Meister Hartmut, Grugel Linda, Walger Martin, von Wedel Hasso, Meis Markus
Jean Uhrmacher Institute for Clinical ENT Research, University of Cologne, Cologne, Germany.
Trends Amplif. 2010 Sep;14(3):155-63. doi: 10.1177/1084713810385713.
Modern hearing instruments include many features addressing situation-specific and user-related amplification. The main tasks of the acoustician are the appropriate choice of hearing instruments and fitting them to hearing impaired individuals. This study aims at investigating the utility and importance of several hearing-aid features as assessed by hearing-aid acousticians. For this purpose, eight different hearing-aid features with three levels each are addressed in a discrete-choice experiment. Preferences for systematically varied combinations of the features are assessed with 143 acousticians, using an adaptive conjoint analysis conducted via the Internet. Based on the preference data, utility and importance of the features are calculated. Highest utility and importance are found for noise cancellation and directional microphones. Outcome of these two features do not differ significantly. In contrast, data management functions, that is, self-learning options, show lowest importance. Though the acousticians' professional experience reveal statistically significant influence on the assessment of some of the features' utility and importance, a clear impact of sociodemographic or subject-specific factors on the outcome cannot be found. The study can be seen as a first approach to determine the estimation of basic hearing-aid features assessed by acousticians. Results show the outstanding utility and importance of features addressing speech perception in adverse listening situations. Furthermore, the outcome reveals reservations of the acousticians regarding self-learning options of the instruments.
现代听力仪器具备许多针对特定情境和用户相关放大功能的特性。听力学家的主要任务是恰当选择听力仪器并为听力受损者进行适配。本研究旨在调查听力仪器声学专家所评估的几种助听器特性的效用和重要性。为此,在一项离散选择实验中探讨了八种不同的助听器特性,每种特性有三个级别。通过互联网进行自适应联合分析,对143名声学专家评估的特性系统变化组合的偏好进行了研究。根据偏好数据计算特性的效用和重要性。发现噪声消除和定向麦克风的效用和重要性最高。这两种特性的结果没有显著差异。相比之下,数据管理功能,即自学习选项,显示出最低的重要性。尽管声学专家的专业经验对某些特性的效用和重要性评估有统计学上的显著影响,但未发现社会人口统计学或个体特定因素对结果有明显影响。该研究可被视为确定声学专家对基本助听器特性评估的初步方法。结果表明,在不利聆听情境中有助于语音感知的特性具有突出的效用和重要性。此外,结果显示声学专家对仪器的自学习选项有所保留。