Comparison of In-Situ and Retrospective Self-Reports on Assessing Hearing Aid Outcomes.

Background: Ecological momentary assessment (EMA) is a methodology involving repeated surveys to collect in-situ self-reports that describe respondents' current or recent experiences. Audiology literature comparing in-situ and retrospective self-reports is scarce.

Purpose: To compare the sensitivity of in-situ and retrospective self-reports in detecting the outcome difference between hearing aid technologies, and to determine the association between in-situ and retrospective self-reports.

The Effects of Static and Moving Spectral Ripple Sensitivity on Unaided and Aided Speech Perception in Noise.

Purpose: This study evaluated whether certain spectral ripple conditions were more informative than others in predicting ecologically relevant unaided and aided speech outcomes.

Method: A quasi-experimental study design was used to evaluate 67 older adult hearing aid users with bilateral, symmetrical hearing loss. Speech perception in noise was tested under conditions of unaided and aided, auditory-only and auditory-visual, and 2 types of noise.

Using a Digital Language Processor to Quantify the Auditory Environment and the Effect of Hearing Aids for Adults with Hearing Loss.

Background: Auditory environments can influence the communication function of individuals with hearing loss and the effects of hearing aids. Therefore, a tool that can objectively characterize a patient's real-world auditory environments is needed.

Purpose: To use the Language Environment Analysis (LENA) system to quantify the auditory environments of adults with hearing loss, to examine if the use of hearing aids changes a user's auditory environment, and to determine the association between LENA variables and self-report hearing aid outcome measures.

Is the Device-Oriented Subjective Outcome (DOSO) Independent of Personality?

Background: Self-report questionnaires are a frequently used method of evaluating hearing aid outcomes. Studies have shown that personality can account for 5-20% of the variance in response to self-report measures. As a result, these influences can impact results and limit their generalizability when the purpose of the study is to examine the technological merit of hearing aids.

Working Memory and Speech Recognition in Noise Under Ecologically Relevant Listening Conditions: Effects of Visual Cues and Noise Type Among Adults With Hearing Loss.

Purpose: This study evaluated the relationship between working memory (WM) and speech recognition in noise with different noise types as well as in the presence of visual cues.

Method: Seventy-six adults with bilateral, mild to moderately severe sensorineural hearing loss (mean age: 69 years) participated. Using a cross-sectional design, 2 measures of WM were taken: a reading span measure, and Word Auditory Recognition and Recall Measure (Smith, Pichora-Fuller, & Alexander, 2016).

Output signal-to-noise ratio and speech perception in noise: effects of algorithm.

Objective: The aims of this study were to: 1) quantify the amount of change in signal-to-noise ratio (SNR) as a result of compression and noise reduction (NR) processing in devices from three hearing aid (HA) manufacturers and 2) use the SNR changes to predict changes in speech perception. We hypothesised that the SNR change would differ across processing type and manufacturer, and that improvements in SNR would relate to improvements in performance.

Design: SNR at the output of the HAs was quantified using a phase-inversion technique.

Binaural Interference and the Effects of Age and Hearing Loss.

Background: The existence of binaural interference, defined here as poorer speech recognition with both ears than with the better ear alone, is well documented. Studies have suggested that its prevalence may be higher in the elderly population. However, no study to date has explored binaural interference in groups of younger and older adults in conditions that favor binaural processing (i.

Speech Recognition and Parent Ratings From Auditory Development Questionnaires in Children Who Are Hard of Hearing.

Objectives: Progress has been made in recent years in the provision of amplification and early intervention for children who are hard of hearing. However, children who use hearing aids (HAs) may have inconsistent access to their auditory environment due to limitations in speech audibility through their HAs or limited HA use. The effects of variability in children's auditory experience on parent-reported auditory skills questionnaires and on speech recognition in quiet and in noise were examined for a large group of children who were followed as part of the Outcomes of Children with Hearing Loss study.

Trends and Predictors of Longitudinal Hearing Aid Use for Children Who Are Hard of Hearing.

Objectives: Children who are hard of hearing (CHH) have restricted access to acoustic and linguistic information. Increased audibility provided by hearing aids (HAs) influences language outcomes, but the advantages of appropriately fit HAs can only be realized if children wear their devices on a consistent basis. The purpose of this article was to characterize long-term HA use in CHH, based on parent-report measures, and identify factors that influence longitudinal trends in HA use.

Longitudinal Predictors of Aided Speech Audibility in Infants and Children.

Objectives: Amplification is a core component of early intervention for children who are hard of hearing, but hearing aids (HAs) have unique effects that may be independent from other components of the early intervention process, such as caregiver training or speech and language intervention. The specific effects of amplification are rarely described in studies of developmental outcomes. The primary purpose of this article is to quantify aided speech audibility during the early childhood years and examine the factors that influence audibility with amplification for children in the Outcomes of Children with Hearing Loss study.

Construct Validity of the Ecological Momentary Assessment in Audiology Research.

Background: Ecological momentary assessment (EMA) is a methodology involving repeated assessments/surveys to collect data describing respondents' current or very recent experiences and related contexts in their natural environments. The use of EMA in audiology research is growing.

Purpose: This study examined the construct validity (i.

The importance of high-frequency audibility with and without visual cues on speech recognition for listeners with normal hearing.

Objective: To examine the impact of visual cues, speech materials, age and listening condition on the frequency bandwidth necessary for optimizing speech recognition performance.

Design: Using a randomized repeated measures design; speech recognition performance was assessed using four speech perception tests presented in quiet and noise in 13 LP filter conditions and presented in multimodalities. Participants' performance data were fitted with a Boltzmann function to determine optimal performance (10% below performance achieved in FBW).

International Collegium of Rehabilitative Audiology (ICRA) recommendations for the construction of multilingual speech tests. ICRA Working Group on Multilingual Speech Tests.

Objective: To provide guidelines for the development of two types of closed-set speech-perception tests that can be applied and interpreted in the same way across languages. The guidelines cover the digit triplet and the matrix sentence tests that are most commonly used to test speech recognition in noise. They were developed by a working group on Multilingual Speech Tests of the International Collegium of Rehabilitative Audiology (ICRA).

Impact of frequency compression on music perception.

Objective: To determine the effects of frequency compression on music perception, and the impact of previous music training and hearing status. It was hypothesized that lesser amounts of compression would be preferred, and that this pattern of preference would be more evident in the musically trained groups.

Design: A paired-comparison paradigm was used.

The effect on localization of frequency-specific gain reduction schemes when matched and mismatched across ears.

Objective: To evaluate the impact of non-adaptive matched and mismatched gain reduction schemes on localization in spatially-separated noise.

Design: Inspired by the function of commercial noise reduction algorithms, five frequency-specific gain reduction filter schemes were created, three for a modulated babble-noise and two for an unmodulated speech-shaped noise. Applying these schemes as both matched and mismatched conditions across ears, localization of five everyday sounds in noise was measured in a virtual environment using insert earphones.

Measuring listening effort: driving simulator versus simple dual-task paradigm.

Objectives: The dual-task paradigm has been widely used to measure listening effort. The primary objectives of the study were to (1) investigate the effect of hearing aid amplification and a hearing aid directional technology on listening effort measured by a complicated, more real world dual-task paradigm and (2) compare the results obtained with this paradigm to a simpler laboratory-style dual-task paradigm.

Design: The listening effort of adults with hearing impairment was measured using two dual-task paradigms, wherein participants performed a speech recognition task simultaneously with either a driving task in a simulator or a visual reaction-time task in a sound-treated booth.

Nonlinear frequency compression in hearing aids: impact on speech and language development.

Objectives: The research questions of this study were: (1) Are children using nonlinear frequency compression (NLFC) in their hearing aids getting better access to the speech signal than children using conventional processing schemes? The authors hypothesized that children whose hearing aids provided wider input bandwidth would have more access to the speech signal, as measured by an adaptation of the Speech Intelligibility Index, and (2) are speech and language skills different for children who have been fit with the two different technologies; if so, in what areas? The authors hypothesized that if the children were getting increased access to the speech signal as a result of their NLFC hearing aids (question 1), it would be possible to see improved performance in areas of speech production, morphosyntax, and speech perception compared with the group with conventional processing.

Design: Participants included 66 children with hearing loss recruited as part of a larger multisite National Institutes of Health-funded study, Outcomes for Children with Hearing Loss, designed to explore the developmental outcomes of children with mild to severe hearing loss. For the larger study, data on communication, academic and psychosocial skills were gathered in an accelerated longitudinal design, with entry into the study between 6 months and 7 years of age.

The effect of low-level laser therapy on hearing.

One purported use of low-level laser therapy (LLLT) is to promote healing in damaged cells. The effects of LLLT on hearing loss and tinnitus have received some study, but results have been equivocal. The purpose of this study was to determine if LLLT improved hearing, speech understanding, and/or cochlear function in adults with hearing loss.

The effect of hearing aid technologies on listening in an automobile.

Background: Communication while traveling in an automobile often is very difficult for hearing aid users. This is because the automobile/road noise level is usually high, and listeners/drivers often do not have access to visual cues. Since the talker of interest usually is not located in front of the listener/driver, conventional directional processing that places the directivity beam toward the listener's front may not be helpful and, in fact, could have a negative impact on speech recognition (when compared to omnidirectional processing).

Hearing-aid users' voices: a factor that could affect directional benefit.

Objective: Backward-facing directional processing (Back-DIR) is an algorithm that employs an anti-cardioid directivity pattern to enhance speech arriving from behind the listener. An experiment that was originally designed to evaluate Back-DIR, together with its follow-up experiment, are reported to illustrate how hearing-aid users' voices could affect directional benefit.

Design: Speech recognition performance was measured in a speech-180°/noise-0° configuration, with aids programmed to Back-DIR enabled or omnidirectional processing.

Characteristics of hearing aid fittings in infants and young children.

Objectives: Hearing aids (HAs) provide the basis for improving audibility and minimizing developmental delays in children with mild to severe hearing loss. Multiple guidelines exist to recommend methods for optimizing amplification in children, but few previous studies have reported HA fitting outcomes for a large group of children. The present study sought to evaluate the proximity of the fitting to prescriptive targets and aided audibility of speech, as well as survey data from pediatric audiologists who provided HAs for the children in the present study.

Wordlikeness and word learning in children with hearing loss.

Background: The more a novel word conforms to the phonotactics of the language, the more wordlike it is and the easier it is to learn. It is unknown to what extent children with hearing loss (CHL) take advantage of phonotactic cues to support word learning.

Aims: This study investigated whether CHL had similar sensitivities to wordlikeness during a word-learning task as children with normal hearing (CNH).

The contribution of a frequency-compression hearing aid to contralateral cochlear implant performance.

Background: Frequency-lowering signal processing in hearing aids has re-emerged as an option to improve audibility of the high frequencies by expanding the input bandwidth. Few studies have investigated the usefulness of the scheme as an option for bimodal users (i.e.

The equivalence of acceptable noise level (ANL) with English, Mandarin, and non-semantic speech: a study across the U.S. and Taiwan.

Objective: Acceptable noise level (ANL) determines the maximum noise level that a listener is willing to accept while listening to speech. The objective of this study was to determine the equivalence of ANL measured using different speech stimuli for native speakers who lived in the U.S.

Do older adults have social lifestyles that place fewer demands on hearing?

Background: Listening demand, or auditory lifestyle, is an important factor that needs to be considered when selecting a hearing aid and specific amplification features. Although elderly adults often report having fewer listening demands, auditory lifestyles of people in different age groups have not been objectively quantified and compared. Although it is assumed that the social lifestyles of older adults, e.