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American Journal of Audiology

Alana Douglas, Rebecca J Kelly-Campbell
Purpose: The purpose of this study was to examine the readability of published patient-reported outcome measures (PROMs) designed for use in adult audiologic rehabilitation. The readability results were compared with the readability levels recommended for health information by health literacy experts. Method: Reading grade levels were calculated using the Flesch-Kincaid Grade Level Formula (Flesch, 1948), Gunning Fog Index (Gunning, 1952), Simple Measure of Gobbledygook (McLaughlin, 1969), and FORCAST (Caylor, Sticht, Fox, & Ford, 1973) readability formulas for 10 published PROMs...
April 6, 2018: American Journal of Audiology
Samantha Tai, Robyn Woodward-Kron, Caitlin Barr
Purpose: Effective clinical communication is pivotal to the provision of quality hearing health care. To date, audiology students reportedly felt ill-prepared when counseling patients about their hearing impairment, yet there is a paucity of studies exploring how clinical communication is taught and learned in audiology programs. Thus, the aims of the study were (a) to explore final year audiology students' perspectives of their own clinical communication skills during an in-house university clinical placement and (b) to explore students' perceptions of their clinical communication education...
March 27, 2018: American Journal of Audiology
Verena Müller, Heinz Klünter, Dirk Fürstenberg, Hartmut Meister, Martin Walger, Ruth Lang-Roth
Purpose: This study aimed to investigate whether adults with cochlear implants benefit from a change of fine structure (FS) coding strategies regarding the discrimination of prosodic speech cues, timbre cues, and the identification of natural instruments. The FS processing (FSP) coding strategy was compared to 2 settings of the FS4 strategy. Method: A longitudinal crossover, double-blinded study was conducted. This study consisted of 2 parts, with 14 participants in the first part and 12 participants in the second part...
March 13, 2018: American Journal of Audiology
Jasper V Smit, Bart J Pielkenrood, Remo A G J Arts, Miranda L Janssen, Yasin Temel, Robert J Stokroos
Purpose: The field of neuromodulation is currently seeking to treat a wide range of disorders with various types of invasive devices. In recent years, several preclinical trials and case reports in humans have been published on their potential for chronic tinnitus. However, studies to obtain insight into patients' willingness to undergo these treatments are scarce. The aim of this survey study was to find out whether tinnitus patients are willing to undergo invasive neuromodulation when taking its risks, costs, and potential benefits into account...
March 5, 2018: American Journal of Audiology
Junguo Wang, Xiaoyun Qian, Jie Chen, Ye Yang, Xia Gao
Purpose: This study aimed to investigate the hearing threshold among different age groups, genders, and geographic areas in China to provide some insight into the appropriate clinical interventions for hearing loss. Method: Using a systematic random sampling technique, 562 participants from Qinling, Qinghai, and Nanjing were included. Participants in the same area were divided into 3 groups according to their age. Pure-tone audiometric thresholds were measured at octave and interoctave frequencies of 0...
March 8, 2018: American Journal of Audiology
David Carpenter, David Kaylie, Erin Piker, Dennis Frank-Ito
Purpose: This study assesses interaural differences in temporal bone anatomy in subjects with normal caloric findings. Method: Eligible patients included those referred to the Duke University Medical Center otology clinic complaining of dizziness, with a head computed tomography scan and caloric stimulation results within normal ranges (inter-ear difference ≤ 10% or < 25% unilateral weakness). Three-dimensional reconstructions of computed tomography scans in 11 patients were used to calculate the surface area and volume of lateral semicircular canals (LSCCs), mastoid airspaces, mastoid bones, and internal auditory canal diameter and circumference...
March 8, 2018: American Journal of Audiology
Kristen L Janky, Megan L A Thomas, Robin R High, Kendra K Schmid, Oluwaseye Ayoola Ogun
Purpose: The aim of this study was to determine if there are factors that can predict whether a child with hearing loss will also have vestibular loss. Method: A retrospective chart review was completed on 186 children with hearing loss seen at Boys Town National Research Hospital for vestibular testing from 1999 to 2015 through neurosensory genetics clinic or cochlear implant candidacy. Each child's medical chart was reviewed to obtain the following data: vestibular loss severity (classified as normal, bilateral, or mild to moderate), degree of hearing loss (bilateral pure-tone average [PTA]), imaging abnormalities (classified as "normal" or "abnormal"), parental concerns for gross motor delay (classified as "yes, there is concern" or "no, there is not a concern"), parent report of age when their child sat (months) and walked independently (months), comorbidities (classified as "yes" if there were 1 or more comorbidities or "no" if there were no comorbidities), and score on the Developmental Profile-3...
March 8, 2018: American Journal of Audiology
Kairn Stetler Kelley, Benjamin Littenberg
Purpose: The aim of the study was to evaluate the evidence of clinical utility for dichotic speech tests of binaural integration used to assess auditory processing in English-speaking children 6-14 years old. Method: Dichotic speech test recordings and pertinent research studies were identified from iterative searches of the Internet and bibliographic databases, as well as communication with colleagues and test publishers. Test documentation and peer-reviewed literature were evaluated for evidence of reliability, accuracy, usefulness, and value...
March 8, 2018: American Journal of Audiology
Yu-Chen Hung, Ya-Jung Lee, Li-Chiun Tsai
Purpose: The Chinese Sound Test (Hung, Lin, Tsai, & Lee, 2016) has been recently developed as a modified version of the Ling Six-Sound Test (Ling, 2012). By incorporating Chinese speech sounds, this test should be able to estimate whether the listener can hear across the Chinese speech spectrum. To establish the clinical validity of the test, this study examined the relationship between the aided audiometric thresholds and the distance thresholds. Method: Sixty children with bilateral hearing aids were recruited...
March 8, 2018: American Journal of Audiology
Siamak Sabour
Purpose: The purpose of this letter, in response to Hall, Mehta, and Fackrell (2017), is to provide important knowledge about methodology and statistical issues in assessing the reliability and validity of an audiologist-administered tinnitus loudness matching test and a patient-reported tinnitus loudness rating. Method: The author uses reference textbooks and published articles regarding scientific assessment of the validity and reliability of a clinical test to discuss the statistical test and the methodological approach in assessing validity and reliability in clinical research...
March 8, 2018: American Journal of Audiology
Adriana Goyette, Jeff Crukley, Jason Galster
Purpose: Directional microphone systems are typically used to improve hearing aid users' understanding of speech in noise. However, directional microphones also increase internal hearing aid noise. The purpose of this study was to investigate how varying directional microphone bandwidth affected listening preference and speech-in-noise performance. Method: Ten participants with normal hearing and 10 participants with hearing impairment compared internal noise levels between hearing aid memories with 4 different microphone modes: omnidirectional, full directional, high-frequency directionality with directional processing above 900 Hz, and high-frequency directionality with directional processing above 2000 Hz...
March 8, 2018: American Journal of Audiology
Deborah A Hall, Rajnikant L Mehta, Kathryn Fackrell
Purpose: The authors respond to a letter to the editor (Sabour, 2018) concerning the interpretation of validity in the context of evaluating treatment-related change in tinnitus loudness over time. Method: The authors refer to several landmark methodological publications and an international standard concerning the validity of patient-reported outcome measurement instruments. Results: The tinnitus loudness rating performed better against our reported acceptability criteria for (face and convergent) validity than did the tinnitus loudness matching test...
March 8, 2018: American Journal of Audiology
Richard A Roberts
Purpose: This clinical report is presented to describe how results of vestibular function testing were considered along with other medical history to develop a management plan that was ultimately successful. Method: The patient underwent audio-vestibular assessment including comprehensive audiogram, videonystagmography, cervical vestibular evoked myogenic potential, and postural stability testing. Results: Results from initial testing were most consistent with uncompensated peripheral vestibular dysfunction affecting the right superior vestibular nerve...
March 8, 2018: American Journal of Audiology
Linda W Norrix, David Velenovsky
Purpose: The auditory brainstem response (ABR) is a powerful tool for making clinical decisions about the presence, degree, and type of hearing loss in individuals in whom behavioral hearing thresholds cannot be obtained or are not reliable. Although the test is objective, interpretation of the results is subjective. Method: This review provides information about evidence-based criteria, suggested by the 2013 Newborn Hearing Screening Program guidelines, and the use of cross-check methods for making valid interpretations about hearing status from ABR recordings...
March 8, 2018: American Journal of Audiology
Elizabeth Burnette, Erin G Piker, Dennis Frank-Ito
Purpose: The purpose of this study was to determine whether a significant order effect exists in the binaural bithermal caloric test. Method: Fifteen volunteers (mean age = 24.3 years, range = 18-38 years) with no history of vestibular disorder, hearing loss, concussion, or neurological disease underwent caloric testing on 3 occasions. Irrigations were randomized using 8 possible order combinations. The parameters of interest included unilateral weakness, directional preponderance, total response from the right ear, and total response from the left ear...
March 8, 2018: American Journal of Audiology
Dana David, Gil Zoizner, Perla Werner
Purpose: This study explored experiences of self-stigma among older persons with age-related hearing loss (ARHL) using Corrigan's conceptualization of self-stigma process formation and the attribution model as its theoretical framework. Method: In-depth semistructured interviews were conducted with 11 older persons (mean age = 81 years) with ARHL. Results: Self-stigma was present in the lives of the participants. Analysis revealed the existence of 3 stages of self-stigma in which the 3 core dimensions of stigma (cognitive attributions: being old, stupid, and crippled; emotional reactions: shame, pity, and feeling ridiculed; and behavioral reactions: concealment, distancing, and adapting to hearing aids) were observed...
March 8, 2018: American Journal of Audiology
D Mike McDaniel, Susan D Motts, Richard A Neeley
Purpose: The purpose of this study was to evaluate the balance of experienced adult hearing aid users with and without their hearing aids via computerized posturography. Method: Computerized posturography was accomplished by employing the Sensory Organization Test (SOT) on the NeuroCom Balance Master (Natus Medical Incorporated). The SOT assessed each participant's balance and the strategy used to maintain balance in 6 progressively challenging conditions. Twenty-two adults using bilateral at-the-ear hearing aids participated in the study...
March 8, 2018: American Journal of Audiology
Rebecca J Bennett, Carly J Meyer, Robert H Eikelboom, Marcus D Atlas
Purpose: The purpose of this study is to identify hearing aid owners' and clinicians' opinions of the knowledge, skills, and tasks required for hearing aid management and the importance of each of these to overall success with hearing aids. Method: Concept mapping techniques were used to identify key themes, wherein participants generated, sorted, and rated the importance of statements in response to the question "What must hearing aid owners do in order to use, handle, manage, maintain, and care for their hearing aids?" Twenty-four hearing aid owners (56 to 91 years of age; 54...
March 8, 2018: American Journal of Audiology
Kostas Kokkinakis
Purpose: The purpose of this study was to investigate whether bilateral cochlear implant (CI) listeners who are fitted with clinical processors are able to benefit from binaural advantages under reverberant conditions. Another aim of this contribution was to determine whether the magnitude of each binaural advantage observed inside a highly reverberant environment differs significantly from the magnitude measured in a near-anechoic environment. Method: Ten adults with postlingual deafness who are bilateral CI users fitted with either Nucleus 5 or Nucleus 6 clinical sound processors (Cochlear Corporation) participated in this study...
March 8, 2018: American Journal of Audiology
Xuehu He, Xiuzhong Li, Yaqi Guo, Yue Zhao, Hui Dong, Jie Dong, Li Zhong, Zhiyun Shi, Yuying Zhang, Mario Soliman, Chunhua Song, Zhijun Zhao
Purpose: This study screens for deafness gene mutations in newborns in the Northwest China population. Method: The 9 sites of 4 common deafness genes (GJB2, GJB3, SLC26A4, and mt 12S rRNA) were detected by bloodspot-based gene chip array in 2,500 newborns. Results: We detected mutations of the 4 genes in 101 (4.04%) newborns; particularly, 0.20% detected the double mutations. In the Hui population, 4.58% of the newborns tested positive for mutations, whereas 4...
March 8, 2018: American Journal of Audiology
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