Clinical Practice Patterns With Pediatric Loudness Perception Measures

Flores, Ashley N.; Gustafson, Samantha J.

doi:10.1044/2021_aja-21-00151

Cited by 3 publications

(5 citation statements)

References 38 publications

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“…Notably, “child friendly” CLSs are typically provided to audiologists by cochlear implant manufacturers—with little consistency across tools. This is consistent with previous research showing that pediatric audiologists report using CLS most frequently and that they use CLS tools ranging from 3 to 9 categories (Flores & Gustafson 2022). Considering the wide variability in CLS tools currently used in pediatric clinics, further research is needed to confirm that the lack of developmental differences in loudness growth persists when using CLS with more or less categories.…”

Section: Discussionsupporting

confidence: 92%

“…This narrative review was conducted in response to audiologists’ reports of limited familiarity with loudness perception measurements and their requests for further understanding of the validity and reliability of available tools (Flores & Gustafson 2022). With this overview of existing literature examining the methodology and developmental differences of loudness perception, we hope to have provided a useful resource for pediatric audiologists who wish to increase their knowledge on this topic.…”

Section: Conclusion and Clinical Implicationsmentioning

confidence: 99%

“…This is potentially problematic, as children have immature peripheral and central auditory systems (Litovsky 2015) and tend to spend a considerable amount of time in nonquiet environments (Crukley et al 2011; Benítez-Barrera et al 2020). In a recent survey of 62 pediatric audiologists, uncertainty about the available methods and the benefit of measuring loudness perception in children was reported (Flores & Gustafson 2022). Audiologists in this survey also noted a desire for easy-to-use, valid, and reliable measures.…”

Section: Introductionmentioning

confidence: 99%

“…In a recent study aimed to further understand factors influencing limited use of loudness measures among pediatric audiologists, 62 pediatric audiologists were surveyed (Flores & Gustafson 2022). Audiologists in this study reported that they do not to measure loudness perception in children due to a lack of familiarity with measurement methods and the belief that loudness perception measures may not be useful for clinical practice.…”

Section: Introductionmentioning

confidence: 99%

“…Loudness is the "perceptual strength of a sound that ranges from very soft (or quiet) to very loud" (Florentine et al 2011, p. 3) and can vary widely within-and across-listeners, depending on a variety of factors (e.g., listening context, cultural differences, hearing status; see Florentine et al 2011). Most research regarding loudness perception has been conducted with adult listeners, leaving a gap in our knowledge of loudness perception in children.…”

Section: Introductionmentioning

confidence: 99%

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Narrative Review of Loudness Perception Measures in Children

2022

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Recent surveys of pediatric audiologists have highlighted the need for improved understanding of pediatric loudness perception and their role in the hearing device fitting process. The purpose of this article is to provide a brief overview of methods used to measure loudness perception and summarize the existing literature exploring loudness perception in children. A narrative literature review was conducted and 29 articles were reviewed to (1) provide evidence for or against developmental differences, (2) describe variability across listeners of the same age, and (3) discuss evaluations of test-retest reliability on measures of loudness discomfort levels (LDLs), loudness growth, and loudness balancing. A wide variety of methods have been used to measure loudness perception in children. Results of existing studies point to potential developmental differences in LDLs but relatively consistent growth of loudness across age. Considerable across-child variability of loudness perception suggests that estimating LDLs from hearing thresholds could introduce error into the hearing device fitting/mapping process. Additional areas in need of research include work using loudness balancing measures, improved understanding of how variations in clinical loudness scaling measures could influence measured loudness perception, and examination of the benefit of individually-measured loudness perception during pediatric hearing device fitting.

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Section: Discussionsupporting

confidence: 92%

Section: Conclusion and Clinical Implicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Narrative Review of Loudness Perception Measures in Children

2022

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Hyperacusis Diagnosis and Management in the United States: Clinical Audiology Practice Patterns

Jahn,

Koach

2023

Am J Audiol

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Purpose: Hyperacusis often leads to debilitating psychosocial consequences, but there is no standard protocol for its diagnosis and management in the United States. In this study, we surveyed U.S. clinical audiologists to understand their education and clinical practices surrounding the evaluation and treatment of hyperacusis. Method: An online survey was distributed to clinical audiologists across the United States. Survey responses were quantified using descriptive statistics and inductive content analysis. Results: Hyperacusis definitions and clinical practice patterns varied widely across the 102 respondents. Respondents cited a lack of education and training as the primary barrier to effective audiological diagnosis and management of hyperacusis, with most respondents reporting ≤ 5 hr of hyperacusis education. Other primary barriers to effective audiological management of hyperacusis included time constraints, reimbursement, poor sensitivity and specificity of available diagnostic tools, and poor efficacy of available treatments and management strategies. Most respondents (82.5%) agreed that audiologists are the primary professionals who are responsible for implementing hyperacusis interventions. However, 63.3% of respondents reported that their clinic does not have a hyperacusis management protocol, and 80.0% routinely recommend treatment that is outside their scope of practice to implement (cognitive behavioral therapy). Conclusions: Clinical audiologists in the United States do not receive uniform education on hyperacusis, and they report multiple barriers to its evidence-based diagnosis and management. Effective hyperacusis management necessitates a multidisciplinary approach. The information obtained via this survey will pave the way toward the refinement of interprofessional education programs and the development of systematic, evidence-based clinical protocols for hyperacusis. Supplemental Material: https://doi.org/10.23641/asha.24431188

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Auditory processing disorders in children – diagnosisand management

Majak,

Senderski,

Wiskirska-Woźnica

et al. 2023

Pol Otorhino Rev

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Introduction: Auditory Processing Disorders (APD) is a syndrome characterized by impairment of the perception of soundsverbal and non-verbal ones, and weakening cognitive abilities such as auditory attention and auditory memory. This symptoms occur despite correct functioning of the peripheral part of the organ of hearing. Aim: A review of the current literature on diagnostic criteria of APD and its subtypes, clinical symptoms in children, diagnostic procedures and methods and therapeutic interventions. Methods: The study was based on the guidelines of the British Audiological Society (BSA), the guidelines of the American Speech, Language and Hearing Society (ASHA) as well as a literature review in the PubMed database. Results: APD is divided into developmental (without an established cause), acquired (with an established cause) and secondary (a consequence of long-term peripheral hearing loss). Symptoms that indicate the likelihood of APD in schoolaged children include: poor school performance, problems with learning to read and write and understanding speech, difficulties in repeating and remembering information given by hearing and maintaining attention on the spoken word. APD diagnosis should be made by a specialist in audiology and phoniatrics based on a full battery of tests and consultations with a speech therapist, psychologist and pedagogue. The set of behavioral diagnostic tests should include both verbal and non-verbal tests, from at least three groups of tests: dichotic (e.g. dichotic digit test; DDT), evaluating temporal aspects of hearing (e.g. Frequency Pattern Test; FPT and Duration Pattern Test; DPT ) and low redundancy speech tests. The diagnosis can be made when the child is at least 7 years old, the result is below the norm in at least two tests evaluating different auditory processes and the child has previous been excluded from intellectual disability and autism spectrum disorders. The therapeutic procedure is based on active auditory training, specific for the deficit shown in the tests. It is important to improve the acoustic environment at school (FM systems) and to treat comorbidities. Conclusions: Diagnostics and therapy of APD requires a highly qualified team of specialists and should be carried out in centers specially prepared for this purpose.

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Clinical Practice Patterns With Pediatric Loudness Perception Measures

Cited by 3 publications

References 38 publications

Narrative Review of Loudness Perception Measures in Children

Narrative Review of Loudness Perception Measures in Children

Hyperacusis Diagnosis and Management in the United States: Clinical Audiology Practice Patterns

Auditory processing disorders in children – diagnosisand management

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