{"title":"Hearing Aid Fitting for Adult and Geriatric Patients: A Standard Explored.","authors":"","doi":"10.1055/s-0042-1748872","DOIUrl":"https://doi.org/10.1055/s-0042-1748872","url":null,"abstract":"","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"56-57"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Audiologic Assessment.","authors":"Emily A Benson, Jessica J Messersmith","doi":"10.1055/s-0042-1749176","DOIUrl":"https://doi.org/10.1055/s-0042-1749176","url":null,"abstract":"Prior to the fitting of hearing aids, clinicians and patients must discuss the best treatment options for the physical and audiologic needs of the patients. To be able to confidently make these decisions, the clinician should complete a medical and audiological case history. Additionally, clinicians need accurate results from a comprehensive audiologic evaluation. The evaluation should include the following: pure-tone testing, word recognition testing, speech-in-noise testing, and loudness discomfort level measures. This article will outline the process and procedures for acquiring this information in line with the Audiology Practice Standards Organization (APSO) Guidelines for Adult Hearing Aid Fittings Standards 1 and 4. This article will also discuss how results can affect decision-making during the hearing aid selection and fitting process.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"58-65"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hearing Aid Fitting Orientation and the APSO Standard.","authors":"Jennifer Phelan, Jeewon Jenny Lee","doi":"10.1055/s-0042-1748875","DOIUrl":"https://doi.org/10.1055/s-0042-1748875","url":null,"abstract":"<p><p>The Audiology Practice Standards Organization (APSO) which was formed in 2017 set out to compile basic services that audiologists within the field should adhere to in their practice. The second standard of the APSO is the Hearing Aid Fitting Standard for Adult and Geriatric Patients. Among the services outlined for an adult hearing aid fitting, orientation is discussed. A hearing aid fitting orientation needs to be device- and patient-centered while also covering various aspects of hearing aid orientation that supports patient's success during the process. This article discusses APSO Standard 12 regarding hearing aid orientation and details how this standard can be implemented in the clinic.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"94-98"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"APSO Standards: Implementing Hearing Aid Needs Assessments and Measuring Related Outcomes.","authors":"Michelle L Arnold, Victoria A Sanchez","doi":"10.1055/s-0042-1748835","DOIUrl":"https://doi.org/10.1055/s-0042-1748835","url":null,"abstract":"<p><p>The proportion of individuals who pose to benefit from the use of hearing aids is much smaller than those who adopt them. Likewise, many adults who try hearing devices abandon using them after a short period of time. Most factors related to hearing aid use are unrelated to a patient's hearing loss severity. Hearing loss treatment requires more than the provision of hearing aids as a sole intervention. Adoption rates could be improved through the implementation of evidence-based clinical protocols which maximize patients' success. Recently, the Audiology Practice Standards Organization (APSO) released evidence-based, formal standards of practice addressing hearing aid selection, fitting, and rehabilitation for adult and geriatric patients. Notably, the standards acknowledge the importance of an amplification needs assessment, including hearing aid outcomes measurement. In this brief narrative, we describe Standards 3 and 14 ( <i>Needs Assessment</i> and <i>Hearing Aid Outcomes Measurement</i> ) and offer an example of the clinical implementation of a comprehensive needs assessment and hearing aid outcomes measurement currently being used in a multisite, longitudinal clinical trial.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"110-120"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Guidance on Providing Patient-Centered Care.","authors":"Kris English","doi":"10.1055/s-0042-1748834","DOIUrl":"https://doi.org/10.1055/s-0042-1748834","url":null,"abstract":"<p><p>This article explores the clinical applications of Audiology Practice Standards Organization (APSO) Standards 2 and 13, both of which keep us fully focused on the patient-as-person. The topics within Standard 2 include audiologists' interpersonal communication skills, specifically clarity (ensuring patient comprehension) and empathy (understanding the patient's experiences). Standard 2 also addresses the topic of health literacy, which has been recently expanded to consider not only the degree to which individuals are able to find, understand, and use information and services to inform health-related decisions but also how organizations equitably support those necessary skills. The characteristics and benefits of services provided in patient- and family-centered care contexts are also described. Standard 13 addresses audiologists' support toward overall successful adjustment as defined by the patient, including both technical and personal adjustment to amplification, nontechnical communication issues, and rehabilitation support using readily available technologies. A new assessment protocol that includes goal setting and intervention is described, as well as a patient-centered intervention strategy involving discussion of personally meaningful photographs. Both standards provide a necessary balance to our technology-reliant profession.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"99-109"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9869186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erin M Picou, Richard A Roberts, Gina Angley, Todd A Ricketts
{"title":"Applying the Hearing Aid Fitting Standard to Selection for Adults.","authors":"Erin M Picou, Richard A Roberts, Gina Angley, Todd A Ricketts","doi":"10.1055/s-0042-1748874","DOIUrl":"https://doi.org/10.1055/s-0042-1748874","url":null,"abstract":"<p><p>The recent hearing aid fitting standard for adults outlines the minimum practice for audiologists fitting adult patients with hearing loss. This article focuses on three items of the standard (5, 6, and 7), which focus on the selection of unilateral/bilateral hearing aids, hearing aid style, and coupling, in addition to feature selection. The standard emphasizes that decisions around these three aspects should be recommended for a patient in an individualized manner, based on their needs assessment. For these decisions, the needs assessment might include measures of speech-in-noise ability, social network size, patient preference, and a trial period. Additional elements could include assessments of manual dexterity, binaural interference, and attitude toward hearing aids. However, there are a multitude of ways to practice clinically and still meet the items outlined in the standard. As long as the selection decisions consider individualized patient factors and are capable of meeting validated prescriptive targets, a clinician would be meeting the adult hearing aid fitting minimum standard guidance. In addition, despite the large number of past studies supporting these standards, additional, high-quality research including randomized, controlled, clinical trials are still needed to further support appropriate minimum standard recommendations.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"66-78"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assistive Technology for Adults with Hearing Aids.","authors":"Samuel R Atcherson","doi":"10.1055/s-0042-1748873","DOIUrl":"https://doi.org/10.1055/s-0042-1748873","url":null,"abstract":"<p><p>Although there is a strong trend of satisfaction with hearing aids, recent consumer surveys indicate that there are still challenges with understanding speech in background noise and low penetration of wireless technologies using many modern-day communication and audio devices, such as smartphones, tablets, and computers. For some listening and communication settings, many patients could benefit from assistive technology that exceeds the capabilities of their hearing aids. When patients are not wearing their hearing aids, such as during sleep, concerns about environmental awareness and safety begin to arise. This article describes some current assistive technologies and accessories that facilitate accessibility to other devices and to satisfy the patient's listening and communication needs.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Holistic Approach to Addressing Post-Fitting Needs in the Short and Long Term for New Hearing Aid Users.","authors":"Sara K Mamo, Tomma Henckel","doi":"10.1055/s-0042-1748836","DOIUrl":"https://doi.org/10.1055/s-0042-1748836","url":null,"abstract":"<p><p>Helping your client adjust to being a hearing aid (HA) user and learn to manage their hearing challenges requires a combination of technical skill and psychosocial counseling in the short- and long-term periods. A key aspect of providing support in this time period is to keep the door open for psycho-social-emotional counseling that is often necessary even when the HA user was motivated to make this change, and even when, objectively, they seem to be fit successfully. Another key aspect is not to assume that once they have checked off all the HA fitting boxes, you are done. Over the long term, the user will experience changes in their own hearing abilities and in their life circumstances that will require on-going support to adapt to new communication needs. Approaching the post-fitting period from a person-/family-centered perspective and using a holistic approach to consider how this treatment fits into the HA user's broader life will result in the most success for that person.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"121-134"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Verification and Validation: Just the Standards.","authors":"Lindsey E Jorgensen, Michelle Novak","doi":"10.1055/s-0042-1749208","DOIUrl":"https://doi.org/10.1055/s-0042-1749208","url":null,"abstract":"<p><p>The Audiology Practice Standards Organization (APSO) has published its second audiology standard. This second standard is focused on adult hearing aid fittings. These standards put forward information about verification that should be completed on hearing aids before, during, and after a fitting. Validation following the verification of the hearing aids to ensure patient satisfaction with the devices is also included in the standards. The goal of this article is to provide clinicians with the guidelines related to hearing aid verification and validation while also providing information about how to put these standards into clinical practice.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 2","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hearing Health Policy and Advocacy.","authors":"Jodi H Baxter","doi":"10.1055/s-0042-1743124","DOIUrl":"https://doi.org/10.1055/s-0042-1743124","url":null,"abstract":"","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9632431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}