Tinnitus Activities Treatment with Total and Partial Masking

2021 ◽  
Vol 32 (08) ◽  
pp. 501-509
Author(s):  
Richard S. Tyler ◽  
Christina Stocking ◽  
Haihong Ji ◽  
Shelley Witt ◽  
Patricia C. Mancini
Keyword(s):  
Individual Differences ◽  
Research Design ◽  
Hearing Aids ◽  
Average Decrease ◽  
Counseling Group ◽  
Sound Therapy ◽  
Group 3 ◽  
Primary Measure

Abstract Background There are many counseling and sound therapy approaches to treat tinnitus. Counseling approaches range from providing information using directive or collaborative approaches. Sound therapies include strategies that use background sounds to totally or partially mask tinnitus to reduce the prominence of or decrease the loudness or annoyance of the tinnitus. Purpose We evaluated the effectiveness of tinnitus activities treatment (TAT) in two groups, those without hearing aids (HA) and those who were provided with HA. In both groups, comparisons were made among those receiving (1) counseling only, (2) counseling and partial masking, and (3) counseling and total masking. Research Design Participants were provided with HA or not, based on their choice, and then randomly assigned to one of the three groups. The Tinnitus Handicap Questionnaire (THQ) was used as the primary measure. Results For those without HA, significant benefits were obtained for 8 out of 22 participants in the counseling group, 8 of 13 in the total masking group, and 8 of 24 in the partial mask group. The average decrease in the THQ was 15% for the counseling group, 25% for the total mask, and 14% for the partial masking group. For those with HA; significant benefits were obtained for 5 of 16 in the counseling group, 3 of 14 in the total mask group, and 6 of 13 in the partial mask group. The average decrease in the THQ score was 12% for counseling, 13% for total masking, and 16% for partial masking. No significant differences among groups were observed. Conclusion Individual differences were large. Many benefited from their treatment, but some did not. We believe this was likely influenced by their expectations.

scholarly journals Perception Mechanism of Bone-Conducted Ultrasound and Its Clinical Use

2021 ◽  
Vol 11 (2) ◽  
pp. 244-253
Author(s):  
Tadashi Nishimura ◽  
Tadao Okayasu ◽  
Akinori Yamashita ◽  
Hiroshi Hosoi ◽  
Tadashi Kitahara
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Bone Conduction ◽  
Speech Signals ◽  
Clinical Use ◽  
Reported Speech ◽  
Sound Therapy ◽  
Profound Deafness ◽  
Tinnitus Treatment

It is generally believed that ultrasound cannot be heard. However, ultrasound is audible when it is presented through bone conduction. Bone-conducted ultrasound (BCU) has unique characteristics; the most interesting is its perception in patients with profound deafness. Some patients can perceive it and discriminate speech-modulated BCU. Previous reports have suggested that BCU can be used for a hearing aid or tinnitus sound therapy. In this review, the perception of BCU at both the peripheral and central levels was investigated based on previous studies, although some of them remain controversial. We also investigated the clinical use of BCU. To develop hearing aids utilizing BCU, the encoding of speech signals into BCU has to be established. The outcomes of the reported speech modulations were evaluated. Furthermore, the suppression of tinnitus by BCU was reviewed, and the feasibility of the application of BCU to tinnitus treatment was investigated.

scholarly journals Strategi Restructuring Cognitive Dalam Konseling Kelompok CBT Untuk Meningkatkan Kepercayaan Diri Siswa Kelas VIII G di SMP PGRI 1 Buduran Sidoarjo

2020 ◽  
Vol 5 (2) ◽  
pp. 62-67
Author(s):  
Oom Linda Rukmana ◽  
Kusbandiami ◽  
Maghfirotul Lathifah
Keyword(s):  
Experimental Study ◽  
Research Design ◽  
Group Counseling ◽  
Cognitive Restructuring ◽  
Sampling Techniques ◽  
Self Confidence ◽  
Counseling Group ◽  
Class Viii ◽  
Confidence Measurement ◽  
Selection Of

This study aims to determine the effect of the use of cognitive restructuring strategies in group counseling on class VIII G students' confidence in SMP PGRI 1 BUDURAN SIDOARJO. The research design used was a Pre-Experimental study with a One Group Pretest-Postest Design. The population of class VIII G students at SMP PGRI 1 BUDURAN SIDOARJO was 30 students, then 4 students were taken as research samples using purposive sampling techniques. The selection of this sample was chosen based on the results of students' low self-confidence scores through filling in the scale of student confidence measurement. The results of this study  was found that there was no significance changed in the use of cognitive restructuring  in counseling group on the confidence of students of class VIII G in SMP PGRI 1 BUDURAN SIDOARJO.

Hearing Aids for Ménière's Syndrome: Implications of Hearing Fluctuation

2008 ◽  
Vol 19 (05) ◽  
pp. 430-434 ◽  
Author(s):  
Celene McNeill ◽  
Catherine M. McMahon ◽  
Philip Newall ◽  
Mary Kalantzis
Keyword(s):  
Data Collection ◽  
Research Design ◽  
Hearing Aids ◽  
Great Satisfaction ◽  
Hearing Thresholds ◽  
Data Collection And Analysis

Background: Hearing fluctuation imposes the biggest challenge in the fitting of hearing aids for patients with Ménière's syndrome. Purpose: This study shows that the problem maybe be overcome by allowing the patients to test their own hearing and to program their own hearing aids to adjust for hearing fluctuation. Research Design and Study Sample: A group of 40 participants diagnosed with Ménière's syndrome were fitted with Widex Senso Diva hearing aids and were provided with a portable Senso Programmer 3 (SP3) that allowed them to measure their own hearing thresholds at up to 14 different frequencies and to program their own devices. Intervention: The participants were instructed to test their hearing three times a day for 8 weeks and to program their hearing aids according to the measured thresholds. Data Collection and Analysis: All participants recorded some degree of hearing fluctuation during the 8-week trial. Results and Conclusions: Among participants, 70 percent continued to program their hearing aids on a regular basis and reported great satisfaction with amplification because they are now able to adjust their own devices when their hearing fluctuates.

Differential diagnosis of tinnitus

2022 ◽  
pp. 44-47
Author(s):  
Lev Borisovich Shlopak ◽  
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Behavioral Therapy ◽  
Evidence Base ◽  
Anxiety And Depression ◽  
Surgical Interventions ◽  
Sound Therapy ◽  
Drug Treatments ◽  
Ototoxic Drugs ◽  
Broadband Sound

Tinnitus is a common clinical symptomthat can be debilitating. Risk factors forits development are hearing loss, use of ototoxic drugs, head injury and depression. At the onset of the disease, the likelihood of ear pathology, the presence of anxiety and depression should be considered. There are no effective drug treatments for tinnitus, although a number of scientific studies are ongoing to determine the mechanisms of the development of this condition and to search for possible options for its treatment. When ear pathology is detected, surgical interventions can be effective, but tinnitus associated with this disease persists. Available treatment approaches include hearing aids for diagnosed hearing loss (even mild or unilateral), broadband sound therapy, and counseling. Cognitive-behavioral therapy is indicated for some patients, but availability remains inadequate. The evidence base is most significant for the combination of sound therapy and CBT-based counseling, although clinical trials are complicated by the heterogeneity of the tinnitus patient population.

What Is Important for Hearing Aid Satisfaction? Application of the Expectancy-Disconfirmation Model

2014 ◽  
Vol 25 (07) ◽  
pp. 644-655 ◽  
Author(s):  
Carly Meyer ◽  
Louise Hickson ◽  
Asad Khan ◽  
David Walker
Keyword(s):  
Research Design ◽  
Hearing Aids ◽  
Consumer Satisfaction ◽  
Hearing Aid ◽  
Hearing Ability ◽  
Expected Performance ◽  
Data Collection And Analysis ◽  
Listening Environments ◽  
Expectancy Disconfirmation ◽  
Hearing Aid Benefit

Background: Between 68.1–89.5% of clients report that they are satisfied with their hearing aids. Two variables that are thought to contribute to dissatisfaction with hearing aids are product performance, and a mismatch between performance and client prefitting expectations about hearing-aid performance (i.e., disconfirmation). A focus on variables related to satisfaction is relevant to improving hearing rehabilitation services. Purpose: The aim of this study was to determine if measures of hearing-aid performance and disconfirmation, specifically related to hearing ability and hearing-aid problems, were associated with overall hearing-aid satisfaction among a sample of hearing-aid users. Research Design: A retrospective research design was employed. Study Sample: A total of 123 individuals participated in the study (57% male; mean age: 72 yr). All participants owned hearing aids. Data Collection and Analysis: A personal details questionnaire and the Profile of Hearing Aid Consumer Satisfaction questionnaire (Wong et al, 2009) were completed by participants, 3–12 mo after they obtained hearing aids. Overall hearing-aid satisfaction was a dichotomized variable (satisfaction vs. dissatisfaction); therefore, logistic regression modeling was applied to the data to determine which variables were associated with overall hearing-aid satisfaction. Results: Sixty-one percent of the sample reported that they were satisfied with their hearing aids. Hearing-aid satisfaction was associated with the ability to hear with hearing aids and better-than-expected performance in this same area; fewer hearing-aid problems; and fewer problems with hearing-aid manipulation, hearing-aid appearance, and wearer discomfort than were anticipated before hearing-aid fitting. Conclusions: It is recommended that to improve hearing-aid satisfaction, clinicians should ensure optimal hearing-aid benefit in the listening situations that the person with hearing impairment most wants to hear better; reduce the likelihood of hearing-aid problems occurring; and promote positive disconfirmation (performance exceeds expectations) with respect to both hearing ability and hearing-aid performance through the education of clients about the likely benefits of hearing aids in a variety of listening environments, and the potential problems they could face with hearing-aid manipulation and wearer discomfort.

Individual Differences within and across Feedback Suppression Hearing Aids

2008 ◽  
Vol 19 (10) ◽  
pp. 748-757 ◽  
Author(s):  
Todd Ricketts ◽  
Earl Johnson ◽  
Jeremy Federman
Keyword(s):  
Individual Differences ◽  
Hearing Aids ◽  
Descriptive Study ◽  
Measurement Methods ◽  
Single Individual ◽  
Considerable Variability ◽  
Individual Subject ◽  
Feedback Suppression ◽  
Improved Methods ◽  
Made In

Background: New and improved methods of feedback suppression are routinely introduced in hearing aids; however, comparisons of additional gain before feedback (AGBF) values across instruments are complicated by potential variability across subjects and measurement methods. Purpose: To examine the variability in AGBF values across individual listeners and an acoustic manikin. Research Design: A descriptive study of the reliability and variability of the AGBF measured within six commercially available feedback suppression (FS) algorithms using probe microphone techniques. Study Sample: Sixteen participants and an acoustic manikin. Results: The range of AGBF across the six FS algorithms was 0 to 15 dB, consistent with other recent studies. However, measures made in the participants ears and on the acoustic manikin within the same instrument suggest that across instrument comparisons of AGBF measured using acoustic manikin techniques may be misleading, especially when differences between hearing aids are small (i.e., less than 6 dB). Individual subject results also revealed considerable variability within the same FS algorithms. The range of AGBF values was as small as 7 dB and as large as 16 dB depending on the specific FS algorithm, suggesting that some models are much more robust than others. Conclusions: These results suggest caution when selecting FS algorithms clinically since different models can demonstrate similar AGBF when averaging across ears, but result in quite different AGBF values in a single individual ear.

Maximum Real-Ear Gain of In-the-Ear Hearing Aids

1991 ◽  
Vol 34 (2) ◽  
pp. 351-359 ◽  
Author(s):  
Faye N. Erickson ◽  
Dianne J. Van Tasell
Keyword(s):  
Individual Differences ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Hearing Impaired ◽  
Volume Control ◽  
Ear Canal ◽  
Shell Size ◽  
Maximum Gain ◽  
Functional Gain

Three hearing aid manufacturers provided custom full-shell in-the-ear hearing aids for each of 3 hearing-impaired subjects. Each manufacturer was instructed that the hearing aids should provide the maximum possible acoustic gain within the limits of hearing aid shell size and available components. Coupler gain, insertion gain, and functional gain were measured for each hearing aid. Gain measures were made with the volume control at either the full-on setting or the highest setting possible before the onset of acoustical feedback. Full-on coupler gain curves were similar across all nine hearing aids. Individual differences in concha/ear canal size and in the fit of the hearing aids produced substantial variance in insertion gain across hearing aids. Peak insertion gain varied from 41 to 58 dB. If 10 dB reserve gain is allowed, the range of estimated peak use gain from these maximum-gain in-the-ear hearing aids is 31–48 dB.

scholarly journals From Cronbach to Brunswik: A Conceptual Framework for Personality and Individual Differences Research

2017 ◽  
Author(s):  
Trisha Nowland
Keyword(s):  
Individual Differences ◽  
Conceptual Framework ◽  
Research Design ◽  
Personality Trait ◽  
Conceptual Analysis ◽  
Ecological Validity ◽  
Personal Process ◽  
Life Circumstances ◽  
Methodological Practice ◽  
Generalisability Theory

Recent personality literature has proposed that Cronbach’s generalisability theory offers a substantive ground for the integration of inter-individual differences and intra¬personal process approaches to personality trait research. Generalisability theory has the advantage of maximising psychometric dependability of behavioural measurements, but does not demand reconciliation to the environment that is relevant to the life circumstances of the participant. A conceptual analysis contrasting generalisability theory with Egon Brunswik’s conceptual framework for psychology is presented. Recommendations regarding the connection between theory and methodological practice follow, in light of an evolutionary approach to personality and individual differences. An example that highlights the contrast between Cronbachian and Brunswikian approaches is presented, resulting in a recommendation to revisit the concept of ecological validity and representational research design, to better account for what is reflected in study outcomes for personality constructs.

Motivational Interviewing for Hearing Aid Use: A Systematic Meta-Analysis on Its Potential for Adult Patients with Hearing Loss

2021 ◽  
Author(s):  
Alice Liu ◽  
Bella Wu ◽  
Desmond A. Nunez
Keyword(s):  
Motivational Interviewing ◽  
Research Design ◽  
Hearing Aids ◽  
Standard Care ◽  
Hearing Aid ◽  
Meta Analysis ◽  
Random Effect Model ◽  
Mean Difference ◽  
Current Evidence ◽  
The Impact

Abstract Purpose The aim of the study is to conduct a meta-analysis examining the impact of motivational interviewing (MI) on hearing aid (HA) use compared with standard care. Research Design The research design is a systematic review and meta-analysis. Cochrane ENT, Central, Medline, Web of Science, ICTRP, and ClinicalTrials.gov electronic databases were searched. Inclusion criteria consisted of randomized controlled trials (RCTs) published between 1988 and 2018 that compared MI to standard care. Study Sample The study sample consists of four RCTs, investigating a total of 176 patients. Data Collection and Analysis RevMan 5.3 and a random effect model were used for analysis. Results The standardized mean difference in data-logged hours of HA use was not statistically significant (0.34 [95% confidence interval or CI: −0.10, 0.78; p = 0.13]). The mean difference for user-reported outcomes on the International Outcome Inventory—Hearing Aids of 0.41 [CI: −1.00, 1.82; p = 0.57] was also not significant. Conclusion There is no current evidence that MI significantly improves HA use or user-reported outcomes. However, there were limited studies included in this review and further research is indicated.

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