Transitioning the Patient with Severe Hearing Loss to New Hearing Aids

Here’s the second in a series of discussions on severe hearing loss: Transitioning the Patient with Severe Hearing Loss to New Hearing aids. Gradual adjustments, moving from a familiar frequency response to a new one can be tolerated. A smooth transition may require counseling.

http://blog.starkeypro.com/bid/77560/Transitioning-the-Patient-with-Severe-Hearing-Loss-to-New-Hearing-Aids

Prescribing Compression for Severe Hearing Loss

This month’s review is the first in a series that will discuss the treatment of severe hearing loss.

Prescribing Compression for Severe Hearing Loss

Souza, P.E., Jenstad, L.M. & Folino, R. (2005). Using multichannel wide-dynamic range compression in severely hearing-impaired listeners: effects on speech recognition and quality. Ear and Hearing 26(2), 120-131.

Understanding the NAL-NL2

This post describes the NAL-NL2 prescriptive formula. Included are differences between the NAL-NL1 and NAL-NL2.

http://blog.starkeypro.com/bid/75435/Understanding-the-NAL-NL2

Keidser, G., Dillon, H., Flax, M., Ching, T. & Brewer, S. (2011). The NAL-NL2 prescription procedure. Audiology Research 1 (e24), 88-90.

 

Spectral Envelope Warping (SEW): Spectral iQ

AudiologyOnline.com has posted a summary of Spectral iQ. A means for replicated high-frequency speech cues at lower frequencies; a process called spectral envelope warping (SEW).

http://www.audiologyonline.com/articles/article_detail.asp?article_id=2420

What motivates hearing aid use?

In this update Dr. Stevens and I discuss a recent meta review from Jenstad and Moon. The authors sift through the available literature analyzing factors that contribute to purchase and use of hearing aids. The most relevant articles provide valuable insight into the decision making and needs of patients seeking treatment for hearing loss.

http://blog.starkeypro.com/bid/74326/What-motivates-hearing-aid-use

Jenstad, L. & Moon, J. (2011). Systematic review of barriers and facilitators to hearing aid uptake in older adults. Audiology Research 1:e25, 91-96.

Do hearing aid wearers benefit from visual cues?

In this month’s update we discuss Wu & Bentler 2010. The authors made valuable observations on the impact of visual cues to directional microphone benefit and preference.

http://blog.starkeypro.com/bid/73206/Do-hearing-aid-wearers-benefit-from-visual-cues

Wu, Y-H. & Bentler, R.A. (2010) Impact of visual cues on directional benefit and preference: Part I – laboratory tests. Ear and Hearing 31(1), 22-34.

Differences Between Directional Benefit in the Lab and Real-World

Many audiologists notice that the benefits that patients’ field experience with directional microphones differs from controlled test environments, particularly laboratory environments. In this 2004 article Cord and colleagues provide some insight into these differences that are observed in the lab and real-world.

http://blog.starkeypro.com/bid/71668/Differences-Between-Directional-Benefit-in-the-Lab-and-Real-World

Cord, M., Surr, R., Walden, B. & Dyrlund, O. (2004). Relationship between laboratory measures of directional advantage and everyday success with directional microphone hearing aids.Journal of the American Academy of Audiology 15, 353-364.

Spectral iQ

This paper introduces a new method for frequency lowering in hearing aids. Many individuals with high-frequency hearing loss do not have access to the highest frequency components of speech. Technologies such as Spectral iQ are designed to move the highest frequency information to lower frequencies, which for most patients results in increased audibility for those sounds.

Spectral iQ Technical Paper

Galster, J.A., Valentine, S., Dundas, J.A., & Fitz, K. (2011). Spectral iQ: Audibly improving access to high-frequency sounds. Starkey Laboratories, Inc. Technology Paper.

Are you prescribing an appropriate MPO?

Appropriate prescription of MPO is an often overlooked parameter. A fair amount of research exists that would suggest inappropriate application of MPO will significantly decrease the likelihood of hearing aid acceptance. In this article review Dr. Kuk and colleagues discuss some possible negative outcomes related to the under-prescription of MPO. The authors go on to suggest that the addition of digital noise reduction may mitigate some of these negative outcomes.

http://blog.starkeypro.com/bid/70080/Are-you-prescribing-an-appropriate-MPO

Kuk, F., Peeters, H., Korhonen, P. & Lau, C. (2010). Effect of MPO and noise reduction on speech recognition in noise. Journal of the American Academy of Audiology, submitted November 2010.

Are our fine-tuning adjustments consistent with the patient’s complaints?

In this throwback to 2003 Jenstad and colleagues completed a study that evaluated consistency in interpretation of patient complaints and the actions that would be taken to address these complaints. Their findings show excellent agreement between the interpretation and subsequent actions made by two independent groups of survey respondents.

http://blog.starkeypro.com/bid/69065/Addressing-patient-complaints-when-fine-tuning-a-hearing-aid

Jenstad, L.M., Van Tasell, D.J. & Ewert, C. (2003). Hearing aid troubleshooting based on patient’s descriptions. Journal of the American Academy of Audiology 14 (7).