Should visual speech cues (speechreading) be considered when fitting hearing aids?

2002 ◽  
Vol 111 (5) ◽  
pp. 2354 ◽  
Author(s):  
Ken Grant
Keyword(s):  
Hearing Aids ◽  
Visual Speech ◽  
Speech Cues ◽  
Fitting Hearing Aids

Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong
Keyword(s):  
Clinical Practice ◽  
Hearing Aids ◽  
Best Practice ◽  
Hearing Aid ◽  
Evidence Based ◽  
Future Directions ◽  
Major Barrier ◽  
Klang Valley ◽  
Age Range ◽  
Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

Auditory and Auditory-Visual Perception of Clear and Conversational Speech

1997 ◽  
Vol 40 (2) ◽  
pp. 432-443 ◽  
Author(s):  
Karen S. Helfer
Keyword(s):  
Visual Cues ◽  
Presentation Mode ◽  
Visual Presentation ◽  
Visual Speech ◽  
Conversational Speech ◽  
Clear Speech ◽  
Nature Of Information ◽  
Speech Cues ◽  
Visual Speech Information ◽  
Speech Information

Research has shown that speaking in a deliberately clear manner can improve the accuracy of auditory speech recognition. Allowing listeners access to visual speech cues also enhances speech understanding. Whether the nature of information provided by speaking clearly and by using visual speech cues is redundant has not been determined. This study examined how speaking mode (clear vs. conversational) and presentation mode (auditory vs. auditory-visual) influenced the perception of words within nonsense sentences. In Experiment 1, 30 young listeners with normal hearing responded to videotaped stimuli presented audiovisually in the presence of background noise at one of three signal-to-noise ratios. In Experiment 2, 9 participants returned for an additional assessment using auditory-only presentation. Results of these experiments showed significant effects of speaking mode (clear speech was easier to understand than was conversational speech) and presentation mode (auditoryvisual presentation led to better performance than did auditory-only presentation). The benefit of clear speech was greater for words occurring in the middle of sentences than for words at either the beginning or end of sentences for both auditory-only and auditory-visual presentation, whereas the greatest benefit from supplying visual cues was for words at the end of sentences spoken both clearly and conversationally. The total benefit from speaking clearly and supplying visual cues was equal to the sum of each of these effects. Overall, the results suggest that speaking clearly and providing visual speech information provide complementary (rather than redundant) information.

Factors Ensuring Consistent Audibility in Pediatric Hearing Aid Fitting

2002 ◽  
Vol 13 (09) ◽  
pp. 503-520
Author(s):  
Francis Kuk ◽  
Andre Marcoux
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Precise Determination ◽  
Feedback Cancellation ◽  
Directional Microphones ◽  
Multichannel Processing ◽  
Important Objective ◽  
Fitting Hearing Aids

Ensuring consistent audibility is an important objective when fitting hearing aids to children. This article reviews the factors that could affect the audibility of the speech signals to children. These factors range from a precise determination of the child's hearing loss to an accurate specification of gain in the chosen hearing aids. In addition, hearing aid technology and features such as multichannel processing, directional microphones, and feedback cancellation that could affect the achievement of consistent audibility are reviewed.

Review of Recent Research on the Selection of Frequency-Gain Characteristics for Hearing Aids

1980 ◽  
Vol 89 (5_suppl) ◽  
pp. 79-83
Author(s):  
Richard Lippmann
Keyword(s):  
Hearing Aids ◽  
Speech Intelligibility ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Linear Amplification ◽  
Percentage Points ◽  
Gain Characteristic ◽  
The Relationship ◽  
Fitting Hearing Aids ◽  
Selection Of

Following the Harvard master hearing aid study in 1947 there was little research on linear amplification. Recently, however, there have been a number of studies designed to determine the relationship between the frequency-gain characteristic of a hearing aid and speech intelligibility for persons with sensorineural hearing loss. These studies have demonstrated that a frequency-gain characteristic that rises at a rate of 6 dB/octave, as suggested by the Harvard study, is not optimal. They have also demonstrated that high-frequency emphasis of 10–40 dB above 500–1000 Hz is beneficial. Most importantly, they have demonstrated that hearing aids as they are presently being fit do not provide maximum speech intelligibility. Percent word correct scores obtained with the best frequency-gain characteristics tested in various studies have been found to be 9 to 19 percentage points higher than scores obtained with commercial aids owned by subjects. This increase in scores is equivalent to an increase in signal-to-noise ratio of 10 to 20 dB. This is a significant increase which could allow impaired listeners to communicate in many situations where they presently cannot. These results demonstrate the need for further research on linear amplification aimed at developing practical suggestions for fitting hearing aids.

scholarly journals Evidence on Self-Fitting Hearing Aids

2011 ◽  
Vol 15 (4) ◽  
pp. 215-225 ◽  
Author(s):  
Lena L. N. Wong
Keyword(s):  
Hearing Aids ◽  
Fitting Hearing Aids
Sign in / Sign up

Export Citation Format

Share Document