Device and Fitting Protocol for a Transitional Intervention for Debilitating Hyperacusis.
Purpose: This report describes a hearing device and corresponding fitting protocol designed for use in a transitional intervention for debilitating loudnessbased hyperacusis. Method: The intervention goal is to transition patients with hyperacusis from their typical counterproductive sound avoidance...
| Published in: | Journal of Speech, Language & Hearing Research Vol. 67; no. 6; pp. 1868 - 1886 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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American Speech-Language-Hearing Association
Jun2024
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=177761743&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 177761743 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Jun2024 vid: 67 iid: 6 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 177761743 10.1044/2024_JSLHR-23-00359 ppf: 1868 ppct: 18 formats: fmt: @attributes: type: P size: 1.2MB tig: atl: Device and Fitting Protocol for a Transitional Intervention for Debilitating Hyperacusis. aug: au: Eddins, David A. Armstrong, Steve Juneau, Roger Hutchison, Peter Cherri, Dana Secor, Carrie A. Formbya, Craig affil: Auditory & Speech Sciences Laboratory, University of South Florida, Tampa. University of Central Florida, Orlando. Soundsgood Labs, Burlington, Ontario, Canada. SoftTouch Labs, Harahan, LA. University of Alabama, Tuscaloosa. su: Psychological adaptation Quality of life Technology Counseling Hearing Avoidance (Psychology) Sound therapy Hearing aid fitting Medical protocols Hyperacusis Sensory stimulation Computer software Noise Sound Hearing aids Signal processing Assistive listening systems Transitional care Loudness Auditory perception Electronic amplifiers Calibration Symptoms sug: subj: Psychological adaptation Quality of life Technology Counseling Hearing Avoidance (Psychology) Software publishers (except video game publishers) Computer and software stores Computer and Computer Peripheral Equipment and Software Merchant Wholesalers Computer, computer peripheral and pre-packaged software merchant wholesalers Other Individual and Family Services Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers All Other Health and Personal Care Stores Electromedical and Electrotherapeutic Apparatus Manufacturing Professional machinery, equipment and supplies merchant wholesalers Sound therapy Hearing aid fitting Medical protocols Hyperacusis Sensory stimulation Computer software Noise Sound Hearing aids Signal processing Assistive listening systems Transitional care Loudness Auditory perception Electronic amplifiers Calibration Symptoms ab: Purpose: This report describes a hearing device and corresponding fitting protocol designed for use in a transitional intervention for debilitating loudnessbased hyperacusis. Method: The intervention goal is to transition patients with hyperacusis from their typical counterproductive sound avoidance behaviors (i.e., sound attenuation and limited exposure to healthy low-level sounds) into beneficial sound therapy treatment that can expand their dynamic range to the point where they can tolerate everyday sounds and experience an improved quality of life. This requires a combination of counseling and sound therapy, the latter of which is provided via the hearing device technology, signal processing, and precision fitting approach described in this report. The device combines a miniature behind-the-ear sound processor and a custom earpiece designed to maximize the attenuation of external sounds. Output-limiting loudness suppression is used to restrict exposure to offending high-level sounds while unity gain amplification maximizes exposure to healthy and tolerable lower level sounds. The fitting process includes measurement of the real-ear unaided response, the realear measurement (REM) system noise floor, the real-ear occluded response, real-ear insertion gain, and the output limit. With these measurements, the device can achieve the prescribed unity gain needed to provide transparent access to comfortable sound levels. It also supports individualized configuration of the therapeutic noise from an on-board sound generator and adaptive output limiting based on treatment-induced increases in dynamic range. Results and Conclusion: The utility of this device and fitting protocol, in combination with structured counseling, is highlighted in the outcomes of a successful 6-month trial of the transitional intervention described in a companion report in this issue. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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