Directional hearing given binaural hearing aid coverage

2009 ◽  
Vol 125 (6) ◽  
pp. 4106
Author(s):  
Frank Beck ◽  
Gerhard Sporer
Keyword(s):  
Hearing Aid ◽  
Binaural Hearing ◽  
Directional Hearing

Acceptable Noise Level as a Measure of Directional Hearing Aid Benefit

2005 ◽  
Vol 16 (04) ◽  
pp. 228-236 ◽  
Author(s):  
Melinda C. Freyaldenhoven ◽  
Anna K. Nabelek ◽  
Samuel B. Burchfield ◽  
James W. Thelin
Keyword(s):  
Hearing Aids ◽  
Noise Level ◽  
Hearing Aid ◽  
Binaural Hearing ◽  
Directional Hearing ◽  
Acceptable Noise Level ◽  
The Difference ◽  
User Friendly ◽  
Binaural Hearing Aids ◽  
Directional Benefit

An acceptable noise level (ANL) procedure for measuring hearing aid directional benefit was compared with masked speech reception threshold (SRT) and front-to-back ratio (FBR) procedures. ANL is the difference between the most comfortable listening level and the maximum accepted background noise level while listening to speech. Forty adult subjects wearing their own binaural hearing aids were evaluated in omnidirectional and directional modes. The subjects were fitted with a variety of hearing aids by clinical audiologists, independent of the study. For each procedure, speech and noise were presented through loudspeakers located at 0° and 180° azimuth, respectively. Mean ANL (3.5 dB), SRT (3.7 dB), and FBR (2.9 dB) directional benefits were not significantly different. The ANL and masked SRT benefits were significantly correlated. The ANL appears to be a quick, clinician/user friendly procedure for measuring hearing aid directional benefit.

Hearing Aid Amplification Reduces Communication Effort of People With Hearing Impairment and Their Conversation Partners

2020 ◽  
Vol 63 (4) ◽  
pp. 1299-1311 ◽  
Author(s):  
Timothy Beechey ◽  
Jörg M. Buchholz ◽  
Gitte Keidser
Keyword(s):  
Hearing Impairment ◽  
Hearing Aid ◽  
Normal Hearing ◽  
Referential Communication ◽  
Hearing Impaired ◽  
Directional Hearing ◽  
Acoustic Environment ◽  
Communication Task ◽  
Acoustic Environments ◽  
The Impact

Objectives This study investigates the hypothesis that hearing aid amplification reduces effort within conversation for both hearing aid wearers and their communication partners. Levels of effort, in the form of speech production modifications, required to maintain successful spoken communication in a range of acoustic environments are compared to earlier reported results measured in unaided conversation conditions. Design Fifteen young adult normal-hearing participants and 15 older adult hearing-impaired participants were tested in pairs. Each pair consisted of one young normal-hearing participant and one older hearing-impaired participant. Hearing-impaired participants received directional hearing aid amplification, according to their audiogram, via a master hearing aid with gain provided according to the NAL-NL2 fitting formula. Pairs of participants were required to take part in naturalistic conversations through the use of a referential communication task. Each pair took part in five conversations, each of 5-min duration. During each conversation, participants were exposed to one of five different realistic acoustic environments presented through highly open headphones. The ordering of acoustic environments across experimental blocks was pseudorandomized. Resulting recordings of conversational speech were analyzed to determine the magnitude of speech modifications, in terms of vocal level and spectrum, produced by normal-hearing talkers as a function of both acoustic environment and the degree of high-frequency average hearing impairment of their conversation partner. Results The magnitude of spectral modifications of speech produced by normal-hearing talkers during conversations with aided hearing-impaired interlocutors was smaller than the speech modifications observed during conversations between the same pairs of participants in the absence of hearing aid amplification. Conclusions The provision of hearing aid amplification reduces the effort required to maintain communication in adverse conditions. This reduction in effort provides benefit to hearing-impaired individuals and also to the conversation partners of hearing-impaired individuals. By considering the impact of amplification on both sides of dyadic conversations, this approach contributes to an increased understanding of the likely impact of hearing impairment on everyday communication.

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.

The Effects of Changes in Head Angle on Auditory and Visual Input for Omnidirectional and Directional Microphone Hearing Aids

2003 ◽  
Vol 12 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Paula Henry ◽  
Todd Ricketts
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Hearing Aids ◽  
Visual Cues ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Recognition Performance ◽  
Binaural Hearing ◽  
Increase Signal Intensity ◽  
Visual Mode

Improving the signal-to-noise ratio (SNR) for individuals with hearing loss who are listening to speech in noise provides an obvious benefit. Although binaural hearing provides the greatest advantage over monaural hearing in noise, some individuals with symmetrical hearing loss choose to wear only one hearing aid. The present study tested the hypothesis that individuals with symmetrical hearing loss fit with one hearing aid would demonstrate improved speech recognition in background noise with increases in head turn. Fourteen individuals were fit monaurally with a Starkey Gemini in-the-ear (ITE) hearing aid with directional and omnidirectional microphone modes. Speech recognition performance in noise was tested using the audiovisual version of the Connected Speech Test (CST v.3). The test was administered in auditory-only conditions as well as with the addition of visual cues for each of three head angles: 0°, 20°, and 40°. Results indicated improvement in speech recognition performance with changes in head angle for the auditory-only presentation mode at the 20° and 40° head angles when compared to 0°. Improvement in speech recognition performance for the auditory + visual mode was noted for the 20° head angle when compared to 0°. Additionally, a decrement in speech recognition performance for the auditory + visual mode was noted for the 40° head angle when compared to 0°. These results support a speech recognition advantage for listeners fit with one ITE hearing aid listening in a close listener-to-speaker distance when they turn their head slightly in order to increase signal intensity.

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