Relationship between Loudness Tolerance and the Acceptance of Background Noise for Young Adults with Normal Hearing

Franklin, Clifford; White, Letitia; Franklin, Thomas C.

doi:10.2466/24.22.pms.114.3.717-722

Cited by 6 publications

(7 citation statements)

References 20 publications

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“…Results of the present study are consistent those reported by Franklin et al (2012). Comparing results, the reported loudness tolerance of 75.4 dB HL (SD ¼ 9.3) differs from the 84.75 dB (SD ¼ 6.61) collected in the present study.…”

Section: Discussionsupporting

confidence: 89%

“…Both the acceptance of background noise and loudness tolerance are clinically valuable and should be performed on a regular basis when fitting patients with hearing aids (Kochkin et al., 2010). Previous research indicates a lack of any significant relationship between the acceptance of background noise while listening to speech and loudness tolerance for listeners with normal hearing (Franklin, White, & Franklin, 2012). However, this relationship has not been established in listeners with hearing loss.…”

Section: Introductionmentioning

confidence: 99%

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Comparing Loudness Tolerance and Acceptable Noise Level in Listeners With Hearing Loss

et al. 2016

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The present study was a follow-up investigation to a previous study exploring the relationship between listeners' loudness tolerance and listeners' acceptable noise level among normally hearing adults. The present study compared the same two measures, but data were obtained from listeners with hearing loss; 12 adults with sensorineural hearing loss participated in a loudness tolerance measure using a scaling technique initially established for setting hearing aid output limits, in addition to an acceptable noise level measure. The acceptable noise level procedure used in this study quantified the listeners' acceptance of background noise while listening to speech. As with the research involving listeners with normal hearing, the Pearson correlation procedure indicated a lack of any statistically significant correlation between the two measures.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Comparing Loudness Tolerance and Acceptable Noise Level in Listeners With Hearing Loss

et al. 2016

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“…Although results from the present study revealed that those with high ANLs spend more time in less intense environments than those with low ANLs, the differences were not statistically significant. A different result may have been obtained with a larger sample, but this is unlikely, as Franklin et al (2012) and Crowley and Nabelek (1996) reported that the ANL is not related to loudness tolerance. Issues related to limited time for data collection and control over participant activities may be addressed in future studies.…”

Section: Discussionmentioning

confidence: 80%

“…The majority of research associated with the acceptance of background noise has focused on factors that may or may not influence the measure. Factors having little or no effect on the ANL measurement include, but are not limited to, age, gender, degree of hearing loss, loudness tolerance, and hearing-aid experience (Nabelek et al, 1991(Nabelek et al, , 2006Crowley and Nabelek, 1996;Rogers et al, 2003;Nabelek et al, 2006;Moore et al, 2011;Franklin et al, 2012). Factors known to affect the ANL include speech presentation level, medications related to attention disorders, digital noise reduction (DNR), and directional microphone technology (Freyaldenhoven et al, 2005(Freyaldenhoven et al, , 2007Franklin et al, 2006;Mueller et al, 2006).…”

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confidence: 99%

The Relationship between the Acceptance of Noise and Acoustic Environments in Young Adults with Normal Hearing: A Pilot Study

Franklin

White²,

Franklin³

et al. 2014

J Am Acad Audiol

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To some degree, the ANL is reflective of the acoustic environments and the amount of noise that the listener is willing to accept; data logging illustrates the acoustic environments in which the listener was present. Clinical implications include, but are not limited to, decisions in patient care regarding the need for additional counseling and/or the use of digital noise reduction and directional microphone technology.

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“…They reported similar LDL and ANL values to those reported in prior works, but also reported a lack of correlation between ANL and the LDL measurement and suggested that loudness discomfort (i.e., LDL) and loudness tolerance measures (i.e., ANL) capture different attitudes about noise. As suggested in previous reports (i.e., Mueller and Bentler, 2005;Franklin et al, 2012), the LDL may be clinically useful in determining hearing aid output limits. Because subjective satisfaction with hearing aids in loud, noisy environments is likely influenced by both comfort and intelligibility, the LDL may not be the best tool to evaluate hearing aid satisfaction.…”

mentioning

confidence: 73%

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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Relationship between Loudness Tolerance and the Acceptance of Background Noise for Young Adults with Normal Hearing

Cited by 6 publications

References 20 publications

Comparing Loudness Tolerance and Acceptable Noise Level in Listeners With Hearing Loss

Comparing Loudness Tolerance and Acceptable Noise Level in Listeners With Hearing Loss

The Relationship between the Acceptance of Noise and Acoustic Environments in Young Adults with Normal Hearing: A Pilot Study

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

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