American Journal of Audiology最新文献

{"title":"The Relationship Between Speech Discrimination in Noise and Spectral Resolution, Temporal Resolution, and Melodic Contour Identification Abilities in Cochlear Implant Users.","authors":"Türkan Özlem Bayülgen, Mehmet Yaralı","doi":"10.1044/2025_AJA-24-00150","DOIUrl":"10.1044/2025_AJA-24-00150","url":null,"abstract":"<p><strong>Purpose: </strong>Speech-in-noise performance of cochlear implant (CI) users varies considerably, and understanding speech in a complex auditory environment remains challenging. It is still unclear which auditory skill is causing this difficulty. This study aimed to evaluate spectral resolution, temporal resolution, and melodic contour identification (MCI) skills to determine which of these skills is most closely related to speech understanding in noise and to investigate whether these three skills differ among CI users with varying performances in speech-in-noise tasks.</p><p><strong>Method: </strong>The three-syllable word identification test (in quiet), the Turkish Matrix Test (in quiet, at fixed +8 dB SNR, and adaptively in noise) were administered to evaluate speech perception to 24 adult CI users (18-55 years old). To evaluate auditory abilities, tests involving spectral-temporally modulated ripple, gap detection, and MCI were administered. CI recipients were separated into two groups (good and low performers) based on their adaptive matrix speech reception threshold (SRT) in noise.</p><p><strong>Results: </strong>The abilities of temporal and spectral resolution were correlated with speech understanding at +8 dB SNR. However, the effect of spectral resolution on understanding at +8 dB SN was not significant. The skill most associated with the Matrix SRT in noise was spectral resolution. The groups differed significantly in both the speech tests and spectral resolution skills.</p><p><strong>Conclusions: </strong>Varying spectral resolution skills among CI users may affect their speech perception performance in noise. The effects of spectral and temporal resolution on speech perception in noise varied across noise conditions. Thus, there may be an increased requirement for spectral resolution in more adverse listening environments.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"376-387"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133105","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":"Effects of Resilience, Self-Perceived Hearing Difficulty, and Demographic Factors on Psychological Distress in Adults With Hearing Loss.","authors":"Kristel Scoresby, Kelsey Klein, Elizabeth Humphrey, Lauren Cox","doi":"10.1044/2025_AJA-24-00143","DOIUrl":"10.1044/2025_AJA-24-00143","url":null,"abstract":"<p><strong>Purpose: </strong>Although hearing loss can have a substantial impact on mental health, relatively little research has focused on factors that predict mental health outcomes among adults with hearing loss. In this study, we examined the effects of self-perceived hearing difficulty and resilience on psychological distress in adults.</p><p><strong>Method: </strong>Adult patients with hearing loss (<i>N</i> = 118) completed several questionnaires, including a demographic questionnaire, the Abbreviated Profile of Hearing Aid Benefit, the Brief Resilience Scale, and Kessler 6 Psychological Distress Scale. The relationships between demographic characteristics, self-perceived hearing difficulty, resilience, and psychological distress were assessed using bivariate analyses and multiple regressions.</p><p><strong>Results: </strong>Self-perceived hearing difficulty and resilience both predict psychological distress in adults with hearing loss, while controlling for age and income.</p><p><strong>Conclusions: </strong>Findings suggest that both audiologic and mental health interventions support positive mental health outcomes in adults with hearing loss. Improving patients' resilience may be a particularly important goal for audiologists and mental health professionals who are working with adults with hearing loss.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"364-375"},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058511","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":"Recorded Word Recognition Testing Is Worth the Time.","authors":"Allie Austin, Kathryn Ladner, Lisa Lucks Mendel","doi":"10.1044/2024_AJA-24-00080","DOIUrl":"10.1044/2024_AJA-24-00080","url":null,"abstract":"<p><strong>Purpose: </strong>The goal of this study was to provide evidence of the inherent variability associated with monitored live voice (MLV) presentation methods and encourage audiologists to more closely follow best practice of using recorded stimuli. To accomplish the goal, administration times for word recognition testing were compared between MLV and MP3 recorded stimuli presented directly from an audiometer (computer assisted, CA). Furthermore, the variability of administration time across testers was evaluated.</p><p><strong>Method: </strong>Fifty-word NU-6 lists were presented via MLV and CA to listeners with typical hearing (TH; defined as a four-frequency [500, 1000, 2000, and 4000 Hz] pure-tone average [PTA] of 20 dB HL or better) and hearing loss (HL; defined as a four-frequency PTA poorer than 20 dB HL). Audiologists and doctor of audiology students administered the word lists. Administration times were compared between the two presentation methods (MLV and CA).</p><p><strong>Results: </strong>MLV administration time was significantly shorter than CA presentation time for both the TH and HL groups. There was also a significant difference in word recognition scores (WRS) between the TH and HL groups only when using the CA method. Most notably, there was significantly more variability in the administration time for MLV presentation across testers compared to the CA method. Data were compared to Mendel and Owen (2011), and MLV administration time was found to be significantly shorter than CA and compact disk (CD) administration time.</p><p><strong>Conclusions: </strong>Despite the shorter average administration time for MLV presentation compared to CA or CD, the significant variability in administration time among individual testers limits the clinical value of the test results. In addition, WRS for those with hearing loss were significantly poorer than those with TH when using CA but not for MLV, indicating that MLV is not sensitive to the presence of sensorineural hearing loss. Thus, using recorded word recognition is strongly recommended.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"179-186"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773686","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":"Evaluation of Masseteric Vestibular Evoked Myogenic Potentials: A Comparative Study Between Children and Adults.","authors":"Sejal Somani, Anuj Kumar Neupane","doi":"10.1044/2024_AJA-24-00157","DOIUrl":"10.1044/2024_AJA-24-00157","url":null,"abstract":"<p><strong>Purpose: </strong>The present study examined masseteric vestibular evoked myogenic potential (mVEMP) responses in children and compared these results with those of adults, using both air- and bone-conduction modes of stimulation.</p><p><strong>Method: </strong>Fifteen children and fifteen adults with hearing thresholds below 15 dB HL were considered for the study. Ipsilateral 500-Hz narrow-band chirp (NB CE-chirp) evoked mVEMP responses were elicited via a zygomatic montage through both air- and bone-conduction modes of stimulation. Therefore, the recorded responses were analyzed for various mVEMP parameters, namely, absolute P11 and N21 peak latencies, the peak-to-peak amplitude of the P11-N21 complex, and the interaural asymmetry ratio.</p><p><strong>Results: </strong>NB CE-chirp-evoked mVEMPs were 100% present at 500 Hz using both air- and bone-conduction modes of stimulation. No significant differences were found in mVEMP parameters between ears, genders, or modes of stimulation in both children and adults. However, a significant P11-N21 amplitude difference was observed between the two groups.</p><p><strong>Conclusion: </strong>The findings of the study highlighted the need to incorporate age-appropriate reference values for interpreting mVEMP responses for children and adults across air- and bone-conduction modes.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"106-116"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025393","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":"Prevalence and Characteristics of Developmental Disabilities Among Children Who Receive Hearing Health Care.","authors":"Angela Yarnell Bonino, Sara F Goodwich, Deborah Mood","doi":"10.1044/2024_AJA-24-00118","DOIUrl":"10.1044/2024_AJA-24-00118","url":null,"abstract":"<p><strong>Purpose: </strong>We aim to determine the prevalence and characteristics of developmental disabilities among the clinical population of children who receive hearing health care in the United States.</p><p><strong>Method: </strong>Using electronic health records of 131,709 children (0-18 years), we identified those with a diagnosis of attention deficit/hyperactivity disorder, autism spectrum disorder, vision differences, cerebral palsy, chromosomal abnormalities, delayed milestones, Down syndrome, or intellectual disability. We determined prevalence, age of first audiology encounter, age of diagnosis for the developmental disability, and hearing status based on the specific disability and the number of diagnoses. Binomial and multinomial logistic regressions were performed.</p><p><strong>Results: </strong>One in four children had a diagnosed developmental disability. The most common disabilities were delayed milestones (11.3%), vision differences (7.4%), attention-deficit/hyperactivity disorder (6.6%), and autism spectrum disorder (6.2%). Half of the children with developmental disabilities had at least one diagnosis before their first audiology encounter. Children with developmental disabilities were more likely to have a reduced hearing or an unknown hearing status than children without developmental diagnoses. For children with reduced hearing, those with developmental disabilities had higher rates of bilateral configurations and poorer hearing severity levels.</p><p><strong>Conclusions: </strong>Developmental disabilities are common among children who seek hearing health care. Moreover, developmental disabilities often co-occur with reduced hearing. Further research and advocacy efforts are critical for creating clinical practices that are inclusive of, and equitable for, children with complex and diverse developmental profiles.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27857847.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"60-71"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774114","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":"Hearing Loss, Difficulty With Activities of Daily Living, and Experience of Consequences of Related Unmet Needs in Older Adults: A Cross-Sectional Analysis.","authors":"Sarah Bessen, Emmanuel E Garcia Morales, Wuyang Zhang, Pablo Martinez-Amezcua, Mfon Umoh, Thomas K M Cudjoe, Jennifer A Schrack, Nicholas S Reed","doi":"10.1044/2024_AJA-24-00183","DOIUrl":"10.1044/2024_AJA-24-00183","url":null,"abstract":"<p><strong>Purpose: </strong>Experiencing difficulty with activities of daily living (ADLs) and instrumental ADLs (IADLs) and/or the consequences of unmet ADL/IADL-related needs is associated with adverse health-related outcomes. The association of hearing loss (HL) with experiencing the consequences of unmet ADL/IADL-related needs is not well understood. We investigated the associations of HL with experiencing ADL/IADL difficulties and the consequences of unmet ADL/IADL-related needs in older adults.</p><p><strong>Method: </strong>We investigated cross-sectional associations between audiometric HL, the number of ADL and IADL difficulties, and the number of consequences of unmet ADL/IADL-related needs among adults aged 65 years and older in the National Health and Aging Trends Study.</p><p><strong>Results: </strong>In 4,724 older adults, 30.5% (<i>n</i> = 1,736) and 30.9% (<i>n</i> = 1,727) had self-reported difficulty with ADLs and IADLs, respectively. Of the 2,289 participants who reported difficulty with at least one ADL/IADL, 14.0% (<i>n</i> = 741) reported experience of at least one consequence of an unmet ADL/IADL-related need. In multivariable ordinal regression analyses, mild (<i>OR</i> = 1.38, 95% CI [1.1, 1.73]) and moderate or greater (<i>OR</i> = 1.57, 95% CI [1.17, 2.1]) HL were associated with higher odds of difficulties with additional ADLs. Moderate or greater HL was associated with higher odds of reporting difficulties with additional IADLs (<i>OR</i> = 1.59, 95% CI [1.19, 2.12]). There was no significant association between HL and higher odds of having additional consequences of unmet needs.</p><p><strong>Conclusions: </strong>Our results show an association between HL and a higher number of ADL and IADL difficulties. Adults with HL may require increased support to address difficulties with daily activities and prevent experiencing related consequences.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28300049.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"127-138"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391813","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":"Predicting Auditory Skill Outcomes After Pediatric Cochlear Implantation Using Preoperative Brain Imaging.","authors":"Di Yuan, Wai Tsz Chang, Iris H-Y Ng, Michael C F Tong, Winnie C W Chu, Nancy M Young, Patrick C M Wong","doi":"10.1044/2024_AJA-24-00139","DOIUrl":"10.1044/2024_AJA-24-00139","url":null,"abstract":"<p><strong>Purpose: </strong>Our study used preoperative neuroanatomical features to predict auditory development in Chinese-learning children with cochlear implants (CIs).</p><p><strong>Method: </strong>T1-weighted whole-brain magnetic resonance imaging (MRI) scans were obtained from 17 Chinese-learning pediatric CI candidates (12 females and five males, age at MRI = 23.0 ± 15.0 months). Voxel-based morphometry was applied to examine the children's whole-brain structure. Machine learning was employed using neuroanatomical features to predict children's auditory skills up to 24 months after CI. The whole-brain neural model and auditory/visual cortex neural model were compared with a nonneural model using gender, age at CI activation, and preoperative residual hearing as predictors. Model performance was quantified using the mean square error (<i>MSE</i>) between predicted values and observations.</p><p><strong>Results: </strong>The model with preoperative neuroanatomical features showed a significantly smaller <i>MSE</i> than the nonneural model in predicting auditory skills in children with CIs. Specifically, the auditory-related area played an important role in predicting post-CI outcomes.</p><p><strong>Conclusions: </strong>The preoperative neuroanatomical features outperformed the nonneural features in predicting auditory skills in children with CIs. These results indicate that neural structure holds the potential to serve as an objective and effective feature for predicting post-CI outcomes.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28012046.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"51-59"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866031","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":"Examining the Burnout of Audiologists in Türkiye: Relationships With Quality of Work Life and Psychological Well-Being.","authors":"Ahmet Alperen Akbulut, Ayşenur Karaman Demirel, Yeter Saçlı, Sema Satıcı, Ahsen Kartal Özcan, Ayça Çiprut","doi":"10.1044/2024_AJA-24-00120","DOIUrl":"10.1044/2024_AJA-24-00120","url":null,"abstract":"<p><strong>Purpose: </strong>Although burnout among audiologists has been studied in various countries, there is no research yet that examines this issue in Türkiye, where working conditions and sociodemographic factors may differ from those in other countries. Considering the unique working conditions and sociodemographic factors, this study aimed to investigate the burnout levels of Turkish audiologists. Additionally, this study will explore the impact of various sociodemographic variables on burnout, work-related quality of life, and depression to gain a deeper understanding of the specific challenges faced by audiologists in Türkiye.</p><p><strong>Method: </strong>A total of 193 audiologists, with a median age of 27 (interquartile range: 25-29) years, working in different working areas, such as clinical practice, academic institutions, rehabilitation centers, and amplification services in Türkiye, were included. Audiologists were invited to participate in this study via several online forums and hospital notice boards. All participants completed the sociodemographic data form and then the Maslach Burnout Inventory (MBI), Work-Related Quality of Life Scale (WRQoL), and Beck Depression Inventory (BDI).</p><p><strong>Results: </strong>Differences between MBI, WRQoL, and BDI scores were analyzed according to gender, level of education, area of work, and title of audiologist. There are significant differences in the subscale scores of the MBI and WRQoL scales and in the BDI scores between groups according to gender, education, and area of work. There are also significant differences in BDI scores according to title. There is a significant correlation between the MBI, WRQoL, and BDI scores of audiologists.</p><p><strong>Conclusions: </strong>This study represents the initial exploration of burnout, quality of work life, and depression levels among audiologists employed in Türkiye. A low quality of work life can increase the risk of burnout and depression. Enhancements in the work environment can lessen burnout and depression while also improving employees' general quality of life.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"84-96"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774188","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":"Acute Comparison of Mild-Gain Hearing Aid Approaches in an Adult With Mild Traumatic Brain Injury and Long-Term Effects of Mild-Gain Amplification on Speech Perception in Noise and Self-Reported Hearing-Related Disability, Hyperacusis, and Quality of Life.","authors":"Acayla P Chung, Christine Brennan, Hannah Glick, Rachael R Baiduc","doi":"10.1044/2024_AJA-24-00138","DOIUrl":"10.1044/2024_AJA-24-00138","url":null,"abstract":"<p><strong>Objective: </strong>This report documents the effects of hearing treatment in an adult with a history of mild traumatic brain injury (mTBI) and normal peripheral hearing acuity.</p><p><strong>Design: </strong>This report details a case study of a 26-year-old female with a history of mTBI.</p><p><strong>Study sample: </strong>A 26-year-old female with a history of mTBI presented with auditory symptoms including tinnitus, hyperacusis, listening fatigue, and speech-in-noise (SIN) difficulties despite diagnostic audiological findings showing normal peripheral auditory function and suprathreshold SIN performance within the normal range. The patient was fit with premium-level receiver-in-the-canal (RIC) hearing aids (HAs) using several different mild-gain fitting approaches involving wide dynamic range compression (WDRC) or linearized gain. A combination of objective and subjective methods was utilized to guide clinical decision making on the fitting approach and to verify/validate treatment outcomes.</p><p><strong>Results: </strong>Despite no difference in acutely aided SIN performance between the WDRC or linearized fitting approaches, the patient expressed a clear preference for the HA fitting approach involving application of 2-10 dB of shaped linearized gain > 1.5 kHz for soft, medium, and loud input levels (with greatest gain applied at 3-4 kHz). These settings were preferred in terms of loudness and sound quality even compared to the WDRC fitting approaches previously reported in literature. This fitting approach was verified and validated by SIN testing showing improved performance in the aided condition, as well as high levels of self-reported benefit and satisfaction, reduction in self-reported hearing handicap, reduction in sound sensitivity, and enhanced quality of life with HAs.</p><p><strong>Conclusions: </strong>Results add to the growing body of evidence supporting the benefits of mild-gain HAs for adults with mTBI and self-reported SIN deficits despite normal hearing acuity. Results also support the importance of using a combination of measures (e.g., SIN testing, patient report, outcome questionnaires) to guide the HA fitting process and to verify/validate treatment outcomes. Although findings were derived from a single case study and should be interpreted with caution, the patient's preference for a shaped linearized mild-gain approach is noteworthy. There exists a lack of clinical guidelines and prescriptive fitting methodology for fitting HAs in mTBI adults with SIN difficulty despite normal peripheral hearing acuity. Future research should systematically compare WDRC versus linearized gain approaches of fitting in this population to develop a clinical methodology for HA fitting and optimize outcomes in this special subpopulation.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450787","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":"Chronic Dizziness and Positional Symptoms: An Exploration of Symptom Clusters and Participant-Reported Experiences.","authors":"Brandy L Hollins, Erin G Piker, Devin L McCaslin, Joseph M Kush, Joachim Mathiassen, Jos Huijnen","doi":"10.1044/2024_AJA-24-00162","DOIUrl":"10.1044/2024_AJA-24-00162","url":null,"abstract":"<p><strong>Purpose: </strong>This mixed-methods design (a) quantitatively describes the symptom cluster assignments of patients with chronic dizziness who completed a dizziness triage questionnaire and (b) qualitatively explains patient-reported themes associated with the most frequently assigned symptom cluster.</p><p><strong>Method: </strong>A retrospective hybrid explanatory mixed-methods design was implemented to examine an artificial intelligence dizziness triage questionnaire posted online in a vestibular disorders support group from June 2021 to November 2022. Symptom cluster assignments are described in 791 participants. In the qualitative analysis, emerging codes were identified in the dominant symptom cluster in 50 participants.</p><p><strong>Results: </strong>Quantitative analysis identified a total of 301 symptom cluster combinations. The analysis from 791 participants revealed that females exhibited more symptom clusters than males, age impacted symptoms inversely, and longer duration of symptom history exhibited more symptom clusters. \"Positional\" was the most common symptom cluster among 50 participants. Of those 50, six major themes emerged from the data: (a) physical symptoms, (b) cognitive symptoms, (c) triggers, (d) temporal information, (e) management, and (f) emotions.</p><p><strong>Conclusions: </strong>The results from this study emphasize the complexity and variability of chronic dizziness. Comprehensive patient assessments that combine questionnaires with clinical expertise and patient dialogue are needed to improve diagnosis and management.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"160-170"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450789","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}