A Comparison of Conventional and In-Situ Audiometry on Participants with Varying Levels of Sensorineural Hearing Loss

Kießling, Jürgen; Leifholz, Melanie; Unkel, Steffen; Pons-Kühnemann, Jörn; Jespersen, Charlotte Thunberg; Pedersen, Jenny Nesgaard

doi:10.3766/jaaa.26.1.8

Cited by 8 publications

(12 citation statements)

References 12 publications

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“…This allows an easier and more reliable conversion from hearing thresholds to gain prescriptions. Kiessling et al [2015] compared conventional with in situ audiometry with different hearing aids. They reported an overestimation of the thresholds for the in situ measurements at 500-1,500 Hz, and an underestimation of the thresholds at higher frequencies.…”

Section: The Reliability Of Prefitting Testsmentioning

confidence: 99%

In situ Hearing Tests for the Purpose of a Self-Fit Hearing Aid

Boymans

Dreschler²

2017

Audiol Neurotol

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This study investigated the potential and limitations of a self-fit hearing aid. This can be used in the “developing” world or in countries with large distances between the hearing-impaired subjects and the professional. It contains an on-board tone generator for in situ user-controlled, automated audiometry, and other tests for hearing aid fitting. Twenty subjects with mild hearing losses were involved. In situ audiometry showed a test-retest reliability (SD <3.7 dB) that compared well with the precision of diagnostic audiometry using headphones. There was good correspondence (SD <5.2 dB) with traditional pure-tone audiometry. In situ loudness scaling yielded important information about suprathreshold perception, which will have an added value for the selection of compression and the selection of maximum power output to be allowed in hearing aids.

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Section: The Reliability Of Prefitting Testsmentioning

confidence: 99%

In situ Hearing Tests for the Purpose of a Self-Fit Hearing Aid

Boymans

Dreschler²

2017

Audiol Neurotol

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“…Research on self-fitting has generally followed the clinical pattern of threshold-based prescription followed by finetuning (Convery, Keidser, Seeto, Yeend, & Freeston, 2015;Keidser & Convery, 2016;Keidser, Dillon, Zhou, & Carter, 2011;Keissling et al, 2015;Wong, 2012). In the present study, however, we bypassed individual prescription and gave participants the opportunity to make changes from a generic starting condition.…”

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confidence: 99%

A “Goldilocks” Approach to Hearing-Aid Self-Fitting: User Interactions

Boothroyd

Mackersie

2017

Am J Audiol

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Purpose The purpose of the current study was to evaluate user reactions to custom software designed for self-adjustment of amplification. Method “Goldilocks” software was developed to allow user exploration and selection of preferred levels of overall output, low-frequency cut, and high-frequency boost while listening to preprocessed speech. Thirteen hearing-aid users and 13 nonusers self-adjusted before and after taking a speech perception test incorporated into the software. Results All 26 participants were able to complete the 2 adjustments and the intervening test in an average of 6.5 min—20 of them from on-screen instructions without experimenter help. Relative to a generic starting condition, the average participant opted to increase overall output, reduce low-frequency cut, and increase high-frequency boost. The first and second self-selected values were highly correlated, but there was evidence of further increases of overall volume and high-frequency boost after speech perception testing with the initial adjustment. There was no evidence that prior hearing-aid experience affected the ability to understand or complete the self-fitting process. Conclusions This approach to hearing-aid self-fitting can be a speedy, reliable, and feasible alternative to, or supplement to, conventional fitting procedures, but many questions remain to be answered.

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“…The potential impact of using a combination of transducer and coupling unsuitable for the hearing loss and not controlling for ambient noise on hearing aid fittings have been explored and discussed ( Kiessling et al., 2015 ). Of these two issues, the former is the more challenging and makes the SFHA a less attractive solution in environments with little support, when no data are available to guide the client to the most suitable device.…”

Section: Empirical Data On Feasibility Of the Sfhamentioning

confidence: 99%

Self-Fitting Hearing Aids

Keidser

Convery

2016

Trends in Hearing

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A self-contained, self-fitting hearing aid (SFHA) is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in developed countries. This article reviews the status of the SFHA and the evidence for its feasibility and challenges and predicts where it is heading. Devices that can be considered partly or fully self-fitting without audiological support were identified in the direct-to-consumer market. None of these devices are considered self-contained as they require access to other hardware such as a proprietary interface, computer, smartphone, or tablet for manipulation. While there is evidence that self-administered fitting processes can provide valid and reliable results, their success relies on user-friendly device designs and interfaces and easy-to-interpret instructions. Until these issues have been sufficiently addressed, optional assistance with the self-fitting process and on-going use of SFHAs is recommended. Affordability and a sustainable delivery system remain additional challenges for the SFHA in developing countries. Future predictions include a growth in self-fitting products, with most future SFHAs consisting of earpieces that connect wirelessly with a smartphone and providers offering assistance through a telehealth infrastructure, and the integration of SFHAs into the traditional hearing health-care model.

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A Comparison of Conventional and In-Situ Audiometry on Participants with Varying Levels of Sensorineural Hearing Loss

Cited by 8 publications

References 12 publications

In situ Hearing Tests for the Purpose of a Self-Fit Hearing Aid

In situ Hearing Tests for the Purpose of a Self-Fit Hearing Aid

A “Goldilocks” Approach to Hearing-Aid Self-Fitting: User Interactions

Self-Fitting Hearing Aids

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