Longitudinal Changes in Hearing Aid Use and Hearing Aid Management Challenges in Infants

Visram, Anisa; Roughley, Amber Jemima; Hudson, Caroline Louise; Purdy, Suzanne C.; Munro, Kevin J.

doi:10.1097/aud.0000000000000986

Cited by 9 publications

(7 citation statements)

References 37 publications

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“…Overall, better detection rates were observed for MF than HF stimuli, so an absent response at HF may be less informative than an absent response at MF. Demonstrating aided CAEP responses may be a useful tool to encourage caregivers to persist with infant hearing aid use, which can often be challenging (e.g., Walker et al 2013 ; Muñoz et al 2015 ; Caballero et al 2017 ; Muñoz et al 2019 ; Visram et al 2021 ). Using CAEP results to inform hearing aid adjustments should be just one tool, and a decision to adjust gain should be made in conjunction with the full clinical picture, understanding the possibility of false negative CAEP results, especially for HF.…”

Section: Discussionmentioning

confidence: 99%

Aided Cortical Auditory Evoked Potentials in Infants With Frequency-Specific Synthetic Speech Stimuli: Sensitivity, Repeatability, and Feasibility

et al. 2023

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Objectives: The cortical auditory evoked potential (CAEP) test is a candidate for supplementing clinical practice for infant hearing aid users and others who are not developmentally ready for behavioral testing. Sensitivity of the test for given sensation levels (SLs) has been reported to some degree, but further data are needed from large numbers of infants within the target age range, including repeat data where CAEPs were not detected initially. This study aims to assess sensitivity, repeatability, acceptability, and feasibility of CAEPs as a clinical measure of aided audibility in infants. Design: One hundred and three infant hearing aid users were recruited from 53 pediatric audiology centers across the UK. Infants underwent aided CAEP testing at age 3 to 7 months to a mid-frequency (MF) and (mid-)high-frequency (HF) synthetic speech stimulus. CAEP testing was repeated within 7 days. When developmentally ready (aged 7-21 months), the infants underwent aided behavioral hearing testing using the same stimuli, to estimate the decibel (dB) SL (i.e., level above threshold) of those stimuli when presented at the CAEP test sessions. Percentage of CAEP detections for different dB SLs are reported using an objective detection method (Hotellings T2). Acceptability was assessed using caregiver interviews and a questionnaire, and feasibility by recording test duration and completion rate. Results: The overall sensitivity for a single CAEP test when the stimuli were ≥0 dB SL (i.e., audible) was 70% for the MF stimulus and 54% for the HF stimulus. After repeat testing, this increased to 84% and 72%, respectively. For SL >10 dB, the respective MF and HF test sensitivities were 80% and 60% for a single test, increasing to 94% and 79% for the two tests combined. Clinical feasibility was demonstrated by an excellent >99% completion rate, and acceptable median test duration of 24 minutes, including preparation time. Caregivers reported overall positive experiences of the test. Conclusions: By addressing the clinical need to provide data in the target age group at different SLs, we have demonstrated that aided CAEP testing can supplement existing clinical practice when infants with hearing loss are not developmentally ready for traditional behavioral assessment. Repeat testing is valuable to increase test sensitivity. For clinical application, it is important to be aware of CAEP response variability in this age group.

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Section: Discussionmentioning

confidence: 99%

Aided Cortical Auditory Evoked Potentials in Infants With Frequency-Specific Synthetic Speech Stimuli: Sensitivity, Repeatability, and Feasibility

et al. 2023

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“…The questionnaire evaluating the parents’ knowledge of hearing aid use revealed that better parental knowledge were associated with an improvement in subjective auditory performance. There are no resources available where parents can easily find sufficient information on hearing aid use and care after diagnosis and intervention ( 15 , 16 , 29 , 30 ). In studies, parents stated that they removed the hearing aids when outside of their home because of concerns about losing the hearing aid ( 15 , 16 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Factors Affecting Hearing Aid Use in Children

Özal,

Özbal Batuk,

Yılmaz Işıkhan

2023

TAO

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Objective: The purpose of this study was to determine the factors affecting hearing aid use in children and investigate how these factors affected their subjective auditory performance. Methods: The study was carried out with 34 children aged three to six years who had mild or moderate sensorineural hearing loss and had used a bilateral hearing aid for at least six months. The daily hearing aid usage times of children were collected with the help of data logging software. Parent-child interactions were assessed with the Maternal Behavior Rating Scale (MBRS) and Child Behavior Rating Scale (CBRS) scores. To assess the parents’ levels of knowledge about hearing devices, the Hearing Aid Awareness Question Form for Parents, which was prepared by the researchers, was used. Finally, to evaluate the subjective hearing performance of the children, the Parents’ Evaluation of Aural/Oral Performance of Children (PEACH) survey was implemented. Results: Strong and significant correlations were found between the MBRS and CBRS scores, the results obtained from some questions in the Hearing Aid Awareness Question Form for Parents, the overall PEACH score, the QUIET subscale score, and the NOISE subscale score (p<0.001). According to the multivariate linear regression analyses, it was observed that the use of the pediatric clip hearing aids holder (question 17) had a significant effect in decreasing both the overall PEACH score (β=-3.07, p=0.008) and the PEACH-NOISE subscale score (β=-1.88, p=0.012). A unit increase in the score given to question 24 of the Hearing Aid Awareness Question Form for Parents (i.e., using the hearing aids longer) caused a 2.35-fold increase in the PEACH-NOISE subscale score, a 1.74-fold increase in the PEACH-QUIET subscale score, and a 4.06-fold increase in the overall PEACH score. Conclusion: Parent-child interaction and parents’ knowledge about hearing aid use are important factors affecting hearing aid use in children. These factors also affect the children’s subjective auditory performance. Parents should be given detailed information about hearing aid use and be more sensitive and responsive in their interactions with their children.

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“…Small sample sizes, difficulties in accessing data and participant recruitment from mostly white, educated and higher income families also limit this. Much of the literature which explores parent-reported challenges to optimal hearing aid use focuses on situational and practical aspects of daily use [13,14] but often fails to capture cultural, linguistic and social barriers. A study which looked at hearing aid usage and challenges among children from Hispanic families, with many parents of lower income and education status within their participant group, discovered that 66% wore their hearing aids all day on 'good days'.…”

Section: Introductionmentioning

confidence: 99%

Clinical and sociodemographic predictors of hearing aid use in infants aged 0-2 with permanent childhood hearing loss: a retrospective cohort single-site pilot study

Gosnell

Rajasingam

Mahon

et al. 2023

Preprint

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Objectives: The aim of this study was to identify differences in hearing aid use among infants aged 0-2 years with respect to clinical and sociodemographic factors in an attempt to better predict which patients and families may benefit from extra support in the early stages of hearing aid fitting to encourage optimum usage. The secondary aim was to investigate how hearing aid use changed over the first two years post-fitting. Methods: A retrospective review of records was performed on 252 patients, aged 0-2 years with permanent childhood hearing loss from a single-site hospital who were fitted with hearing aids between 2005-2022. Ninety-six patients met the inclusion criteria. Datalogging values were collected for six different time points post fitting that coincided with their routine clinical follow-up appointments: 2 weeks, 6 weeks, 6 months, 12 months, 18 months and 24 months. Clinical and sociodemographic information was also collected for each participant. This included sex, average pure tone threshold, unilateral vs bilateral use, speech intelligibility score, additional disabilities, Index of Multiple Deprivation, Income Decile, Education and Skills Decile, Income Deprivation Affecting Children Index (IDACI), ethnicity and home language. Results: The datalogging results indicated a median average of 4.67 hours (3.0-7.3) hours per day use across patients and across the first two years post-fitting. Differences in datalogging according to IDACI Decile was significant (p=0.01), suggesting that infants from the more deprived groups (1-5) used their devices less. All other predictors did not reach statistical significance. There was insufficient data to investigate change in hearing aid use over the first two years post-fitting. Discussion: There were significant amounts of missing datalogging information. Some of the missing data was attributed by the clinical teams to lost hearing aids or unattended appointments. It is also believed that time restraints in clinic are the primary barrier. The datalogging values are lower than expected. It is considered that up to 12 hours per day use is necessary for good speech and language development. The findings highlighted that many families struggle to achieve optimal hearing aid usage in their infants. There was an association between daily device use and one socioeconomic status predictor. Conclusions: Average datalogging values for daily hearing device use were lower than considered optimal for 0-2 year olds with permanent childhood deafness. The only factor related to these findings was IDACI Decile indicating that infants from more deprived backgrounds may achieve lower hearing aid usage than those from the lesser deprived regions. This finding needs to be verified on a larger scale and better understood to explore potential approaches to overcome the problems. The role of multiple factors also needs to be explored with a larger sample size. This would require a multi-centre study to be conducted.

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Longitudinal Changes in Hearing Aid Use and Hearing Aid Management Challenges in Infants

Abstract: Supplemental Digital Content is available in the text.

Cited by 9 publications

References 37 publications

Aided Cortical Auditory Evoked Potentials in Infants With Frequency-Specific Synthetic Speech Stimuli: Sensitivity, Repeatability, and Feasibility

Aided Cortical Auditory Evoked Potentials in Infants With Frequency-Specific Synthetic Speech Stimuli: Sensitivity, Repeatability, and Feasibility

Evaluation of Factors Affecting Hearing Aid Use in Children

Clinical and sociodemographic predictors of hearing aid use in infants aged 0-2 with permanent childhood hearing loss: a retrospective cohort single-site pilot study

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