Predicting three-month and 12-month post-fitting real-world hearing-aid outcome using pre-fitting acceptable noise level (ANL).

Objective: Determine the extent to which pre-fitting acceptable noise level (ANL), with or without other predictors such as hearing-aid experience, can predict real-world hearing-aid outcomes at three and 12 months post-fitting.Design: ANLs were measured before hearing-aid fitting. Post-fitting outc...

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Publicado en:International Journal of Audiology Vol. 55; no. 5; pp. 285 - 295
Autores principales: Wu, Yu-Hsiang, Ho, Hsu-Chueh, Hsiao, Shih-Hsuan, Brummet, Ryan B., Chipara, Octav
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2016
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Predicting three-month and 12-month post-fitting real-world hearing-aid outcome using pre-fitting acceptable noise level (ANL).
      aug:
        au:
          Wu, Yu-Hsiang
          Ho, Hsu-Chueh
          Hsiao, Shih-Hsuan
          Brummet, Ryan B.
          Chipara, Octav
        affil: Department of Communication Sciences and Disorders, The University of Iowa, Iowa City, USA
      sug:
        subj:
          Hearing Aids
          Noise
          Human
          Machinery
          Learning
          Time Factors
          Questionnaires
          Logistic Regression
          Cross Sectional Studies
          Funding Source
      ab: Objective: Determine the extent to which pre-fitting acceptable noise level (ANL), with or without other predictors such as hearing-aid experience, can predict real-world hearing-aid outcomes at three and 12 months post-fitting.Design: ANLs were measured before hearing-aid fitting. Post-fitting outcome was assessed using the international outcome inventory for hearing aids (IOI-HA) and a hearing-aid use questionnaire. Models that predicted outcomes (successful vs. unsuccessful) were built using logistic regression and several machine learning algorithms, and were evaluated using the cross-validation technique.Study sample: A total of 132 adults with hearing impairment.Results: The prediction accuracy of the models ranged from 61% to 68% (IOI-HA) and from 55% to 61% (hearing-aid use questionnaire). The models performed more poorly in predicting 12-month than three-month outcomes. The ANL cutoff between successful and unsuccessful users was higher for experienced (∼18 dB) than first-time hearing-aid users (∼10 dB), indicating that most experienced users will be predicted as successful users regardless of their ANLs.Conclusions: Pre-fitting ANL is more useful in predicting short-term (three months) hearing-aid outcomes for first-time users, as measured by the IOI-HA. The prediction accuracy was lower than the accuracy reported by some previous research that used a cross-sectional design.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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