Abstract:
:Evidence-based practice (EBP) has been widely embraced in many health-care fields as a way of maintaining currency of knowledge and state-of-the-art treatment recommendations in an age of information abundance and rapid scientific progress. Although the principles of EBP are slowly entering the specialties of communication disorders, they are not well known or extensively employed as yet. In this article, the rationale for EBP is presented and differences between EBP and traditional practice are highlighted. The five-step process of EBP is described: defining the problem, searching for evidence, critically appraising the evidence, formulating a recommendation, and assessing the outcome. Critical appraisal calls for determination of the validity, clinical significance, and applicability of evidence. Each of these topics is explored with emphasis placed on the application of EBP to hearing rehabilitation. Finally some suggestions are offered for researchers and practitioners to facilitate a transition to EBP in amplification provision.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Cox RMdoi
10.3766/jaaa.16.7.3keywords:
subject
Has Abstractpub_date
2005-07-01 00:00:00pages
419-38issue
7eissn
1050-0545issn
2157-3107journal_volume
16pub_type
杂志文章,评审abstract:BACKGROUND:Cochlear implants (CIs) successfully restore hearing in postlingually deaf adults, but in doing so impose a frequency-position function in the cochlea that may differ from the physiological one. PURPOSE:The CI-imposed frequency-position function is determined by the frequency allocation table programmed int...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15063
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Cervical and ocular vestibular-evoked myogenic potentials (VEMPs) have become common clinical vestibular assessments. However, VEMP testing requires high intensity stimuli, raising concerns regarding safety with children, where sound pressure levels may be higher due to their smaller ear canal volumes. PURP...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15097
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:There is broad consensus that screening and diagnosis of permanent hearing loss in children must be embedded within a comprehensive, evidence-based, family-centered intervention program. Clinical practice guidelines (CPGs) for pediatric hearing assessment and hearing aid verification aim to reduce variabilit...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15064
更新日期:2016-03-01 00:00:00
abstract::This paper discusses trends and issues in selecting amplification for new, mainly nonlinear, types of hearing aids. Some-concerns are that nonvalidated prescription formulae may proliferate; that, through concentration on loudness normalization, alternative rationales are not being evaluated; and that most new fitting...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:1996-12-01 00:00:00
abstract::Wideband middle ear power (WMEP) measurement is a method of middle ear analysis that may provide improved diagnostic capability over single-frequency tympanometry. However, normative data, information about test-retest reliability, and results in clinical disorders are needed for clinical application. Normative and re...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.19.4.4
更新日期:2008-04-01 00:00:00
abstract::Tympanometric measures were obtained in 1240 adults (2147 ears) ranging in age from 48 to 90 years. All subjects reported a negative history of otic disease, passed an otoscopic examination, and did not present a significant air-bone gap based on pure-tone audiometry. Relative to findings for younger adults, tympanome...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
abstract::In the last few years, a clinical consensus has emerged regarding the necessary components of an early management program for hearing-impaired children. Early detection of hearing loss, a parent-infant and supervised nursery program, and optimal amplification provisions are among these components. This paper explores ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::The literature suggests that directional microphone hearing aids (DMHAs) are a viable means for improving the signal-to-noise ratio (SNR) for hearing-impaired listeners. The amount of directional advantage they provide, however, remains relatively unclear because of variability observed among individual studies. The p...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,meta分析
doi:
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Wideband reflectance (WBR) provides important information about middle ear function and can explain variations in how the middle ear receives, absorbs, and transmits sound energy across a wide range of frequencies. However, as of yet, few normative studies have been published to guide clinicians in the pract...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.19.5.4
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Children with auditory processing disorders (APD) are described to have a signal-to-noise ratio (SNR) difficulty. Frequency-modulated (FM) systems have been reported to improve this situation. Yet the use of personal amplification that may be more portable has not been attempted. PURPOSE:To determine whethe...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.19.6.3
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Degraded hearing in older adults has been associated with reduced postural control and higher risk of falls. Both hearing loss (HL) and falls have dramatic effects on older persons' quality of life (QoL). A large body of research explored the comorbidity between the two domains. PURPOSE:The aim of the curre...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:10.3766/jaaa.16044
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Prior to undergoing vestibular function testing, it is not uncommon for clinicians to request that patients abstain from caffeine 24 hr prior to the administration of the tests. However, there is little evidence that caffeine affects vestibular function. PURPOSE:To evaluate whether the results from two test...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.3.5
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:The Auditec of St. Louis and the Department of Veterans Affairs (VA) recorded versions of the Northwestern University Auditory Test No. 6 (NU-6) are in common usage. Data on young adults with normal hearing for pure tones (YNH) demonstrate equal recognition performances on the two versions when the VA versio...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.17135
更新日期:2019-05-01 00:00:00
abstract::The median method was evaluated as an alternative way of expressing the mismatch negativity (MMN). Traditionally, signal averaging has been used to extract these event-related potentials from unwanted background noise. However, mean values are biased by unrejected artifact that skews the relatively small distribution ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
abstract::The purpose of this article is to report the audiologic and central auditory processing abilities of a 34-year-old male with a right temporal lobe tumor and a history of bilateral tumors of the temporal lobes. The patient was evaluated presurgical re-exploration and again at 2.5 months and 4 months postoperatively. Te...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract::Hearing aid fitting for individuals with high-frequency impairment has been difficult because of the limited gain available at those frequencies. Special high-frequency emphasis hearing aids have been developed in an attempt to alleviate this problem. The insertion-gain responses and changes in speech-recognition perf...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract::This multisite investigation assessed subjective, behavioral, and objective balance function in 30 blast survivors. Subjects with vertigo, dizziness, or imbalance were screened (n = 6) or evaluated (n = 27) during 1 year. Tests included a questionnaire, electronystagmography (ENG), and computerized dynamic posturograp...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:Many studies have reported the speech recognition benefits of a personal remote microphone system when used by adult listeners with hearing loss. The advance of wireless technology has allowed for many wireless audio transmission protocols. Some of these protocols interface with commercially available hearin...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.15008
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Children clinically diagnosed with auditory processing disorders (APDs) are often described as easily distracted and inattentive, leading some researchers to propose that APDs might be a consequence of underlying attention difficulties or a subtype of attention disorders. PURPOSE:The aim of this study was t...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.7.6
更新日期:2014-07-01 00:00:00
abstract::The effect of feedback reduction (FBR) systems on sound quality recorded from two commercially available hearing aids was evaluated using paired comparison judgments by 16 participants with mild to severe sloping hearing loss. These comparisons were made with the FBR systems on and off without audible feedback and whi...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.18.5.5
更新日期:2007-05-01 00:00:00
abstract:PURPOSE:There will likely be several different tinnitus treatments necessary, and it is important to understand patient preferences and factors that might contribute to treatment acceptability. This study explores the acceptability of a wide range of different tinnitus treatments, from noninvasive wearable devices to s...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.23.2.6
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:A deficit in the processing of auditory information may underlie problems in understanding speech in the presence of background noise, degraded speech, and in following spoken instructions. Children with auditory processing disorders are challenged in the classroom because of ambient noise levels and maybe a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.26.4.4
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Use of personal frequency modulated (FM) systems significantly improves speech recognition in noise for users of cochlear implants (CI). There are, however, a number of adjustable parameters of the cochlear implant and FM receiver that may affect performance and benefit, and there is limited evidence to guid...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.19.8.2
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Multiple auditory steady-state responses (ASSRs) to stimuli modulated at approximately 80 Hz are a promising technique for threshold estimation in infants, but additional data are required. RESEARCH DESIGN:We obtained multiple ASSRs to air-conducted (AC) stimuli. STUDY SAMPLE:There were 54 chil...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.20.3.6
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:In Sweden, there is a lack of evidence-based rehabilitation programs for hearing loss. The Active Communication Education program (ACE) has successfully been used in Australia and was translated and evaluated in a Swedish pilot study. The pilot study included 23 participants (age 87 yr). No statistically sig...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.9.7
更新日期:2014-10-01 00:00:00
abstract::The case reported here, a 26-year-old woman, has a bilaterally symmetric, severe-to-profound, sensorineural hearing loss, acquired early in life. Phoneme recognition scores were essentially symmetric at the onset of the investigation. She was basically monaurally aided from age 4 to age 24, at which time a loss of fun...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract::The primary aim of the present study was to investigate parent satisfaction with a neonatal hearing screening program through use of a valid and reliable questionnaire developed for this purpose (Parent Satisfaction Questionnaire with Neonatal Hearing Screening Program; PSQ-NHSP). Eighty parents whose children had rec...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.17.4.4
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND: Both the Roger remote microphone and on-ear, adaptive beamforming technologies (e.g., Phonak UltraZoom) have been shown to improve speech understanding in noise for cochlear implant (CI) listeners when tested in audio-only (A-only) test environments. PURPOSE: Our aim was to determine if adult and pediatric...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.1055/s-0040-1718893
更新日期:2020-12-09 00:00:00
abstract:BACKGROUND:Pitch pattern sequence (PPS) and duration pattern sequence (DPS) tests are frequently used in the assessment of auditory processing disorder. Current recommendations suggest alternate, interchangeable modes for responding to stimuli. PURPOSE:The objective of the study is to evaluate the influence of respons...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16132
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:In current practice, the status of residual low-frequency acoustic hearing in hearing preservation cochlear implantation (CI) is unknown until activation two to three weeks postoperatively. The intraoperatively measured electrically evoked compound action potential (ECAP), a synchronous response from electri...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18052
更新日期:2019-11-01 00:00:00