Evaluation of hearing aid manufacturers\u27 software-derived fittings to DSL v5.0 pediatric targets

Background Hearing aid prescriptive methods are a commonly recommended component of evidence-based preferred practice guidelines and are often implemented in the hearing aid programming software. Previous studies evaluating hearing aid manufacturers\u27 software-derived fittings to prescriptions have shown significant deviations from targets. However, few such studies examined the accuracy of softwarederived fittings for the Desired Sensation Level (DSL) v5.0 prescription. Purpose The purpose of this study was to evaluate the accuracy of software-derived fittings to the DSL v5.0 prescription, across a range of hearing aid brands, audiograms, and test levels. Research Design This study is a prospective chart review with simulated cases. Data Collection and Analysis A set of software-derived fittings were created for a sixmonth- old test case, across audiograms ranging from mild to profound. The aided output from each fitting was verified in the test box at 55-, 65-, 75-, and 90-dB SPL, and compared with DSL v5.0 child targets. The deviations from target across frequencies 250-6000 Hz were calculated, together with the root-mean-square error (RMSE) from target. The aided Speech Intelligibility Index (SII) values generated for the speech passages at 55- and 65-dB SPL were compared with published norms. Study Sample Thirteen behind-the-ear style hearing aids from eight manufacturers were tested. Results The amount ofdeviation per frequencywas dependent on the test level and degree of hearing loss. Most software-derived fittings for mild-to-moderately severe hearing losses fell within_ 5 dB of the target formost frequencies. RMSE results revealed more than 84% of those hearing aid fittings for the mild-to-moderate hearing losseswere within 5 dB at all test levels. Fittings for severe to profound hearing losses had the greatest deviation from target and RMSE. Aided SII values for the mild-to-moderate audiograms fell within the normative range forDSL pediatric fittings, although they fellwithin the lower portion of the distribution. For more severe losses, SII values for some hearing aids fell below the normative range. Conclusions In this study, use of the software-derived manufacturers\u27 fittings based on the DSL v5.0 pediatric targets set most hearing aids within a clinically acceptable range around the prescribed target, particularly for mild-to-moderate hearing losses. However, it is likely that clinician adjustment based on verification of hearing aid output would be required to optimize the fit to target, maximize aided SII, and ensure appropriate audibility across all degrees of hearing loss

Hearing Aid Attribute & Feature Importance Evaluation (HAFIE) questionnaire

HAFIE questionnair

Development and initial evaluation of the Hearing Aid Attribute and Feature Importance Evaluation (HAFIE) questionnaire

Objectives: To develop and validate a novel questionnaire aimed at providing a structured, evidence-based methodology for hearing aid recommendation and selection using self-reported importance ratings for different modern hearing aid features. Design: The initial questionnaire items were created through a concept mapping approach that involved input from hearing aid users. Hearing care professional focus groups (n¼10) were conducted to assess questionnaire content and design, and to guide modifications. Validation of this initial 34-item version of the questionnaire was conducted using an anonymous online survey tool (Qualtrics). Exploratory factor analysis was used to assess the factor structure of the dataset, using principal axis factoring. Questionnaire reliability and inter-item correlation were assessed. Items with low factor loading and high cross-loading were removed. Study sample: Two hundred and eighteen adult participants with a self-reported hearing loss (median age ¼ 48 years, range ¼ 18–95 years) completed the questionnaire. Results: Analysis and item removal resulted in a 28-item questionnaire. Three factors were identified, dividing the hearing aid features into the subscales: “Advanced connectivity & streaming”, “Physical attributes & usability”, and “Sound quality & intelligibility”. Conclusion: This study has resulted in a patient-oriented questionnaire that allows clinicians to gather patient input in a structured manner

Modified Multiple Stimulus With Hidden Reference and Anchors–Gabrielsson Total Impression Sound Quality Rating Comparisons for Speech in Quiet, Noise, and Reverberation

Purpose: The purpose of the study was to obtain, analyze, and compare subjective sound quality data for the same test stimuli using modified multistimulus MUSHRA (Multiple Stimulus with Hidden Reference and Anchors) based procedures (viz., MUSHRA with custom anchors and MUSHRA without anchor) and the single-stimulus Gabrielsson\u27s total impression rating procedure. Method: Twenty normally hearing young adults were recruited in this study. Participants completed sound quality ratings on two different hearing aid recording data sets—Data Set A contained speech recordings from four different hearing aids under a variety of noisy and processing conditions, and Data Set B contained speech recordings from a single hearing aid under a combination of different noisy, reverberant, and signal processing conditions. Recordings in both data sets were rated for their quality using the total impression rating procedure. In addition, quality ratings of Data Set A recordings were obtained using a MUSHRA with custom anchors, while the ratings of Data Set B recordings were collected using a MUSHRA without anchor. Results: Statistical analyses revealed a high test–retest reliability of quality ratings for the same stimuli that were rated multiple times. In addition, high-interrater reliability was observed with all three rating procedures. Further analyses indicated (a) a high correlation between the total impression rating and the two modified MUSHRA ratings and (b) a similar relationship between the average and standard deviation of the subjective rating data obtained by the total impression rating and MUSHRA with custom anchors on Data Set A, and the total impression rating and the MUSHRA without anchor on Data Set B. Conclusion: Both sound quality procedures, namely, the MUSHRA-based procedures and the total impression rating scale, obtained similar quality ratings of varied hearing aid speech recordings with high reliability

Effects of earlens lens placement on sound field thresholds, tympanometric measurements and wideband acoustic immittance

Objective: The Earlens is a direct-drive hearing device consisting of a lens which physically displaces the umbo to achieve appropriate gain. The objective is to determine the clinical acceptability of clinical immittance measurements in Earlens wearers. Design: Controlled before-after within-subjects repeated measures study. Study sample: Data is reported for measurements obtained on 15 subjects (average age of 72.2 years) with data from 30 ears. Results: There was a small effect of lens placement on sound field thresholds in most subjects. The largest damping effect of 4 dB was observed at 1000 Hz. An average reduction of 0.17 mL was identified in compliance following lens placement (p \u3c 0.05). An effect of the lens on power absorbance obtained at ambient and peak pressure was found. The lens resulted in an increase in power absorbance at low frequencies (below 500 Hz) and a decrease in the mid to high-frequency range of approximately 500–3500 Hz (p \u3c 0.05). Conclusions: Lens wear had a small effect on audiometric thresholds and tympanometry for most patients. Clinicians who use compliance and power absorbance should take into consideration lens effects on these measurements. Additional work is required to develop clinical normative ranges of these measures for wearers of the Earlens

Auditory, Visual, and Audiovisual Speech Intelligibility for Sentence-Length Stimuli: An Investigation of Conversational and Clear Speech

Previous investigators have shown that the use of clear speech improves the auditory speech intelligibility of talkers. In the present study, the differences in speech intelligibility for sentences spoken conversationally and in a clear manner were investigated under three different experimental conditions: Auditory-only, visual-only, and audiovisually. Six talkers were videotaped while saying a list of 17 sentences twice: first while using conversational speech and then while using clear speech. The recorded stimuli were randomized and presented to subjects under one of the three experimental conditions, A broadband noise was mixed with the audio signal for the auditory-only and the audiovisual conditions. An auditory, visual, and audiovisual speech intelligibility score was obtained for the tokens of conversational and clear speech spoken by individual talkers. Overall, in each experimental condition, speech intelligibility improved significantly for the tokens of clear speech. However, for the auditory-only and the visual-only conditions there was a significant interaction between talker and manner of speech. In those sensory modalities, the speech intelligibility of some talkers improved when they used clear speech. The results suggest that for an individual talker there is not a direct association in the amount of improvement provided by the use of clear speech across sensory modalities

Verification of a Mobile Psychoacoustic Test System

Many hearing difficulties can be explained as a loss of audibility, a problem easily detected and treated using standard audiological procedures. Yet, hearing can be much poorer (or more impaired) than audibility predicts because of deficits in the suprathreshold mechanisms that encode the rapidly changing, spectral, temporal, and binaural aspects of the sound. The ability to evaluate these mechanisms requires well-defined stimuli and strict adherence to rigorous psychometric principles. This project reports on the comparison between a laboratory-based and a mobile system’s results for psychoacoustic assessment in adult listeners with normal hearing. A description of both systems employed is provided. Psychoacoustic tests include frequency discrimination, amplitude modulation detection, binaural encoding, and temporal gap detection. Results reported by the mobile system were not significantly different from those collected with the laboratory-based system for most of the tests and were consistent with those reported in the literature. The mobile system has the potential to be a feasible option for the assessment of suprathreshold auditory encoding abilities

Evaluating the accuracy of step tracking and fall detection in the starkey livio artificial intelligence hearing aids: A pilot study

Purpose: The primary purpose of this study was to examine the efficacy and the effectiveness of Starkey Livio Artificial Intelligence hearing aids in tracking step count. A secondary purpose was to investigate the accuracy of the fall detection and alert system of Livio hearing aids in detecting fall maneuvers. Method: A participant wore Binaural Starkey Livio receiver-in-the-canal style hearing aids, a Sportline pedometer, and a Fitbit Charge 3 concurrently during both real-world and treadmill walking conditions. The real-world condition was conducted over a 5-day period. Step count for the treadmill protocol was assessed at six different treadmill speeds (2 mph, 2.5 mph, 3 mph, 3.5 mph, 4 mph, 4.5 mph, and 5 mph). The fall detection and alert system were assessed through falling maneuvers of activities of daily living. Results: In the real-world condition, Livio, Sportline, and Fitbit recorded steps within 1 SD of each other. In addition, Livio recorded the most accurate steps compared to actual physical steps taken. In the treadmill condition, Livio recorded the least number of steps across all walking paces compared to the rest of the devices. Also, Livio hearing aids detected majority of the engaged falling maneuvers. Conclusions: The Livio was found to be feasible, consistent, and sensitive in detecting steps and falls. Further research of higher sample size and recruitment of individuals with hearing loss are suggested

Understanding Fitness and Hearing Relationship in Adults with Hearing Loss

We want to know if improving the fitness of older adults with hearing differences can improve hearing, and overall health. We are proposing this project because studies have looked at how much a clinical hearing test, called an audiogram, improves following completion of a fitness program. However, nobody has measured if this improvement translates into real-world hearing tasks like hearing in noise. Our previous pilot study indicated that a critical difference of 2.2 dB can be observed in the speech in noise test in a sample of 24 participant per group. Therefore, we propose an exercise and hearing protocol similar to that of the pilot study (summary of changes is listed in the protocol document) with a sample size of at least 48 participants (24 in each cohort). Changes to hearing health will be compared to changes to fitness levels as assessed by the senior fitness test pre-and-post exercise program