Hearing Aid

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Larry E. Humes - One of the best experts on this subject based on the ideXlab platform.

  • Modeling and predicting Hearing Aid outcome.
    Trends in Amplification, 2003
    Co-Authors: Larry E. Humes
    Abstract:

    Following a brief tutorial on the application of factor analysis to Hearing Aid outcome measures, three studies of Hearing Aid outcome measures in elderly adults are presented and analyzed. Two of the studies were completed at Indiana University (IU-1 and IU-2), and one was a collaborative multisite study by the Veterans Administration and the National Institute of Deafness and other Communication Disorders (NIDCD/VA). IU-1 measured Hearing Aid outcome in 173 elderly wearers of single-channel, linear, in-the-ear Hearing Aids with output-limiting compression, whereas IU-2 obtained the same extensive set of outcome measures from 53 elderly wearers of two-channel, wide-dynamic-range compression, in-the-canal Hearing Aids. In the NIDCD/VA study, 333 to 338 participants wore three single-channel circuits in succession, with each circuit housed within an in-the-ear shell. The three circuits included in that study and in this analysis were: (1) linear with peak clipping, (2) linear with output-limiting compression, and (3) single-channel, wide-dynamic-range compression. Evaluation of the many outcome measures completed in each study using principal components factor analysis revealed that from three (both IU studies) to five (NIDCD/VA study) principal components captured the individual differences in Hearing Aid outcome. This was independent of Hearing Aid type (in-the-ear or in-the-canal) and circuitry. Subsequent multiple regression analyses of individual differences in performance along each dimension of Hearing Aid outcome revealed that these individual differences could be accounted for reasonably well by various prefit variables for some dimensions of outcome, but not others. In general, measures of speech recognition performance were well accounted for by prefit measures, with the best predictors being Hearing loss, cognitive performance, and age. Measures of Hearing Aid usage were less well accounted for by prefit measures, with the most accurate predictor of current Hearing Aid use being prior Hearing Aid use. The outcome dimension accounted for most poorly was that associated with Hearing Aid satisfaction, with subjective measures of Aided sound quality being the best predictor of performance along this dimension of Hearing Aid outcome. Additional multicenter, large-scale studies are needed to develop more complete models of Hearing Aid outcome and to identify the variables that influence various aspects of Hearing Aid outcome. It is only through this additional research that it will be possible to optimize outcome for Hearing Aid wearers.

  • An Examination of Changes in Hearing-Aid Performance and Benefit in the Elderly Over a 3-Year Period of Hearing-Aid Use
    Journal of Speech Language and Hearing Research, 2003
    Co-Authors: Larry E. Humes, Dana L. Wilson
    Abstract:

    This brief report describes the changes in Hearing-Aid performance and benefit in 9 elderly Hearing-Aid wearers over a 3-year period following the Hearing-Aid fitting. Objective measures of Hearing...

  • A comparison of two measures of Hearing Aid satisfaction in a group of elderly Hearing Aid wearers.
    Ear and Hearing, 2002
    Co-Authors: Larry E. Humes, Carolyn B. Garner, Dana L. Wilson, Nancy N. Barlow, Nathan E. Amos
    Abstract:

    Objective: The objective of this study was to compare the results of two measures of Hearing Aid satisfaction, an indirect measure (Satisfaction with Amplification in Daily Living, SADL; Cox & Alexander, 1999) and a direct measure (an expanded version of the MarkeTrak-IV survey; Kochkin, 1996), in a group of elderly Hearing Aid wearers. Design: A total of 43 elderly Hearing Aid wearers completed both satisfaction measures (order counterbalanced across wearers) after 1 mo of wearing 2-channel wide dynamic range compression (WDRC) in-the-canal (ITC) Hearing Aids. A correlational research design was employed. Results: The elderly Hearing Aid wearers in this study yielded results on each measure of Hearing Aid satisfaction that were generally consistent with those found previously in larger groups of similar samples. The correlation between each measure of satisfaction (r = 0.75) was positive, moderately strong, and significant (p < 0.01) for the global scores of the SADL and MarkeTrak-IV scales. Conclusions: Although different approaches to the measurement of satisfaction were followed in the development of the SADL (indirect approach) and the MarkeTrak-IV (direct measurement) scales, similar results were obtained with each scale. The 15-item SADL instrument, however, is much shorter than the MarkeTrak-IV instrument and, as a result, is more efficient to administer clinically.

  • Longitudinal Changes in Hearing Aid Satisfaction and Usage in the Elderly Over a Period of One or Two Years After Hearing Aid Delivery
    Ear and Hearing, 2002
    Co-Authors: Larry E. Humes, Carolyn B. Garner, Dana L. Wilson, Nancy N. Barlow, Nathan E. Amos
    Abstract:

    ObjectiveThe objective of this study was to measure Hearing Aid satisfaction and usage for extended periods of time, up to 2 yr after Hearing Aid delivery, to determine whether longitudinal changes occur in the elderly for these outcome measures.DesignA longitudinal study of Hearing Aid satisfaction

  • Changes in Hearing-Aid Benefit Following 1 or 2 Years of Hearing-Aid Use by Older Adults
    Journal of Speech Language and Hearing Research, 2002
    Co-Authors: Larry E. Humes, Dana L. Wilson, Nancy N. Barlow, Carolyn B. Garner
    Abstract:

    This study reports the results of a large number of Hearing-Aid benefit measures obtained from 134 elderly Hearing-Aid wearers during the first year of Hearing-Aid usage. Benefit measures were obta...

Robert H. Eikelboom - One of the best experts on this subject based on the ideXlab platform.

  • How do Hearing Aid Owners Acquire Hearing Aid Management Skills
    Journal of The American Academy of Audiology, 2019
    Co-Authors: Rebecca J. Bennett, Carly Meyer, Robert H. Eikelboom
    Abstract:

    Background: Clinical studies have found up to 90% of Hearing Aid owners demonstrate difficulty with basic Hearing Aid management tasks and almost 50% of Hearing Aid owners self-report not receiving enough practical help from their clinician regarding how to use their Hearing Aid. Although studies have highlighted the overwhelming amount of information and training required to learn how to use a Hearing Aid appropriately, a gap remains in the literature regarding the range of methods by which Hearing Aid owners acquire the knowledge and skills for Hearing Aid use, and whether these approaches are considered beneficial.Purpose: To gain insight into how both Hearing Aid owners and Hearing health clinicians view the acquisition of Hearing Aid management skills and the efficacy of currently used methods of Hearing Aid training.Research Design: Concept mapping techniques were used to identify key themes, wherein participants generated, sorted, and rated the importance of statements in response to the question "How do Hearing Aid owners learn the skills required to use, handle, manage, maintain, and care for their Hearing Aids?"Study Sample: Twenty-four Hearing Aid owners (aged 56-91 years; 54.2% male) and 22 clinicians (aged 32-69 years; 9.1% male).Data collection and Analysis: Participant perspectives were collected via group concept mapping sessions in October 2015. Hierarchical cluster analysis was used to identify themes and develop a framework for understanding how skill acquisition occurs. Participants rated each method of Hearing Aid skill acquisition as to how beneficial it was and how often it was used.Results: Participants identified 75 unique items describing how Hearing Aid management skills are acquired within six concepts: (1) Relationship with the clinician, (2) clinician as a source of knowledge and support, (3) hands-on experience, (4) seeking additional information, (5) asking support people for help, and (6) external resources.Conclusions: The results of this study highlight the diverse methods and sources by which Hearing Aid owners learn the skills necessary to use, manage, and maintain their Hearing Aids. Significant emphasis was placed on the role of the Hearing health clinician to provide training, support, and an ongoing professional relationship, with lesser roles played by family, friends, and other health professionals.

  • How Do Hearing Aid Owners Respond to Hearing Aid Problems
    Ear and Hearing, 2019
    Co-Authors: Rebecca J. Bennett, Ariane Laplante-lévesque, Robert H. Eikelboom
    Abstract:

    BACKGROUND: Although Hearing Aids can improve Hearing and communication, problems that arise following the acquisition of Hearing Aids can result in their disuse. This study aimed to gather perspectives of Hearing Aid owners and Hearing health care clinicians about how Hearing Aid owners respond to problems that arise following Hearing Aid fitting, and then use these perspectives to generate a conceptual framework to better understand these responses. METHODS: Seventeen Hearing Aid owners and 21 Hearing health care clinicians generated, sorted, and rated statements regarding how Hearing Aid owners respond to problems associated with Hearing Aid use. Concept mapping was used to identify key themes and to develop a conceptual framework. RESULTS: Participants identified four concepts regarding how Hearing Aid owners respond to problems associated with Hearing Aids: (1) Seeking External Help; (2) Problem Solving; (3) Putting Up with Problems; and (4) Negative Emotional Response. Participants described behaviors of the clinician and significant others that influenced their decision to seek help for Hearing Aid problems. Participants recognized that these behaviors could either have a helpful or unhelpful impact. CONCLUSIONS: Despite the ongoing support offered to clients after they acquire Hearing Aids, they are hesitant to seek help from their clinician and instead engage in a myriad of helpful and unhelpful behaviors in response to problems that arise with their Hearing Aid. Previous positive or negative experiences with the clinic, clinician, or significant other influenced these actions, highlighting the influential role of these individuals' in the success of the rehabilitation program. The data generated from this study suggests that clinicians could improve Hearing Aid problem resolution by providing technical and emotional support, including to significant others, and promoting client empowerment and self-management.

  • Investigating the knowledge, skills and tasks required for Hearing Aid management : perspectives of clinicians and Hearing Aid owners
    American Journal of Audiology, 2018
    Co-Authors: Rebecca J. Bennett, Carly Meyer, Robert H. Eikelboom, Marcus D. Atlas
    Abstract:

    Purpose The purpose of this study is to identify Hearing Aid owners' and clinicians' opinions of the knowledge, skills, and tasks required for Hearing Aid management and the importance of each of t...

  • Exploring Hearing Aid Problems: Perspectives of Hearing Aid Owners and Clinicians.
    Ear and Hearing, 2017
    Co-Authors: Rebecca J. Bennett, Carly Meyer, Ariane Laplante-lévesque, Robert H. Eikelboom
    Abstract:

    Objectives: To gather perspectives of Hearing Aid owners and Hearing healthcare clinicians with regard to problems that arise after Hearing Aid fitting and use these perspectives to generate a conceptual framework to gain a better understanding of these problems.

Rebecca J. Bennett - One of the best experts on this subject based on the ideXlab platform.

  • How do Hearing Aid Owners Acquire Hearing Aid Management Skills
    Journal of The American Academy of Audiology, 2019
    Co-Authors: Rebecca J. Bennett, Carly Meyer, Robert H. Eikelboom
    Abstract:

    Background: Clinical studies have found up to 90% of Hearing Aid owners demonstrate difficulty with basic Hearing Aid management tasks and almost 50% of Hearing Aid owners self-report not receiving enough practical help from their clinician regarding how to use their Hearing Aid. Although studies have highlighted the overwhelming amount of information and training required to learn how to use a Hearing Aid appropriately, a gap remains in the literature regarding the range of methods by which Hearing Aid owners acquire the knowledge and skills for Hearing Aid use, and whether these approaches are considered beneficial.Purpose: To gain insight into how both Hearing Aid owners and Hearing health clinicians view the acquisition of Hearing Aid management skills and the efficacy of currently used methods of Hearing Aid training.Research Design: Concept mapping techniques were used to identify key themes, wherein participants generated, sorted, and rated the importance of statements in response to the question "How do Hearing Aid owners learn the skills required to use, handle, manage, maintain, and care for their Hearing Aids?"Study Sample: Twenty-four Hearing Aid owners (aged 56-91 years; 54.2% male) and 22 clinicians (aged 32-69 years; 9.1% male).Data collection and Analysis: Participant perspectives were collected via group concept mapping sessions in October 2015. Hierarchical cluster analysis was used to identify themes and develop a framework for understanding how skill acquisition occurs. Participants rated each method of Hearing Aid skill acquisition as to how beneficial it was and how often it was used.Results: Participants identified 75 unique items describing how Hearing Aid management skills are acquired within six concepts: (1) Relationship with the clinician, (2) clinician as a source of knowledge and support, (3) hands-on experience, (4) seeking additional information, (5) asking support people for help, and (6) external resources.Conclusions: The results of this study highlight the diverse methods and sources by which Hearing Aid owners learn the skills necessary to use, manage, and maintain their Hearing Aids. Significant emphasis was placed on the role of the Hearing health clinician to provide training, support, and an ongoing professional relationship, with lesser roles played by family, friends, and other health professionals.

  • How Do Hearing Aid Owners Respond to Hearing Aid Problems
    Ear and Hearing, 2019
    Co-Authors: Rebecca J. Bennett, Ariane Laplante-lévesque, Robert H. Eikelboom
    Abstract:

    BACKGROUND: Although Hearing Aids can improve Hearing and communication, problems that arise following the acquisition of Hearing Aids can result in their disuse. This study aimed to gather perspectives of Hearing Aid owners and Hearing health care clinicians about how Hearing Aid owners respond to problems that arise following Hearing Aid fitting, and then use these perspectives to generate a conceptual framework to better understand these responses. METHODS: Seventeen Hearing Aid owners and 21 Hearing health care clinicians generated, sorted, and rated statements regarding how Hearing Aid owners respond to problems associated with Hearing Aid use. Concept mapping was used to identify key themes and to develop a conceptual framework. RESULTS: Participants identified four concepts regarding how Hearing Aid owners respond to problems associated with Hearing Aids: (1) Seeking External Help; (2) Problem Solving; (3) Putting Up with Problems; and (4) Negative Emotional Response. Participants described behaviors of the clinician and significant others that influenced their decision to seek help for Hearing Aid problems. Participants recognized that these behaviors could either have a helpful or unhelpful impact. CONCLUSIONS: Despite the ongoing support offered to clients after they acquire Hearing Aids, they are hesitant to seek help from their clinician and instead engage in a myriad of helpful and unhelpful behaviors in response to problems that arise with their Hearing Aid. Previous positive or negative experiences with the clinic, clinician, or significant other influenced these actions, highlighting the influential role of these individuals' in the success of the rehabilitation program. The data generated from this study suggests that clinicians could improve Hearing Aid problem resolution by providing technical and emotional support, including to significant others, and promoting client empowerment and self-management.

  • Investigating the knowledge, skills and tasks required for Hearing Aid management : perspectives of clinicians and Hearing Aid owners
    American Journal of Audiology, 2018
    Co-Authors: Rebecca J. Bennett, Carly Meyer, Robert H. Eikelboom, Marcus D. Atlas
    Abstract:

    Purpose The purpose of this study is to identify Hearing Aid owners' and clinicians' opinions of the knowledge, skills, and tasks required for Hearing Aid management and the importance of each of t...

  • Exploring Hearing Aid Problems: Perspectives of Hearing Aid Owners and Clinicians.
    Ear and Hearing, 2017
    Co-Authors: Rebecca J. Bennett, Carly Meyer, Ariane Laplante-lévesque, Robert H. Eikelboom
    Abstract:

    Objectives: To gather perspectives of Hearing Aid owners and Hearing healthcare clinicians with regard to problems that arise after Hearing Aid fitting and use these perspectives to generate a conceptual framework to gain a better understanding of these problems.

Ariane Laplante-lévesque - One of the best experts on this subject based on the ideXlab platform.

  • How Do Hearing Aid Owners Respond to Hearing Aid Problems
    Ear and Hearing, 2019
    Co-Authors: Rebecca J. Bennett, Ariane Laplante-lévesque, Robert H. Eikelboom
    Abstract:

    BACKGROUND: Although Hearing Aids can improve Hearing and communication, problems that arise following the acquisition of Hearing Aids can result in their disuse. This study aimed to gather perspectives of Hearing Aid owners and Hearing health care clinicians about how Hearing Aid owners respond to problems that arise following Hearing Aid fitting, and then use these perspectives to generate a conceptual framework to better understand these responses. METHODS: Seventeen Hearing Aid owners and 21 Hearing health care clinicians generated, sorted, and rated statements regarding how Hearing Aid owners respond to problems associated with Hearing Aid use. Concept mapping was used to identify key themes and to develop a conceptual framework. RESULTS: Participants identified four concepts regarding how Hearing Aid owners respond to problems associated with Hearing Aids: (1) Seeking External Help; (2) Problem Solving; (3) Putting Up with Problems; and (4) Negative Emotional Response. Participants described behaviors of the clinician and significant others that influenced their decision to seek help for Hearing Aid problems. Participants recognized that these behaviors could either have a helpful or unhelpful impact. CONCLUSIONS: Despite the ongoing support offered to clients after they acquire Hearing Aids, they are hesitant to seek help from their clinician and instead engage in a myriad of helpful and unhelpful behaviors in response to problems that arise with their Hearing Aid. Previous positive or negative experiences with the clinic, clinician, or significant other influenced these actions, highlighting the influential role of these individuals' in the success of the rehabilitation program. The data generated from this study suggests that clinicians could improve Hearing Aid problem resolution by providing technical and emotional support, including to significant others, and promoting client empowerment and self-management.

  • Exploring Hearing Aid Problems: Perspectives of Hearing Aid Owners and Clinicians.
    Ear and Hearing, 2017
    Co-Authors: Rebecca J. Bennett, Carly Meyer, Ariane Laplante-lévesque, Robert H. Eikelboom
    Abstract:

    Objectives: To gather perspectives of Hearing Aid owners and Hearing healthcare clinicians with regard to problems that arise after Hearing Aid fitting and use these perspectives to generate a conceptual framework to gain a better understanding of these problems.

  • Patterns of Hearing Aid usage predict Hearing Aid use amount (data logged and self-reported) and overreport.
    Journal of The American Academy of Audiology, 2014
    Co-Authors: Ariane Laplante-lévesque, Lisbeth Dons Jensen, Claus Nielsen, Graham Naylor
    Abstract:

    Background: Previous studies found that, on average, users overreport their daily amount of Hearing Aid use compared to objective measures such as data logging. However, the reasons for this are unclear. Purpose: This study assessed data-logged and self-reported amount of Hearing Aid use in a clinical sample of Hearing Aid users. It identified predictors of data-logged Hearing Aid use, self-reported Hearing Aid use, and Hearing Aid use overreport. Research Design: This observational study recruited adult Hearing Aid users from 22 private dispensers in the Netherlands and in Denmark. Study Sample: The sample consisted of 228 Hearing Aid users. Typical participants were over the age of 65 and retired, were fitted binaurally, and had financially contributed to the cost of their Hearing Aids. Participants had on average a mild-to-severe sloping bilateral Hearing impairment. Data Collection and Analysis: Participants completed a purposefully designed questionnaire regarding Hearing Aid usage and the International Outcome Inventory Hearing Aids. Dispensers collected audiometric results and data logging. Multiple linear regression identified predictors of data-logged Hearing Aid use, self-reported Hearing Aid use, and Hearing Aid use overreport when controlling for covariates. Results: Data logging showed on average 10.5 hr of Hearing Aid use (n = 184), while participants reported on average 11.8 hr of daily Hearing Aid use (n = 206). In participants for which both data-logged and self-reported Hearing-Aid use data were available (n = 166), the average absolute overreport of daily Hearing Aid use was 1.2 (1 hr and 11 min). Relative overreport was expressed as a rate of absolute overreport divided by data-logged Hearing Aid use. A positive rate denotes Hearing Aid use overreport: the average overreport rate was .38. Cluster analysis identified two data-logged patterns: "Regular," where Hearing Aids are typically switched on for between 12 and 20 hr before their user powers them off (57% of the sample), and "On-off," where Hearing Aids are typically switched on for shorter periods of time before being powered off (43% of the sample). In terms of self-report, 77% of the sample described their Hearing Aid use to be the same every day, while 23% of the sample described their Hearing Aid use to be different from day to day. Participants for whom data logging showed an On-off pattern or who reported their Hearing Aid use to be different from day to day had significantly fewer data-logged and self-reported hours of Hearing Aid use. Having an On-off data-logging pattern or describing Hearing Aid use as the same every day was associated with a significantly greater Hearing Aid use overreport. Conclusions: Data-logged and self-reported usage patterns significantly predicted data-logged Hearing Aid use, self-reported Hearing Aid use, and overreport when controlling for covariates. The results point to patterns of Hearing Aid usage as being at least as important a concept as amount of Hearing Aid use. Dispensers should discuss not only the "how much", but also the "how" of Hearing Aid usage with their clients.

  • Optimal Hearing Aid use: focus groups with Hearing Aid clients and audiologists.
    Ear and Hearing, 2013
    Co-Authors: Ariane Laplante-lévesque, Lisbeth Dons Jensen, Piers Dawes, Claus Nielsen
    Abstract:

    Objectives: This study explored the meaning and determinants of optimal Hearing Aid use from the perspectives of Hearing Aid clients and audiologists. An additional objective was to contrast the perspectives of the clients and audiologists. less thanbrgreater than less thanbrgreater thanDesign: Four focus groups were conducted: (1) clients (n = 7) in Denmark, (2) clients (n = 10) in the United Kingdom, (3) audiologists (n = 6) in Denmark, and (4) audiologists (n = 7) in the United Kingdom. Clients owned Hearing Aids and audiologists had regular contact with clients. The focus group facilitators used a topic guide to generate the participants views on optimal Hearing Aid use. The focus groups were audio-recorded, transcribed verbatim, translated into English if conducted in Danish, and qualitatively analyzed with content analysis. less thanbrgreater than less thanbrgreater thanResults: Both clients and audiologists described optimal Hearing Aid use as being frequent and regular and driven by the individual needs of the clients. When describing determinants of optimal Hearing Aid use, both clients and audiologists mentioned the role of the client (e. g., adjustment to Hearing Aids), the role of the audiologist (e. g., audiologic practice and profession), and the role of the Hearing Aid (e. g., benefits and limitations of the Hearing Aid). They both highlighted the importance of client access to information. However, how clients and audiologists described the influence of these determinants varied somewhat. Clients emphasized the role of the Hearing Aid in achieving optimal Hearing Aid use. From a client perspective, Hearing Aids that performed well and had relevant features were most central. In contrast, audiologists emphasized the role of a good client-audiologist relationship in achieving optimal Hearing Aid use. From the audiologists perspective, audiologists who were able to understand the needs of the clients and to instruct clients appropriately were most central. less thanbrgreater than less thanbrgreater thanConclusions: This study highlights similarities and differences in how clients and audiologists describe optimal Hearing Aid use and its determinants. It is commendable that audiologists acknowledge the importance of the client-audiologist relationship, but given clients focus on Hearing Aids, audiologists might wish to describe more explicitly to their clients how their intervention can extend beyond provision of the optimal Hearing Aid. (Ear andamp; Hearing 2013;34;193-202)

Dana L. Wilson - One of the best experts on this subject based on the ideXlab platform.