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American Journal of Audiology

Jerry Punch, Brad Rakerd
Purpose: This project was aimed at evaluating the reliability, validity, and clinical utility of a protocol for integrated measurements of the most comfortable level (MCL) and uncomfortable level (UCL) for speech, in combination with the speech recognition threshold (SRT). We also evaluated the validity of using spondee words when measuring speech MCL and UCL. Method: In a randomized block design, equal numbers of women and men with normal hearing, aged 18-29 years, were assigned to each of 3 experimental stimulus conditions: spondee singlets, spondee triplets, or connected discourse (n = 12 per group)...
December 10, 2018: American Journal of Audiology
Jamie L Desjardins, Carly A Alicea, Karen A Doherty
Purpose: The aim of the study was to determine the effect of memory function and manual dexterity on new and experienced hearing aid users' abilities to use and care for their hearing aids. Method: New and experienced hearing aid users were administered the Practical Hearing Aid Skills Test-Revised (PHAST-R; Doherty & Desjardins, 2012), a measure of a hearing aid user's ability to use and care for their hearing aids. The test was administered during their 30-day hearing aid check or yearly hearing evaluation appointment...
December 10, 2018: American Journal of Audiology
Steven C Marcrum, Thomas Steffens, Florian Zeman, Peter Kummer
Purpose: Distortion product otoacoustic emission (DPOAE) amplitude is sensitive to the primary tone level separation effective within the cochlea. Despite potential for middle ear sound transmission characteristics to affect this separation, no primary tone level optimization formula accounts for its influence. This study was conducted to determine if inclusion of ear- and frequency-specific immittance features improves primary tone level optimization formula performance beyond that achieved using a univariate, L2-based formula...
October 31, 2018: American Journal of Audiology
Jantien L Vroegop, J Gertjan Dingemanse, Marc P van der Schroeff, André Goedegebure
Purpose: The aim of the study was to investigate the effect of 3 hearing aid fitting procedures on provided gain of the hearing aid in bimodal cochlear implant users and their effect on bimodal benefit. Method: This prospective study measured hearing aid gain and auditory performance in a cross-over design in which 3 hearing aid fitting methods were compared. Hearing aid fitting methods differed in initial gain prescription rule (NAL-NL2 and Audiogram+) and loudness balancing method (broadband vs...
October 30, 2018: American Journal of Audiology
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No abstract text is available yet for this article.
December 6, 2018: American Journal of Audiology
Kathleen M McNerney, Mary Lou Coad, Robert F Burkard
Purpose: Healthy young controls exhibit a learning effect after undergoing repeated administrations of the sensory organization test (SOT). The primary objective of the present experiment was to determine if an SOT learning effect is present in individuals with a unilateral vestibular impairment (UVI), and if so, whether it is different from healthy controls. The secondary objective was to determine if the learning effect is dependent on the time frame of repeated SOT assessments. Method: Eleven individuals diagnosed with a UVI and 11 controls underwent 6 repetitions of the SOT over 2 visits (3 per visit all within 1 week)...
December 6, 2018: American Journal of Audiology
Hashir Aazh, Brian C J Moore
Objective: The aim was to assess the effectiveness of cognitive behavioral therapy (CBT) for tinnitus and/or hyperacusis delivered by audiologists working in the National Health Service in the United Kingdom. Design: This was a retrospective study, based on questionnaires assessing tinnitus and hyperacusis and insomnia before and after CBT. Study Sample: Data were gathered for 68 consecutive patients (average age = 52.5 years) who enrolled for CBT...
December 6, 2018: American Journal of Audiology
Bruno Elias Penteado, Paula Maria Pereira Paiva, Marina Morettin-Zupelari, Seiji Isotani, Deborah Viviane Ferrari
Purpose: This article introduces concepts and a general taxonomy used by the educational data mining (EDM) community, as well as examples of their applications, with the aims of providing audiology educators with a referential basis for developing this area. Method: A narrative review was carried out to present an overview of EDM and its main methods. Some of these methods were exemplified with analysis of real data from an Internet-based specialization course on pediatric auditory rehabilitation...
November 19, 2018: American Journal of Audiology
Eve Ainscough, Sandra N Smith, Kate Greenwell, Derek J Hoare
Purpose: Tinnitus is the perception of noise without a corresponding external stimulus. Current management typically aims to moderate associated psychosocial stressors and allow sufferers to retain an adequate quality of life. With the increasing recognition of the Internet as a repository for health advice, information, and support, the online support group has become a popular coping strategy for those living with chronic conditions such as tinnitus. Patients find that communicating with each other, providing encouragement, and sharing information in the absence of physical and temporal boundaries are invaluable ways of managing their condition...
November 19, 2018: American Journal of Audiology
Johanna Gutenberg, Panagiotis Katrakazas, Lyubov Trenkova, Louisa Murdin, Dario Brdaric, Nina Koloutsou, Katherine Ploumidou, Niels Henrik Pontoppidan, Ariane Laplante-Lévesque
Purpose: The scarcity of health care resources calls for their rational allocation, including within hearing health care. Policies define the course of action to reach specific goals such as optimal hearing health. The process of policy making can be divided into 4 steps: (a) problem identification and issue recognition, (b) policy formulation, (c) policy implementation, and (d) policy evaluation. Data and evidence, especially Big Data, can inform each of the steps of this process. Big Data can inform the macrolevel (policies that determine the general goals and actions), mesolevel (specific services and guidelines in organizations), and microlevel (clinical care) of hearing health care services...
November 19, 2018: American Journal of Audiology
Alessia Paglialonga, Massimo Schiavo, Enrico Gianluca Caiani
Purpose: The aim of this study was to test the viability of a novel method for automated characterization of mobile health apps. Method: In this exploratory study, we developed the basic modules of an automated method, based on text analytics, able to characterize the apps' medical specialties by extracting information from the web. We analyzed apps in the Medical and Health & Fitness categories on the U.S. iTunes store. Results: We automatically crawled 42,007 Medical and 79,557 Health & Fitness apps' webpages...
November 19, 2018: American Journal of Audiology
David W Maidment, Melanie Ferguson
Purpose: The purpose of this study is to provide an example of the Medical Research Council's guidelines for evaluating complex health care interventions in the context of smartphone-connected listening devices in adults with hearing loss. Method: Twenty existing hearing aid users trialed 1 of the following smartphone-connected listening devices: made-for-smartphone hearing aids, a personal sound amplification product, and a smartphone "hearing aid" application used with either wireless or wired earphones...
November 19, 2018: American Journal of Audiology
Laura Coco, Kyle Sorlie Titlow, Nicole Marrone
Purpose: Teleaudiology helps connect patients in rural and underresourced areas to hearing health care providers, minimizing the barrier of geography (Swanepoel et al., 2010). In the United States, teleaudiology is at the initial stages of implementation (Bush, Thompson, Irungu, & Ayugi, 2016). Telehealth researchers recommend conducting a comprehensive planning assessment to optimize implementation and adoption (AlDossary, Martin-Khan, Bradford, Armfield, & Smith, 2017; Alverson et al...
November 19, 2018: American Journal of Audiology
Vidya Ramkumar, Akilan Rajendran, Roopa Nagarajan, Subramaniyan Balasubramaniyan, Dhulase Krithega Suresh
Purpose: The aim of this study was to devise a grassroots-level strategy for identification and management of middle ear disorders in a community-based program for individuals with cleft lip and palate in 2 rural districts in the state of Tamil Nadu in South India. Method: Community workers underwent training to conduct video otoscopy using the ENTraview device. Community workers conducted video otoscopy on 160 individuals with cleft lip and palate between 3 and 35 years old in the community...
November 19, 2018: American Journal of Audiology
Karina C De Sousa, De Wet Swanepoel, David R Moore, Cas Smits
Purpose: The smartphone digits-in-noise hearing test, called hearZA, was made available as a self-test in South Africa in March 2016. This study determined characteristics and test performance of the listeners who took the test. Method: A retrospective analysis of 24,072 persons who completed a test between March 2016 and August 2017 was conducted. User characteristics, including age, English-speaking competence, and self-reported hearing difficulty, were analyzed...
November 19, 2018: American Journal of Audiology
Eldré W Beukes, Peter M Allen, David M Baguley, Vinaya Manchaiah, Gerhard Andersson
Purpose: The purpose of this study was to investigate the long-term outcomes 1 year after undertaking an audiologist-guided Internet-based cognitive behavioral therapy (iCBT) intervention for tinnitus. Secondary aims were to identify any predictors of outcome and whether there were any unwanted events related to undertaking iCBT for tinnitus. Method: Participants who had previously undertaken a randomized iCBT efficacy trial for tinnitus were invited to participate...
November 19, 2018: American Journal of Audiology
Birgit Philips, Cas Smits, Paul J Govaerts, Inge Doorn, Filiep Vanpoucke
Purpose: The introduction of connectivity technologies in hearing implants allows new ways to support cochlear implant (CI) users remotely. Some functionalities and services that are traditionally only available in an in-clinic care model can now also be accessed at home. This study explores the feasibility of a prototype of a tablet computer application (MyHearingApp [MHA]) in a group of senior experienced CI users at home, evaluating usability and user motivation. Method: Based on user feedback, a tablet computer application (MHA) for the Cochlear Nucleus 6 CP910 sound processor was designed implementing six different functionalities: (a) My Hearing Tests, (b) My Environment, (c) My Hearing Journey, (d) Tip of the Day, (e) Recipient Portal, and (f) Program Use and Events...
November 19, 2018: American Journal of Audiology
Annette Cleveland Nielsen, Sergi Rotger-Griful, Anne Marie Kanstrup, Ariane Laplante-Lévesque
Purpose: The successful design and innovation of eHealth solutions directly involve end users in the process to seek a better understanding of their needs. This article presents user-innovated eHealth solutions targeting older persons with hearing impairment. Our research question was: What are the key users' needs, expectations, and visions within future hearing rehabilitation service delivery? Method: We applied a participatory design approach to facilitate the design of future eHealth solutions via focus groups...
November 19, 2018: American Journal of Audiology
Wendy Steuerwald, Ian Windmill, Michael Scott, Thomas Evans, Kathleen Kramer
Purpose: The purpose of this manuscript is to describe the regulatory, technological, and training considerations for audiologists investigating telehealth and to offer some examples of audiology services provided through telehealth. Method: The authors presented the regulatory components, the technology required for audiology staff and patients, and staff training for the audiology telehealth program at Cincinnati Children's Hospital Medical Center. Four case studies highlighting the successful use of telehealth in providing auditory device services to patients were also presented...
November 19, 2018: American Journal of Audiology
Michelle L Hughes, Joshua D Sevier, Sangsook Choi
Purpose: The purpose of this report is to describe the equipment setup and techniques for successfully testing behavioral thresholds in young children with cochlear implants (CIs) using telepractice. We will also discuss challenges associated with pediatric CI programming that are unique to the use of distance technology, and we will describe ways to overcome those challenges. Last, we will review the results from 2 recent studies specifically targeted toward testing behavioral thresholds in young children with CIs...
November 19, 2018: American Journal of Audiology
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