A critical review of hearing-aid single-microphone noise-reduction studies in adults and children.

Purpose: Single-microphone noise reduction (SMNR) is implemented in hearing aids to suppress background noise. The purpose of this article was to provide a critical review of peer-reviewed studies in adults and children with sensorineural hearing loss who were fitted with hearing aids incorporating...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 13; no. 6; pp. 600 - 609
Autores principales: Chong, Foong Yen, Jenstad, Lorienne M.
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/17483107.2017.1392619
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        atl: A critical review of hearing-aid single-microphone noise-reduction studies in adults and children.
      aug:
        au:
          Chong, Foong Yen
          Jenstad, Lorienne M.
        affil: School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
      sug:
        subj:
          Hearing Aids
          Transducers Utilization
          Noise Prevention and Control
          Speech Intelligibility
          Auditory Perception
          Human
          Systematic Review
          PubMed
          Child, Preschool
          Child
          Middle Age
          Aged
          Adult
          Young Adult
          Aged, 80 and Over
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Aged, 80 & over
      ab: Purpose: Single-microphone noise reduction (SMNR) is implemented in hearing aids to suppress background noise. The purpose of this article was to provide a critical review of peer-reviewed studies in adults and children with sensorineural hearing loss who were fitted with hearing aids incorporating SMNR. Method: Articles published between 2000 and 2016 were searched in PUBMED and EBSCO databases. Results: Thirty-two articles were included in the final review. Most studies with adult participants showed that SMNR has no effect on speech intelligibility. Positive results were reported for acceptance of background noise, preference, and listening effort. Studies of school-aged children were consistent with the findings of adult studies. No study with infants or young children of under 5 years old was found. Recent studies on noise-reduction systems not yet available in wearable hearing aids have documented benefits of noise reduction on memory for speech processing for older adults. Conclusions: This evidence supports the use of SMNR for adults and school-aged children when the aim is to improve listening comfort or reduce listening effort. Future research should test SMNR with infants and children who are younger than 5 years of age. Further development, testing, and clinical trials should be carried out on algorithms not yet available in wearable hearing aids. Testing higher cognitive level for speech processing and learning of novel sounds or words could show benefits of advanced signal processing features. These approaches should be expanded to other populations such as children and younger adults. Implications for rehabilitation: The review provides a quick reference for students and clinicians regarding the efficacy and effectiveness of SMNR in wearable hearing aids. This information is useful during counseling session to build a realistic expectation among hearing aid users. Most studies in the adult population suggest that SMNR may provide some benefits to adult listeners in terms of listening comfort, acceptance of background noise, and release of cognitive load in a complex listening condition. However, it does not improve speech intelligibility. Studies that examined SMNR in the paediatric population suggest that SMNR may benefit older school-aged children, aged between 10 and 12 years old. The evidence supports the use of SMNR for adults and school-aged children when the aim is to improve listening comfort or reduce listening effort.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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