Perceptual Benefits of Extended Bandwidth Hearing Aids With Children: A Within-Subject Design Using Clinically Available Hearing Aids.

Purpose: The aim of the study was to investigate the achieved audibility with clinically available, modern, high-end, behindthe- ear hearing aids fitted using the Desired Sensation Level v5.0 child prescription for a clinical sample of children with hearing impairment and the effect of the extended...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 63; no. 11; pp. 3834 - 3847
Autores principales: Van Eeckhoutte, Maaike, Scollie, Susan, O'Hagan, Robin, Glista, Danielle
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Nov2020
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2020
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      pub: American Speech-Language-Hearing Association
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        10.1044/2020_JSLHR-20-00271
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        atl: Perceptual Benefits of Extended Bandwidth Hearing Aids With Children: A Within-Subject Design Using Clinically Available Hearing Aids.
      aug:
        au:
          Van Eeckhoutte, Maaike
          Scollie, Susan
          O'Hagan, Robin
          Glista, Danielle
        affil:
          National Centre for Audiology, Western University, London, Ontario, Canada
          Hearing Systems, Department of Health Technology, Technical University of Denmark, Kongens Lyngby*
          Ear, Nose, Throat (ENT) & Audiology Clinic, Rigshospitalet, Copenhagen University Hospital, Denmark
          School of Communication Sciences and Disorders, Faculty of Health Sciences, Western University, London, Ontario, Canada
      su:
        Children
        Auditory perception
        Comparative studies
        Statistical correlation
        Hearing aids
        Hearing aid fitting
        Hearing disorders
        Noise
        Nonparametric statistics
        Health outcome assessment
        Paired comparisons (Mathematics)
        Research funding
        Loudness
        Descriptive statistics
      sug:
        subj:
          Children
          Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
          Professional machinery, equipment and supplies merchant wholesalers
          Electromedical and Electrotherapeutic Apparatus Manufacturing
          All Other Health and Personal Care Stores
          Auditory perception
          Comparative studies
          Statistical correlation
          Hearing aids
          Hearing aid fitting
          Hearing disorders
          Noise
          Nonparametric statistics
          Health outcome assessment
          Paired comparisons (Mathematics)
          Research funding
          Loudness
          Descriptive statistics
      ab: Purpose: The aim of the study was to investigate the achieved audibility with clinically available, modern, high-end, behindthe- ear hearing aids fitted using the Desired Sensation Level v5.0 child prescription for a clinical sample of children with hearing impairment and the effect of the extended bandwidth provided by the hearing aids on several outcome measures. Method: The achieved audibility was measured using the maximum audible output frequency method. Twentyeight children (7-17 years old) with mild to severe hearing losses completed this study. Two hearing aid conditions were fitted for each participant: an extended bandwidth condition, which was fitted to targets as closely as possible, and a restricted bandwidth condition, for which aided output was restricted above 4.5 kHz. Consonant discrimination in noise, subjective preference, aided loudness growth, and preferred listening levels were evaluated in both conditions. Results: The extended bandwidth hearing aid fittings provided speech audibility above 4.5 kHz for all children, with an average maximum audible output frequency of 7376 Hz (SD = 1669 Hz). When compared to a restricted bandwidth, the extended bandwidth condition led to an improvement of 5.4% for consonant discrimination in noise scores, mostly attributable to /s/, /z/, and /t/ phoneme perception. Aided loudness results and preferred listening levels were not significantly different across bandwidth conditions; however, 65% of the children indicated a subjective preference for the extended bandwidth. Conclusion: The study suggests that providing the full bandwidth available, with modern, behind-the-ear hearing aids, leads to improved audibility, when compared to restricted bandwidth hearing aids, and that it leads to beneficial outcomes for children who use hearing aids, fitted to the Desired Sensation Level v5.0 child prescription, without causing significant increases in their loudness perception.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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