Binaural hearing abilities of bilaterally fitted hearing aid users assessed using objective and subjective outcome measures

2008 ◽  
Vol 123 (5) ◽  
pp. 3169-3169
Author(s):  
Thomas Behrens ◽  
Tobias Neher
Keyword(s):  
Outcome Measures ◽  
Hearing Aid ◽  
Binaural Hearing ◽  
Subjective Outcome ◽  
Hearing Abilities

scholarly journals Randomised controlled feasibility trial of an active communication education programme plus hearing aid provision versus hearing aid provision alone (ACE To HEAR)

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043364
Author(s):  
Judith Watson ◽  
Elizabeth Coleman ◽  
Cath Jackson ◽  
Kerry Bell ◽  
Christina Maynard ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Intervention Group ◽  
Feasibility Trial ◽  
Control Group ◽  
Communication Education ◽  
Treatment As Usual ◽  
Active Communication ◽  
Randomised Controlled

ObjectiveTo establish the acceptability and feasibility of delivering the Active Communication Education (ACE) programme to increase quality of life through improving communication and hearing aid use in the UK National Health Service.DesignRandomised controlled, open feasibility trial with embedded economic and process evaluations.SettingAudiology departments in two hospitals in two UK cities.ParticipantsTwelve hearing aid users aged 18 years or over who reported moderate or less than moderate benefit from their new hearing aid.InterventionsConsenting participants (along with a significant other) were to be randomised by a remote, centralised randomisation service in groups to ACE plus treatment-as-usual (intervention group) or treatment-as-usual only (control group).Primary outcome measuresThe primary outcomes were related to feasibility: recruitment, retention, treatment adherence and acceptability to participants and fidelity of treatment delivery.Secondary outcome measuresInternational Outcomes Inventory for Hearing Aids, Self-Assessment of Communication, EQ-5D-5L and Short-Form 36. Blinding of the participants and facilitator was not possible.ResultsTwelve hearing aid users and six significant others consented to take part. Eight hearing aid users were randomised: four to the intervention group; and four to treatment-as-usual only. Four significant others participated alongside the randomised participants. Recruitment to the study was very low and centres only screened 466 hearing aid users over the 15-month recruitment period, compared with the approximately 3500 anticipated. Only one ACE group and one control group were formed. ACE could be delivered and appeared acceptable to participants. We were unable to robustly assess attrition and attendance rates due to the low sample size.ConclusionsWhile ACE appeared acceptable to hearing aid users and feasible to deliver, it was not feasible to identify and recruit participants struggling with their hearing aids at the 3-month posthearing aid fitting point.Trial registration numberISRCTN28090877.

Reliability and Stability of Various Hearing-Aid Outcome Measures in a Group of Elderly Hearing-Aid Wearers

1996 ◽  
Vol 39 (5) ◽  
pp. 923-935 ◽  
Author(s):  
Larry E. Humes ◽  
Dan Halling ◽  
Maureen Coughlin
Keyword(s):  
Outcome Measures ◽  
Hearing Aids ◽  
Repeated Measures ◽  
Nonsense Syllable ◽  
Hearing Aid ◽  
Objective Measure ◽  
The Elderly ◽  
Elderly Persons ◽  
Hearing Aid Use ◽  
Hearing Handicap

Twenty elderly persons with hearing impairment were fit with binaural in-the-ear hearing aids and followed for a 6-month period post-fit. Several hearing-aid outcome measures were obtained at 0, 7, 15, 30, 60, 90, and 180 days post-fit. Outcome measures included (a) objective measures of benefit obtained with nonsense-syllable materials in quiet (CUNY Nonsense Syllable Test, NST) and sentences in multitalker babble (Hearing in Noise Test, HINT); (b) two subjective measures of benefit, one derived from pre-fit/post-fit comparisons on a general scale of hearing handicap (Hearing Handicap Inventory for the Elderly, HHIE) and the other based on a subjective scale of post-fit hearing-aid benefit (Hearing Aid Performance Inventory, HAPI); (c) a questionnaire on hearing-aid satisfaction; (d) an objective measure of hearing-aid use; and (e) a subjective measure of hearing-aid use. Reliability and stability of each measure were examined through repeated-measures analyses of variance, a series of test-retest correlations, and, where possible, scatterplots of the scores against their corresponding 95% critical differences. Many of the measures were found to be both reliable and stable indicators of hearing-aid outcome.

Binaural Hearing AID Treatment of Presbycusis Patients Aged 70 to 80 YearsA Follow-up Examination

1974 ◽  
Vol 3 (2) ◽  
pp. 83-86 ◽  
Author(s):  
E. Frederiksen ◽  
B. Blegvad ◽  
C. Røjskjær
Keyword(s):  
Hearing Aid ◽  
Binaural Hearing

Prescription of binaural hearing aids in the United Kingdom: a knowledge, attitude and practice (KAP) study

2002 ◽  
Vol 116 (S28) ◽  
pp. 2-6 ◽  
Author(s):  
Sunil N. Dutt ◽  
Ann-Louise McDermott ◽  
Richard M. Irving ◽  
Ivor Donaldson ◽  
Ahmes L. Pahor ◽  
...  
Keyword(s):  
United Kingdom ◽  
Hearing Aids ◽  
Otitis Media With Effusion ◽  
Hearing Aid ◽  
Binaural Hearing ◽  
Unilateral Deafness ◽  
Attitudes And Practices ◽  
The United Kingdom ◽  
Paediatric Age ◽  
Tinnitus Masking

The purpose of this questionnaire study was to evaluate the existing knowledge of binaural hearing and the attitudes and practices of prescribing bilateral hearing aids amongst otolaryngologists in the United Kingdom. Of the 950 questionnaires sent to the current members of the British Association of Otolaryngologists and Head and Neck Surgeons (BAO-HNS), there were 591 respondents (62 per cent). The true response rate with completed questionnaires was 59 per cent. Eighty-one per cent of the respondents were aware of the importance of binaural hearing and had a positive attitude towards binaural fitting. The practice of bilateral hearing aid prescriptions was found to be poor amongst all grades on the NHS (less than 10 per cent of all hearing aid prescriptions). This practice in the private sector was variable, dependent largely on patient preference and affordability. The practice of binaural prescription was higher for patients in the paediatric age group than amongst adults. Two common indications for hearing aid prescriptions for unilateral deafness were otitis media with effusion in children (23 per cent of respondents) and for tinnitus masking in adults (12 per cent of respondents). Many otolaryngologists believed that there was not enough evidence to support bilateral bone-anchored hearing aid implantation and bilateral cochlear implantation. Ninety-four per cent of the respondents believed that binaural hearing was as important as binocular vision.

Wireless binaural hearing aid technology for telephone use and listening in wind noise

2018 ◽  
Vol 58 (4) ◽  
pp. 193-199 ◽  
Author(s):  
Agnes Au ◽  
Jessica M. Blakeley ◽  
Richard C. Dowell ◽  
Gary Rance
Keyword(s):  
Hearing Aid ◽  
Binaural Hearing ◽  
Wind Noise

Outcomes of Hearing Aid Use by Individuals with Unilateral Sensorineural Hearing Loss (USNHL)

2017 ◽  
Vol 28 (10) ◽  
pp. 941-949 ◽  
Author(s):  
Charles E. Bishop ◽  
Elgenaid Hamadain ◽  
Jason A. Galster ◽  
Mary Frances Johnson ◽  
Christopher Spankovich ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Negative Impact ◽  
Hearing Aid ◽  
Sound Field ◽  
Spatial Separation ◽  
Binaural Hearing ◽  
Sensorineural Hearing ◽  
Convenience Sample ◽  
Hearing Aid Use

Background: Unilateral sensorineural hearing loss (USNHL) can have a negative impact on functions associated with the advantages of balanced, binaural hearing. Although single-sided deafness, which is a complete loss of audibility in one ear, has gained increased interest in the published research, there is a gap in the literature concerning hearing aid outcomes for individuals with residual, or otherwise “aidable,” hearing in the affected ear. Purpose: To assess hearing aid outcomes for a group of individuals with USNHL with residual, aidable function. Research Design: A quasi-experimental study of hearing aid outcomes with paired comparisons made between unaided and aided test conditions. Study Sample: A convenience sample of twenty-two individuals with USNHL, with sufficient residual hearing in the affected ear as to receive audibility from use of a hearing aid, were recruited into the study from September 2011 to August 2012. Intervention: Each participant was fit with a digital behind-the-ear hearing aid coupled to a custom ear mold. Data Collection and Analysis: Assessments were performed at baseline (unaided) and after a three-month field trial (aided) with primary outcomes involving objective measures in sound field yielding signal-to-noise ratio loss (SNR Loss) via the Quick Speech-in-Noise Test and word recognition scores (WRS) via the Northwestern University Auditory Test, No. 6. Outcomes also involved the administration of two well-established subjective benefit questionnaires: The Abbreviated Profile of Hearing Aid Benefit (APHAB) and the 49-item Speech, Spatial, and Qualities of Hearing Scale (SSQ49). Results: As a group, participants showed significantly improved median SNR Loss thresholds when aided in a test condition that included spatial separation of speech and noise, with speech stimuli directed toward the worse ear and noise stimuli directed toward the better ear (diff. = −4.5; p < 0.001). Hearing aid use had a small, though statistically significant, negative impact on median SNR Loss thresholds, when speech and noise stimuli originated from the same 0° azimuth (diff. = 1.0; p = 0.018). This was also evidenced by the median WRS in sound field (diff. = −6.0; p = 0.006), which was lowered from 98% in the unaided state to 92% in the aided state. Results from the SSQ49 showed statistically significant improvement on all subsection means when participants were aided (p < 0.05), whereas results from the APHAB were generally found to be unremarkable between unaided and aided conditions as benefit was essentially equal to the 50th percentile of the normative data. At the close of the study, it was observed that only slightly more than half of all participants chose to continue use of a hearing aid after their participation. Conclusions: We observed that hearing aid use by individuals with USNHL can improve the SNR Loss associated with the interference of background noise, especially in situations when there is spatial separation of the stimuli and speech is directed toward the affected ear. In addition, hearing aid use by these individuals can provide subjective benefit, as evidenced by the APHAB and SSQ49 subjective benefit questionnaires.

DEVELOPMENT OF DIGITAL PSEUDO BINAURAL HEARING AID

2013 ◽  
Vol 41 (3) ◽  
Author(s):  
Er Poi Voon ◽  
Tan Kok Kiong ◽  
Arun S. Narayanan ◽  
Clarence W. de Silva ◽  
Lim Hsueh Yee
Keyword(s):  
Hearing Aid ◽  
Binaural Hearing

scholarly journals A Smart Binaural Hearing Aid Architecture Based on a Mobile Computing Platform

Electronics ◽  
2019 ◽  
Vol 8 (7) ◽  
pp. 811
Author(s):  
Yingdan Li ◽  
Fei Chen ◽  
Zhuoyi Sun ◽  
Zhaoyang Weng ◽  
Xian Tang ◽  
...  
Keyword(s):  
Power Consumption ◽  
Mobile Computing ◽  
User Experience ◽  
Speech Enhancement ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Binaural Hearing ◽  
The Body ◽  
Processing Unit ◽  
Computing Platform

This paper presents a new structure for hearing aids. Normally, the power consumption and user experience are contradictory. The proposed hearing aid structure mainly consists of three parts: the earpieces, the mobile computing platform, and the real-time speech-enhancement application. It can run complex algorithms without carrying out heavy calculations on the processors in the hearing aid. Thus, the binaural algorithm is utilized without being limited by complexity and power consumption to improve the user experience. Moreover, the speech-enhancement algorithm can be updated much more easily than in traditional built-in digital signal process hearing aids. A good level of user experience is achieved by combining the hearing aid and mobile computing platform with a 400-MHz transceiver; furthermore, the 400-MHz transceiver can reduce path loss around the body. The concept verification process showed that the overall usage of the central processing unit in the smartphone is around 16%, the signal-to-noise ratios show at least a 30% improvement in some environments, and the whole system delay is 8.8 ms. The presented objective and subjective results show significant improvements regarding user experience and usability brought about by the proposed structure.

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