Evaluation of a clinical auditory profile in hearing-aid candidates

  • Nicoline Thorup Department of Otorhinolaryngology and Audiology, Rigshospitalet
  • Sébastien Santurette Hearing Systems, Department of Electrical Engineering, Technical University of Denmark http://orcid.org/0000-0002-6868-5734
  • Søren Jørgensen Hearing Systems, Department of Electrical Engineering, Technical University of Denmark
  • Erik Kjærbøl Department of Otorhinolaryngology and Audiology, Rigshospitalet
  • Torsten Dau Hearing Systems, Department of Electrical Engineering, Technical University of Denmark
  • Morten Friis Department of Otorhinolaryngology and Audiology, Rigshospitalet University of Copenhagen

Abstract

Hearing-impaired (HI) listeners often complain about communicating in the presence of background noise, although audibility may be restored by a hearing-aid (HA). The audiogram typically forms the basis for HA fitting, such that people with similar audiograms are given the same prescription by default. However, this does not necessary lead to the same HA benefit. This study aimed at identifying clinically relevant tests that may be informative in addition to the audiogram and relate more directly to HA benefit. Twenty-nine HI listeners performed fast tests of loudness perception, spectral and temporal resolution, binaural hearing, speech intelligibility in stationary and fluctuating noise, and a working-memory test. Six weeks after HA fitting they answered the International Outcome Inventory – Hearing Aid evaluation. The HI group was homogeneous based on the audiogram, but only one test was correlated to pure-tone hearing thresholds. Moreover, HI listeners who took the least advantage from fluctuations in background noise in terms of speech intelligibility experienced greater HA benefit. Further analysis of whether specific outcomes are directly related to speech intelligibility in fluctuating noise could be relevant for concrete HA fitting applications.

Author Biography

Erik Kjærbøl, Department of Otorhinolaryngology and Audiology, Rigshospitalet
Department of Otorhinolaryngology and Audiology, Rigshospitalet

References

Bisgaard, N., Vlaming, M.S., and Dahlquist, M. (2010). “Standard audiograms for the IEC 60118-15 measurement procedure,” Trends Amplif., 14, 113-120.

Brannstrom, K.J., Lantz, J., Nielsen, L.H., and Olsen, S.O. (2014). “Prediction of IOI-HA scores using speech reception thresholds and speech discrimination scores in quiet,” J. Am. Acad. Audiol., 25, 154-163.

Festen, J.M. and Plomp, R. (1983). “Relations between auditory functions in impaired hearing,” J. Acoust. Soc. Am., 73, 652-662.

Füllgrabe, C., and Moore, B.C.J. (2014). “Effects of age and hearing loss on stream segregation based on interaural time differences,” J. Acoust. Soc. Am., 136, EL185-191.

Glasberg, B.R. and Moore, B.C.J. (1989). “Psychoacoustic abilities of subjects with unilateral and bilateral cochlear hearing impairments and their relationship to the ability to understand speech,” Scand. Audiol. Suppl., 32, 1-25.

Hickson, L., Clutterbuck S., and Khan A. (2010). “Factors associated with hearing aid fitting outcomes on the IOI-HA,” Int. J. Audiol., 49, 586-595.

Holube, I., Fredelake, S., Vlaming, M., and Kollmeier, B. (2010). “Development and a-nalysis of an International Speech Test Signal (ISTS),” Int. J. Audiol., 49, 891-903.

Jespersen, C.T., Groth, M.B.J., and Hansen, T. (2006). “Danish reference data for the IOI,” Proc. 21st Danavox Symposium 2005, Hearing Aid Fitting, Eds. A.N. Rasmussen, T. Poulsen, T. Andersen, and C.B. Larsen. ISBN 87-982422-0-2 (The Danavox Jubilee Foundation, Copenhagen), pp. 475-491.

Jespersen, C.T., Bille, M., and Legarth, J.V. (2014). “Psychometric properties of a revised Danish translation of the international outcome inventory for hearing aids (IOI-HA),” Int. J. Audiol., 53, 302-308.

Jørgensen, S.L. (2009). “Kvalitetssikring på offentlige høreklinikker – Resultater fra tilfredshedsundersøgelse for høreapparatbrugere,” DELTA Teknisk-Audiolog-isk Laboratorium, Odense, Denmark.

Larsby, B. and S. Arlinger (1998). “A method for evaluating temporal, spectral and combined temporal-spectral resolution of hearing,” Scand. Audiol. 27, 3-12.

Larsby, B. and S. Arlinger (1999). “Auditory temporal and spectral resolution in normal and impaired hearing,” J. Am. Acad. Audiol. 10, 198-210.

Léger, A.C., Moore, B.C.J., and Lorenzi, C. (2012). “Abnormal speech processing in frequency regions where absolute thresholds are normal for listeners with high-frequency hearing loss,” Hear. Res., 294, 95-103.

Lunner, T. (2003). “Cognitive function in relation to hearing aid use,” Int. J. Audiol. 42, S49-S58.

Moore, B.C.J., Huss, M., Vickers, D.A., Glasberg, B.R., and Alcantara, J.I. (2000). “A test for the diagnosis of dead regions in the cochlea,” Br. J. Audiol., 34, 205- 224.

Nielsen, J.B., and Dau, T. (2011). “The Danish hearing in noise test,” Int. J. Audiol., 50, 202-208.

Papakonstantinou, A., Strelcyk, O., and Dau, T. (2011). “Relations between perceptual measures of temporal processing, auditory-evoked brainstem responses and speech intelligibility in noise,” Hear. Res., 280, 30-37.

Ross, B., Tremblay, K.L., and Picton, T.W. (2007). “Physiological detection of interaural phase differences,” J. Acoust. Soc. Am., 121, 1017-1027.

Santurette, S. and Dau, T. (2012). “Relating binaural pitch perception to the individual listener's auditory profile,” J. Acoust. Soc. Am., 131, 2968-2986.

Strelcyk, O. and Dau, T. (2009). “Relations between frequency selectivity, temporal fine-structure processing, and speech reception in impaired hearing,” J. Acoust. Soc. Am., 125, 3328-3345.

van Esch, T.E., Kollmeier, B., Vormann, M., Lyzenga, J., Houtgast, T., Hallgren, M., Larsby, B., Athalye, S.P., Lutman, M.E., and Dreschler,
W.A. (2013). “Evaluation of the preliminary auditory profile test battery in an international multi-centre study,” Int. J. Audiol., 52, 305-321.
Published
2015-12-15
How to Cite
THORUP, Nicoline et al. Evaluation of a clinical auditory profile in hearing-aid candidates. Proceedings of the International Symposium on Auditory and Audiological Research, [S.l.], v. 5, p. 67-74, dec. 2015. Available at: <https://proceedings.isaar.eu/index.php/isaarproc/article/view/2015-08>. Date accessed: 22 oct. 2017.
Section
2015/1. Characterizing individual differences in hearing loss