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 10 yr or more from the time they first notice a problem before pursuing amplification. Further, little information about the benefits of amplification is available for persons with mild SNHL (MSNHL), who likely defer treatment even longer. PURPOSE:To conduct a systematic review to weigh the evidence regarding benefits derived from the use of amplification by adults with MSNHL. RESEARCH DESIGN:Systematic review with meta-analysis. STUDY SAMPLE:Adult hearing aid wearers with bilateral average pure-tone thresholds ≤45 dB HL at 500, 1000, 2000, and 4000 Hz. DATA COLLECTION AND ANALYSIS:PubMed, Cumulative Index to Nursing and Allied-Health Literature, Cochrane Collaboration, and Google Scholar were searched independently by the authors during September 2013. The authors used a consensus approach to assess the quality and extract data for the meta-analysis. RESULTS:Of 106 articles recovered for full-text review, only 10 met inclusion criteria (at least Level IV of evidence and involved and reported separate pre-/postfitting hearing aid outcomes for patients with MSNHL). Included studies involved mainly middle-aged to elderly patients using hearing aids of various styles and circuitry. Results from all of the studies indicated positive benefits from amplification for patients with MSNHL. Data from five studies were suitable for a meta-analysis, which produced a small-to-medium effect size of 0.85 (95% confidence intervals = 0.44-1.25) after adjusting for a small publication bias. This evidence confirmed benefits from the use of amplification in adults with MSNHL. CONCLUSIONS:Evidence exists supporting the notion that adults with MSNHL benefit from hearing aids. This information is important and useful to audiologists, patients, and third-party payers, even considering that most of the studies in this systematic review were limited, somewhat dated, and used analog and early digital technology available when the studies were conducted. Clinical recommendations may be even stronger as future studies become available for patients fit with modern styles and high-technology hearing aids.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Johnson CE,Danhauer JL,Ellis BB,Jilla AMdoi
10.3766/jaaa.14076subject
Has Abstractpub_date
2016-04-01 00:00:00pages
293-310issue
4eissn
1050-0545issn
2157-3107journal_volume
27pub_type
杂志文章,meta分析abstract::Recent advances in endoscopic optics and miniature video camera technology have made video otoscopy (VO) accessible to audiologists in a practical way. Seven categories of VO applications are presented with clinical examples: (1) general examination of the earcanal and tympanic membrane, (2) physician communication/te...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1997-12-01 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::Previous research has reported reduced otoacoustic emission amplitude as a function of age. In each study, however, interpretation of findings was confounded by age-related hearing loss. The present study was designed to re-evaluate the contribution of age and peripheral hearing loss on the prevalence and amplitude of...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:It has been reported that up to 40% of patients over age 60 fail to generate a vestibular evoked myogenic potential (VEMP; Su et al, 2004). When this occurs it is difficult to determine whether the absent VEMP represents evidence of bilateral impairment of the vestibulocollic reflex pathway or a normal age-r...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.19.7.3
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Despite the recognition that the directional microphone hearing aid (DMHA) is an important intervention aimed at helping older hearing-impaired adults understand speech in noisy environments, there is little evidence that older listeners can actually benefit from directional processing. PURPOSE:The objectiv...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.21.2.3
更新日期:2010-02-01 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:BACKGROUND:Binaural hearing improves our ability to understand speech and to localize sounds. Hearing loss can interfere with binaural cues, and despite the success of amplification, ∼25% of people with bilateral hearing loss fit with two hearing aids choose to wear only one (e.g., Brooks and Bulmer, 1981). One explana...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.22.3.6
更新日期:2011-03-01 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: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: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::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::The Hearing-in-Noise Test (HINT) is able to measure the benefit to speech intelligibility in noise conferred when the noise masker is displaced 90 degrees in eccentricity from a speech source located at zero degrees azimuth. Both psychoacoustic and neurophysiological data suggest that the perceptual benefit of the 90-...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.14.9.7
更新日期:2003-11-01 00:00:00
abstract::As humans, we hear the way we do because of at least three major forces. The first is phylogeny, the evolutionary changes in the auditory system since its beginnings. The second is embryology, the formation of the system in each individual. Finally, there is the interaction between the biologically determined mechanis...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:1995-03-01 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::Real-ear sound pressure levels (SPLs) were compared among three methods used for positioning a probe microphone in the ear canal. The probe insertion techniques included (1) an acoustic method that incorporates use of the quarter-wave anti-resonance property of the ear to determine acoustically the location of the pro...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To study the effect of noise on speech rate judgment and signal-to-noise ratio threshold (SNR50) at different speech rates (slow, preferred, and fast). RESEARCH DESIGN:Speech rate judgment and SNR50 tasks were completed in a normal-hearing condition and a simulated hearing-loss condition. STUDY SAMPLE:Twenty-...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.20.1.3
更新日期:2009-01-01 00:00:00
abstract::The Fusion at Inferred Threshold (FIT) test is a clinically useful procedure for assessing air-conduction pure-tone thresholds in any ear that may not be tested by conventional procedures with masking. It has not been widely reported in the literature. This article describes the FIT test procedure and provides four ca...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract::Acceptable noise level (ANL) is unrelated to sentence recognition in noise but may be related to phoneme recognition in noise (PRN). Individual differences in efferent activity in medial olivocochlear bundle (MOCB) and acoustic reflex (AR) pathways may account for intersubject variability in ANL and PRN. Monotic and d...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16.8.2
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Motivational interviewing (MI) has been used in consultation settings to motivate hearing aid users to increase hearing aid usage. However, the effect of MI on those who use their hearing aids only rarely or not at all has not been explored. PURPOSE:The aims of this pilot study were to evaluate the effect o...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16184
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:The acceptable noise level (ANL) serves to accurately predict the listener's likelihood of success with amplification. It has been proposed as a pre-hearing aid fitting protocol for hearing aid selection and counseling purposes. The ANL is a subjective measure of the listener's ability to accept background n...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.23.7.5
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Previous research has shown that hearing aid wearers can successfully self-train their instruments' gain-frequency response and compression parameters in everyday situations. Combining hearing aids with a smartphone introduces additional computing power, memory, and a graphical user interface that may enable...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15099
更新日期:2016-10-01 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::We characterized the 2F1-F2 distortion product reflected in the human frequency-following response (FFR). In the first experiment, we evaluated the input-output growth functions of the distortion product at 2F1-F2 (FFR-DP) for three primary pairs. In the second experiment, we tested the effect of primary tone level va...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15.3.2
更新日期:2004-03-01 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::The purpose of this study was to develop a test to assess the ability of persons with cochlear implants (CIs) to interpret musical signals. Up to this time, the main direction in outcomes studies of cochlear implantation has been in relation to speech recognition abilities. With improvement in CI hardware and processi...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.19.1.6
更新日期:2008-01-01 00:00:00
abstract::Auditory training has long been advocated to enhance communication but has never been time or cost-effective. This article describes the concepts underlying the development of a home-based, interactive adaptive computer program designed to engage the adult hearing-impaired listener in the hearing-aid-fitting process, ...
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.17.8.2
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Sentence understanding scores for patients with cochlear implants (CIs) when tested in quiet are relatively high. However, sentence understanding scores for patients with CIs plummet with the addition of noise. PURPOSE:To assess, for patients with CIs (MED-EL), (1) the value to speech understanding of two n...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16126
更新日期:2018-03-01 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:Acute symptoms of dizziness and/or imbalance commonly experienced in athletes postconcussion are speculated to arise from dysfunction at multiple levels (i.e., inner ear or central vestibular system) to appropriately integrate afferent sensory information. Disruption along any pathway of the balance system c...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15110
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The relation between the auditory steady-state response (ASSR) and behavioral audiometric thresholds requires further clarification in the case of adults with auditory neuropathy/auditory dys-synchrony (AN/AD). PURPOSE:The aim of this study was to compare pure-tone audiometric threshold (PTAT) and ASSR in a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.20.10.4
更新日期:2009-11-01 00:00:00