American Journal of Audiology最新文献

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The Effect of Different Sensory Perturbations on Postural Control and Fall Risk in Benign Paroxysmal Positional Vertigo Patients. 不同感觉干扰对良性阵发性位置性眩晕患者姿势控制和跌倒风险的影响
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-07-25 DOI: 10.1044/2024_AJA-23-00263
Esma Temiçin Şahin, Emre Orhan, Volkan Tutar, Hakan Tutar, Bülent Gündüz
{"title":"The Effect of Different Sensory Perturbations on Postural Control and Fall Risk in Benign Paroxysmal Positional Vertigo Patients.","authors":"Esma Temiçin Şahin, Emre Orhan, Volkan Tutar, Hakan Tutar, Bülent Gündüz","doi":"10.1044/2024_AJA-23-00263","DOIUrl":"10.1044/2024_AJA-23-00263","url":null,"abstract":"<p><strong>Background: </strong>Benign paroxysmal positional vertigo (BPPV) patients may experience balance problems in various environmental conditions other than positional dizziness. Therefore, there is a need to investigate the postural control abilities and the ability to use sensory inputs in BPPV patients in different conditions.</p><p><strong>Objective: </strong>The aim of this study was to examine the postural control performance of middle-aged adult BPPV patients in easy and difficult balance tasks, the effect of vestibular stimulation on the maintenance of balance, and the risk of falling, by posturographic evaluation in various conditions.</p><p><strong>Method: </strong>A total of 26 patients diagnosed with posterior canal BPPV and 26 controls were included in the study. Sensory Organization Test (SOT), Vestibular Stimulation Test (VST), and fall risk assessment (FRA) were applied to the participants, respectively.</p><p><strong>Results: </strong>Significant difference was observed in SOT medio-lateral (ML) plane in Conditions 2 and 5 (<i>p</i> < .05). A significant difference was observed in the vestibular score in the SOT ML plane. No significant difference was observed in VST test scores (<i>p</i> > .05). In the FRA test, a significant difference was observed in the energy and gain parameters in the anterio-posterior plane (<i>p</i> < .05).</p><p><strong>Conclusions: </strong>The current study examined postural control abilities of patients with BPPV in extensive external conditions and in both planes, using various sensory perturbations and stimulation. It was thought that while BPPV patients were in the active phase of the disease, their postural control skills in the ML plane decreased and they might be at risk of falling.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"874-881"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762013","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}
引用次数: 0
Validation of a Bluetooth Self-Fitting Device for People With Mild-to-Moderate Hearing Loss in Quiet or Noisy Environments. 为轻度至中度听力损失者在安静或嘈杂环境下设计的蓝牙自我装配设备的验证。
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-07-18 DOI: 10.1044/2024_AJA-23-00230
Hung-Yue Chang, Tun-Shin Lo
{"title":"Validation of a Bluetooth Self-Fitting Device for People With Mild-to-Moderate Hearing Loss in Quiet or Noisy Environments.","authors":"Hung-Yue Chang, Tun-Shin Lo","doi":"10.1044/2024_AJA-23-00230","DOIUrl":"10.1044/2024_AJA-23-00230","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the benefits of a Bluetooth self-fitting device using an in situ hearing screening test and self-fitting processes.</p><p><strong>Method: </strong>Thirty Mandarin-speaking individuals (16 men and 14 women) with mild-to-moderate hearing loss participated in this study. The hearing screening test was conducted using neckband earphones of a Bluetooth self-fitting device controlled by a smartphone app. The hearing screening tests were compared with the pure-tone audiometry in an audiometric booth. The amplification benefits of the self-fitting program-aided condition were evaluated and compared with those of unaided and preset program-aided conditions using the Mandarin Hearing in Noise Test (MHINT) and questionnaires.</p><p><strong>Results: </strong>The pure-tone audiometry and hearing screening test results exhibited strong positive correlations at all test frequencies. In the environment with 90° noise, the sentence reception thresholds (SRTs) obtained for the self-fitting program-aided condition were significantly lower (<i>p</i> = .032) than those obtained for the unaided condition, whereas no significant difference was observed between the preset program-aided and the unaided conditions. Moreover, the participants' satisfaction ratings for the devices were consistent with their MHINT results, with a strong positive correlation observed between satisfaction with self-fitting and user satisfaction in smartphone app's control, functionality, and learning. Younger participants were significantly more satisfied in learning to use the app.</p><p><strong>Conclusions: </strong>Bluetooth self-fitting devices can be used for simplified in situ hearing screenings with a sensitivity of 90.4%. The satisfaction ratings and improvements in SRTs indicate significant clinical benefits of the self-fitting program compared with the preset program, particularly in the 90°-noise environments.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"882-894"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724882","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}
引用次数: 0
Consumer Perspectives on Improving Hearing Aids: A Qualitative Study. 消费者对改进助听器的看法:定性研究。
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-05-20 DOI: 10.1044/2024_AJA-23-00245
Nabeelah Desai, Eldré W Beukes, Vinaya Manchaiah, Faheema Mahomed-Asmail, De Wet Swanepoel
{"title":"Consumer Perspectives on Improving Hearing Aids: A Qualitative Study.","authors":"Nabeelah Desai, Eldré W Beukes, Vinaya Manchaiah, Faheema Mahomed-Asmail, De Wet Swanepoel","doi":"10.1044/2024_AJA-23-00245","DOIUrl":"10.1044/2024_AJA-23-00245","url":null,"abstract":"<p><strong>Purpose: </strong>Hearing aids play a pivotal role in mitigating the impact of hearing loss, yet their adoption and consistent usage remains suboptimal. Understanding the hearing aid needs of individuals with hearing loss is important to support uptake, use, and outcomes. The current study describes users' perspectives on how hearing aids can be improved.</p><p><strong>Method: </strong>A cross-sectional, qualitative, content analysis design was used for an open-ended question from an online survey, exploring user perspectives on hearing aid improvements. Participants were adult hearing aid users in the United States, surveyed from the HearingTracker and Lexie Hearing user database.</p><p><strong>Results: </strong>A total of 628 participants (<i>M</i><sub>age</sub> = 66 years) were surveyed. The majority of participants used bilateral, behind-the-ear hearing aids that were obtained either through a hearing health care professional or online. Three domains, highlighting areas for hearing aid improvement, were identified. (a) The hearing aid features domain described user issues surrounding physical appearance and fit, general features, streaming, battery functionality, adjustments, smartphone applications, and hearing aid-related accessories. There was dissatisfaction with aesthetics and functionality, with a notable desire for improvements in physical appearance and fit (<i>n</i> = 161), and features to improve self-efficacy. (b) The sound quality domain described user issues surrounding sound perception and difficult situations. Participants highlighted unmet needs for clarity, especially in noisy environments (<i>n</i> = 143). (c) The service-delivery domain described user issues surrounding audiology services and general satisfaction, with criticisms centered on the high cost of hearing aids (<i>n</i> = 193) and the credibility of hearing health care professionals.</p><p><strong>Conclusions: </strong>Hearing aid users appreciated current technological advances but expressed a need for improvements, to better align devices with their requirements. Key areas included physical aesthetics, user control over device adjustments, sound clarity, cost accessibility, and trust between the user and hearing health care professional. Future designs should focus on features enhancing user autonomy and self-efficacy.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"728-739"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071703","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}
引用次数: 0
Prevailing Practices in Ototoxicity Monitoring in Individuals With Head and Neck Cancer Undergoing Radiotherapy and Chemoradiotherapy: A Scoping Review. 对接受放疗和化疗的头颈部癌症患者进行耳毒性监测的现行做法:范围综述。
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-07-25 DOI: 10.1044/2024_AJA-24-00028
Varsha Shankar, Jayashree Seethapathy, Satish Srinivas, Raghu Nandhan, Prasanna Kumar Saravanam
{"title":"Prevailing Practices in Ototoxicity Monitoring in Individuals With Head and Neck Cancer Undergoing Radiotherapy and Chemoradiotherapy: A Scoping Review.","authors":"Varsha Shankar, Jayashree Seethapathy, Satish Srinivas, Raghu Nandhan, Prasanna Kumar Saravanam","doi":"10.1044/2024_AJA-24-00028","DOIUrl":"10.1044/2024_AJA-24-00028","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the current scoping review is to identify the studies reporting ototoxicity monitoring in individuals with head and neck cancer (HNC) undergoing radiation therapy and/or chemoradiation therapy across the world. The specific objectives were to identify and report the test protocol used, identify the most common timeline of follow-up, and identify barriers and facilitators influencing the implementation of the monitoring program.</p><p><strong>Method: </strong>A comprehensive search was conducted across six electronic databases, including PubMed, Embase, Web of Science, Scopus, Google Scholar, and ProQuest. The scoping review method adhered to relevant guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) and frameworks. The database search was carried out by two independent researchers, and studies were selected based on specific inclusion and exclusion criteria.</p><p><strong>Results: </strong>This scoping review identified 13 studies that fulfilled the inclusion criteria of this study. Only one study reported findings from the perspective of ototoxicity monitoring. Another study explicitly mentioned that ototoxicity monitoring was a standard of care in their hospital. Only one study reported using the relevant guidelines for monitoring ototoxicity. Specialized tests such as high-frequency audiometry, distortion product otoacoustic emissions, and vestibular tests were rarely used. Ototoxicity monitoring was influenced by awareness-related factors, technical factors, treatment-related factors, and organizational factors.</p><p><strong>Conclusions: </strong>Research on ototoxicity monitoring programs is in its early stages, highlighting the need for standardized practices and multidisciplinary collaboration to enhance health care services for HNC patients. A standardized approach, improved awareness, and the incorporation of patient perspectives are crucial to enhancing ototoxicity monitoring in HNC patients.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1041-1069"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762012","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}
引用次数: 0
Demographic Disparities in Drive Times to the Nearest Audiologist in the United States. 美国距离最近的听力学家的车程差异。
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-05-17 DOI: 10.1044/2024_AJA-23-00279
Charles Pudrith, Xuwei Chen, Milijana Buac, Danica Billingsly, Elizabeth Hill
{"title":"Demographic Disparities in Drive Times to the Nearest Audiologist in the United States.","authors":"Charles Pudrith, Xuwei Chen, Milijana Buac, Danica Billingsly, Elizabeth Hill","doi":"10.1044/2024_AJA-23-00279","DOIUrl":"10.1044/2024_AJA-23-00279","url":null,"abstract":"<p><strong>Purpose: </strong>Audiological services are underused, possibly because patients need to drive long distances to see a provider. In this study, we measured the association of drive times to the nearest audiologist with population density, income, ethnicity, race, and distance to the nearest audiology graduate program.</p><p><strong>Method: </strong>Drive times for each census block group to the nearest audiologist were measured using census data, the National Provider Identifier Registry, and a geographic analyzing tool called ArcGIS for all block groups within the United States. The association between drive times and population density, income, ethnicity, race, and audiology program distance was evaluated with a population density-matched case-control study and multiple linear regression analyses.</p><p><strong>Results: </strong>Approximately 5.29 million Americans need to drive at least 1 hr to visit their closest audiologist. The 10% most rural-dwelling Americans drive an average of 33.8 min. The population density-matched case-control study demonstrated that percent below poverty, percent identifying as Hispanic, and travel times to the nearest audiology program were all significantly higher in census block groups with high drive times to the nearest audiologist. An average of 7.96% of individuals in census block groups with low drive times identified as Hispanic, but 18.8% identified as Hispanic in high drive time groups. The multiple linear regression showed that the effect of demographics and distance to the nearest audiology program was highest in rural areas. In both analyses, adjusting for poverty did not drastically change the effect of percent identifying as Hispanic on drive times.</p><p><strong>Conclusions: </strong>Long drive times restrict access to audiological care for those who live in rural areas. This restriction disproportionately affects those in rural areas who identify as Hispanic or have low income.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"768-781"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960466","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}
引用次数: 0
Effect of External Ear Deformity on Hearing in Wrestlers. 外耳畸形对摔跤运动员听力的影响
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-06-25 DOI: 10.1044/2024_AJA-23-00277
Nurşah Özal, Halide Çetin Kara, Talha Çögen, Hasan Ahmet Özdoğan
{"title":"Effect of External Ear Deformity on Hearing in Wrestlers.","authors":"Nurşah Özal, Halide Çetin Kara, Talha Çögen, Hasan Ahmet Özdoğan","doi":"10.1044/2024_AJA-23-00277","DOIUrl":"10.1044/2024_AJA-23-00277","url":null,"abstract":"<p><strong>Purpose: </strong>Cauliflower ear in wrestlers can lead to hearing impairment. This study primarily aims to assess the hearing of wrestlers with bilateral cauliflower ears and determine their external ear canal (EEC) resonance frequencies. Our second aim is to evaluate their hearing quality, speech, and spatial perception.</p><p><strong>Method: </strong>This study included 28 male wrestlers aged 18-35 years with bilateral cauliflower ears, as well as 27 male participants in the control group with no wrestling history. The participants' hearing thresholds were determined across the frequency range of 125-16000 Hz for air-conduction and 500-4000 Hz for bone conduction. EEC resonance frequencies were measured. Additionally, all participants completed the Turkish version of the Speech, Spatial, and Qualities of Hearing Scale (SSQ) questionnaire.</p><p><strong>Results: </strong>Wrestlers with cauliflower ears exhibited significantly higher hearing thresholds, particularly at frequencies above 4000 Hz (<i>p</i> < .05). Analysis of EEC resonance showed a shift to higher frequencies in the second resonance peak of the right ear (<i>p</i> < .001) and the first resonance peak of the left ear (<i>p</i> = .045). SSQ scores revealed that wrestlers had higher spatial perception (<i>p</i> = .046), hearing quality (<i>p</i> = .004), and general scores (<i>p</i> = .042) in comparison to the control group.</p><p><strong>Conclusions: </strong>Blunt traumas in wrestlers, leading to cauliflower ear, can result in hearing loss. Moreover, deformities in the external ear affect the resonance frequencies of the EEC. Therefore, it is crucial to advocate for the use of ear protection equipment among wrestlers. When fitting hearing aids, attention should be given to changes in the EEC resonance frequency.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"863-873"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452026","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}
引用次数: 0
Scholarship of Teaching and Learning Research in Communication Sciences and Disorders Journals: An Exploratory Survey of the Recent Literature. 传播科学与障碍期刊中的教学研究:近期文献的探索性调查。
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-07-04 DOI: 10.1044/2024_AJA-23-00234
Johanna Boult, David Duggar, Stephanie Currie, Hanna Evers, Blair McLaughlin, Anna M Jilla
{"title":"Scholarship of Teaching and Learning Research in Communication Sciences and Disorders Journals: An Exploratory Survey of the Recent Literature.","authors":"Johanna Boult, David Duggar, Stephanie Currie, Hanna Evers, Blair McLaughlin, Anna M Jilla","doi":"10.1044/2024_AJA-23-00234","DOIUrl":"10.1044/2024_AJA-23-00234","url":null,"abstract":"<p><strong>Purpose: </strong>Inspired by a preliminary survey of the Scholarship of Teaching and Learning (SoTL) literature conducted by Friberg et al. (2014), the current study aimed to expand the original study's findings-that SoTL was rarely published in the communication sciences and disorders (CSD) literature from 2009 to 2013-to the subsequent 8-year period (2014-2021). The latter period was of particular relevance considering the dissolution of one American Speech-Language-Hearing Association (ASHA)-affiliated publication and the addition of another non-ASHA-affiliated publication during that time.</p><p><strong>Method: </strong>Ten peer-reviewed CSD journals and the articles published in them were identified via a survey of the literature that used narrowly defined criteria developed in collaboration with a librarian. Five trained CSD graduate student raters compared a definition of SoTL to article abstracts to determine whether each should have been categorized as SoTL. Part 1 of the study investigated an 8-year time span, Part 2 investigated the remaining nine journals in the subsequent 5 years, and Part 3 investigated publication rates of SoTL in <i>Teaching and Learning in Communication Sciences & Disorders</i> (<i>TLCSD</i>) alone.</p><p><strong>Results: </strong>Part 1 of the study revealed that publication rates of SoTL were extremely low in the 10 surveyed CSD journals in the 8-year time span investigated. A similar and diminishing trend was found in Part 2. Even smaller percentages of journals were dedicated to SoTL. Part 3 confirmed that relatively large amounts of CSD-specific SoTL have been published in <i>TLCSD</i> since its inception in 2017.</p><p><strong>Conclusions: </strong>As of 2021, SoTL articles continued to be uncommonly published in CSD journals. Until recently, scholarly teachers attempting to apply SoTL in the classroom had limited resources. Beginning in 2017, <i>TLCSD</i> has provided an outlet for SoTL, whereas other CSD journals seem to have published less of it. Reform of publication, peer review, tenure, and promotion policies and procedures is called for so that SoTL might be included as a valid scientific endeavor.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"810-823"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535703","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}
引用次数: 0
Hearing at the Mall: Multibeam Processing Technology Improves Hearing Group Conversations in a Real-World Food Court Environment. 商场听力:多波束处理技术改善了现实世界美食广场环境中的群体对话听力。
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-07-10 DOI: 10.1044/2024_AJA-24-00027
Paula Folkeard, Niels Søgaard Jensen, Homayoun Kamkar Parsi, Sascha Bilert, Susan Scollie
{"title":"Hearing at the Mall: Multibeam Processing Technology Improves Hearing Group Conversations in a Real-World Food Court Environment.","authors":"Paula Folkeard, Niels Søgaard Jensen, Homayoun Kamkar Parsi, Sascha Bilert, Susan Scollie","doi":"10.1044/2024_AJA-24-00027","DOIUrl":"10.1044/2024_AJA-24-00027","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate conversation hearing with an adaptive beamforming hearing aid that supports adaptive tracking of multiple talkers in an ecologically valid, real-world food court environment in a busy mall.</p><p><strong>Method: </strong>Twenty older adult experienced hearing aid wearers with sensorineural hearing loss were fitted in the lab with binaural receiver-in-the-canal style hearing aids set with two programs, each having a different beamforming strategy. The participant and two researchers then met in a moderately noisy and reverberant food court at a local mall where the participant was asked to listen to a conversation between the two researchers. Participants rated the extent of their agreement with 10 positively worded statements specific to the conversation twice, once for each program. Participants then provided program-preference ratings for seven different aspects of a conversation during which the programs were switched back and forth by the researcher, so that participants were unaware of the condition to which they were listening.</p><p><strong>Results: </strong>Real-world subjective ratings for all domains resulted in positive values on average for both programs. Pairwise comparisons indicated that the intervention algorithm had higher absolute ratings on five of the 10 criteria including understanding, clarity, focus, listening effort, and background noise. Ratings for preference between programs indicated a significant preference for the intervention algorithm for all seven criteria.</p><p><strong>Conclusions: </strong>In a real-world setting, the use of hearing aids with separate processing of sounds from the front and back hemisphere provided positive subjective ratings. However, following a group conversation with multiple conversation partners, improvements in the algorithm to account for the locations of interlocutors and the natural head turning of the hearing aid wearer that occurs during a conversation by adding and controlling multiple adaptive beams in the front hemisphere significantly influenced preference for all aspects rated.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"782-792"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564971","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}
引用次数: 0
Transducer Variability in Speech-in-Noise Testing: Considerations Related to Stimulus Bandwidth. 噪声语音测试中的换能器变异性:与刺激带宽相关的考虑因素。
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-07-12 DOI: 10.1044/2024_AJA-24-00055
Douglas S Brungart, Alyssa J Davidson
{"title":"Transducer Variability in Speech-in-Noise Testing: Considerations Related to Stimulus Bandwidth.","authors":"Douglas S Brungart, Alyssa J Davidson","doi":"10.1044/2024_AJA-24-00055","DOIUrl":"10.1044/2024_AJA-24-00055","url":null,"abstract":"<p><strong>Purpose: </strong>Clinical audiologists typically assume that headphones and insert phones will produce comparable results when they are used to conduct speech-in-noise or other audiological tests; however, this may not always be the case. Here, we show that there are significant differences in the scores that previous studies have reported for headphone and insert-phone transducers on the Words-in-Noise (WIN) Test, and discuss the possibility that the variations in high-frequency output that are allowable under the speech source specifications of American National Standards Institute S3.6 might be contributing to transducer-dependent differences in performance for the WIN and other tests that are presented through the auxiliary input channels of clinical audiometers.</p><p><strong>Method: </strong>A literature review was conducted to identify articles that reported WIN Test results for both listeners with normal hearing and with hearing impairment and specified the type of transducer (insert or TDH-50) used for the data collection.</p><p><strong>Results: </strong>Among the 19 included studies, participants with normal hearing using inserts exhibited systematically worse WIN Test scores compared to those using TDH-50 headphones, while participants with hearing loss showed comparable average scores across transducer types.</p><p><strong>Conclusions: </strong>The results highlight the importance of considering transducer type when interpreting WIN Test outcomes, particularly when comparing to normative scores obtained from individuals with normal hearing. Although further research is needed to elucidate the underlying mechanisms driving differences in test performance across transducer types, these findings underscore the need for standardized test administration protocols and careful documentation of transducer type when administering speech-in-noise tests for clinical or research applications.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1070-1076"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141602031","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}
引用次数: 0
A Consensus to Revise the Minimum Speech Test Battery-Version 3. 修订最低限度言语测试库-第 3 版的共识。
IF 1.4 4区 医学
American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-07-09 DOI: 10.1044/2024_AJA-24-00008
Camille C Dunn, Teresa A Zwolan, Thomas J Balkany, Heather L Strader, Allison Biever, René H Gifford, Melissa W Hall, Meredith A Holcomb, Heidi Hill, English R King, Jannine Larky, Regina Presley, Meaghan Reed, William H Shapiro, Sarah A Sydlowski, Jace Wolfe
{"title":"A Consensus to Revise the Minimum Speech Test Battery-Version 3.","authors":"Camille C Dunn, Teresa A Zwolan, Thomas J Balkany, Heather L Strader, Allison Biever, René H Gifford, Melissa W Hall, Meredith A Holcomb, Heidi Hill, English R King, Jannine Larky, Regina Presley, Meaghan Reed, William H Shapiro, Sarah A Sydlowski, Jace Wolfe","doi":"10.1044/2024_AJA-24-00008","DOIUrl":"10.1044/2024_AJA-24-00008","url":null,"abstract":"<p><strong>Purpose: </strong>The Minimum Speech Test Battery (MSTB) for adults was introduced in 1996 (Nilsson et al., 1996) and subsequently updated in 2011 (Advanced-Bionics et al., 2011). The MSTB has been widely used by clinicians as a guide for cochlear implant (CI) candidacy evaluations and to document post-operative speech recognition performance. Due to changes in candidacy over the past 10 years, a revision to the MSTB was needed.</p><p><strong>Method: </strong>In 2022, the Institute for Cochlear Implant Training (ICIT) recruited a panel of expert CI audiologists to update and revise the MSTB. This panel utilized a modified Delphi consensus process to revise the test battery and to improve its applicability considering recent changes in CI care.</p><p><strong>Results: </strong>This resulted in the MTSB-Version 3 (MSTB-3), which includes test protocols for identifying not only traditional CI candidates but also possible candidates for electric-acoustic stimulation and patients with single-sided deafness and asymmetric hearing loss. The MSTB-3 provides information that supplements the earlier versions of the MSTB, such as recommendations of when to refer patients for a CI, recommended patient-reported outcome measures, considerations regarding the use of cognitive screeners, and sample report templates for clinical documentation of pre- and post-operative care. Electronic versions of test stimuli, along with all the materials described above, will be available to clinicians via the ICIT website (https://www.cochlearimplanttraining.com).</p><p><strong>Conclusion: </strong>The goal of the MSTB-3 is to be an evidence-based test battery that will facilitate a streamlined standard of care for adult CI candidates and recipients that will be widely used by CI clinicians.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"624-647"},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564970","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}
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