scholarly journals Model of development of the regional system of medical, psychological and pedagogical assistance to infants with hearing impairment

2021 ◽  
Vol 20 (1) ◽  
pp. 41-50
Author(s):  
I. V. Koroleva ◽  
◽  
G. Sh. Tufatulin ◽  
M. S. Korkunova ◽  
◽  
...  
Keyword(s):  
Hearing Loss ◽  
Young Children ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Comprehensive Care ◽  
Children And Parents ◽  
Parental Counseling ◽  
The Russian Federation ◽  
Family Centered ◽  
Modern Standard

The study provides an analysis of medical and psychological and pedagogical assistance to children with hearing impairment at an early age in St. Petersburg in accordance with the modern standard «1-3-6». It was found that only 19% of children with hearing impairment registered at the Audiology Center were diagnosed with hearing loss before the age of 3 months, at the age of 6 months. 5,4% of children had hearing aids. A model for the development of a system of comprehensive care for young children with hearing impairment in St. Petersburg has been developed. The model includes 5 stages, for each of which a system of organizational measures is presented, aimed at improving the effectiveness of comprehensive care using a family-centered approach. The implementation of the model made it possible to increase the proportion of children diagnosed before the age of 3 months and to reduce the average age of hearing aid in young children. Expansion of the range of services in the Audiology Center (a course of classes on adapting a child to hearing aids during primary hearing aids, group deaf pedagogical and musical classes with children and parents, a school for parents, parental counseling by a psychologist), as well as the introduction of remote forms of support contributed to an increase in the competence of parents in matters of hearing aids, development of infant with hearing loss and parental activity in the classroom with the child. Remote forms of work made it possible to continue the rehabilitation of children during the COVID-19 pandemic. The developed model for the development of comprehensive care for young children with hearing impairment and their families may be useful for other regions of the Russian Federation.

Feasibility of smartphone-based hearing-aid apps for patients with mild hearing loss: an exploratory pilot study (Preprint)

2020 ◽  
Author(s):  
Willy Nguyen ◽  
Miseung Koo ◽  
Seung Ha Oh ◽  
Jun Ho Lee ◽  
Moo Kyun Park
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Clinical Performance ◽  
Hearing Aid ◽  
National Standards ◽  
Hearing In Noise ◽  
Mild Hearing Loss ◽  
Consumer Devices ◽  
Selection Of

BACKGROUND Underuse of hearing aids is caused by several factors, including the stigma associated with hearing disability, affordability, and lack of awareness of rising hearing impairment associated with the growing population. Thus, there is a significant opportunity for the development of direct-to-consumer devices. For the past few years, smartphone-based hearing-aid apps have become more numerous and diverse, but few studies have investigated them. OBJECTIVE This study aimed to elucidate the electroacoustic characteristics and potential user benefits of a selection of currently available hearing-aid apps. METHODS We investigated the apps based on hearing-aid control standards (American National Standards Institute) using measurement procedures from previous studies. We categorized the apps and excluded those we considered inefficient. We investigated a selection of user-friendly, low-end apps, EarMachine and Sound Amplifier, with warble-tone audiometry, word recognition testing in unaided and aided conditions, and hearing-in-noise test in quiet and noise-front conditions in a group of users with mild hearing impairment (n = 7) as a pilot for a future long-term investigation. Results from the apps were compared with those of a conventional hearing aid. RESULTS Five of 14 apps were considered unusable based on low scores in several metrics, while the others varied across the range of electroacoustic measurements. The apps that we considered “high end” that provided lower processing latencies and audiogram-based fitting algorithms were superior overall. The clinical performance of the listeners tended to be better when using hearing aid, while the low end hearing-aid apps had limited benefits on the users. CONCLUSIONS Some apps showed the potential to benefit users with limited cases of minimal or mild hearing loss if the inconvenience of relatively poor electroacoustic performance did not outweigh the benefits of amplification.

Auditory Perceptual Thresholds in Brain-Injured Children

1965 ◽  
Vol 8 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Howard A. Grey ◽  
Michael J. D’Asaro ◽  
Maurice Sklar
Keyword(s):  
Hearing Loss ◽  
Brain Injury ◽  
Young Children ◽  
White Noise ◽  
Hearing Impairment ◽  
Pure Tone ◽  
Diagnostic Categories ◽  
Brain Injured

This study investigated the effects of congenital brain injury alone, or in combination with sensori-neural hearing loss, upon figure-ground thresholds for spondees in young children. Forty-eight subjects were selected from four diagnostic categories: (1) brain injured, normally hearing; (2) brain-injured, hearing-handicapped, (3) non-brain-injured, normally hearing; and (4) non-brain-injured, hearing-handicapped. Brain-injured and non-brain-injured subjects were matched for pure-tone thresholds. Selected spondees were presented bilaterally, first in quiet then in a background of white noise. Results indicated no effect upon speech thresholds by brain injury, and no apparent interaction between brain injury and hearing impairment.

scholarly journals Newborn hearing screening with transient evoked otoacoustic emission: a prospective study in a tertiary health care centre

2016 ◽  
Author(s):  
Shashidhar S. Suligavi ◽  
Prakhar Upadhyay ◽  
Prasen Reddy ◽  
S. S. Doddamani ◽  
M. N. Patil
Keyword(s):  
Hearing Loss ◽  
Prospective Study ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Otoacoustic Emissions ◽  
Speech Therapy ◽  
Otoacoustic Emission ◽  
Tertiary Hospital ◽  
Hearing Screening ◽  
Health Care Centre

<p class="abstract"><strong>Background:</strong> As hearing impairment is a hidden disability, it is usually detected after 2-3 years by which time there will be irreversible stunting of the skills and hence rehabilitation procedures like hearing aids, speech therapy are unable to ensure complete development of speech. Therefore hearing impairment should be diagnosed as early as           6 months to ensure timely therapy. The objective of the study is to identify the proportion of incidence of hearing impairment in neonates using transient evoked otoacoustic emissions (TEOAE) as a screening tool.</p><p class="abstract"><strong>Methods:</strong> Prospective study on 800 newborns in a tertiary hospital using TEOAE. Brain stem evoked response audiometry (BERA) was used to confirm hearing loss in neonates who failed TEOAE.  </p><p class="abstract"><strong>Results:</strong> Thirteen out of 800 newborns failed TEOAE test on first screening. Two failed on 2<sup>nd </sup>TEOAE test done after 3-4 weeks. Hearing loss was later confirmed in them with BERA test.</p><strong>Conclusions:</strong> Proportion of hearing loss in our study was 0.25%. Hearing screening should be done as early as possible so that deaf children are rehabilitated early.

Audiologist Practices: Parent Hearing Aid Education and Support

2016 ◽  
Vol 27 (04) ◽  
pp. 324-332 ◽  
Author(s):  
Alex Meibos ◽  
Karen Muñoz ◽  
Karl White ◽  
Elizabeth Preston ◽  
Cache Pitt ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Young Children ◽  
Hearing Aids ◽  
Hearing Aid ◽  
The United States ◽  
Counseling Skills ◽  
Data Logging ◽  
Training Experience ◽  
Cross Sectional ◽  
Hearing Aid Use

Background: Early identification of hearing loss has led to routine fitting of hearing aids in infants and young children. Amplification provides opportunities to optimize child development, although it also introduces challenges for parents to navigate. Audiologists have a central role in providing parents with support to achieve effective management strategies and habits. Purpose: The purpose of this study was to explore current practices of pediatric audiologists who work with children birth to 5 yr of age, regarding their support of parent learning in achieving effective hearing aid management, identify existing gaps in service delivery, and to determine if audiologists were receptive to receiving training related to effective approaches to provide counseling and support to parents. Research Design: A cross-sectional, population-based survey was used. Study Sample: Three hundred and forty-nine surveys were analyzed from pediatric audiologists who provided services to children birth to 5 yr of age. Responses were received from 22 states in the United States. Data Collection and Analysis: Responses were collected through the mail and online. Descriptive statistics were used to analyze the information. Results: More than half (61%) of the audiologists in the study had been providing pediatric hearing aid services to children birth to 5 yr of age for >10 yr. Of the audiologists who reported monitoring hours of hearing aid use, the majority reported that they used data logging (90%). More than half of the audiologists (57%) who shared data logging with parents reported that they encountered defensiveness from parents when addressing hearing aid use. Information and skills that were not routinely provided by one-third to one-half of the audiologists included the following: how to get access to loaner hearing aids (30%), available hearing aid options/accessories (33%), available financial assistance (36%), how to teach hearing aid management to other caregivers (38%), how to do hearing aid maintenance (44%), and how to do a Ling 6 sound check (52%). Many audiologists reported they did not frequently collaborate with speech-language pathologists (48%), early interventionists (47%), or physicians (68%). More than half of the audiologists indicated a desire for more training in counseling skills, for all 14 items queried, to support parents with hearing aid management (53–79%), regardless of their previous training experience. Conclusions: For young children with hearing loss to achieve optimal benefit from auditory experiences for speech and language development, they need evidence-based, comprehensive, and coordinated hearing aid management. Audiologists have an important role for teaching information and skills related to hearing aids, supporting parent learning, and collaborating with other providers. Pediatric audiologists in this study recognized and desired the need for further training in counseling skills that can better prepare them to meet the emotional needs of parents in the hearing aid management process.

Disability or language barrier? Attitudes towards deafness among hearing parents of children with hearing impairment

2020 ◽  
Vol 47 (1) ◽  
pp. 71-96
Author(s):  
Katarzyna Makowiecka
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Cochlear Implants ◽  
Hearing Aids ◽  
Sociocultural Perspective ◽  
Knowledge And Beliefs ◽  
Hearing Parents ◽  
Positive Attitudes ◽  
Communication Method ◽  
Item Scale

The aim of the following article was to investigate the attitudes towards different aspects of deafness among hearing parents of children with hearing impairment. It was hypothesized that the valence of the attitude correlates with various factors, for instance: parents’ level of education, child’s age and number of other people with hearing loss known by the parents. For the purpose of this research, a 32-item scale, based on the theory of dualistic models of attitudes was created. Positive attitudes were associated with preference for sociocultural perspective on deafness, including respect for child’s preferred communication method, acceptance for sign language, perceiving people with hearing loss as able-bodied. Contrarily, negative perspective was related to the medical perspective on deafness, which includes insisting on curing deafness and treating it as a disability which requires supportive solutions e.g. hearing aids or cochlear implants. Neither of the two models appeared dominant. Further analyses were addressed to explore parents’ knowledge and beliefs about hearing impairment.

Presbycusis, Part 1: Can You Hear the Music Of Life?

2012 ◽  
Vol 13 (3) ◽  
pp. 148-172 ◽  
Author(s):  
Barbara Hutchison ◽  
Eleanor K. Covan ◽  
Janet C. Bogus
Keyword(s):  
Hearing Loss ◽  
Pilot Study ◽  
Hearing Impairment ◽  
Problem Behaviors ◽  
Hearing Aids ◽  
Age Groups ◽  
Clinical Environment ◽  
Hearing Sensitivity ◽  
Novel Approach ◽  
Short Period

We used a novel approach allowing participants in this study to self-monitor their hearing sensitivity to familiar sounds in the environment. The objective of this approach was to establish whether participants in the 80–89 and 90–99 age groups would recognize the degree of their hearing impairment. It was our hope that participants would value audiology treatment and that it would improve their quality of life over a short period. The pilot study took place in a clinical environment where participants answered survey questions before and after audiology treatment, which pertained to their hearing impairment, morale, social support, and life satisfaction. Caregivers were included in the research to rate and record participants’ problem behaviors (e.g., shouting, anger, agitation, repetitive speech dialog, and depression) before, during, and after treatment. This research validates other scientists’ findings that annoying problem behaviors may actually be the result of hearing loss because of a person’s inability to recognize speech. The pilot study shows that participants with mild dementia adapted well to speech and sounds in the natural environment without agitation as well as to management of hearing aids within a 30-day period. The participants with moderate dementia were slower to adapt. All participants with dementia required the cooperation of their caregivers to maintain hygiene of ear canals and hearing aids and insertion. This study suggests that the sooner people receive treatment for hearing loss, the quicker they are to recognize speech and to master hearing aid technology.

scholarly journals Impact of Hearing Loss and Amplification on Performance on a Cognitive Screening Test

2018 ◽  
Vol 29 (07) ◽  
pp. 648-655 ◽  
Author(s):  
Gabrielle H. Saunders ◽  
Ian Odgear ◽  
Anna Cosgrove ◽  
Melissa T. Frederick
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Cognitive Screening ◽  
Strong Correlations ◽  
Speech In Noise ◽  
Hearing Ability ◽  
The Individual

AbstractThere have been numerous recent reports on the association between hearing impairment and cognitive function, such that the cognition of adults with hearing loss is poorer relative to the cognition of adults with normal hearing (NH), even when amplification is used. However, it is not clear the extent to which this is testing artifact due to the individual with hearing loss being unable to accurately hear the test stimuli.The primary purpose of this study was to examine whether use of amplification during cognitive screening with the Montreal Cognitive Assessment (MoCA) improves performance on the MoCA. Secondarily, we investigated the effects of hearing ability on MoCA performance, by comparing the performance of individuals with and without hearing impairment.Participants were 42 individuals with hearing impairment and 19 individuals with NH. Of the individuals with hearing impairment, 22 routinely used hearing aids; 20 did not use hearing aids.Following a written informec consent process, all participants completed pure tone audiometry, speech testing in quiet (Maryland consonant-nucleus-consonant [CNC] words) and in noise (Quick Speech in Noise [QuickSIN] test), and the MoCA. The speech testing and MoCA were completed twice. Individuals with hearing impairment completed testing once unaided and once with amplification, whereas individuals with NH completed unaided testing twice.The individuals with hearing impairment performed significantly less well on the MoCA than those without hearing impairment for unaided testing, and the use of amplification did not significantly change performance. This is despite the finding that amplification significantly improved the performance of the hearing aid users on the measures of speech in quiet and speech in noise. Furthermore, there were strong correlations between MoCA score and the four frequency pure tone average, Maryland CNC score and QuickSIN, which remain moderate to strong when the analyses were adjusted for age.It is concluded that the individuals with hearing loss here performed less well on the MoCA than individuals with NH and that the use of amplification did not compensate for this performance deficit. Nonetheless, this should not be taken to suggest the use of amplification during testing is unnecessary because it might be that other unmeasured factors, such as effort required to perform or fatigue, were decreased with the use of amplification.

Non-compliance in Elderly Hearing-aid Users

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Surinder K. Singhal ◽  
Ravi Kapoor
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Social Impact ◽  
Rating Scale ◽  
Hearing Aid ◽  
Manual Dexterity ◽  
Limiting Factors ◽  
Emotional Impact ◽  
Elderly Persons

Objective (Background): Despite the scientific advancements, acceptance of hearing-aids remains poor in persons with hearing impairment in the elderly age group. The attitudinal issues play a significant role in their decision to use hearing aids or not. The purpose of this study was to understand the reasons for noncompliance and acceptance of hearing-loss and hearing-aids. Methods: In this questionnaire-based survey study, the Punjabi-language speaking elderly persons having hearing-impairment were identified into two groups, current-user and non-user of hearing-aids. A questionnaire prepared in the Punjabi language was administered, which consisted of twenty questions with a five-point rating scale. It yielded scores in five subscales that probed the social and emotional impact of hearing loss, denial, stigma, manual dexterity. The responses of the participants were then analysed. Result : A total of seventy-four questionnaires were completed. Average time of 9.63 minutes to complete one questionnaire. The mean age of respondents was 67.05 years. Of these, 45.95% were current users, and 54.05% were non-users of hearing aids. The subjects in both groups had a sensorineural hearing loss of moderate to a moderately-severe degree. Appropriate statistical analysis was performed. On average, the non-users had higher scores on the emotional impact of hearing loss, denial, and stigma subscales. Conclusions: The factors responsible for non-usage of hearingaids by the persons with hearing-impairment were a stigma associated with the hearing aid usage; denial of hearing loss; and emotional impact of hearing loss. Both, social impact of hearing loss and poor manual dexterity were not limiting factors for non-compliance in hearing-aid users

Hearing Losses, Hearing Aids, and Children with Language Disorders

1973 ◽  
Vol 38 (2) ◽  
pp. 232-239 ◽  
Author(s):  
Frank R. Kleffner
Keyword(s):  
Hearing Loss ◽  
Language Development ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Clinical Management ◽  
Pure Tone ◽  
Language Disorders ◽  
Educational Placement ◽  
Pure Tones

Theoretical interpretations and terminological practices can interfere with appropriate clinical management of hearing losses in children with language disorders. De-emphasis of the significance of hearing losses for pure tones in children who present problems in language development is unwarranted. The value of the pure-tone result in determining the nature and severity of hearing impairment is well established. The child with a hearing loss for pure tones must be given the benefit of whatever amplification and educational placement considerations are indicated by his loss, regardless of the diagnostic classifications or speculations evoked by other problems he may present.

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