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Jorbonyan A, Abolfathi Momtaz Y, Foroughan M, Mehrkian S. Determinants of Continuance Intention to Use Hearing Aids among Older Adults in Tehran (Iran). Healthcare (Basel) 2024; 12:487. [PMID: 38391862 PMCID: PMC10888125 DOI: 10.3390/healthcare12040487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 12/02/2023] [Accepted: 02/08/2024] [Indexed: 02/24/2024] Open
Abstract
The present study seeks to evaluate the factors determining the continuance intention to use hearing aids in older adults. This cross-sectional study was carried out in 2021. The technology post-acceptance model (PAM) framework was used to develop a model for the continuance intention to use hearing aids. In total, 300 hearing aid users aged ≥60 years, who were selected via a randomized stratified sampling method, completed the self-evaluation tools used in this study. With a mean age of 71.38 years (SD = 8), the participants comprised 50.7% and 49.3% females and males, respectively. The path analysis results showed that the continuance intention to use hearing aids was positively and significantly influenced by the actual use of hearing aids, the perceived benefits, satisfaction, confirmation, self-efficacy in using hearing aids, an extraverted personality trait, self-perceived hearing handicap, and perceived social support. The main results of the present study can help hearing care providers develop a better understanding of older users to design effective rehabilitation strategies and ensure their continuance intention to use hearing aids.
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Affiliation(s)
- Abdolhakim Jorbonyan
- Department of Geriatric Health, School of Health, Mazandaran University of Medical Sciences, Sari 48157-33971, Iran
| | - Yadollah Abolfathi Momtaz
- Iranian Research Center on Aging, The University of Social Welfare and Rehabilitation Sciences, Tehran 19857-13871, Iran
- Malaysian Research Institute on Ageing, University Putra Malaysia, Serdang 43400, Selangor, Malaysia
| | - Mahshid Foroughan
- Iranian Research Center on Aging, The University of Social Welfare and Rehabilitation Sciences, Tehran 19857-13871, Iran
| | - Saeideh Mehrkian
- Department of Audiology, The University of Social Welfare and Rehabilitation Sciences, Tehran 19857-13871, Iran
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Laakso M, Lipsanen J, Pajo K, Salmenlinna I, Aaltonen T, Ruusuvuori J, Aarnisalo A. Working-age first-time hearing aid users' self-reported outcomes. Int J Audiol 2023; 62:877-885. [PMID: 35994622 DOI: 10.1080/14992027.2022.2106454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 07/15/2022] [Accepted: 07/20/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To study patient-reported hearing aid (HA) rehabilitation outcomes, social-communicative functioning, and expectations/experiences during eight months of HA use. DESIGN Three self-reporting instruments, the International Outcome Inventory for Hearing Aids (IOI-HA), the Quantified Denver Scale of Communicative Function (QDS), and questionnaires tapping pre-rehabilitation expectations (HA-EXP-Q1) and post-rehabilitation experiences (HA-EXP-Q2) were administered. STUDY SAMPLE 144 patients ages 23-66 with gradually acquired, adult-onset, mild-to-moderate sensorineural hearing loss affecting both ears who acquired their first HAs. RESULTS According to self-reports, HA rehabilitation outcomes were good, and everyday social-communicative functioning improved after one month and after eight months of HA use. When the effects from demographic and audiological variables were analysed, younger age and positive expectations of HAs were associated with better outcomes and social-communicative functioning. The form or hearing loss severity, and the type or number of HAs did not affect outcomes. CONCLUSION Working-age HA users reported better HA outcomes than older adults in previous studies. Coping in work life may be a strong motivator for active HA use. Considering that younger age and positive expectations resulted in better outcomes, early rehabilitation that supports positive and realistic expectations of HA performance is essential.
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Affiliation(s)
- Minna Laakso
- Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Jari Lipsanen
- Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Kati Pajo
- Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
- Department of Audiology, Helsinki University Central Hospital, Helsinki, Finland
| | - Inkeri Salmenlinna
- Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Tarja Aaltonen
- Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Johanna Ruusuvuori
- Faculty of Social Sciences, Unit of Social Research, Tampere University, Tampere, Finland
| | - Antti Aarnisalo
- Department of Audiology, Helsinki University Central Hospital, Helsinki, Finland
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Houmøller SS, Wolff A, Tsai LT, Narayanan SK, Hougaard DD, Gaihede ML, Neher T, Godballe C, Schmidt JH. Impact of hearing aid technology level at first-fit on self-reported outcomes in patients with presbycusis: a randomized controlled trial. FRONTIERS IN AGING 2023; 4:1158272. [PMID: 37342862 PMCID: PMC10277865 DOI: 10.3389/fragi.2023.1158272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 05/22/2023] [Indexed: 06/23/2023]
Abstract
To provide clinical guidance in hearing aid prescription for older adults with presbycusis, we investigated differences in self-reported hearing abilities and hearing aid effectiveness for premium or basic hearing aid users. Secondly, as an explorative analysis, we investigated if differences in gain prescription verified with real-ear measurements explain differences in self-reported outcomes. The study was designed as a randomized controlled trial in which the patients were blinded towards the purpose of the study. In total, 190 first-time hearing aid users (>60 years of age) with symmetric bilateral presbycusis were fitted with either a premium or basic hearing aid. The randomization was stratified on age, sex, and word recognition score. Two outcome questionnaires were distributed: the International Outcome Inventory for Hearing Aids (IOI-HA) and the short form of the Speech, Spatial, and Qualities of Hearing Scale (SSQ-12). In addition, insertion gains were calculated from real-ear measurements at first-fit for all fitted hearing aids. Premium hearing aid users reported 0.7 (95%CI: 0.2; 1.1) scale points higher total SSQ-12 score per item and 0.8 (95%CI: 0.2; 1.4) scale points higher speech score per item, as well as 0.6 (95%CI: 0.2; 1.1) scale points higher qualities score compared to basic-feature hearing aid users. No significant differences in reported hearing aid effectiveness were found using the IOI-HA. Differences in the prescribed gain at 1 and 2 kHz were observed between premium and basic hearing aids within each company. Premium-feature devices yielded slightly better self-reported hearing abilities than basic-feature devices, but a statistically significant difference was only found in three out of seven outcome variables, and the effect was small. The generalizability of the study is limited to community-dwelling older adults with presbycusis. Thus, further research is needed for understanding the potential effects of hearing aid technology for other populations. Hearing care providers should continue to insist on research to support the choice of more costly premium technologies when prescribing hearing aids for older adults with presbycusis. Clinical Trial Registration: https://register.clinicaltrials.gov/, identifier NCT04539847.
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Affiliation(s)
- Sabina Storbjerg Houmøller
- Research Unit for ORL—Head and Neck Surgery and Audiology, Odense University Hospital, University of Southern Denmark, Odense, Denmark
- OPEN, Odense Patient data Explorative Network, Odense University Hospital, Odense, Denmark
| | - Anne Wolff
- Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark
| | - Li-Tang Tsai
- Research Unit for ORL—Head and Neck Surgery and Audiology, Odense University Hospital, University of Southern Denmark, Odense, Denmark
| | | | - Dan Dupont Hougaard
- Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark
- Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
| | - Michael Lyhne Gaihede
- Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark
- Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
| | - Tobias Neher
- Research Unit for ORL—Head and Neck Surgery and Audiology, Odense University Hospital, University of Southern Denmark, Odense, Denmark
| | - Christian Godballe
- Research Unit for ORL—Head and Neck Surgery and Audiology, Odense University Hospital, University of Southern Denmark, Odense, Denmark
- OPEN, Odense Patient data Explorative Network, Odense University Hospital, Odense, Denmark
| | - Jesper Hvass Schmidt
- Research Unit for ORL—Head and Neck Surgery and Audiology, Odense University Hospital, University of Southern Denmark, Odense, Denmark
- OPEN, Odense Patient data Explorative Network, Odense University Hospital, Odense, Denmark
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Bannon L, Picou EM, Bailey A, Manchaiah V. Consumer Survey on Hearing Aid Benefit and Satisfaction. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:1410-1427. [PMID: 36944181 DOI: 10.1044/2022_jslhr-22-00066] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
PURPOSE There is unexplained variability in self-reported hearing aid outcomes. The aim of this study was to evaluate determinants of hearing aid benefit and satisfaction ratings using a large-scale customer survey and to analyze the relation between demographic variables, hearing aid attributes, benefit, and satisfaction. METHOD The study used a retrospective design wherein 2,109 hearing aid users, recruited by Hearing Tracker and Hearing Loss Association of America, completed an online survey. The survey included questions about demographics, perceived hearing loss, devices, service delivery, cost, benefit, and satisfaction. The analytic approach included descriptive summaries and regression models to evaluate potential determinants of hearing aid benefit and satisfaction ratings. RESULTS Hearing aid sound quality, fit and comfort, and battery life were related to both benefit and satisfaction. Respondents who rated these outcomes favorably were also likely to benefit from, and be satisfied with, their hearing aids. Benefit was also related to degree of hearing loss, hearing aid experience, and cost. Hearing aid users with greater self-perceived hearing loss, more hearing aid experience, and more expensive hearing aids reported more benefit. Satisfaction was also related to age, employment status, and brand. Younger respondents, those who were students, and those using certain brands reported more satisfaction. CONCLUSIONS The results highlight importance of good hearing aid outcomes (quality, fit/comfort, and battery life) for benefit and satisfaction ratings. Professionals who fit hearing aids should strive to focus on achieving these outcomes and researchers should strive to explain the remaining variability in ratings of benefit and satisfaction. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.22280854.
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Affiliation(s)
- Larissa Bannon
- Department of Hearing and Speech Sciences, Vanderbilt Bill Wilkerson Center, Vanderbilt University, Nashville, TN
| | - Erin M Picou
- Department of Hearing and Speech Sciences, Vanderbilt Bill Wilkerson Center, Vanderbilt University, Nashville, TN
- Department of Hearing and Speech Sciences, Vanderbilt Bill Wilkerson Center, Vanderbilt University Medical Center, Nashville, TN
| | | | - Vinaya Manchaiah
- Department of Otolaryngology - Head & Neck Surgery, School of Medicine, University of Colorado, Aurora
- UCHealth Hearing and Balance Clinic, University of Colorado Hospital, Aurora
- Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine and University of Pretoria, Aurora
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
- Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, India
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Zobay O, Naylor G, Saunders GH, Dillard LK. Fitting a Hearing Aid on the Better Ear, Worse Ear, or Both: Associations of Hearing-aid Fitting Laterality with Outcomes in a Large Sample of US Veterans. Trends Hear 2023; 27:23312165231195987. [PMID: 37615317 PMCID: PMC10467180 DOI: 10.1177/23312165231195987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 06/28/2023] [Accepted: 08/03/2023] [Indexed: 08/25/2023] Open
Abstract
Longitudinal electronic health records from a large sample of new hearing-aid (HA) recipients in the US Veterans Affairs healthcare system were used to evaluate associations of fitting laterality with long-term HA use persistence as measured by battery order records, as well as with short-term HA use and satisfaction as assessed using the International Outcome Inventory for Hearing Aids (IOI-HA), completed within 180 days of HA fitting. The large size of our dataset allowed us to address two aspects of fitting laterality that have not received much attention, namely the degree of hearing asymmetry and the question of which ear to fit if fitting unilaterally. The key findings were that long-term HA use persistence was considerably lower for unilateral fittings for symmetric hearing loss (HL) and for unilateral worse-ear fittings for asymmetric HL, as compared to bilateral and unilateral better-ear fittings. In contrast, no differences across laterality categories were observed for short-term self-reported HA usage. Total IOI-HA score was poorer for unilateral fittings of symmetric HL and for unilateral better-ear fittings compared to bilateral for asymmetric HL. We thus conclude that bilateral fittings yield the best short- and long-term outcomes, and while unilateral and bilateral fittings can result in similar outcomes on some measures, we did not identify any HL configuration for which a bilateral fitting would lead to poorer outcomes. However, if a single HA is to be fitted, then our results indicate that a better-ear fitting has a higher probability of long-term HA use persistence than a worse-ear fitting.
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Affiliation(s)
- Oliver Zobay
- Hearing Sciences, Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK
- VA Rehabilitation R&D, National Center for Rehabilitative Auditory Research, Portland, OR, USA
| | - Graham Naylor
- Hearing Sciences, Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK
- NIHR Nottingham Biomedical Research Centre, Nottingham, UK
| | - Gabrielle H. Saunders
- VA Rehabilitation R&D, National Center for Rehabilitative Auditory Research, Portland, OR, USA
- Manchester Centre for Audiology and Deafness, School of Health Sciences, The University of Manchester, Manchester, UK
| | - Lauren K. Dillard
- VA Rehabilitation R&D, National Center for Rehabilitative Auditory Research, Portland, OR, USA
- Department of Otolaryngology–Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA
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Benefit on daily listening with technological advancements: comparison of basic and premium category hearing aids. Eur Arch Otorhinolaryngol 2022; 279:3179-3187. [PMID: 35038028 PMCID: PMC8762635 DOI: 10.1007/s00405-021-07240-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Accepted: 12/23/2021] [Indexed: 12/01/2022]
Abstract
Purpose The aim of the study was to compare the user-rated benefit of two categories of hearing aids, mainly the basic and premium categories of hearing aids. Methods A questionnaire was administered on 102 hearing aids users (47 basic and 55 premium category users) with severity of hearing loss ranging from mild to moderately severe sensorineural hearing loss. The questionnaire administered was divided into mainly seven subscales which included speech intelligibility in quiet and in noise, ease of communication, the efficiency of noise reduction, localization, quality of music perception and cost effectiveness. The effect of duration of daily usage of hearing aids on performance among these different subscales was also assessed. Results Ease of communication was rated better by premium hearing aid users, whereas the cost effectiveness was rated to be better by basic users. There was no significant difference observed between performances of basic versus premium category of hearing aids in other listening domains assessed. There was no significant difference in any of the listening domains with daily usage duration for both categories of hearing aid users. Conclusion The users of premium category devices revealed better ease of communication in daily environments, whereas performance of these devices on other listening domains remains questionable. Cost effectiveness was reported to be better by the users of basic hearing aids. A prospective and controlled paired series comparison of hearing aid performance needs to be performed to confirm these findings. Supplementary Information The online version contains supplementary material available at 10.1007/s00405-021-07240-3.
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Weycker JM, Dillard LK, Pinto A, Fischer ME, Cruickshanks KJ, Tweed TS. Factors Affecting Hearing Aid Adoption by Adults With High-Frequency Hearing Loss: The Beaver Dam Offspring Study. Am J Audiol 2021; 30:1067-1075. [PMID: 34731581 DOI: 10.1044/2021_aja-21-00050] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE Hearing loss (HL) is common among middle-age and older adults, but hearing aid adoption is low. The purpose of this study was to measure the 10-year incidence of hearing aid adoption in a sample of primarily middle-age adults with high-frequency HL and identify factors associated with hearing aid adoption. METHOD This study included 579 adults (ages 34-80 years) with high-frequency pure-tone average > 25 dB HL (3-8 kHz) enrolled in the Beaver Dam Offspring Study. Hearing aid adoption was measured at 5- and 10-year follow-up examinations. Cox discrete-time proportional hazards models were used to evaluate factors associated with hearing aid adoption (presented as hazards ratios [HRs] and 95% confidence intervals [95% CI]). RESULTS The 10-year cumulative incidence of hearing aid adoption was 14 per 1,000 person years. Factors significantly associated with adoption in a multivariable model were higher education (vs. 16+ years; 0-12: HR: 0.36, 95% CI [0.19, 0.69]; 13-15: HR: 0.52, 95% CI [0.27, 0.98]), worse high-frequency pure-tone average (per +1 dB; HR: 1.04, 95% CI [1.02, 1.06]), self-reported hearing handicap (screening versions of the Hearing Handicap Inventory score > 8; HR: 1.85, 95% CI [1.02, 3.38]), answering yes to "Do friends and relatives think you have a hearing problem?" (HR: 3.18, 95% CI [1.60, 6.33]) and using closed captions (HR: 2.86, 95% CI [1.08, 7.57]). Effects of age and sex were not significant. CONCLUSIONS Hearing aid adoption rates were low. Hearing sensitivity, socioeconomic status, and measures of the impact of HL on daily life were associated with adoption. Provider awareness of associated factors can contribute to timely and appropriate intervention.
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Affiliation(s)
- Jacqueline M. Weycker
- Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin–Madison
- Department of Communication Sciences and Disorders, University of Wisconsin–Madison
| | - Lauren K. Dillard
- Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin–Madison
- Department of Communication Sciences and Disorders, University of Wisconsin–Madison
| | - Alex Pinto
- Department of Ophthalmology and Visual Sciences, School of Medicine and Public Health, University of Wisconsin–Madison
| | - Mary E. Fischer
- Department of Ophthalmology and Visual Sciences, School of Medicine and Public Health, University of Wisconsin–Madison
| | - Karen J. Cruickshanks
- Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin–Madison
- Department of Ophthalmology and Visual Sciences, School of Medicine and Public Health, University of Wisconsin–Madison
| | - Ted S. Tweed
- Department of Communication Sciences and Disorders, University of Wisconsin–Madison
- Department of Ophthalmology and Visual Sciences, School of Medicine and Public Health, University of Wisconsin–Madison
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Wang X, Zheng Y, Liu Y, Lu J, Cui Z, Li Z. Effects of demographic, audiologic, and hearing-aid-related variables on the outcomes of using hearing aids. Eur Arch Otorhinolaryngol 2021; 279:3857-3865. [PMID: 34725721 DOI: 10.1007/s00405-021-07126-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 10/04/2021] [Indexed: 02/05/2023]
Abstract
PURPOSE To examine the influence of demographic, audiologic, and hearing-aid (HA)-related variables on HA outcomes. METHODS In total, 235 adults with hearing loss (HL) who used HAs for at least 3 months were included in the study, and completed audiologic tests and the Chinese version of the International Outcome Inventory for Hearing Aids (IOI-HA). Spearman correlation analysis and Wilcoxon test were conducted to identify factors related to IOI-HA overall and subscales scores. Stepwise multiple linear regression analysis was subsequently performed to determine the influence of factors on HA outcomes. RESULTS Age, daily use time, HA price, pure tone average (PTA) threshold, word recognition score (WRS), fitting (bilateral or unilateral), and HA style were associated with IOI-HA overall and subscales scores. However, only WRS, daily HA use time, HA price, and age entered the final regression model and were factors determining HA outcomes. CONCLUSIONS HA outcome is a multi-dimensional construct. In this study, WRS had the greatest influence on HA outcomes and seemed to be a primary predictor. Thus, HA owners with a higher WRS before HA fitting may indicate better satisfaction. Daily use time, HA price, and patient age also made significant contributions to HA outcomes and should be considered in clinical practice to facilitate auditory rehabilitation.
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Affiliation(s)
- Xunyi Wang
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China
| | - Yun Zheng
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China.
| | - Yiran Liu
- Statistics with Data Science, School of Mathematics, The University of Edinburgh, Edinburgh, UK
| | - Jingzhe Lu
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China
| | - Zhiyuan Cui
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China
| | - Zhen Li
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China
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Ricketts TA, Picou EM, Shehorn J, Dittberner AB. Degree of Hearing Loss Affects Bilateral Hearing Aid Benefits in Ecologically Relevant Laboratory Conditions. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2019; 62:3834-3850. [PMID: 31596645 PMCID: PMC7201333 DOI: 10.1044/2019_jslhr-h-19-0013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 05/13/2019] [Accepted: 07/02/2019] [Indexed: 06/10/2023]
Abstract
Purpose Previous evidence supports benefits of bilateral hearing aids, relative to unilateral hearing aid use, in laboratory environments using audio-only (AO) stimuli and relatively simple tasks. The purpose of this study was to evaluate bilateral hearing aid benefits in ecologically relevant laboratory settings, with and without visual cues. In addition, we evaluated the relationship between bilateral benefit and clinically viable predictive variables. Method Participants included 32 adult listeners with hearing loss ranging from mild-moderate to severe-profound. Test conditions varied by hearing aid fitting type (unilateral, bilateral) and modality (AO, audiovisual). We tested participants in complex environments that evaluated the following domains: sentence recognition, word recognition, behavioral listening effort, gross localization, and subjective ratings of spatialization. Signal-to-noise ratio was adjusted to provide similar unilateral speech recognition performance in both modalities and across procedures. Results Significant and similar bilateral benefits were measured for both modalities on all tasks except listening effort, where bilateral benefits were not identified in either modality. Predictive variables were related to bilateral benefits in some conditions. With audiovisual stimuli, increasing hearing loss, unaided speech recognition in noise, and unaided subjective spatial ability were significantly correlated with increased benefits for many outcomes. With AO stimuli, these same predictive variables were not significantly correlated with outcomes. No predictive variables were correlated with bilateral benefits for sentence recognition in either modality. Conclusions Hearing aid users can expect significant bilateral hearing aid advantages for ecologically relevant, complex laboratory tests. Although future confirmatory work is necessary, these data indicate the presence of vision strengthens the relationship between bilateral benefits and degree of hearing loss.
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Affiliation(s)
- Todd A. Ricketts
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - Erin M. Picou
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
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Carrasco-Alarcón P, Morales C, Bahamóndez MC, Cárcamo DA, Schacht ÁC. Elderly who refuse to use hearing aids: an analysis of the causes. Codas 2018; 30:e20170198. [PMID: 30304099 DOI: 10.1590/2317-1782/20182017198] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Accepted: 03/11/2018] [Indexed: 11/21/2022] Open
Abstract
PURPOSE The present research sought to describe the elements that interfere with the use of hearing aids in the elderly beneficiaries of a hearing aid delivery from Chile in a Family Health Center. METHODS A descriptive, cross-sectional study was conducted with 24 beneficiary users, with application of a closed-question questionnaire prepared by the researchers. RESULTS A 75% adherence to the use of hearing aids is reported. There was a difference of 3.8 h in the use between adherents and non-adherents and in the frequency of use. The main reasons for not using the hearing aids are discomfort due to mold and noise. CONCLUSION It is necessary to provide quality education during the implementation process, as well as to address the technical difficulties related to atrial adjustment and calibration of the hearing aid in order to increase adherence.
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Affiliation(s)
- Pablo Carrasco-Alarcón
- Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
| | - Camilo Morales
- Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
| | - Mónica Chicuy Bahamóndez
- Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
| | - Diego Alarcón Cárcamo
- Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
| | - Ángela Cayul Schacht
- Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
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Further Beneficial Effect of Hearing Aids on Speech Recognition Performance Besides Amplification: Importance of the Restoration of Symmetric Hearing. Otol Neurotol 2018; 39:e618-e626. [PMID: 30113555 DOI: 10.1097/mao.0000000000001928] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To identify the improvement in auditory spectral resolution, temporal resolution, and speech recognition conferred with various hearing-aid (HA) technologies when the amplification effect of the HA is excluded, and to compare the beneficial effects depending on the restoration of symmetric hearing with different amplification settings in various hearing impairment conditions. STUDY DESIGN Prospective study. SETTING Tertiary referral center. SUBJECTS Sixty-two subjects who had used HAs for more than 3 months were divided into four groups: group 1, bilateral HAs (n = 28); group 2, unilateral HA in the better ear (n = 12); group 3, unilateral HA in the worse ear (n = 12); group 4, unilateral HA with symmetric hearing thresholds (n = 10). METHODS Aided performance and unaided performance were compared in each group. Four different psychoacoustic measurements were made: 1) spectral ripple discrimination; 2) temporal modulation detection; 3) speech recognition threshold in white noise; and 4) speech discrimination score (SDS) under quiet conditions. All test signals were presented by a loudspeaker located 1 m in front of the subject in a sound-attenuating booth, at their most comfortable levels, with or without HAs. RESULTS In group 1, the use of HAs significantly improved both SDS under quiet conditions and speech recognition in noise compared with the unaided condition. Group 2 showed better SDS under quiet conditions with HAs, and group 3 showed improved speech recognition in noise with HAs. In contrast, in group 4, no measurements differed with or without HAs. CONCLUSIONS These results demonstrate the benefits of HAs on speech perception in noise, in addition to their amplification effect, but only when HA restores symmetric hearing.
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Eckert MA, Matthews LJ, Dubno JR. Self-Assessed Hearing Handicap in Older Adults With Poorer-Than-Predicted Speech Recognition in Noise. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2017; 60:251-262. [PMID: 28060993 PMCID: PMC5533557 DOI: 10.1044/2016_jslhr-h-16-0011] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Accepted: 07/07/2016] [Indexed: 05/12/2023]
Abstract
PURPOSE Even older adults with relatively mild hearing loss report hearing handicap, suggesting that hearing handicap is not completely explained by reduced speech audibility. METHOD We examined the extent to which self-assessed ratings of hearing handicap using the Hearing Handicap Inventory for the Elderly (HHIE; Ventry & Weinstein, 1982) were significantly associated with measures of speech recognition in noise that controlled for differences in speech audibility. RESULTS One hundred sixty-two middle-aged and older adults had HHIE total scores that were significantly associated with audibility-adjusted measures of speech recognition for low-context but not high-context sentences. These findings were driven by HHIE items involving negative feelings related to communication difficulties that also captured variance in subjective ratings of effort and frustration that predicted speech recognition. The average pure-tone threshold accounted for some of the variance in the association between the HHIE and audibility-adjusted speech recognition, suggesting an effect of central and peripheral auditory system decline related to elevated thresholds. CONCLUSION The accumulation of difficult listening experiences appears to produce a self-assessment of hearing handicap resulting from (a) reduced audibility of stimuli, (b) declines in the central and peripheral auditory system function, and (c) additional individual variation in central nervous system function.
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Öberg M. Validation of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version) and Evaluation of Its Effect in Hearing Aid Rehabilitation. Trends Hear 2016; 20:20/0/2331216516639234. [PMID: 27009755 PMCID: PMC4871210 DOI: 10.1177/2331216516639234] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Self-reports of subjective hearing difficulties by people with hearing loss may be a useful complement to audiometry in hearing aid rehabilitation. To be useful, such self-reports need to be reliable. This study investigated the reliability and the validity of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version; HHIE-S). Sixty-nine participants completed a questionnaire before hearing aid rehabilitation. Of these individuals, 49 completed hearing aid rehabilitation (aged between 23 and 94 years), and 41 of these 49 participants completed the questionnaire after completing the rehabilitation. The Swedish HHIE-S exhibited good internal consistency (Cronbach's alpha coefficient of .77). The questionnaire was effective for evaluating hearing aid rehabilitation, and a statistically significant reduction in hearing difficulties was observed. The clinicians found the questionnaire easy to administer and effective in hearing aid rehabilitation. The findings from the study support the use of the HHIE-S in clinical practice.
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Affiliation(s)
- Maria Öberg
- Division of Neuro and Inflammation Science, Department of Clinical and Experimental Medicine, Linköping University, Department of Otorhinolaryngology in Linköping, Anaesthetics, Operations and Specialty Surgery Center, Region Östergötland Linnaeus Centre HEAD, Department of Behavioral Sciences and Learning, The Swedish Institute for Disability Research, Linköping University, Sweden
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Aazh H. Feasibility of conducting a randomized controlled trial to evaluate the effect of motivational interviewing on hearing-aid use. Int J Audiol 2015; 55:149-56. [DOI: 10.3109/14992027.2015.1074733] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Ng JHY, Loke AY. Determinants of hearing-aid adoption and use among the elderly: A systematic review. Int J Audiol 2015; 54:291-300. [DOI: 10.3109/14992027.2014.966922] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Aazh H, Prasher D, Nanchahal K, Moore BC. Hearing-aid use and its determinants in the UK National Health Service: A cross-sectional study at the Royal Surrey County Hospital. Int J Audiol 2014; 54:152-61. [DOI: 10.3109/14992027.2014.967367] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Abstract
OBJECTIVES The benefit attributable to spatial separation of speech and noise was measured as a function of low-pass cutoff frequency with and without bilateral hearing aids. DESIGN Fourteen younger and 10 older adults with normal hearing and 12 older adults with mild-to-moderate sloping high frequency hearing loss were included to assess the effects of age and hearing loss. Subjects with hearing loss were provided commercially available bilateral hearing aids. Consonant recognition was measured at 70 dB SPL in a background of speech-shaped noise at 66 dB SPL. Speech and noise were low-pass filtered at 1.7, 3.4, and 7.1 kHz. Nonsense syllables were always at 0° and noise was at either 0° or 90°. Speech and noise spectra for all conditions were digitally recorded using a probe microphone placed in each ear canal of each subject. Spectra and levels of speech, and quiet thresholds for narrowband noises, were used to calculate the Articulation Index and provide predictions of unaided and aided (hearing-impaired only) consonant recognition, spatial benefit, and hearing aid benefit for each condition. Subjective ratings of workload (NASA Task Load Index) were obtained for all unaided and aided measures of speech recognition. RESULTS Consonant recognition in noise improved for all groups with speech and noise spatially separated and with the addition of high-frequency speech information. Scores were poorer overall for the older adults with hearing loss than for the other groups. For normal-hearing subjects, observed scores and spatial benefit were better than predicted. For hearing-impaired subjects, scores did not significantly improve with hearing aids, even with higher frequencies and spatial separation, and were poorer than predicted especially for aided listening. Similar to subjects with normal hearing, spatial benefit for hearing-impaired subjects was larger than predicted. CONCLUSIONS Younger and older adults with normal hearing benefited from spatial separation of speech and noise sources to a greater extent than predicted based on simple audibility. Thus, no age-related deficits in the use of interaural difference cues were observed. Although hearing aid benefit was negligible, perceived listening effort was lower aided than unaided, especially with spatial separation. Articulation Index predictions revealed that speech audibility was generally restored with hearing aids across a wide bandwidth of speech, especially in the far ear. Thus, reduced audibility was not a primary factor in limited hearing aid benefit, suggesting that peripheral, central-auditory and/or cognitive changes may have played a role. In contrast, unaided and aided spatial benefit was better than predicted, and spatial benefit was slightly larger with hearing aids than without. Thus, these older adults with hearing loss using bilateral hearing aids were able to take advantage of binaural cues to improve consonant recognition in noise.
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Williger B, Lang FR. Managing age-related hearing loss: how to use hearing aids efficiently - a mini-review. Gerontology 2014; 60:440-7. [PMID: 24751499 DOI: 10.1159/000357709] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2013] [Accepted: 12/03/2013] [Indexed: 11/19/2022] Open
Abstract
Using hearing aids may contribute to better functioning in the everyday lives of hearing-impaired older individuals. We introduce an integrative concept for the efficient use of hearing aids that involves both satisfaction with, and behaviour towards, hearing aids. We review theoretical and empirical work on the predictors of the efficient use of hearing aids in everyday life. Furthermore, we contend that the use of hearing aids requires improved understanding of the variability of hearing demands within specific contexts of everyday life (e.g. conversation with family members, listening to music). The efficiency of hearing aid use thus depends on the fit of situational demands, personal resources, and the specific configuration of the hearing aid device. We propose an integrative person-environment-fit model that advances concepts of selection, optimisation, and compensation to hearing aid efficiency. We discuss the implications of this model for research and for practitioners in the field of gerontology.
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Affiliation(s)
- Bettina Williger
- Institute of Psychogerontology, FAU Erlangen-Nürnberg, Nürnberg, Germany
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Azevedo MM, Vaucher AVDA, Duarte MT, Biaggio EPV, Costa MJ. Interferência binaural no processo de seleção e adaptação de próteses auditivas: revisão sistemática. REVISTA CEFAC 2013. [DOI: 10.1590/s1516-18462013000600031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
O tema deste estudo é a interferência binaural e tem como objetivo descrever, por meio de revisão teórica, o fenômeno caracterizado por interferência binaural. Será realizada revisão sistemática por meio de pesquisa nas bases de dados LILACS, MEDLINE, PUBMED e SCIELO. O fenômeno interferência binaural é uma realidade relatada na literatura, que precisa ser investigado. Pode se confirmar por testes específicos de processamento auditivo, o mais descrito foi o dicótico de dígitos.
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Redfors YD, Hellgren J, Möller C. Hearing-aid use and benefit: a long-term follow-up in patients undergoing surgery for otosclerosis. Int J Audiol 2013; 52:194-9. [PMID: 23336672 DOI: 10.3109/14992027.2012.754957] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES The aims of the study were to assess hearing-aid uptake in patients with otosclerosis 28-30 years after stapedectomy and to evaluate hearing-aid benefit to users. DESIGN A retrospective study was performed; it included a review of medical records and follow-up 28-30 years after surgery, including audiometry, clinical examination, structured interview, and a validated questionnaire, IOI-HA. STUDY SAMPLE Sixty-five patients, who had undergone stapedectomy at a tertiary referral center in 1977-79. RESULTS In 95% of the subjects there was a theoretical need for hearing-aid amplification at follow-up; 46% of the subjects had no hearing aids, while 26% had unilateral and 28% bilateral hearing aids. Hearing sensitivity in the best ear predicted hearing-aid uptake. Of the subjects with a hearing aid, 94% were everyday users and 54% were full-time users (> 8 hours/day). The subjects reported a high level of satisfaction (mean 4.5) and benefit (mean 4.2), but also residual activity limitations (mean 3.1). CONCLUSIONS The study shows that there is an unmet need for long-term hearing rehabilitation among patients previously undergoing surgery for otosclerosis. The patients who were using hearing aids were generally very satisfied with their hearing aids, but they still reported residual activity limitations.
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Affiliation(s)
- Ylva Dahlin Redfors
- Department of Otorhinolaryngology, Sahlgrenska University Hospital, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
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Ibrahim I, Parsa V, Macpherson E, Cheesman M. Evaluation of Speech Intelligibility and Sound Localization Abilities with Hearing Aids Using Binaural Wireless Technology. Audiol Res 2012; 3:e1. [PMID: 26557339 PMCID: PMC4627128 DOI: 10.4081/audiores.2013.e1] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2012] [Revised: 10/15/2012] [Accepted: 11/19/2012] [Indexed: 11/23/2022] Open
Abstract
Wireless synchronization of the digital signal processing (DSP) features between two hearing aids in a bilateral hearing aid fitting is a fairly new technology. This technology is expected to preserve the differences in time and intensity between the two ears by co-ordinating the bilateral DSP features such as multichannel compression, noise reduction, and adaptive directionality. The purpose of this study was to evaluate the benefits of wireless communication as implemented in two commercially available hearing aids. More specifically, this study measured speech intelligibility and sound localization abilities of normal hearing and hearing impaired listeners using bilateral hearing aids with wireless synchronization of multichannel Wide Dynamic Range Compression (WDRC). Twenty subjects participated; 8 had normal hearing and 12 had bilaterally symmetrical sensorineural hearing loss. Each individual completed the Hearing in Noise Test (HINT) and a sound localization test with two types of stimuli. No specific benefit from wireless WDRC synchronization was observed for the HINT; however, hearing impaired listeners had better localization with the wireless synchronization. Binaural wireless technology in hearing aids may improve localization abilities although the possible effect appears to be small at the initial fitting. With adaptation, the hearing aids with synchronized signal processing may lead to an improvement in localization and speech intelligibility. Further research is required to demonstrate the effect of adaptation to the hearing aids with synchronized signal processing on different aspects of auditory performance.
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Affiliation(s)
- Iman Ibrahim
- Faculty of Health Sciences, Western University , London, Canada
| | - Vijay Parsa
- National Centre for Audiology, Western University , London, Canada
| | - Ewan Macpherson
- National Centre for Audiology, Western University , London, Canada
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Most T, Adi-Bensaid L, Shpak T, Sharkiya S, Luntz M. Everyday hearing functioning in unilateral versus bilateral hearing aid users. Am J Otolaryngol 2012; 33:205-11. [PMID: 21794949 DOI: 10.1016/j.amjoto.2011.06.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2010] [Revised: 05/30/2011] [Accepted: 06/07/2011] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of the present study was to assess hearing functioning in everyday listening situations of bilateral and unilateral hearing aid (HA) users. METHOD 80 Arabic-speaking HA users: 46 bilateral and 34 unilateral HA users with various degrees of HL. Participants completed the Speech, Spatial, and Qualities (SSQ) self-report questionnaire. RESULTS In general, bilateral users performed better than unilateral users on the speech and spatial scales. For participants with symmetrical unaided HL, the bilateral group significantly surpassed the unilateral group on all three scales. For participants with asymmetrical unaided HL, no significant intergroup differences emerged. Regarding degree of HL, the moderate HL group outperformed the severe, and profound HL groups. No differences emerged between the severe and profound groups. Finally, more severe HL correlated with poorer SSQ performance. Similarly, better speech discrimination scores correlated with better SSQ performance. CONCLUSION Results support the need for subjective questionnaires when assessing HA benefits.
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Affiliation(s)
- Tova Most
- School of Education, Tel-Aviv University, Israel.
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Meister H, Grugel L, Meis M, Kiessling J. Use of self-assessment inventories in hearing-aid provision: German versions of ECHO and SADL. Int J Audiol 2012; 51:135-42. [DOI: 10.3109/14992027.2011.605804] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Bertoli S, Probst R, Bodmer D. Late auditory evoked potentials in elderly long-term hearing-aid users with unilateral or bilateral fittings. Hear Res 2011; 280:58-69. [PMID: 21569828 DOI: 10.1016/j.heares.2011.04.013] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2010] [Revised: 03/29/2011] [Accepted: 04/14/2011] [Indexed: 11/25/2022]
Abstract
This study investigated the effects of long-term unilateral and bilateral amplification on central auditory processing in elderly people with symmetrical hearing loss using late auditory evoked potentials. It was hypothesized that in the unilateral setting stimulation of the aided ear would yield an acclimatization effect with larger amplitudes and shorter latencies of the components P1, N1 and P2 compared to those of the unaided ear. Auditory evoked potentials were elicited by 500, 1000 and 2000 Hz pure tones at 55, 70 and 85 dB SPL presentation level delivered either to the left or right ear. Unilaterally and bilaterally fitted experienced hearing-aid users and a control group of normally hearing adults, all aged at least 60 years, participated. The responses of the unilateral hearing-aid users did not differ significantly for any of the components P1, N1 or P2 between the aided and unaided ears, but a significant interaction between ear and frequency was present for P2 amplitudes. P2 amplitudes were significantly smaller for the 0.5- and 1-kHz stimuli and tended to be larger for the 2-kHz stimulus in the aided ear suggesting an acclimatization effect. Larger P2 amplitudes were observed in the unilaterally fitted group, which was interpreted as a correlate of more effortful auditory processing in unilaterally fitted people.
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Affiliation(s)
- Sibylle Bertoli
- Department of Otorhinolaryngology, University Hospital Basel, Petersgraben 4, CH-4031 Basel, Switzerland.
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