Prescription of binaural hearing aids in the United Kingdom: a knowledge, attitude and practice (KAP) study

2002 ◽  
Vol 116 (S28) ◽  
pp. 2-6 ◽  
Author(s):  
Sunil N. Dutt ◽  
Ann-Louise McDermott ◽  
Richard M. Irving ◽  
Ivor Donaldson ◽  
Ahmes L. Pahor ◽  
...  
Keyword(s):  
United Kingdom ◽  
Hearing Aids ◽  
Otitis Media With Effusion ◽  
Hearing Aid ◽  
Binaural Hearing ◽  
Unilateral Deafness ◽  
Attitudes And Practices ◽  
The United Kingdom ◽  
Paediatric Age ◽  
Tinnitus Masking

The purpose of this questionnaire study was to evaluate the existing knowledge of binaural hearing and the attitudes and practices of prescribing bilateral hearing aids amongst otolaryngologists in the United Kingdom. Of the 950 questionnaires sent to the current members of the British Association of Otolaryngologists and Head and Neck Surgeons (BAO-HNS), there were 591 respondents (62 per cent). The true response rate with completed questionnaires was 59 per cent. Eighty-one per cent of the respondents were aware of the importance of binaural hearing and had a positive attitude towards binaural fitting. The practice of bilateral hearing aid prescriptions was found to be poor amongst all grades on the NHS (less than 10 per cent of all hearing aid prescriptions). This practice in the private sector was variable, dependent largely on patient preference and affordability. The practice of binaural prescription was higher for patients in the paediatric age group than amongst adults. Two common indications for hearing aid prescriptions for unilateral deafness were otitis media with effusion in children (23 per cent of respondents) and for tinnitus masking in adults (12 per cent of respondents). Many otolaryngologists believed that there was not enough evidence to support bilateral bone-anchored hearing aid implantation and bilateral cochlear implantation. Ninety-four per cent of the respondents believed that binaural hearing was as important as binocular vision.

The acceptance of hearing aids for children with otitis media with effusion

1999 ◽  
Vol 113 (4) ◽  
pp. 314-317 ◽  
Author(s):  
A. H. Jardine ◽  
M. V. Griffiths ◽  
E. Midgley
Keyword(s):  
Otitis Media ◽  
Hearing Aids ◽  
Otitis Media With Effusion ◽  
Binaural Hearing ◽  
Long Term Effects ◽  
Non Invasive ◽  
Parents And Children ◽  
Binaural Hearing Aids

AbstractConservative treatment for otitis media with effusion (OME) led us to consider the use of hearing aids as a way of managing the associated hearing loss. This study aimed to assess the compliance of patients and acceptance of hearing aids for the management of children with OME.Thirty-nine children who had been given binaural hearing aids to manage OME were assessed at routine follow-up after six months. A clinician who did not prescribe the aid administered a questionnaire to assess compliance, change in symptoms and acceptance of the aids.Thirty-eight parents thought the aids were easy to use and 25 (66 per cent) were completely satisfied with the management. Aided hearing improved by a mean of 17 dB (Range 10–30) over three frequencies, 0.5, 1.0, 2.0 Khz and all parents reported subjective hearing improvement in their children. The stigma of an aid was reported as minimal under the age of seven.Hearing aids provide a non-invasive way of managing the problems associated with OME which is acceptable to certain parents and children. Long-term effects of using aids need to be evaluated before they can be recommended.

Findings From EuroTrak Surveys From 2009 to 2015: Hearing Loss Prevalence, Hearing Aid Adoption, and Benefits of Hearing Aid Use

2017 ◽  
Vol 26 (3S) ◽  
pp. 451-461 ◽  
Author(s):  
Nikolai Bisgaard ◽  
Stefan Ruf
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Use Patterns ◽  
The United Kingdom ◽  
Product Features ◽  
Hearing Status ◽  
Hearing Aid Use ◽  
And Performance ◽  
Analyze Data

Purpose The purpose of this study was to analyze data from the EuroTrak surveys performed from 2009 to 2015 in Germany, France, and the United Kingdom to identify factors that could account for the growth in hearing aid sales over that period. Method Data of 132,028 people—approximately 15,000 for each of the 3 countries at 3-year intervals—were collected using a questionnaire. The sample in each country was weighted using the respective country age–gender populations to get balanced results. Furthermore, 11,867 persons with self-reported hearing impairment filled in a comprehensive questionnaire on hearing status and related matters; 4,631 were hearing aid owners. Data were pooled over the 3 countries for each of the years 2009, 2012, and 2015 and analyzed for developments over the 6-year period. In certain cases, data were pooled across countries and years. The analysis focused on hearing loss prevalence, hearing aid adoption rates, satisfaction with hearing aids, and benefits of hearing aid use. Results Hearing loss prevalence was stable over the period around 10%—slightly higher for men than for women. Hearing aid adoption overall increased from 33% to 37%, and bilateral use increased from 55% to 69%. Intervals between hearing aid renewals decreased. These factors contribute to increased hearing aid sales. Bilateral users are more satisfied with the hearing aid product features (76%) and performance (72%) and use their hearing aids 9.1 hr per day, compared with unilateral users where the corresponding numbers are 71%, 67%, and 7.8 hr, respectively. Satisfaction with hearing aid product features and performance in general is slightly increasing; hearing aid users are 14.5% less exhausted at the end of the day compared with nonusers with similar hearing loss and exhibit less depressive and forgetfulness symptoms. Conclusions The prevalence of self-reported hearing loss is 10.6% and stable, and hearing aid adoption has increased, particularly of bilateral fittings that are more satisfactory and exhibit higher daily use patterns. Higher uptake of hearing aids contributes to growing hearing aid sales.

scholarly journals A Smart Binaural Hearing Aid Architecture Based on a Mobile Computing Platform

Electronics ◽  
2019 ◽  
Vol 8 (7) ◽  
pp. 811
Author(s):  
Yingdan Li ◽  
Fei Chen ◽  
Zhuoyi Sun ◽  
Zhaoyang Weng ◽  
Xian Tang ◽  
...  
Keyword(s):  
Power Consumption ◽  
Mobile Computing ◽  
User Experience ◽  
Speech Enhancement ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Binaural Hearing ◽  
The Body ◽  
Processing Unit ◽  
Computing Platform

This paper presents a new structure for hearing aids. Normally, the power consumption and user experience are contradictory. The proposed hearing aid structure mainly consists of three parts: the earpieces, the mobile computing platform, and the real-time speech-enhancement application. It can run complex algorithms without carrying out heavy calculations on the processors in the hearing aid. Thus, the binaural algorithm is utilized without being limited by complexity and power consumption to improve the user experience. Moreover, the speech-enhancement algorithm can be updated much more easily than in traditional built-in digital signal process hearing aids. A good level of user experience is achieved by combining the hearing aid and mobile computing platform with a 400-MHz transceiver; furthermore, the 400-MHz transceiver can reduce path loss around the body. The concept verification process showed that the overall usage of the central processing unit in the smartphone is around 16%, the signal-to-noise ratios show at least a 30% improvement in some environments, and the whole system delay is 8.8 ms. The presented objective and subjective results show significant improvements regarding user experience and usability brought about by the proposed structure.

The Effects of Changes in Head Angle on Auditory and Visual Input for Omnidirectional and Directional Microphone Hearing Aids

2003 ◽  
Vol 12 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Paula Henry ◽  
Todd Ricketts
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Hearing Aids ◽  
Visual Cues ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Recognition Performance ◽  
Binaural Hearing ◽  
Increase Signal Intensity ◽  
Visual Mode

Improving the signal-to-noise ratio (SNR) for individuals with hearing loss who are listening to speech in noise provides an obvious benefit. Although binaural hearing provides the greatest advantage over monaural hearing in noise, some individuals with symmetrical hearing loss choose to wear only one hearing aid. The present study tested the hypothesis that individuals with symmetrical hearing loss fit with one hearing aid would demonstrate improved speech recognition in background noise with increases in head turn. Fourteen individuals were fit monaurally with a Starkey Gemini in-the-ear (ITE) hearing aid with directional and omnidirectional microphone modes. Speech recognition performance in noise was tested using the audiovisual version of the Connected Speech Test (CST v.3). The test was administered in auditory-only conditions as well as with the addition of visual cues for each of three head angles: 0°, 20°, and 40°. Results indicated improvement in speech recognition performance with changes in head angle for the auditory-only presentation mode at the 20° and 40° head angles when compared to 0°. Improvement in speech recognition performance for the auditory + visual mode was noted for the 20° head angle when compared to 0°. Additionally, a decrement in speech recognition performance for the auditory + visual mode was noted for the 40° head angle when compared to 0°. These results support a speech recognition advantage for listeners fit with one ITE hearing aid listening in a close listener-to-speaker distance when they turn their head slightly in order to increase signal intensity.

Are Two Ears Not Better Than One?

2012 ◽  
Vol 23 (03) ◽  
pp. 171-181 ◽  
Author(s):  
Rachel A. McArdle ◽  
Mead Killion ◽  
Monica A. Mennite ◽  
Theresa H. Chisolm
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Hearing Aids ◽  
Repeated Measures ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Binaural Hearing ◽  
Analysis Experiment ◽  
Insert Earphones ◽  
Speech Recognition In Noise

Background: The decision to fit one or two hearing aids in individuals with binaural hearing loss has been debated for years. Although some 78% of U.S. hearing aid fittings are binaural (Kochkin , 2010), Walden and Walden (2005) presented data showing that 82% (23 of 28 patients) of their sample obtained significantly better speech recognition in noise scores when wearing one hearing aid as opposed to two. Purpose: To conduct two new experiments to fuel the monaural/binaural debate. The first experiment was a replication of Walden and Walden (2005), whereas the second experiment examined the use of binaural cues to improve speech recognition in noise. Research Design: A repeated measures experimental design. Study Sample: Twenty veterans (aged 59–85 yr), with mild to moderately severe binaurally symmetrical hearing loss who wore binaural hearing aids were recruited from the Audiology Department at the Bay Pines VA Healthcare System. Data Collection and Analysis: Experiment 1 followed the procedures of the Walden and Walden study, where signal-to-noise ratio (SNR) loss was measured using the Quick Speech-in-Noise (QuickSIN) test on participants who were aided with their current hearing aids. Signal and noise were presented in the sound booth at 0° azimuth under five test conditions: (1) right ear aided, (2) left ear aided, (3) both ears aided, (4) right ear aided, left ear plugged, and (5) unaided. The opposite ear in (1) and (2) was left open. In Experiment 2, binaural Knowles Electronics Manikin for Acoustic Research (KEMAR) manikin recordings made in Lou Malnati's pizza restaurant during a busy period provided a typical real-world noise, while prerecorded target sentences were presented through a small loudspeaker located in front of the KEMAR manikin. Subjects listened to the resulting binaural recordings through insert earphones under the following four conditions: (1) binaural, (2) diotic, (3) monaural left, and (4) monaural right. Results: Results of repeated measures ANOVAs demonstrated that the best speech recognition in noise performance was obtained by most participants with both ears aided in Experiment 1 and in the binaural condition in Experiment 2. Conclusions: In both experiments, only 20% of our subjects did better in noise with a single ear, roughly similar to the earlier Jerger et al (1993) finding that 8–10% of elderly hearing aid users preferred one hearing aid.

An improvement in hearing sensitivity following hearing-aid fitting in a child with an apparent sensorineural hearing impairment

1996 ◽  
Vol 110 (4) ◽  
pp. 362-365
Author(s):  
K. J. Munro ◽  
D. Cafarelli Dees
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Binaural Hearing ◽  
Test Results ◽  
Listening Skills ◽  
Subjective Test ◽  
Hearing Sensitivity ◽  
Hearing Aid Use ◽  
Sensorineural Hearing Impairment ◽  
Fitting In

AbstractThis case describes an apparent improvement in hearing sensitivity in a young girl over a period of 12 months, after she was fitted with binaural hearing-aids. Discrepancies between objective and subjective test results are highlighted. Even if the underlying reason for the conflicting test results was due to poor listening skills or test error, this child behaved like a hearing-impaired child and her performance improved after hearing-aid use. The case also illustrates the application of earphone testing from six months of age. The importance of closely monitoring all children who are fitted with hearing-aids is highlighted.

scholarly journals Social representation of hearing aids: cross-cultural study in India, Iran, Portugal, and the United Kingdom

2015 ◽  
pp. 1601 ◽  
Author(s):  
Vinaya Manchaiah ◽  
Berth Danermark ◽  
Tayebeh Ahmadi ◽  
David Tomé ◽  
Rajalakshmi Krishna ◽  
...  
Keyword(s):  
United Kingdom ◽  
Cultural Study ◽  
Hearing Aids ◽  
Cross Cultural ◽  
Social Representation ◽  
The United Kingdom ◽  
Cross Cultural Study

The psychosocial impact of hearing aids in children with otitis media with effusion

2014 ◽  
Vol 128 (11) ◽  
pp. 972-975 ◽  
Author(s):  
A Qureishi ◽  
G Garas ◽  
A Mallick ◽  
D Parker
Keyword(s):  
Otitis Media ◽  
Hearing Aids ◽  
Otitis Media With Effusion ◽  
Hearing Aid ◽  
Treatment Options ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Psychosocial Impact ◽  
Cross Sectional ◽  
Hearing Aid Use

AbstractBackground:In children, otitis media with effusion is treated using grommets or hearing aids. Parents considering treatment options express concerns regarding the psychosocial impact of hearing aids in terms of self-esteem and bullying. This study assessed the psychosocial impact of hearing aid use.Methods:A cross-sectional study was undertaken comparing hearing aid users to non hearing aid users with regard to their attitudes towards hearing aids. All subjects, who had been diagnosed with otitis media with effusion, were aged less than 16 years, were without disability and attended mainstream schools. A questionnaire was designed and utilised.Results:The study comprised 47 children with hearing aids and 50 with grommets. Significant between-group differences (p < 0.05) were noted with regard to perceptions related to bullying, feelings of inadequacy and embarrassment. The overall negative perceptions of non hearing aid users were not reported by hearing aid users.Conclusion:Children with hearing aids do not suffer from bullying or low self-esteem to the extent perceived by parents. This information is useful for informed decisions regarding treatment of otitis media with effusion.

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