries. Multiple responses from one country were combined into one entry. Statistical significance between groups was assessed using chi-squared tests.Study Sample: A total of 135 responses were received from 47 countries (30 LMICs and 17 HICs).</p><p><strong>Results: </strong>Significant disparities were identified across most service categories. HICs reported greater availability of newborn hearing screening, diagnostic tests, paediatric and adult hearing assessments, vestibular services, and hearing technologies compared to LMICs. Advanced diagnostic tools and hearing devices such as cochlear implants were significantly more accessible in HICs.</p><p><strong>Conclusions: </strong>Substantial differences were observed in audiological and rehabilitative services across HICs and LMICs. Efforts to bridge significant gaps are essential for achieving equitable hearing health care worldwide.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148411731","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":"Audiometric detection thresholds for older adults with normal and impaired hearing predict recognition of spectrally and temporally degraded speech in speech-modulated noise.","authors":"Daniel Fogerty, Judy R Dubno","doi":"10.1080/14992027.2026.2697256","DOIUrl":"10.1080/14992027.2026.2697256","url":null,"abstract":"<p><strong>Objective: </strong>This study examined associations between audiometric detection thresholds for older adults with normal and impaired hearing and recognition of degraded speech in speech-modulated noise.</p><p><strong>Design: </strong>Three datasets consisted of 15-16 measures of temporally degraded speech: (1) degraded spectral cues, (2) competing speech-modulated noise, and (3) spectral degradation combined with speech-modulated noise. Speech was spectrally shaped to each listener's pure-tone detection thresholds, and ESTOI-based speech recognition thresholds (SRT<sub>ESTOI</sub>) for degraded speech in noise were determined at 50% correct. Individual differences in detection thresholds from 0.25-8 kHz were examined, along with suprathreshold measures of speech modulation detection and glimpsing.</p><p><strong>Study sample: </strong>Older adults with normal hearing (ONH, <i>N</i> = 20) or with sloping high-frequency hearing loss (OHI, <i>N</i> = 20) were compared to three younger normal hearing control groups (<i>N</i> = 63) to evaluate effects of age, spectral gain, and reduced speech sensation levels.</p><p><strong>Results: </strong>Audiometric detection thresholds below 1 kHz were the strongest predictors of SRT<sub>ESTOI</sub> for both groups of older adults. Among OHI listeners, associations of low frequency thresholds with SRT<sub>ESTOI</sub> also differed depending on the type of speech distortion.</p><p><strong>Conclusions: </strong>Findings suggest the importance of low-frequency speech cues for glimpsing speech in temporally modulated backgrounds for older adults.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13591473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148404551","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}
{"title":"Audiologists' views on patient empowerment in hearing rehabilitation: a focus group study.","authors":"Josefina Larsson, Sarah Gotowiec","doi":"10.1080/14992027.2026.2685842","DOIUrl":"10.1080/14992027.2026.2685842","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated how audiologists interpret empowerment dimensions (knowledge, skills and strategies, participation, self-efficacy, and control) in relation to their patients and practice, and how these dimensions are integrated into practice.</p><p><strong>Design: </strong>A qualitative focus group study with five groups. Data were thematically analysed.</p><p><strong>Study sample: </strong>Audiologists engaged in hearing rehabilitation in Sweden, representing public and private sectors, with minimum three months' full-time experience.</p><p><strong>Results: </strong>The results highlight audiologists' role in individualised knowledge transfer. They facilitate development of essential skills and strategies through proactive assessment, tailored communication, and guidance. Patient participation is viewed as important yet complex, shaped by readiness and contextual factors. Approaches are adapted to promote meaningful engagement, recognising participation is not always straightforward or beneficial. Self-efficacy and sense of control are acknowledged as important but remain less emphasised in daily practice compared to knowledge, skills and strategies.</p><p><strong>Conclusions: </strong>Audiologists view empowerment as a shared goal between clinician and patient. To support empowerment, both should reflect on its dimensions and ensure each is addressed in care. Findings underscore the multifaceted nature of empowerment and the nuanced clinical role required to foster it. No single approach fits all, highlighting the need for person-centred care to support patient outcomes.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382054","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}
Emma L Chaffey, Melanie A Ferguson, Rebecca J Bennett, Wilhelmina H A M Mulders, Cathy Sucher
{"title":"Multi-stakeholder perspectives on models of in-person and remote cochlear implant aftercare and the opportunities and challenges for change.","authors":"Emma L Chaffey, Melanie A Ferguson, Rebecca J Bennett, Wilhelmina H A M Mulders, Cathy Sucher","doi":"10.1080/14992027.2026.2683471","DOIUrl":"https://doi.org/10.1080/14992027.2026.2683471","url":null,"abstract":"<p><strong>Objective: </strong>To explore stakeholder perspectives on current adult cochlear implant services and potential integration of remote assessment tools.</p><p><strong>Design and study sample: </strong>Semi-structured focus groups were conducted with four stakeholder groups: adult cochlear implant users with (<i>n</i> = 5) and without (<i>n</i> = 5) experience using a remote assessment tool, implant audiologists (<i>n</i> = 8), and implant clinic administrative staff (<i>n</i> = 4). Participants were asked what they valued most in CI aftercare and how remote care could be integrated to meet their needs. Transcripts underwent inductive qualitative analysis.</p><p><strong>Results: </strong>Stakeholder perspectives coalesced around four themes: bias towards the status quo (connection to current practices, resistance to change); opportunities for change (willingness to incorporate improvements for quality and accessible aftercare); complexity as a barrier (grappling with diverse and complex considerations for implementation); influence from external networks (support and information from outside the direct patient-clinic relationship). All groups acknowledged the benefits of current services and remote care, while attitudes about implementation and accessibility differed between groups.</p><p><strong>Conclusions: </strong>This study juxtaposes stakeholder preferences to both embrace and restrict uptake of remote care in CI services. The potential for remote care to address shortfalls in existing service delivery will remain unfulfilled unless organisational and financial aspects of implementation are resolved.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382003","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":"Cross-modal attentional allocation in individuals with listening difficulties: evidence from a complex dual-task paradigm.","authors":"Chie Obuchi, Tetsuaki Kawase, Yayoi Yamamoto, Hidehiko Okamoto","doi":"10.1080/14992027.2026.2683485","DOIUrl":"https://doi.org/10.1080/14992027.2026.2683485","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to determine whether listening difficulties (LiD), defined as difficulties in understanding speech in noisy environments despite normal hearing, reflect cross-modal attentional limits under visual load in adults.</p><p><strong>Design: </strong>This cross-sectional study used a dual-task paradigm (1-back visual plus visual-audio digit-matching) that required focused visual attention while monitoring auditory stimuli. Errors and reaction times were analysed.</p><p><strong>Study sample: </strong>Twenty adults with listening difficulties and 20 adult controls with normal hearing were enrolled.</p><p><strong>Results: </strong>The participants with LiD performed significantly worse than the controls in the 1-back visual (U = 88.5, <i>p</i> = 0.002) and visual-audio matching tasks (U = 38.0, <i>p</i> < 0.001), with a larger effect size observed for the latter. The receiver operating characteristic analysis showed high discriminative accuracy for the visual-audio matching task (cut-off = 6 errors, sensitivity = 85%, specificity = 90%). The median reaction times did not differ (U = 149.0, <i>p</i> = 0.17), although they increased with errors (LiD: r(18)=0.79, <i>p < 0.001</i>; controls: r(18)=0.45, <i>p</i> = 0.05).</p><p><strong>Conclusions: </strong>The participants with LiD demonstrated limited cross-modal attentional capacity under visual load, which disproportionately disrupted auditory monitoring. The dual-task paradigm may serve as a sensitive tool for clinical differentiation of LiD and underscores the importance of evaluating cognitive contributions to LiD.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382059","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}
Katya Feder, Leonora Marro, Elizabeth Fitzpatrick, Héloïse Lessard-Dostie, Adrian Fuente
{"title":"Personal listening device usage, leisure noise exposure, hearing protection usage and hearing at standard frequencies: a longitudinal study from child/adolescence to young adulthood.","authors":"Katya Feder, Leonora Marro, Elizabeth Fitzpatrick, Héloïse Lessard-Dostie, Adrian Fuente","doi":"10.1080/14992027.2026.2678286","DOIUrl":"10.1080/14992027.2026.2678286","url":null,"abstract":"<p><strong>Objective: </strong>To compare personal listening device (PLD) listening behaviours, leisure noise exposure, audiometric outcomes, hearing protection (HP) usage and self-reported hearing loss (HL) symptoms at Time 1: 2009/2010 and Time 2: 2022/2023. Mean hearing thresholds (HTs), pure-tone average HL prevalence, PLD volume levels, durations, earbud/headphone tightness, and sex among matched pairs, at Time 1 and 2, were compared.</p><p><strong>Design: </strong>Longitudinal design. Questionnaire evaluating PLD listening behaviours, leisure noise exposure and HL symptoms. Multivariate regression analysis used to determine relationship between variables and audiometry.</p><p><strong>Study sample: </strong>59 Participants, aged 22-30, of original cohort (<i>n</i> = 237, aged 10-17) were re-tested (Time 2).</p><p><strong>Results: </strong>Over time, tinnitus following leisure noise tripled, HP doubled and higher average PLD listening time was observed (7 vs. 18 h/week); longer durations for males. High volume listening was 20% at both timepoints. Leisure noise exposure and HL prevalence were similar across time, however mean HTs were higher at Time 1. Among matched pairs, more Time 2 participants created tight-fitting earbuds/headphones and responded affirmatively to some HL symptom questions.</p><p><strong>Conclusions: </strong>Subtle auditory changes, such as hidden HL, may be occurring over time. Educational outreach regarding HL prevention would be beneficial. Further longitudinal research needed due to the small follow-up sample.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-24"},"PeriodicalIF":2.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382031","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":"Automated pure-tone audiometry using true wireless stereo earbuds with active noise control.","authors":"Hengzhi Zhou, Huali Zhou, Zhenyu Guo, Qinglin Meng","doi":"10.1080/14992027.2024.2428854","DOIUrl":"10.1080/14992027.2024.2428854","url":null,"abstract":"<p><strong>Objective: </strong>Automated pure-tone audiometry (PTA) conducted outside a sound booth is heavily affected by environmental noise. This study aims to evaluate the performance of an automated PTA system, employing commercially available true wireless stereo earbuds with active noise cancellation (ANC) in noisy environments.</p><p><strong>Design: </strong>The electroacoustic characteristics of earbuds are thoroughly evaluated. Hearing thresholds were measured by ANC earbuds and TDH-39 in three noise levels and two types of noise.</p><p><strong>Study sample: </strong>21 normal-hearing participants for calibration and 22 participants below mild hearing loss for evaluation experiments.</p><p><strong>Results: </strong>The average absolute differences between hearing thresholds measured via the standard manual audiometer in quiet and the automated PTA in various noise conditions, across octave frequencies ranging from 125 to 8000 Hz, were as follows: 5.2 (quiet environment without ANC), 5.4 (40 dBA pink noise with ANC), and 9.3 dB (55 dBA pink noise with ANC).</p><p><strong>Conclusion: </strong>ANC can mitigate the impact of low-frequency noise (below 1000 Hz) on the accuracy of hearing level measurements, aligning with trends observed in objective experimental results. However, the influence of ANC on output levels warrants serious consideration in further practices.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"818-826"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817359","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}
Lucinda Kootstra, Marian B A Rodenburg-Vlot, Marc P van der Schroeff, Jantien L Vroegop
{"title":"Exploring age-dependent speech recognition in noise for children with hearing loss: insights from hearing Aid or cochlear Implant rehabilitation.","authors":"Lucinda Kootstra, Marian B A Rodenburg-Vlot, Marc P van der Schroeff, Jantien L Vroegop","doi":"10.1080/14992027.2025.2573030","DOIUrl":"10.1080/14992027.2025.2573030","url":null,"abstract":"<p><strong>Objective: </strong>In this study we investigated whether speech recognition in noise improves with age in children with hearing loss using hearing aids (HA) or cochlear implants (CI). Secondly, we identified the audiological factors that predict these abilities.</p><p><strong>Design: </strong>We performed a retrospective analysis of the Dutch Digit-In-Noise (DIN) test results from our clinical population of children rehabilitated with HAs (N = 163) or CIs (N = 83). Participants were aged between 6 and 18 years, had stable hearing loss and an open-set phoneme recognition in quiet > 50% at 65 dB SPL.</p><p><strong>Study sample: </strong>We included 242 measurements from HA users and 190 from CI users. All had at least 1 year of device experience and were using their daily program.</p><p><strong>Results: </strong>Two linear mixed models were created for HA and CI users. A significant effect of age on speech in noise performance was observed for both groups. For HA users, pure tone average was another significant predictor, for CI users = the modality. Children with bilateral CIs had a significantly better DIN SRT compared to those with unilateral or bimodal rehabilitation.</p><p><strong>Conclusions: </strong>Age and audiological factors, such as pure tone average and modality, significantly predict speech-in-noise performance in children using HAs or CIs.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"846-855"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145370322","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":"Maximum stable gain and fitting range of percutaneously applied bone conduction devices.","authors":"Gertjan Dingemanse, Martijn Toll","doi":"10.1080/14992027.2025.2578669","DOIUrl":"10.1080/14992027.2025.2578669","url":null,"abstract":"<p><strong>Objective: </strong>to measure the maximum stable gain (MSG, the feedback limit) and its variability in users with two percutaneous power bone conduction devices (BCDs), to determine an MSG-based fitting range, and to measure the available aided dynamic range.</p><p><strong>Design: </strong>The MSG was determined with the BCD attached to a participant's head. The BCD output was measured on a skull simulator. A fitting range was derived using the speech intelligibility index.</p><p><strong>Study sample: </strong>42 adult BCD users.</p><p><strong>Results: </strong>The average and range of the MSG was 13.3 ± 3.2 dB for device 1 and 16.1 ± 5.90 dB for device 2. The fitting range is 35-40 dB HL for a good understanding of soft speech and 45-50 dB HL for moderate-to-sufficient understanding of speech at a normal level in at least 50% of the cases with this hearing loss. The output for common speech levels is not limited by the maximum force output, except at low frequencies.</p><p><strong>Conclusions: </strong>For users of a percutaneous power BCD, the maximum applicable gain is limited by feedback and is smaller than the full-on gain. Consequently, BCDs enable sufficient speech intelligibility only for mild-to-moderate sensorineural hearing loss. The aided dynamic range is adequate for hearing thresholds within this fitting range.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"868-879"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145481923","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":"Spectro-temporal resolution abilities in children with cochlear implants: a systematic review.","authors":"Nethra R Kumar, Geetha Chinnaraj, Saransh Jain","doi":"10.1080/14992027.2025.2577704","DOIUrl":"10.1080/14992027.2025.2577704","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review examines spectro-temporal resolution ability in children with cochlear implants (cCI). The objective is to summarise the articles that assess the spectro-temporal resolution ability, its relationship with speech perception, and associated factors in cCI.</p><p><strong>Design: </strong>A systematic review.</p><p><strong>Study sample: </strong>A total of 193 articles were reviewed, and seven articles were selected for the systematic review that assessed spectro-temporal resolution ability in cCI. All seven studies used the Spectro-Temporal Modulated Ripple Test (SMRT) to assess spectro-temporal resolution ability.</p><p><strong>Results: </strong>The results consistently showed that cCI demonstrated lower SMRT thresholds than children with normal hearing. A significant correlation was found between SMRT thresholds and speech perception scores. Factors associated with spectro-temporal resolution included chronological age, age at implantation, duration of implantation, cognitive ability, and the effect of training.</p><p><strong>Conclusion: </strong>SMRT can be used to assess young children, as it shows a significant correlation with speech perception scores. Even though the results of SMRT thresholds and their correlation with speech perception were consistent, variations in the results were present across studies, which may have been due to demographic and technological factors.</p>","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"781-792"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145421256","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}