Abstract:
PURPOSE:To investigate the test-retest reliability of real-ear aided response (REAR) measures in open and closed hearing aid fittings in children using appropriate probe-microphone calibration techniques (stored equalization for open fittings and concurrent equalization for closed fittings). RESEARCH DESIGN:Probe-microphone measurements were completed for two mini-behind-the-ear (BTE) hearing aids which were coupled to the ear using open and closed eartips via thin (0.9 mm) tubing. Before probe-microphone testing, the gain of each of the test hearing aids was programmed using an artificial ear simulator (IEC 711) and a Knowles Electronic Manikin for Acoustic Research to match the National Acoustic Laboratories-Non-Linear, version 1 targets for one of two separate hearing loss configurations using an Audioscan Verifit. No further adjustments were made, and the same amplifier gain was used within each hearing aid across both eartip configurations and all participants. Probe-microphone testing included real-ear occluded response (REOR) and REAR measures using the Verifit's standard speech signal (the carrot passage) presented at 65 dB sound pressure level (SPL). Two repeated probe-microphone measures were made for each participant with the probe-tube and hearing aid removed and repositioned between each trial in order to assess intrasubject measurement variability. These procedures were repeated using both open and closed domes. STUDY SAMPLE:Thirty-two children, ages ranging from 4 to 14 yr. RESULTS:The test-retest standard deviations for open and closed measures did not exceed 4 dB at any frequency. There was also no significant difference between the open (stored equalization) and closed (concurrent equalization) methods. Reliability was particularly similar in the high frequencies and was also quite similar to that reported in previous research. There was no correlation between reliability and age, suggesting high reliability across all ages evaluated. CONCLUSIONS:The findings from this study suggest that reliable probe-microphone measurements are obtainable on children 4 yr and older for both traditional unvented and open-canal hearing aid fittings. These data suggest that clinicians should not avoid fitting open technology to children as young as 4 y because of concerns regarding the reliability of verification techniques.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Kim H,Ricketts TAdoi
10.3766/jaaa.24.7.11subject
Has Abstractpub_date
2013-07-01 00:00:00pages
635-42issue
7eissn
1050-0545issn
2157-3107journal_volume
24pub_type
杂志文章abstract::As audiology strives for cost containment, standardization, accuracy of tests, and accountability, greater use of automated tests is likely. Highly skilled audiologists employ quality control factors that contribute to test accuracy, but they are not formally included in test protocols, resulting in a wide range of ac...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18.1.7
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Untreated sensorineural hearing loss (SNHL) is associated with chronic health-care conditions, isolation, loneliness, and reduced quality of life. Although hearing aids can minimize the negative effects of SNHL, only about one in five persons with SNHL seeks help for communication problems. Many persons wait...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,meta分析
doi:10.3766/jaaa.14076
更新日期:2016-04-01 00:00:00
abstract::Although multimemory hearing aids have theoretical advantages over conventional "single memory" hearing aids, research and clinical data are not available to support their efficacy. The present study reports on the usefulness of a commercially available multimemory hearing aid in daily listening situations. Nineteen e...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:BACKGROUND:The compound action potential (CAP) has been suggested in the literature as an alternative to otoacoustic emissions for evaluating the efferent auditory system. However, very few studies have examined efferent influence on auditory nerve potentials in humans. PURPOSE:This study examines the effects of prese...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15002
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Health behavior theories can provide an understanding of hearing health behaviors and, more importantly, can be used to develop theoretically based strategies to change these health behaviors. PURPOSE:To develop a theory-based brief intervention to increase help-seeking for adult hearing loss and to conduct...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16129
更新日期:2017-11-01 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:Evaluation of hearing-device signal-processing features is performed for research and development purposes, but also in clinical settings. Most people agree that the benefit experienced in a hearing-device user's daily life is most important, but laboratory tests are popular since they can be performed unifo...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15105
更新日期:2016-07-01 00:00:00
abstract::Hearing loss is the most common of all disabilities in China, with three million of the 1.4 billion population affected. Recently, the release of an official neonatal hearing screening consensus has drawn attention to the importance of continued surveillance throughout childhood and the need for a system that is suite...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16.9.6
更新日期:2005-10-01 00:00:00
abstract::A digital, wireless telephone system, the Global System for Mobile Communications (GSM), was introduced in Australia in 1993. Studies were conducted at the National Acoustic Laboratories to determine how the use of GSM mobile telephones (i.e., wireless telephones) causes interference in hearing aids and how hearing ai...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract::Loudness discomfort levels (LDLs) were measured in dB HL and SPL at discrete frequencies between 500 to 4000 Hz on 31 hearing-impaired ears using TDH-50P and ER-3A earphones. The results revealed no significant differences in the measured sound pressure level (SPL) between the two earphones at all test frequencies. Ho...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND:Both wide dynamic range compression (WDRC) and ChannelFree (CF) processing strategies in hearing aids were designed to improve listener comfort and consonant identification, yet few studies have actually compared them. PURPOSE:To determine whether CF processing provides equal or better consonant identificat...
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.14057
更新日期:2015-07-01 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::Twelve children, ranging in age from 8.9 to 12.4 years, with histories of severe otitis media with effusion (OME) before age 3, were compared to age-matched cohorts in their ability to discriminate the frequency of tone pulses of 20-, 50-, and 200-msec duration. An adaptive procedure was used in combination with a two...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::A cognitive test battery sensitive to processes important for speech understanding was developed and investigated. Test stimuli are presented as text or in an auditory or audiovisual modality. The tests investigate phonologic processing and verbal information processing. Four subject groups, young/elderly with normal-...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND/PURPOSE:The acceptable noise level (ANL) test is the only test that is known to predict success with hearing aids with a high degree of accuracy. A person's ANL is the maximal amount of background noise that he or she is "willing to put up with" while listening to running speech. It is defined as the speech ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.6.10
更新日期:2014-06-01 00:00:00
abstract::The aim of this research was to study the effects of several stimulus parameters on adaptation characteristics of the auditory brainstem response (ABR). Recordings were obtained from normal hearing adults to separate trains of 5 rarefaction and 5 condensation clicks with interclick intervals of 10 msec and intertrain ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-07-01 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::Probe-microphone measurements are typically made with behind-the-ear (BTE) and in-the-ear (ITE) hearing aids with the loudspeaker located at 0-degrees or 45-degrees azimuth at head level and the reference microphone positioned on the head near the hearing aid microphone. With body-worn instruments, these conditions ma...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-03-01 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::Often ABR threshold testing employs clicks to assess high-frequency hearing, and low-frequency tone bursts to assess low-frequency sensitivity. While a maturation effect has been shown for click stimuli, similar data are lacking for low-frequency toneburst stimuli. Thus, 305 infants ranging in conceptional age (CA) fr...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16.2.6
更新日期:2005-02-01 00:00:00
abstract::A 52-year-old male was evaluated by the authors after initially reporting fullness in his left ear while traveling on an airplane. A unique feature of the patient's complaint was the development of severe bilateral hyperacusis (loudness discomfort levels of between 20-34 dB HL) in spite of the fact that the hearing lo...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND: Ecological momentary assessment (EMA) is a methodology involving repeated surveys to collect in-situ self-reports that describe respondents' current or recent experiences. Audiology literature comparing in-situ and retrospective self-reports is scarce. PURPOSE: To compare the sensitivity of in-situ and ret...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.1055/s-0040-1719133
更新日期:2020-12-15 00:00:00
abstract::The auditory brainstem response (ABR) recorded while wearing a hearing aid may supply supplemental information about the benefit and appropriateness of the hearing aid for certain infants. The purposes of this study were (1) to determine the effects of different output limiting circuits on the acoustics of tone-pip st...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract::Measures of the sound pressure level (SPL) near the eardrum were determined at discrete frequencies between 500 and 4000 Hz on 50 ears using TDH-39P and ER-3A earphones with the attenuator of an audiometer fixed at 90 dB HL. Results revealed significant differences in the measured SPL between the two earphones at all ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-11-01 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:BACKGROUND:Passive electrophysiological protocols, such as the middle latency response and speech auditory brainstem response, are often advocated in the objective assessment of central auditory processing disorder (CAPD). However, few established electrophysiological protocols exist for CAPD assessment that have patie...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.17047
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Cochlear implant (CI) recipients experience difficulty understanding speech in noise. Remote-microphone technology that improves the signal-to-noise ratio is recognized as an effective means to improve speech recognition in noise; however, there are no published studies evaluating the potential benefits of a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15005
更新日期:2015-06-01 00:00:00
abstract::Compact disc versions of the frequency (pitch) and duration pattern tests are reported. Results are similar to previous reports on these tests using taped materials. Mean performance of normal-hearing young adults for both pattern perception tests was approximately 90 percent. There was no effect of the two presentati...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::We examined the ability of 40 young children (aged five to eight) to understand speech (monosyllables, spondees, trochees, and trisyllables) when listening in a background of real-life classroom noise. All children had some difficulty understanding speech when the noise was at levels found in many classrooms (i.e., 65...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15.7.5
更新日期:2004-07-01 00:00:00
abstract::The present investigation was conducted to help determine whether source activity of the direct recorded N1 response differed from that of the gamma band response (GBR). Auditory evoked cortical potential data from two patients with intractable epilepsy undergoing prolonged video EEG monitoring after implantation of s...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00