A method for the automatic hearing aid fitting employing speech in noise and fuzzy logic

2001 ◽  
Vol 110 (5) ◽  
pp. 2680-2681 ◽  
Author(s):  
Bozena Kostek ◽  
Andrzej Czyzewski
2019 ◽  
Vol 28 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Jantien L. Vroegop ◽  
J. Gertjan Dingemanse ◽  
Marc P. van der Schroeff ◽  
André Goedegebure

PurposeThe aim of the study was to investigate the effect of 3 hearing aid fitting procedures on provided gain of the hearing aid in bimodal cochlear implant users and their effect on bimodal benefit.MethodThis prospective study measured hearing aid gain and auditory performance in a cross-over design in which 3 hearing aid fitting methods were compared. Hearing aid fitting methods differed in initial gain prescription rule (NAL-NL2 and Audiogram+) and loudness balancing method (broadband vs. narrowband loudness balancing). Auditory functioning was evaluated by a speech-in-quiet test, a speech-in-noise test, and a sound localization test. Fourteen postlingually deafened adult bimodal cochlear implant users participated in the study.ResultsNo differences in provided gain and in bimodal performance were found for the different hearing aid fittings. For all hearing aid fittings, a bimodal benefit was found for speech in noise and sound localization.ConclusionOur results confirm that cochlear implant users with residual hearing in the contralateral ear substantially benefit from bimodal stimulation. However, on average, no differences were found between different types of fitting methods, varying in prescription rule and loudness balancing method.


2019 ◽  
Vol 62 (11) ◽  
pp. 4150-4164 ◽  
Author(s):  
Inge de Ronde-Brons ◽  
Wim Soede ◽  
Wouter Dreschler

Purpose The aim of the study was to evaluate the application of a modified version of the Amsterdam Inventory for Auditory Disabilities and Handicap to inventory self-reported hearing difficulties pre and post hearing aid fitting in 6 dimensions: detection, speech in silence, speech in noise, localization, discrimination, and noise tolerance. Method Questionnaires pre and post hearing aid fitting were collected during regular practice of hearing aid provision. Data of 740 subjects are presented; 337 already used hearing aids, and 403 were new users. Results Group-averaged scores improved due to hearing aid fitting for all 6 dimensions. Based on a criterion previously defined for the Amsterdam Inventory for Auditory Disabilities and Handicap questionnaire, 66% of subjects had a significant individual improvement in sum score. Experienced users showed lower improvement in scores, whereas their aided prescores were, on average, not better than the (unaided) score of 1st users. Conclusions The questionnaire can be applied as a structured approach to inventory hearing problems in 6 dimensions prior to hearing aid fitting and to systematically evaluate the effects of hearing aid fitting after a trial period. The data presented here can serve as normative data for comparison of individual subjects in clinical practice.


2007 ◽  
Vol 18 (06) ◽  
pp. 482-495 ◽  
Author(s):  
Lu-Feng Shi ◽  
Karen A. Doherty ◽  
Tammy M. Kordas ◽  
Joseph T. Pellegrino

Currently published hearing aid fitting protocols recommend speech-in-noise testing and loudness measures, but it remains unclear how these measures affect hearing aid benefit and user satisfaction. This study compared two protocols in their effects on benefit and satisfaction. Protocol A included an electroacoustic analysis, real-ear measures, and hearing aid adjustments based on users' comments. Protocol B included all of Protocol A and a speech-in-noise test, loudness discomfort levels, and aided loudness. Thirty-two participants completed the Abbreviated Profile of Hearing Aid Benefit (APHAB) and the Satisfaction with Amplification in Daily Life (SADL) at 45 days and three months post–initial fitting. Fewer hearing aid adjustments were made to the hearing aids for participants fitted with Protocol B than participants fitted with Protocol A, but final gains were similar for both groups. Although similar APHAB scores were obtained for both protocols, SADL scores decreased between 45 days and three months for Protocol A. Los protocoles de amplificación de auxiliares auditivo actualmente publicados recomiendan pruebas de lenguaje en ruido y mediciones de apreciación subjetiva de la intensidad (sonoridad), pero no está claro cómo estas mediciones afectan el beneficio de un auxiliar auditivo y la satisfacción del usuario. El estudio comparó dos protocolos en cuanto a sus efectos sobre beneficio y satisfacción. El Protocolo A incluyó un análisis electroacústico, mediciones de oído real y ajuste en el auxiliar auditivo basados en los comentarios del usuario. El Protocolo B incluyó todas las pruebas del Protocolo A, además de una prueba de audición en ruido, de niveles de molestia en la apreciación subjetiva de la intensidad y de sonoridad amplificada. Treinta y dos participantes completaron el Perfil Abreviado de Beneficio del Auxiliar Auditivo (APHAB) y la prueba de Satisfacción con la Amplificación en la Vida Diaria (SADL) a los 45 días y a los tres meses de la adaptación inicial. Tuvieron que hacerse menos ajustes en el audífono en los auxiliares auditivos de participantes adaptados con el Protocolo B, que en los participantes adaptados con el Protocolo A, pero las ganancias finales fueron similares en ambos grupos. Aunque se obtuvieron puntajes APHAB similares en ambos protocolos, los puntajes SADL disminuyeron entre los 45 días y los tres meses para el Protocolo A.


1986 ◽  
Vol 51 (4) ◽  
pp. 362-369 ◽  
Author(s):  
Donna M. Risberg ◽  
Robyn M. Cox

A custom in-the-ear (ITE) hearing aid fitting was compared to two over-the-ear (OTE) hearing aid fittings for each of 9 subjects with mild to moderately severe hearing losses. Speech intelligibility via the three instruments was compared using the Speech Intelligibility Rating (SIR) test. The relationship between functional gain and coupler gain was compared for the ITE and the higher rated OTE instruments. The difference in input received at the microphone locations of the two types of hearing aids was measured for 10 different subjects and compared to the functional gain data. It was concluded that (a) for persons with mild to moderately severe hearing losses, appropriately adjusted custom ITE fittings typically yield speech intelligibility that is equal to the better OTE fitting identified in a comparative evaluation; and (b) gain prescriptions for ITE hearing aids should be adjusted to account for the high-frequency emphasis associated with in-the-concha microphone placement.


2011 ◽  
Vol 7 (1) ◽  
pp. 8-14
Author(s):  
Robert Moore ◽  
Susan Gordon-Hickey

The purpose of this article is to propose 4 dimensions for consideration in hearing aid fittings and 4 tests to evaluate those dimensions. The 4 dimensions and tests are (a) working memory, evaluated by the Revised Speech Perception in Noise test (Bilger, Nuetzel, & Rabinowitz, 1984); (b) performance in noise, evaluated by the Quick Speech in Noise test (QSIN; Killion, Niquette, Gudmundsen, Revit, & Banerjee, 2004); (c) acceptance of noise, evaluated by the Acceptable Noise Level test (ANL; Nabelek, Tucker, & Letowski, 1991); and (d) performance versus perception, evaluated by the Perceptual–Performance test (PPT; Saunders & Cienkowski, 2002). The authors discuss the 4 dimensions and tests in the context of improving the quality of hearing aid fittings.


2016 ◽  
Vol 1 (6) ◽  
pp. 47-54 ◽  
Author(s):  
Jeffrey J. DiGiovanni ◽  
Travis L. Riffle

The search for best practices in hearing aid fittings and aural rehabilitation has generally used the audiogram and function stemming from peripheral sensitivity. In recent years, however, we have learned that individuals respond differently to various hearing aid and aural rehabilitation techniques based on cognitive abilities. In this paper, we review basic concepts of working memory and the literature driving our knowledge in newer concepts of hearing aid fitting and aural rehabilitation.


2012 ◽  
Vol 8 (2) ◽  
pp. 212-218
Author(s):  
Hyekyeong Hwang ◽  
Hyunsook Jang

2002 ◽  
Vol 6 (1) ◽  
pp. 1-31 ◽  
Author(s):  
Robert M. Traynor ◽  
Alice E. Holmes

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