Impact of Lipid-Inflammatory-Oxidative Metabolism on Auditory Skills after Hearing Aid Fitting in the Elderly

2017 ◽  
Vol 22 (3) ◽  
pp. 146-153 ◽  
Author(s):  
Alexandre Hundertmarck Lessa ◽  
Ivana Beatrice Mânica da Cruz ◽  
Maria Fernanda Manica-Cattani ◽  
Rafael Noal Moresco ◽  
Marta Maria Medeiros Frescura Duarte ◽  
...  
Keyword(s):  
Hearing Aids ◽  
Oxidative Metabolism ◽  
Auditory Processing ◽  
Hearing Aid ◽  
The Elderly ◽  
Auditory Temporal Processing ◽  
Hearing Aid Fitting ◽  
Auditory Performance ◽  
Fitting In ◽  
Auditory Skills

This study aimed to assess whether lipid-inflammatory-oxidative metabolism influences auditory processing skills, and whether they function in changing auditory performance after hearing aid fitting in the elderly. Twelve subjects with bilateral hearing loss were submitted to blood tests (to check their lipid-inflammatory-oxidative metabolism) and auditory processing skill tests. After 3 months of using the hearing aids, their auditory skills were re-evaluated and the data were correlated statistically. Oxidative stress levels mainly showed some impact on auditory temporal processing; such a relation and others should best be examined in further studies with larger populations.

The Use of Same-Day Hearing Aid Fitting with Telehealth Follow-up Care: A Case Study of a Veteran Presenting with Tinnitus and Auditory Processing Disorder Symptoms

2021 ◽  
Vol 42 (02) ◽  
pp. 088-097
Author(s):  
David P. Jedlicka
Keyword(s):  
Healthcare System ◽  
Hearing Aids ◽  
Auditory Processing ◽  
Hearing Aid ◽  
Auditory Processing Disorder ◽  
Veterans Administration ◽  
Hearing Aid Fitting ◽  
Fitting In

AbstractProviding same-day hearing aid fitting appointments to patients being seen in an audiology clinic for an audiometric evaluation may help decrease clinic wait times and reduce the need for future in-person appointments. Prior to 2020, the Veterans Administration (VA) Healthcare System did not allow hearing aid manufacturers to provide functional demonstration (demo) hearing aids to VA audiology clinics. Due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2/COVID-19) pandemic, this rule was changed to minimize the number of required in-person VA audiology appointments. The audiology clinic at the Pittsburgh VA Healthcare System developed a hearing aid fitting protocol using demo hearing aids to provide same-day hearing aid fitting appointments. This case study pertains to a female Veteran who presented to the clinic with complaints of decreased hearing and bothersome tinnitus. The patient completed a comprehensive audiometric evaluation, auditory processing disorder screening, hearing aid evaluation, and hearing aid fitting in the clinic. All follow-up appointments were scheduled to be completed via telehealth. The initial findings in this case study indicate that same-day hearing aid fittings can be successful for some patients. Future telehealth follow-up appointments will determine this patient's level of success using hearing aid–related outcome measures.

Systematic Evaluation of Self-Reported Hearing Ability in Six Dimensions Before and After a Hearing Aid Trial

2019 ◽  
Vol 62 (11) ◽  
pp. 4150-4164 ◽  
Author(s):  
Inge de Ronde-Brons ◽  
Wim Soede ◽  
Wouter Dreschler
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Systematic Evaluation ◽  
Hearing Aid Fitting ◽  
Speech In Noise ◽  
Hearing Ability ◽  
Sum Score ◽  
Before And After ◽  
Fitting In ◽  
Structured Approach

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.

scholarly journals Self-reported outcomes after hearing aid fitting in Minas Gerais, Brazil

CoDAS ◽  
2015 ◽  
Vol 27 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Mirna Rossi Barbosa ◽  
Daniel de Sousa Medeiros ◽  
Luiza Augusta Rosa Rossi-Barbosa ◽  
Antônio Prates Caldeira
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Care Service ◽  
Health Care Service ◽  
Minas Gerais ◽  
Northern Region ◽  
Public Health Care ◽  
Cross Sectional ◽  
Hearing Aid Fitting ◽  
Fitting In

PURPOSE: To analyze the self-reported outcomes after hearing aid fitting among individuals in the northern region of Minas Gerais and associated factors. METHODS: A cross-sectional and analytical study with a random sample of adults and elderly attending the public health care service was conducted in the northern region of Minas Gerais (86 municipalities), Brazil. Study's participants answered International Outcome Inventory for Hearing Aids (IOI-HA) questionnaires. Data were analyzed descriptively and analytically with Poisson regression analysis. RESULTS: We interviewed 272 adults and 112 individuals reported not using their hearing aids regularly. The mean of IOI-HA global score was lower than expected. The individual's relationship with their hearing aid (Factor 1) was worse than the individual's relationship with their environment (Factor 2). Lower global scores were statistically associated with no work. CONCLUSIONS: The observed scores for the study's population are lower than those recorded in other studies. The results suggest that there are limitations in the fitting and follow-up of individuals who received hearing aids.

scholarly journals Hearing Aid Fitting Protocols for Adults and Elderly Individuals

2011 ◽  
Vol 15 (02) ◽  
pp. 214-222 ◽  
Author(s):  
Isabela de Souza Jardim ◽  
Carina Stábile Sizenando ◽  
Ricardo Ferreira Bento ◽  
Juliana Harumi Iwahashi
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
User Satisfaction ◽  
Hearing Aid ◽  
Real Life ◽  
The Elderly ◽  
Elderly Individuals ◽  
Auditory Rehabilitation ◽  
Auditory Performance ◽  
Performance Satisfaction

Summary Introduction: The hearing aids are one of the options used in auditory rehabilitation with the objective to improve communication and to minimize the limitations caused by hearing loss. Despite the development of technology, the selection and fitting processes demand specific procedures which goal is to maximize performance, benefit and user' satisfaction. Aim: To describe the hearing aid selecting and fitting protocol for adults and the elderly in an audiological center, which development was based on previously described and validated protocols from the specific literature and information based on clinical practice. Conclusions: The Hearing Aid Selecting and Fitting Protocol for adults and elder subjects showed that a greater amount of collected information provides better expectations for the patients' real life and greater effectiveness in counseling about hearing aids use, promoting maximum auditory performance, satisfaction and benefit to users.

Comparison of In-the-Ear and Over-the-Ear Hearing Aid Fittings

1986 ◽  
Vol 51 (4) ◽  
pp. 362-369 ◽  
Author(s):  
Donna M. Risberg ◽  
Robyn M. Cox
Keyword(s):  
Hearing Aids ◽  
High Frequency ◽  
Comparative Evaluation ◽  
Speech Intelligibility ◽  
Hearing Aid ◽  
Hearing Aid Fitting ◽  
The Difference ◽  
Functional Gain ◽  
The Relationship

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.

Reliability and Stability of Various Hearing-Aid Outcome Measures in a Group of Elderly Hearing-Aid Wearers

1996 ◽  
Vol 39 (5) ◽  
pp. 923-935 ◽  
Author(s):  
Larry E. Humes ◽  
Dan Halling ◽  
Maureen Coughlin
Keyword(s):  
Outcome Measures ◽  
Hearing Aids ◽  
Repeated Measures ◽  
Nonsense Syllable ◽  
Hearing Aid ◽  
Objective Measure ◽  
The Elderly ◽  
Elderly Persons ◽  
Hearing Aid Use ◽  
Hearing Handicap

Twenty elderly persons with hearing impairment were fit with binaural in-the-ear hearing aids and followed for a 6-month period post-fit. Several hearing-aid outcome measures were obtained at 0, 7, 15, 30, 60, 90, and 180 days post-fit. Outcome measures included (a) objective measures of benefit obtained with nonsense-syllable materials in quiet (CUNY Nonsense Syllable Test, NST) and sentences in multitalker babble (Hearing in Noise Test, HINT); (b) two subjective measures of benefit, one derived from pre-fit/post-fit comparisons on a general scale of hearing handicap (Hearing Handicap Inventory for the Elderly, HHIE) and the other based on a subjective scale of post-fit hearing-aid benefit (Hearing Aid Performance Inventory, HAPI); (c) a questionnaire on hearing-aid satisfaction; (d) an objective measure of hearing-aid use; and (e) a subjective measure of hearing-aid use. Reliability and stability of each measure were examined through repeated-measures analyses of variance, a series of test-retest correlations, and, where possible, scatterplots of the scores against their corresponding 95% critical differences. Many of the measures were found to be both reliable and stable indicators of hearing-aid outcome.

Cartilage Conduction Hearing Aid Fitting in Clinical Practice

2021 ◽  
Author(s):  
Tadashi Nishimura ◽  
Hiroshi Hosoi ◽  
Tomoko Sugiuchi ◽  
Nozomu Matsumoto ◽  
Takanori Nishiyama ◽  
...  
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Severe Stenosis ◽  
Aural Atresia ◽  
New Device ◽  
Data Collection And Analysis ◽  
Purchase Rate ◽  
Fitting In ◽  
Air Conduction ◽  
Assessment Results

Abstract Background Cartilage conduction hearing aids (CCHAs) were newly devised and spread fast in Japan since their launch in 2017. However, little knowledge is available for this new device. Purpose The aim of this study was to establish the knowledge of CCHAs and suggest their indication. Research Design Correlational study. Study Sample A total 256 patients were registered. Data Collection and Analysis The fitting of CCHAs was surveyed in nine institutions. The outcomes were assessed by audiometric tests. The patients were classified into seven groups, depending on the ear conditions. The clinical characteristics, assessment results, and purchase rates were compared among the groups. The assessment results of CCHAs were also compared with those of previously used hearing aids. Results Most patients who used CCHAs were classified into the bilateral closed (aural atresia or severe stenosis) ear (n = 65) or unilateral closed ear (n = 124) groups. The patients in these groups achieved good benefits that resulted in a high purchase rate. The bilateral continuous otorrhea group also supported a high purchase rate, although the benefits of CCHAs were not always excellent. In contrast, the purchase rate was poor in the patients who could use air conduction hearing aids (ACHAs) without absolute problems. As for using a CCHA as a contralateral routing of signals hearing aid, the benefits depended on the patients. Conclusions CCHAs are considered as a great option not only to the patients with closed ears but also to those who had difficulties in ACHAs usage.

Comparing the Effect of Different Hearing Aid Fitting Methods in Bimodal Cochlear Implant Users

2019 ◽  
Vol 28 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Jantien L. Vroegop ◽  
J. Gertjan Dingemanse ◽  
Marc P. van der Schroeff ◽  
André Goedegebure
Keyword(s):  
Cochlear Implant ◽  
Sound Localization ◽  
Hearing Aid ◽  
Hearing Aid Fitting ◽  
Speech In Noise ◽  
Localization Test ◽  
Fitting Procedures ◽  
Auditory Performance ◽  
Contralateral Ear ◽  
Noise Test

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.

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