National Acoustic Laboratories Library

Fitting Noise Management Signal Processing Applying the American Academy of Audiology Pediatric Amplification Guideline: Verification Protocols (Record no. 2530)

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Transcribing agency National Acoustic Laboratories
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Title Fitting Noise Management Signal Processing Applying the American Academy of Audiology Pediatric Amplification Guideline: Verification Protocols
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Summary, etc Background: Although guidelines for fitting hearing aids for children are well developed and have strong<br/>basis in evidence, specific protocols for fitting and verifying some technologies are not always available.<br/>One such technology is noise management in children’s hearing aids. Children are frequently in highlevel<br/>and/or noisy environments, and many options for noise management exist in modern hearing aids.<br/>Verification protocols are needed to define specific test signals and levels for use in clinical practice.<br/>Purpose: This work aims to (1) describe the variation in different brands of noise reduction processors in<br/>hearing aids and the verification of these processors and (2) determine whether these differences are<br/>perceived by 13 children who have hearing loss. Finally, we aimed to develop a verification protocol for<br/>use in pediatric clinical practice.<br/>Study Sample: A set of hearing aids was tested using both clinically available test systems and a reference<br/>system, so that the impacts of noise reduction signal processing in hearing aids could be characterized<br/>for speech in a variety of background noises. A second set of hearing aids was tested across a<br/>range of audiograms and across two clinical verification systems to characterize the variance in clinical<br/>verification measurements. Finally, a set of hearing aid recordings that varied by type of noise reduction<br/>was rated for sound quality by children with hearing loss.<br/>Results: Significant variation across makes and models of hearing aids was observed in both the speed of<br/>noise reduction activation and the magnitude of noise reduction. Reference measures indicate that noise-only<br/>testing may overestimate noise reduction magnitude compared to speech-in-noise testing. Variation across<br/>clinical test signalswas also observed, indicating that some test signalsmay bemore successful than others for<br/>characterization of hearing aid noise reduction. Children provided different sound quality ratings across hearing<br/>aids, and for one hearing aid rated the sound quality as higher with the noise reduction system activated.<br/>Conclusions: Implications for clinical verification systems may be that greater standardization and the use<br/>of speech-in-noise test signals may improve the quality and consistency of noise reduction verification
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element children, guidelines, hearing aids, hearing loss, noise, protocols
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Personal name Susan Scollie*
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Relationship information 27:237–251 (2016)
Title Journal of American Academy of Audiology
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Uniform Resource Identifier <a href="http://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/340/Fitting%20Noise%20Management%20Signal%20Processing.pdf?sequence=1&isAllowed=y">http://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/340/Fitting%20Noise%20Management%20Signal%20Processing.pdf?sequence=1&isAllowed=y</a>
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Koha item type Journal article

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