Linear and nonlinear hearing aid fittings -- 1. Patterns of benefit.

We evaluated the benefits of fast-acting WDRC, slow-acting AVC, and linear reference fittings for speech intelligibility and reported disability, in a within-subject within-device masked crossover design on 50 listeners with SNHL. Five hearing aid fittings were implemented having two compression cha...

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Publicado en:International Journal of Audiology Vol. 45; no. 3; pp. 130 - 153
Autores principales: Gatehouse S, Naylor G, Elberling C
Formato: equations & formulas research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2006
      vid: 45
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Linear and nonlinear hearing aid fittings -- 1. Patterns of benefit.
      aug:
        au:
          Gatehouse S
          Naylor G
          Elberling C
        affil: MRC Institute of Hearing Research, Scottish Section, Glasgow Royal Infirmary, Queen Elizabeth Building, 16 Alexandra Parade, Glasgow G31 2ER, UK; stuart@ihr.gla.ac.uk
      sug:
        subj:
          Consumer Satisfaction
          Hearing Aid Fitting Methods
          Analysis of Variance
          Clinical Assessment Tools
          Comparative Studies
          Confidence Intervals
          Descriptive Statistics
          Equipment Design
          Funding Source
          Hearing Loss, Sensorineural
          Outcome Assessment
          Post Hoc Analysis
          Questionnaires
          Repeated Measures
          Scotland
          Self Report
          Signal Processing, Computer Assisted
          Speech Discrimination Tests
          Speech Intelligibility
          T-Tests
          Visual Analog Scaling
          Human
      ab: We evaluated the benefits of fast-acting WDRC, slow-acting AVC, and linear reference fittings for speech intelligibility and reported disability, in a within-subject within-device masked crossover design on 50 listeners with SNHL. Five hearing aid fittings were implemented having two compression channels and seven frequency bands. Each listener sequentially experienced each fitting for a 10-week period. Outcome measures included speech intelligibility under diverse conditions and self-reported disability. At a group level, each nonlinear fitting was superior to the linear references for benefits in listening comfort, listener satisfaction, reported intelligibility and speech intelligibility. Slow-acting AVC outperformed the fast-acting WDRC fittings for listening comfort, while for reported and measured speech intelligibility the converse was true. For listener satisfaction there were no group differences between the nonlinear fittings. Analysis in terms of fittings for individual listeners revealed subsets with definite divergences from the group data and hence a need for candidature criteria. There are systematic differences between the benefits of nonlinear and linear fittings, and also within nonlinear fittings with fast versus slow time constants. The patterns of benefit and individual optima depend on the domain of outcome being assessed.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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