American Journal of Audiology最新文献

{"title":"Effects of Loudspeaker Configuration on Speech-in-Noise Evaluation of Remote Microphone Systems.","authors":"Shigehiro Oohara, Eiko Hirota, Tomomi Oohara","doi":"10.1044/2026_AJA-26-00046","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00046","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine how loudspeaker configuration influences the evaluation of personally worn remote microphone (RM) systems under a single signal-to-noise ratio (SNR) condition.</p><p><strong>Method: </strong>This study included 10 school-aged children with hearing loss who used hearing devices and RM systems. Speech recognition was assessed using a Japanese monosyllabic word test at a nominal SNR of -5 dB. Three loudspeaker configurations were tested: unilateral noise at 45°, unilateral noise at 0°, and bilateral uncorrelated noise at ±45°. Each condition was evaluated under microphone only (MIC) and RM input modes. Speech recognition accuracy was analyzed using a generalized linear mixed-effects model, with input condition and loudspeaker configuration as fixed effects and participant and word items as random effects.</p><p><strong>Results: </strong>The use of RM significantly increased the probability of correct speech recognition across all loudspeaker configurations. RM performance was consistent across configurations, with no significant interaction between input condition and loudspeaker configuration.</p><p><strong>Conclusions: </strong>RM systems provided a relatively consistent benefit in speech recognition across different loudspeaker configurations. Meanwhile, speech recognition with MIC input was highly sensitive to noise arrangement. Therefore, the effectiveness of RM systems is best characterized by their ability to stabilize performance under adverse listening conditions rather than by condition-specific enhancement. A unilateral 45° noise configuration appears to provide a practical and feasible setup for clinical RM evaluation.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.34113570.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Audiometric Thresholds and Hearing Health Knowledge in Spanish-Speaking English Learner Students: A School-Based Comparative Study.","authors":"María Ángel, Heidi Ramrattan, Mary M Flaherty","doi":"10.1044/2026_AJA-26-00096","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00096","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined audiometric threshold sensitivity and hearing health knowledge, attitudes, and behaviors (KAB) in Spanish-speaking English learner (EL) students and monolingual English-speaking peers across three central Illinois school districts.</p><p><strong>Method: </strong>Participants included 142 children aged 5-17 years (71 non-EL, 71 EL) from elementary, middle, and high schools. Pure-tone air-conduction thresholds were obtained at frequencies from 250 to 8000 Hz following American Speech-Language-Hearing Association-recommended procedures. Middle and high school students completed an adapted KAB survey; all participants completed an open-ended word association task. Linear mixed-effects models examined associations between EL status and thresholds across the frequency range and within the noise-induced hearing loss (NIHL) range. Multiple linear regression examined whether KAB scores predicted low-frequency thresholds after controlling for EL status and age.</p><p><strong>Results: </strong>EL students had significantly elevated thresholds relative to non-EL peers, with differences concentrated in the low frequencies (250-500 Hz) and diminishing across higher frequencies, converging by 6000-8000 Hz. Mean thresholds in both groups fell within clinically normal limits. EL status was not associated with thresholds in the NIHL range (3000-6000 Hz), and KAB scores did not predict thresholds.</p><p><strong>Conclusions: </strong>Spanish-speaking EL students showed systematic low-frequency threshold elevation not attributable to noise exposure or to self-reported hearing health factors. Although differences generally fell within clinically normal limits, even subclinical elevations have been associated with increased listening effort and poorer academic performance, which may be compounded for children simultaneously acquiring English. Findings highlight the need to examine the functional significance of low-frequency threshold differences in linguistically diverse pediatric populations.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Stimulus Polarity on Auditory Brainstem Responses Elicited by Level-Specific CE-Chirp in Young Adults With Normal Hearing.","authors":"Seval Ceylan, Didem Erkan, Ceren Tombuloğlu, Refia Gül Caner Mercan","doi":"10.1044/2026_AJA-26-00163","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00163","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the effect of stimulus polarity on the auditory brainstem response (ABR) elicited by level-specific Claus Elberling Chirp (LS CE-Chirp) stimuli in young adults with normal hearing.</p><p><strong>Method: </strong>Thirty-one healthy participants (23 females, eight males; <i>M</i>_age = 20.6 ± 1.4 years; range: 18-25 years) underwent LS CE-Chirp ABR recordings at 70 dB nHL using three polarities: rarefaction, condensation, and alternating. Right and left ear values were averaged per participant. Absolute latencies of Waves I, III, and V; interpeak latencies (IPLs) I-III, III-V, and I-V; and wave amplitudes were compared across polarities using the Friedman test, with Wilcoxon signed-ranks test post hoc comparisons and Bonferroni correction applied where warranted.</p><p><strong>Results: </strong>No statistically significant differences were observed among the three polarity conditions for any of the nine ABR parameters (all <i>ps</i> > .05). The largest Friedman statistics were obtained for Wave I latency (χ² = 5.193, <i>p</i> = .075) and IPL III-V (χ² = 5.600, <i>p</i> = .061), neither of which reached significance. Mean values were numerically similar across all polarity conditions.</p><p><strong>Conclusions: </strong>Stimulus polarity does not exert a statistically significant or clinically meaningful influence on LS CE-Chirp ABR measures in young normal-hearing adults. The traveling-wave delay compensation inherent to the LS CE-Chirp stimulus appears to attenuate polarity-related phase sensitivity, suggesting that all three polarities are clinically equivalent under the conditions examined (70 dB nHL, young adults with normal hearing). Caution is warranted before extending this conclusion to other intensity levels or clinical populations.</p><p><strong>Clinical relevance: </strong>Clinicians recording LS CE-Chirp ABR at suprathreshold levels may select any of the three standard polarities without compromising the validity or accuracy of measurements under the specific conditions described in this study. Consistent application of a single polarity within a laboratory setting is recommended to maintain comparability with internally established normative data.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cochlear Implant Training in Doctor of Audiology Programs: A Survey Study.","authors":"Melissa Hall, Ian Windmill, Brittney Sprouse, Terry Zwolan","doi":"10.1044/2026_AJA-26-00047","DOIUrl":"10.1044/2026_AJA-26-00047","url":null,"abstract":"<p><strong>Purpose: </strong>As the population of cochlear implant (CI) candidates and recipients grows, there is a need for more audiologists to meet their clinical needs. Little information exists regarding the perception of recent doctorate of audiology (AuD) graduates and the training they received related to CI.</p><p><strong>Method: </strong>We surveyed audiologists who graduated from an accredited AuD program between 2017 and 2023 and asked them several questions about their level of satisfaction regarding their AuD studies. The survey included questions about current work setting, areas of rotation available, and instructor characteristics related to areas in the AuD.</p><p><strong>Results: </strong>Respondents demonstrated high levels of satisfaction with their AuD training overall; 93% reported they were \"very\" or \"somewhat\" satisfied. Sixty-three percent reported they were \"completely\" or \"somewhat satisfied\" with the training related to CI. Most dissatisfied respondents reported that this was due to limited opportunities for hands-on work with the CI population. Seventy-two percent indicated they were \"very\" or \"somewhat satisfied\" with their CI instructor, and many tended to report higher satisfaction when instructors were clinicians with practical experience. CI rotations with adults were more prevalent than pediatric CI placements, and both were rated as less available than pediatric and adult hearing aids and diagnostic testing. A significant number of recent graduates reported gaps in their learning of topics related to insurance, reimbursement, billing, and coding.</p><p><strong>Conclusions: </strong>The results of this study suggest that most recent graduates are satisfied with their AuD training. Areas for improvement that may result in larger numbers of graduates pursuing a career in CI include improved CI-focused clinical rotations and practical opportunities.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-28"},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Auditory Brainstem Response Binaural Interaction Components Measured With Low-Frequency Tone Bursts: Correlations With Behavioral Binaural Measures.","authors":"So Eun Park, Noah Neil Dawson Cowley, Marcy K Hite","doi":"10.1044/2026_AJA-26-00028","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00028","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify electrophysiological markers of binaural processing at the brainstem level and examine whether they may serve as electrophysiological correlates of behavioral performance in young adults with normal hearing.</p><p><strong>Method: </strong>Twenty-nine young adults (21-29 years) with symmetric normal hearing (≤ 20 dB HL) were tested. Binaural processing was measured using the binaural interaction component (BIC) of the auditory brainstem response (ABR) elicited by 250- and 500-Hz tone bursts. Behavioral performance was assessed with three tasks: spondee binaural fusion (SBF), 500-Hz masking level difference, and auditory figure-ground.</p><p><strong>Results: </strong>For ABR-BIC latency, VI_d occurred later than V_d, and both waves showed longer latencies at 250 Hz than at 500 Hz. The later timing of VI_d could be associated with later processing along more rostral auditory pathways. At 500 Hz, V_d amplitude was significantly larger than VI_d, whereas amplitudes were comparable at 250 Hz, suggesting that VI_d may be relatively preserved at lower frequencies. ABR-BIC VI_d amplitude at 250 Hz correlated significantly with SBF scores, with larger VI_d amplitudes associated with higher scores.</p><p><strong>Conclusions: </strong>ABR-BIC Waves V_d and VI_d may reflect different electrophysiological aspects of brainstem-level binaural processing. VI_d amplitude at 250 Hz may serve as a preliminary electrophysiological correlate of binaural fusion performance, although this single association should be interpreted cautiously and replicated in future studies. ABR-BIC may have potential as an objective supplement to behavioral binaural measures, although further validation is needed.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acoustic Change Complex as an Objective Adjunct for Assessing Spectral Envelope Change Detectability Using Spectral Ripple Stimuli.","authors":"Ganavi Anil, Rashmi Venkatesh, Vijaya Kumar Narne, Saransh Jain","doi":"10.1044/2026_AJA-26-00071","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00071","url":null,"abstract":"<p><strong>Purpose: </strong>Behavioral measures of spectral envelope change detection, such as spectral ripple discrimination, are clinically informative but are influenced by attention, cognition, and task compliance. This study evaluated whether the acoustic change complex (ACC) can serve as an objective adjunct measure of spectral envelope change detectability in adults with normal hearing and examined the relationship between ACC latency measures and behavioral spectral ripple discrimination within the same cohort.</p><p><strong>Method: </strong>Fifteen adults with normal hearing (18-25 years of age) first completed behavioral spectral ripple discrimination testing to estimate perceptual thresholds, followed by ACC recordings. ACC responses were then recorded to ripple stimuli at three densities: 1 ripple per octave (RPO; low difficulty), 5 RPO (near threshold), and 8 RPO (above the spectral resolution limit). Primary electrophysiological outcomes included change-related peak latencies and amplitudes (P1', N1', P2', N2'). Test-retest reliability was assessed using intraclass correlation coefficients (ICCs), and associations between behavioral thresholds and ACC measures were examined using Pearson correlations.</p><p><strong>Results: </strong>ACC responses were robust and consistently observed at 1 and 5 RPO, but no reliable ACC responses were identified at 8 RPO under the predefined detection criteria. Change-related latencies were significantly shorter for 5 RPO compared to 1 RPO (<i>p</i> = .038-.039), whereas amplitude measures did not differ significantly between conditions. Test-retest reliability was good to excellent (ICC = .74-.94). Behavioral ripple discrimination thresholds were moderately correlated with ACC latency measures (<i>r</i> = .52-.61, <i>p</i> < .05), suggesting a relationship between neural timing and the detectability of spectral envelope changes.</p><p><strong>Conclusions: </strong>ACC responses to spectral ripple transitions are associated with the detectability of spectral envelope changes and demonstrate good reliability. Latency-based ACC measures provide an objective adjunct to behavioral assessment. They may be useful for estimating the detectability of changes in spectral envelopes in populations where behavioral testing is not feasible.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting Dual-Task Paradigms for Listening Effort: Dual-Task Interference in Adults With and Without Hearing Loss.","authors":"Louise Van Goylen, Hannah Keppler, Katrien Kestens","doi":"10.1044/2026_AJA-26-00122","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00122","url":null,"abstract":"<p><strong>Purpose: </strong>In light of concerns about the traditional dual-task approach for behavioral listening effort, this study explored a novel dual-task interference (DTI)-based method in adults with and without hearing loss (HL).</p><p><strong>Method: </strong>Fifty-two normal-hearing individuals and 52 with HL were matched for age, sex, and education (<i>M</i> age overall = 67.38 years). The dual-task paradigm combined a primary speech understanding task under five listening conditions with a secondary visual memory task. Dual-task effects (DTEs; performance change from baseline to dual-task) were calculated for both tasks. Linear mixed models assessed the effects of listening condition and hearing group on both DTEs. To explore individual task prioritization strategies, interference patterns were derived by plotting both DTEs, and Fisher's exact tests were used to examine associations between interference patterns and hearing groups across listening conditions.</p><p><strong>Results: </strong>Linear mixed models revealed significantly higher DTE values for the primary task at +4 dB SNR compared to +8 dB SNR, and higher secondary-task DTE values at 0 and -4 dB SNR compared to the other conditions. No significant effects of hearing group or interactions were found. Fisher's exact tests showed no significant group differences in DTI patterns.</p><p><strong>Conclusions: </strong>The DTI approach highlights individual DTI patterns, suggesting dynamic resource allocation and task prioritization under competing demands. These findings provide additional insight into the current use of dual-task paradigms for listening effort and support a broader interpretation of their role, including their potential for individualized counseling.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Listening Experiences of Autistic College Students: A Qualitative Study of Real-World Listening Demands.","authors":"Olivia M Zant, Chelsea Anderson, Addison Howell, Erin Schafer, Sharon Miller, Lauren Mathews","doi":"10.1044/2026_AJA-26-00107","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00107","url":null,"abstract":"<p><strong>Purpose: </strong>Autistic individuals frequently report auditory processing differences, including difficulty perceiving speech in noise and heightened sound sensitivity. Although increased listening effort has been documented in autistic children, little is known about how autistic college students experience listening demands in higher education. This qualitative study explored the lived listening experiences of autistic college students across academic and everyday contexts.</p><p><strong>Method: </strong>Eighteen autistic adults (ages 18-39 years) enrolled in or recently graduated from university programs participated in semistructured interviews via Zoom. Interviews explored listening experiences across classroom environments and everyday contexts. Reflexive thematic analysis following Braun and Clarke's six-phase framework identified patterns and themes within the participant narratives.</p><p><strong>Results: </strong>Five themes were generated through analysis: (1) affective cycle of listening, (2) strategic cognitive management of listening, (3) environmental contexts shape listening experiences, (4) social risk and stigma, and (5) inherent and developed listening strengths.</p><p><strong>Conclusions: </strong>Listening effort may represent an underrecognized barrier to educational participation for autistic college students. The present findings extend the existing frameworks of effortful listening by illustrating how cognitive, emotional, sensory, and social factors interact to shape listening experiences in real-world contexts. Importantly, these findings illustrate the value of incorporating lived experiences to better reflect the variability and subjective nature of listening, which traditional assessments may not fully reflect. For clinicians and educators, considering the contexts in which listening occurs alongside patient-reported experiences may support a more comprehensive understanding of listening-related demands and extend considerations beyond traditional auditory accommodations to improve education and communication participation.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Among Parental Anxiety, Family Rehabilitation Participation, and Auditory-Language Outcomes in Preschool Children Using Hearing Aids or Cochlear Implants.","authors":"Yuşa Başoğlu, İlayda Başoğlu","doi":"10.1044/2026_AJA-26-00160","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00160","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined associations among parental anxiety, family rehabilitation participation, device data logging variables, and auditory-language outcomes in preschool children using hearing aids or cochlear implants.</p><p><strong>Method: </strong>Fifty parent-child dyads participated in this cross-sectional study. Parents completed the State-Trait Anxiety Inventory, the Family Rehabilitation Participation Form, and the Parents' Evaluation of Aural/Oral Performance of Children (PEACH) questionnaire. Children were assessed using the Turkish Early Language Development Test. Device data logging variables included daily average device use, number of days used, speech environment exposure, and noisy environment exposure.</p><p><strong>Results: </strong>Higher parental anxiety was associated with lower family rehabilitation participation, with the strongest association observed for trait anxiety (<i>r</i> = -.520, 95% confidence interval [CI] [-.698, -.283], <i>p <</i> .001). Family participation was positively associated with parent-reported auditory performance (<i>r</i> = .333, 95% CI [.061, .560], <i>p =</i> .018) but not with age-standardized language scores (<i>r</i> = .121, <i>p =</i> .401). The mean ± <i>SD</i> daily device use was 8.52 ± 1.57 hr/day. In exploratory regression models, trait anxiety and rehabilitation frequency significantly predicted family participation, and family participation was positively associated with PEACH total percentage score. Device data logging variables were not significant independent predictors.</p><p><strong>Conclusions: </strong>Parental trait anxiety and family rehabilitation participation may be clinically relevant in pediatric hearing rehabilitation. Family participation appeared more closely related to parent-reported everyday auditory performance than to standardized language scores. Device data logging provided useful clinical context but did not independently predict auditory performance in the exploratory model. Longitudinal studies are needed to clarify these relationships.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.34024143.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging Coursework Knowledge to Audiology Clinical Practice: An Evidence-Based Approach to Counseling Education.","authors":"Lipika Sarangi","doi":"10.1044/2026_AJA-26-00008","DOIUrl":"https://doi.org/10.1044/2026_AJA-26-00008","url":null,"abstract":"<p><strong>Purpose: </strong>Effective counseling is central to person-centered audiologic care. However, researchers have consistently demonstrated gaps in students' preparedness and confidence in providing counseling services. There is also variability in classroom counseling learning and the supervision they receive from their clinical preceptors. This warrants a more intentional, structured, and evidence-based counseling training program that can better bridge the gap between knowledge obtained in the coursework and the ability to provide effective counseling in clinical practice. This tutorial synthesized evidence-based concepts, instructional strategies, and evaluation methods for designing and delivering counseling education in clinical audiology programs. The goal was to provide educators with a framework and practical resources for developing counseling curricula that promote student confidence and competence, ultimately supporting more effective, person-centered clinical care. A brief quality improvement project was included as an example to demonstrate the implications of such a design.</p><p><strong>Conclusions: </strong>An intentional and evidence-based approach to counseling education can contribute to bridging the gap and help align students' and preceptors' expectations. Through the integration of structured instruction, experiential learning, and systematic evaluation, programs can also enhance students' confidence in providing person-centered audiologic care.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.33485932.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}