American Journal of Audiology最新文献

{"title":"Auditory Brainstem Response in Intrauterine Growth Restriction.","authors":"Şule Çekiç, Salihe Erdoğan, Şerife Suna Oğuz, Hakan Mehmet Korkmaz","doi":"10.1044/2025_AJA-24-00223","DOIUrl":"10.1044/2025_AJA-24-00223","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the auditory brainstem response (ABR) of infants with asymmetric intrauterine growth restriction (IUGR) in response to different stimuli and to compare the findings with those of term infants.</p><p><strong>Method: </strong>A total of 20 infants with asymmetric IUGR who had no risk factors for hearing loss and 20 term healthy infants as a control group participated. Click, chirp, and 4-kHz tone burst at 90 dB nHL stimuli were used, and Waves I, III, and V absolute latencies; Waves I-III, I-V, and III-V interpeak intervals; and wave amplitudes were evaluated.</p><p><strong>Results: </strong>The Wave V absolute latency and Waves I-V interpeak interval of both click and chirp stimuli in infants with asymmetric IUGR were significantly shorter in both ears (<i>p</i> < .05). In contrast, only Wave III absolute latency was significantly shorter for both ears (<i>p</i> < .05) with a 4-kHz tone burst.</p><p><strong>Conclusions: </strong>ABR test with click, chirp, and 4-kHz tone-burst stimuli revealed that there are functional differences attributed to IUGR. Contrary to popular belief, these findings are evidence of neurosensory changes caused by IUGR, which is not included as a risk factor in newborn hearing screening programs. The type of stimulus used in the assessment was critical.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"296-304"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804500","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":"Behavioral Tests for Central Auditory Processing Evaluation in the Investigation of Early Manifestations of Cognitive Decline and Dementias: A Scoping Review.","authors":"Taís de Azevedo Picinini, Milena Kovalski Oliveira, Kyla Munoz Galarza, Débora Lüders, Aline Xavier Ferraz, Rogério Hamerschmidt, Cristiano Miranda de Araújo, Adriana Bender Moreira de Lacerda","doi":"10.1044/2025_AJA-24-00214","DOIUrl":"10.1044/2025_AJA-24-00214","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review aimed to identify behavioral tests for central auditory processing (CAP) assessment that can be used to investigate early manifestations of pathological cognitive decline in adults and the older adults. Early detection of cognitive decline and dementias is a strategy for delaying the progression of these clinical conditions.</p><p><strong>Method: </strong>This scoping review was conducted using various online databases and gray literature sources, including the Latin American and Caribbean Literature in Health Sciences, PubMed/Medline, Scopus, Web of Science, Google Scholar, and ProQuest Dissertations & Theses. Studies were included if they assessed individuals who underwent behavioral tests for CAP evaluation and had completed at least one cognitive test.</p><p><strong>Results: </strong>A total of 1,190 references were retrieved from the databases, with 151 identified as duplicates. After screening 1,039 articles by title and abstract, eight studies were selected for full-text review, and five were included in the final synthesis. The behavioral tests for CAP evaluation used to investigate preclinical manifestations of cognitive decline and dementia were: Synthetic Sentence Identification With Ipsilateral Competing Message, Staggered Spondaic Word test, Dichotic Sentence Identification, and Dichotic Digits Test. Among these, dichotic tests were identified as having the strongest association with cognitive decline, probable Alzheimer's disease, or dementia.</p><p><strong>Conclusions: </strong>The findings indicate that dichotic tests are the most frequently utilized behavioral tests for CAP evaluation and serve as valuable tools for detecting early manifestations of cognitive decline and dementias. These tests could play a significant role in the early diagnosis and management of cognitive impairments.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"421-438"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040495","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":"Age-Related Differences in Comprehending Speech in Competition.","authors":"Amy Morris, Rakteesud Bamrungyat, Alexandra N Scurry, Aaron R Seitz, Frederick J Gallun, Fang Jiang","doi":"10.1044/2025_AJA-24-00253","DOIUrl":"10.1044/2025_AJA-24-00253","url":null,"abstract":"<p><strong>Purpose: </strong>The ability to discriminate speech with background noise decreases with age. This study examined the effect of masker type and spatial location in older and young adults.</p><p><strong>Method: </strong>Using Portable Automated Rapid Testing software on an iPad, participants were asked to understand target speech (always simulated at 0° azimuth) in the presence of speech or \"garbled speech\" maskers (simulated from 0°, 6°, or 45° azimuth spatial locations). Additionally, suprathreshold sensitivities to temporal (TM), spectral (SM), and spectrotemporal (STM) modulation as well as binaural temporal fine structure (TFS) were estimated.</p><p><strong>Results: </strong>Older adults showed worse speech in competition (SiC) performance with 6° and 45°, but not 0°, masker spatial locations and benefited less from only 45° of spatial separation compared to young controls for speech masking. For garbled-speech masking, older adults showed worse performance overall, but benefited similarly from spatial separation compared to young controls. Older adults also showed worse sensitivity for binaural TFS, but comparable TM, SM, and STM sensitivity. Age as well as TM and SM sensitivities predicted SiC performance, whereas STM and binaural TFS sensitivities did not.</p><p><strong>Conclusion: </strong>These findings expand our knowledge of how aging and suprathreshold sensitivities affect SiC comprehension.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"388-399"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effective Design for Experiments on Small-Group Conversation: Insights From an Example Study.","authors":"Raluca Nicoras, Bryony Buck, Rosa-Linde Fischer, Matthew Godfrey, Lauren V Hadley, Karolina Smeds, Graham Naylor","doi":"10.1044/2025_AJA-24-00226","DOIUrl":"10.1044/2025_AJA-24-00226","url":null,"abstract":"<p><p>With current advances in experimental techniques, there is a renewed interest in studying communication behavior, reflecting a desire to improve our understanding of hearing disability and the effects of treatment interventions at the level of in-the-moment behaviors. Group conversations are among the most challenging situations for people with hearing loss. Experiments on group conversations are increasingly common and disproportionately more demanding than dyad studies to design and execute. Thorough design and planning are critical for successfully capturing valid behavioral data, highlighting the value of sharing behind-the-scenes experiences with the researcher community. We have completed a laboratory study of four-way group conversations involving people with and without hearing loss. This article describes the goals and compromises involved in our design choices and evaluates their effectiveness through participant feedback. Aspects covered include contrasts and covariates, group composition and physical arrangement, participant characteristics, hearing devices, participant experience, physical environment, conversational task, and measurement modalities. Next, we briefly describe the experiment's execution. Finally, we analyze and discuss participants' feedback and reflect on what proved effective, what did not, and what design \"worries\" proved founded or unfounded. We hope thereby to provide support and inspiration for others who may be faced with similar design challenges. The main message is that such an experiment can be carried out successfully and in such a way that the behavioral and self-report data collected are likely to carry a relatively high degree of ecological validity while still supporting experimental and statistical control.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"305-320"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Television Streaming on Cochlear Implant User Performance and Satisfaction in Quiet and in Noise.","authors":"Patrick N Plyler, Megan Wade, Alayna Dimlich, Jennifer Hausladen, Elizabeth Humphrey","doi":"10.1044/2024_AJA-24-00204","DOIUrl":"10.1044/2024_AJA-24-00204","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine the effectiveness of television (TV) streaming on cochlear implant (CI) user performance and satisfaction in quiet and in noise.</p><p><strong>Method: </strong>Sixteen CI users (15 bilateral) were evaluated in quiet and in noise (5 dB SNR) under three CI conditions: CI only, streaming with CI microphones attenuated by 6 dB, and streaming with CI microphones muted. The audiovisual Connected Speech Test served as the signal, and the ipsilateral competing message from the SSI-ICM served as the noise. Measures of speech understanding, satisfaction with sound quality and clarity, and preference were obtained.</p><p><strong>Results: </strong>In quiet, speech understanding and speech clarity ratings were significantly better for the streaming with CI microphones muted condition than the CI only and streaming with CI microphones attenuated conditions; however, sound quality ratings were significantly better for streaming with CI microphones muted than the CI microphones attenuated condition. In noise, speech understanding, speech clarity ratings, and sound quality ratings were significantly different across all conditions with CI only being the poorest, followed by streaming with CI microphones attenuated then by CI microphones muted being the best. In quiet, streaming with CI microphones muted was preferred over CI only. In noise, both streaming options were preferred to CI only. Overall, streaming with CI microphones attenuated was preferred to CI only.</p><p><strong>Conclusions: </strong>CI users benefited from TV streaming in both quiet and in noise. CI users should be counseled on the benefits of adjusting CI microphone settings when using a TV streamer.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"270-280"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626584","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":"Screening of Fall Risk in Older Adults With Hearing Loss Living in the Singapore Community.","authors":"Tan Charmaine, Angeline Teo Yi Ling, Kek Tze Ling","doi":"10.1044/2024_AJA-23-00123","DOIUrl":"10.1044/2024_AJA-23-00123","url":null,"abstract":"<p><strong>Purpose: </strong>Hearing loss is an independent risk factor for falls. Research has demonstrated the importance of a combination of self-report and performance-based tools in predicting falls. Using this approach, the purpose of this study was to examine the association between the degree of hearing loss and fall risk.</p><p><strong>Method: </strong>Community-dwelling older adults with hearing loss, aged 60 years and above, completed a history form, the Activities-Specific Balance Confidence Scale and the modified Clinical Test of Sensory Interaction in Balance. Average pure-tone audiometry of the better hearing ear was calculated. Fall risk was determined for each participant. Binomial logistic regression and Cohen's kappa were performed.</p><p><strong>Results: </strong>Fifty-eight participants, with mild (<i>n</i> = 12), moderate (<i>n</i> = 27), moderately severe (<i>n</i> = 14), and severe (<i>n</i> = 5) hearing losses were included in the analysis. Overall fall risk incidence was 46.6%. No significant association was found between the degree of hearing loss and fall risk, while age, gender, and diabetes were revealed to be significant fall risk factors. A key finding was the tendency to overestimate balance confidence using self-report measures.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first study in Asia employing self-report and performance-based measures to examine hearing loss and fall risk. Our findings provide insight into region-specific factor(s) affecting fall risk and serves to pave the way for future fall risk research. Future studies should include a combination of self-report and performance-based measures, as well as account for protective fall risk factors.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"237-249"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626586","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":"Incidence and Risk Factors for Tinnitus Among Military Service Members in the Millennium Cohort Study.","authors":"Toni Rose T Geronimo-Hara, Jennifer N Belding, Steven G Warner, Daniel W Trone, Rudolph P Rull","doi":"10.1044/2025_AJA-24-00198","DOIUrl":"10.1044/2025_AJA-24-00198","url":null,"abstract":"<p><strong>Purpose: </strong>Military personnel may be repeatedly exposed to high-noise environments that may increase tinnitus risk. Previous military research on tinnitus has often utilized small samples of personnel with specific experiences and exposures (e.g., combat deployment), with few examinations leveraging longitudinal data. The purpose of this study was to determine the incidence and associated risk factors for new-onset tinnitus in a large prospective and representative military cohort.</p><p><strong>Method: </strong>This study utilized data from the Millennium Cohort Study, the largest and longest running longitudinal health study of service members and veterans, to ascertain self-reported and medical diagnoses of tinnitus. Multivariable logistic regression was employed to identify factors associated with new-onset tinnitus.</p><p><strong>Results: </strong>New-onset tinnitus was self-reported by 10.7% (<i>n</i> = 2,527) of participants while 3.5% (<i>n =</i> 511) had a medical record tinnitus diagnosis. Tinnitus risk was associated with multiple characteristics, including active duty service, being a member of the Army or Marine Corps, combat deployment experience, combat specialist occupation, prior history of mild traumatic brain injury, panic/anxiety, posttraumatic stress disorder (PTSD) alone, and PTSD comorbid with depression.</p><p><strong>Conclusions: </strong>This may be the first study to determine new-onset tinnitus utilizing both self-reported and medical record data in a large prospective cohort of service members and veterans. Additional prospective studies are needed to corroborate our findings and further describe the temporal relationships of military occupational and mental health characteristics with service-related new-onset tinnitus.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"330-343"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036564","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":"Tracking of Noise Tolerance Test Outcomes With the International Speech Test Signal.","authors":"Christopher Slugocki, Francis Kuk, Petri Korhonen","doi":"10.1044/2025_AJA-24-00208","DOIUrl":"10.1044/2025_AJA-24-00208","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to assess whether using the International Speech Test Signal (ISTS) as a nonmeaningful target signal changes listener outcomes on the Tracking of Noise Tolerance (TNT) test and their relationship to hearing loss and neuroelectrophysiological indices of central inhibition.</p><p><strong>Method: </strong>Single-blind mixed design conducted in 23 normal-hearing (NH) and 16 hearing-impaired (HI) older adults with moderate-to-severe degrees of sensorineural hearing loss. Participants performed a modified version of the TNT test where they were asked to react to a dynamic background noise while listening to the ISTS target stimulus. Test performance was characterized by average TNT test noise acceptance (TNT_Ave) and by the average difference between peaks and valleys in tracked noise level tracings (<i>excursion</i>). All listeners had previously performed the TNT test using English speech passages as target signals. Cortical sensory gating magnitudes were also measured from these listeners as electrophysiological indices of central inhibition.</p><p><strong>Results: </strong>Whereas NH listeners tolerated significantly less noise when performing the TNT test with ISTS relative to English speech targets, type of target signal had no effect on TNT_Ave scores in HI listeners. Conversely, HI listeners exhibited significantly greater excursion in their tracked noise levels when tested with the ISTS compared to English passages, but target type did not affect excursion in NH listeners. Regardless of target type or hearing group, TNT excursion was strongly predicted by listeners' bilateral four-frequency pure-tone averages. As previously observed for the English TNT, sensory gating magnitudes of the N1-P2 component negatively predicted TNT excursion scores measured using the ISTS target after accounting for listener age and hearing thresholds. In addition, noise acceptance (TNT_Ave) outcomes for ISTS targets were positively predicted by cortical gating magnitudes of the P1 component.</p><p><strong>Conclusions: </strong>Replacing meaningful English speech with ISTS targets affected listener performance on the TNT test differently in NH and HI listeners. Comparing TNT outcomes for nonmeaningful and meaningful speech signals may be useful for gaining insight into the acoustic and nonacoustic (e.g., central/contextual) factors that affect listeners' dynamic reactivity to changing levels of background noise.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"344-354"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062919","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":"Personal Listening Device, Personal Headphones, and Song Choice's Influence on Preferred Listening Levels.","authors":"Monica C Amarante, Thomas R Zalewski","doi":"10.1044/2025_AJA-24-00247","DOIUrl":"10.1044/2025_AJA-24-00247","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine if there is a difference in preferred listening levels when altering song choice, listening device, and transducer (headphone) type, while controlling previously uncontrolled variables.</p><p><strong>Method: </strong>Twenty-one college students completed the repeated-measures design. Pure-tone audiometry and distortion product otoacoustic emissions (DPOAE) were completed pre- and postmethods to determine the presence of a temporary threshold shift (TTS). The external auditory meatus sound pressure level (EAM SPL) was measured as participants listened to the researchers' and their songs via their personal device and the researchers' computer using in-the-ear, over-the-ear, in-the-canal, and their personal transducers. Paired <i>t</i> tests were completed on pure-tone thresholds and DPOAE amplitude. A four-factor multivariate analysis of variance (MANOVA; <i>p</i> = .05) investigated the presence of an EAM SPL difference between songs, transducers, and devices. A second four-factor MANOVA investigated a difference between the participants' and matched researchers' transducers by ear, song, and device.</p><p><strong>Results: </strong>No TTS was identified. The computer produced significantly lower EAM SPL compared to the participants' device. Over-the-ear transducers produced significantly lower EAM SPLs compared to in-the-ear, in-the-canal, and the participants' transducers. The participants' transducers produced significantly lower EAM SPLs compared to in-the-canal style.</p><p><strong>Conclusions: </strong>Preferred listening levels are inconsistent across devices. Over-the-ear transducers and the computer present the lowest hearing loss risk as they produced the lowest EAM SPLs. Caution is urged with personal listening device use regarding the duration of listening time and volume levels.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"355-363"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036478","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":"Rationale and Development of a Remote Counseling Program for Hyperacusis.","authors":"Ann Perreau, J Austin Williamson, Richard S Tyler","doi":"10.1044/2025_AJA-24-00229","DOIUrl":"10.1044/2025_AJA-24-00229","url":null,"abstract":"<p><strong>Purpose: </strong>This clinical focus article describes the development of a novel, remotely delivered counseling program for patients with hyperacusis. For many patients, seeking management of hyperacusis is limited by accessibility and affordability issues of care. By reducing these barriers, remote counseling has the potential to advance hyperacusis care and improve outcomes for many people suffering from hyperacusis.</p><p><strong>Method: </strong>We created a 4-week remote counseling program that included asynchronous videos, hands-on activities and quizzes, handouts and resources for teaching coping skills and keeping patients engaged, and synchronous discussions for coaching. Weekly content was derived from in-person therapy using hyperacusis activities treatment (HAT) and focused on five relevant topics that included (a) an overview of hyperacusis, tinnitus, hearing, and hearing loss; (b) reactions to hyperacusis and strategies to reduce negative reactions to sounds; (c) thought analysis and restructuring; (d) relaxation techniques and mindfulness; and (e) gradual sound exposure and proper use of hearing protection.</p><p><strong>Results: </strong>Our remote counseling program, HAT-Online, provides holistic education about hyperacusis, coping strategies to lessen reactions to everyday sounds and challenge thoughts and fears, and management options including customized sound therapy and relaxation exercises.</p><p><strong>Conclusion: </strong>With implementation of this remote counseling program, our team anticipates gathering early clinical evidence needed to support larger, multisite, future randomized clinical trials that will be designed to more fully evaluate the effectiveness of the remote delivery of HAT's counseling and customized sound therapy components to reduce reactions to hyperacusis.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"227-236"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}