Clinical Practice Patterns With Pediatric Loudness Perception Measures.

Purpose: Obtaining a patient's loudness discomfort level (LDL) can assist the audiologist in defining their dynamic range so that the hearing device fitting can ensure that low-level sounds are audible, average-level sounds are comfortable, and more intense sounds are loud but not too loud. A 2016 s...

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Publicado en:American Journal of Audiology Vol. 31; no. 1; pp. 175 - 189
Autores principales: Flores, Ashley N., Gustafson, Samantha J.
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Mar2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2022
      vid: 31
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        155545242
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        10.1044/2021_AJA-21-00151
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        atl: Clinical Practice Patterns With Pediatric Loudness Perception Measures.
      aug:
        au:
          Flores, Ashley N.
          Gustafson, Samantha J.
        affil: Department of Communication Sciences and Disorders, The University of Utah, Salt Lake City
      sug:
        subj:
          Loudness Perception In Infancy and Childhood
          Loudness Perception In Adolescence
          Medical Practice
          Practice Patterns
          Audiologist Attitudes
          Human
          Child
          Adolescence
          United States
          Questionnaires
          Audiologists
          Data Analysis Software
          Wilcoxon Signed Rank Test
          Post Hoc Analysis
          Chi Square Test
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Purpose: Obtaining a patient's loudness discomfort level (LDL) can assist the audiologist in defining their dynamic range so that the hearing device fitting can ensure that low-level sounds are audible, average-level sounds are comfortable, and more intense sounds are loud but not too loud. A 2016 survey showed that 67.5% of 350 pediatric audiologist reported to never or rarely measure LDLs with pediatric patients. The purpose of this study was to identify factors influencing this previously reported limited use of LDL measures. Method: Sixty-two pediatric audiologists in the United States were surveyed using a questionnaire that sought to improve our understanding of the (non)use of loudness perception measures with pediatric patients and to assess familiarity with various loudness perception measurements. In addition, the questionnaire gathered information about the needs of pediatric audiologists in relation to LDL measures. Results: Audiologist report being largely unfamiliar with methods of assessing loudness perception in children, with categorical loudness scaling being the method with which they are most familiar. In addition, audiologists reported being more willing and able to measure LDLs in older compared to younger pediatric patients. Limited use of pediatric loudness perception measures appears to be driven by a lack of familiarity with measurement methods and the belief that loudness perception measures may not be useful for clinical practice. Conclusions: Findings highlight audiologists' need for further information regarding the relevance of loudness perception measurements with pediatric patients and the need for easy-to-implement LDL measurement procedures for pediatric patients of all ages.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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