‘Getting used to’ hearing aids from the perspective of adult hearing-aid users

Dawes, Piers; Maslin, Michael; Munro, Kevin J.

doi:10.3109/14992027.2014.938782

Cited by 38 publications

(46 citation statements)

References 27 publications

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“…A 2010 MarkeTrack survey found that characteristics of the hearing healthcare professional (including knowledge, professionalism, empathy, creation of realistic expectations and explanations about maintenance of hearing aids) and patient ratings of the quality of the fitting process were positively correlated with patients' hearing aid use, benefit and satisfaction (Kochkin et al 2010). Qualitative studies reported that patients value interaction with their audiologists and that interaction with audiologists may help patients get used to using hearing aids (Dawes, Maslin, and Munro 2014) and motivated patients to use their hearing aids (Aazh 2016b). A systematic review of determinants of hearing aid outcomes highlighted the need to explore the dynamics of the patient-hearing healthcare professionals clinical interactions to facilitate patient outcomes (Knudsen et al 2010).…”

Section: Introductionmentioning

confidence: 99%

What do hearing healthcare professionals do to promote hearing aid use and benefit among adults? A systematic review

Ismail

Munro

Armitage

et al. 2019

International Journal of Audiology

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Objective: To conduct a systematic review of the evidence in relation to what hearing healthcare professionals do during hearing aid consultations and identifying which behaviours promote hearing aid use and benefit among adult patients. Design: Searches were performed in electronic databases MEDLINE, EMBASE, CINAHL, PsycInfo, Web of Science, PubMed and Google Scholar. The Crowe Critical Appraisal Tool and Melnyk Levels of Evidence were used to assess quality and level of evidence of eligible studies. Behaviours of hearing healthcare professionals were summarised descriptively. Study Sample: 17 studies met the inclusion criteria. Results: Twelve studies described behaviours of audiologists and five studies were intervention studies. Audiologists were typically task-or technically-oriented and/or dominated the interaction during hearing aid consultations. Two intervention studies suggested that use of motivational interviewing techniques by audiologists may increase hearing aid use in patients. Conclusions: Most studies of clinicians' behaviours were descriptive, with very little research linking clinician behaviour to patient outcomes. The present review sets the research agenda for better-controlled intervention studies to identify which clinician behaviours better promote patient hearing aid outcomes and develop an evidence base for best clinical practice.

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Section: Introductionmentioning

confidence: 99%

What do hearing healthcare professionals do to promote hearing aid use and benefit among adults? A systematic review

Ismail

Munro

Armitage

et al. 2019

International Journal of Audiology

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“…'getting used to' hearing aids (Dawes, Maslin, et al 2014 masking') has a significant impact on speech recognition, and that attention plays a 116 key role in resistance to distraction effects (for example, Helfer & Freyman, 2008).…”

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confidence: 99%

Auditory Distraction and Acclimatization to Hearing Aids

Dawes

Munro

2017

Ear &Amp; Hearing

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“…This could potentially decrease the amount of loud noise and improve speech intelligibility in a social setting. Furthermore, if listeners are novice hearing aid wearers, it may be important to remind them that normal hearing individuals also experience difficulty understanding speech in loud noise, and that environmental noise may become more acceptable with continued hearing aid usage (Dillon, 2001;Philibert et al, 2005;Dawes et al, 2014;Kuk et al, 2015). The current study did not find a relationship between TNL and overall hearing aid satisfaction.…”

Section: Predicting Hearing Aid Satisfactionmentioning

confidence: 52%

Tracking of Noise Tolerance to Predict Hearing Aid Satisfaction in Loud Noisy Environments

Seper¹,

Kuk²,

Korhonen³

et al. 2019

J Am Acad Audiol

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A method that tracked tolerable noise level (TNL) over time while maintaining subjective speech intelligibility was reported previously. Although this method was reliable and efficacious as a research tool, its clinical efficacy and predictive ability of real-life hearing aid satisfaction were not measured.The study evaluated an adaptive method to estimate TNL using slope and variance of tracked noise level as criteria in a clinical setting. The relationship between TNL and subjective hearing aid satisfaction in noisy environments was also investigated.A single-blinded, repeated-measures design.Seventeen experienced hearing aid wearers with bilateral mild-to-moderately-severe sensorineural hearing loss.Participants listened to 82-dB SPL continuous speech and tracked the background noise level that they could “put up with” while subjectively understanding >90% of the speech material. Two trials with each babble noise and continuous speech-shaped noise were measured in a single session. All four trials were completed aided using the participants’ own hearing aids. The stimuli were presented in the sound field with speech from 0° and noise from the 180° azimuth. The instantaneous tolerable noise level was measured using a custom program and scored in two ways; the averaged TNL (aTNL) over the 2-min trial and the estimated TNL (eTNL) as soon as the listeners reached a stable noise estimate. Correlation between TNL and proportion of satisfied noisy environments was examined using the MarkeTrak questionnaire.All listeners completed the tracking of noise tolerance procedure within 2 min with good reliability. Sixty-five percent of the listeners yielded a stable noise estimate after 59.9 sec of actual test time. The eTNL for all trials was 78.6 dB SPL (standard deviation [SD] = 4.4 dB). The aTNL for all trials was 78.0 dB SPL (SD = 3.3 dB) after 120 sec. The aTNL was 79.2 dB SPL (SD = 5.4 dB) for babble noise and 77.0 dB SPL (SD = 5.9 dB) for speech-shaped noise. High within-session test–retest reliability was evident. The 95% confidence interval was 1.5 dB for babble noise and 2.8 dB for continuous speech-shaped noise. No significant correlation was measured between overall hearing aid satisfaction and the aTNL (ρ = 0.20 for both noises); however, a significant relationship between aTNL and proportion of satisfied noisy situations was evident (ρ = 0.48 for babble noise and ρ = 0.55 for speech-shaped noise).The eTNL scoring method yielded similar results as the aTNL method although requiring only half the time for 65% of the listeners. This time efficiency, along with its reliability and the potential relationship between TNL and hearing aid satisfaction in noisy listening situations suggests that this procedure may be a good clinical tool to evaluate whether specific features on a hearing aid would improve noise tolerance and predict wearer satisfaction with the selected hearing aid in real-life loud noisy situations. A larger sample of hearing aid wearers is needed to further validate these potential uses.

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‘Getting used to’ hearing aids from the perspective of adult hearing-aid users

Abstract: Getting used to hearing aids is a challenging multi-factorial process with both psychosocial and practical difficulties besides demands of adjusting to hearing-aid input.

Cited by 38 publications

References 27 publications

What do hearing healthcare professionals do to promote hearing aid use and benefit among adults? A systematic review

What do hearing healthcare professionals do to promote hearing aid use and benefit among adults? A systematic review

Auditory Distraction and Acclimatization to Hearing Aids

Tracking of Noise Tolerance to Predict Hearing Aid Satisfaction in Loud Noisy Environments

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