Center for Applied Audiology, Oticon A/S, Smorum, Denmark.
Faculty of Health Sciences, National Centre for Audiology and School of Communication Sciences and Disorders, Western University, London, Canada.
Int J Audiol. 2021 May;60(5):385-392. doi: 10.1080/14992027.2020.1814970. Epub 2020 Sep 15.
Evidence-based protocols for fitting air conduction hearing aids to children offers a vital resource for audiologists. Fitting protocols for providing BCHDs to children are not well-developed, leaving gaps in clinical practice. This work aims to document current practices and challenges of audiologists who fit BCHDs to children.
An online survey was distributed to paediatric audiologists in North America to describe their work with patients who use BCHDs. A retrospective file review was also conducted with a sample of clinics in North America to further understand practice patterns.
A total of 144 audiologists from North America responded to the online survey. Eleven audiologists from seven clinics in North America participated in the retrospective file review.
Results of the survey indicated that audiologists are seeking guidance on how to provide optimal amplification to children who use BCHDs. The aided audiogram is widely used to verify BCHD fittings. Audiologists reported uncertainty about providing optimal amplification to children who wear BCHDs. The file review revealed the routine use of the aided audiogram for verification as well as for validation.
For children who use BCHDs, there is a need for clinically feasible electroacoustic verification to accompany appropriate outcome measures.
为儿童验配空气传导助听器的循证方案为听力学家提供了重要资源。为儿童提供骨导助听器的验配方案尚不完善，临床实践中存在空白。这项工作旨在记录为儿童验配骨导助听器的听力学家的当前做法和挑战。
一项在线调查分发给北美的儿科听力学家，以描述他们为使用骨导助听器的患者所做的工作。还对北美的一组诊所进行了回顾性文件审查，以进一步了解实践模式。
共有来自北美的 144 名听力学家对在线调查做出了回应。来自北美 7 家诊所的 11 名听力学家参加了回顾性文件审查。
调查结果表明，听力学家正在寻求如何为使用骨导助听器的儿童提供最佳放大的指导。助听听阈广泛用于验证骨导助听器的适配。听力学家报告说，他们不确定如何为佩戴骨导助听器的儿童提供最佳放大。文件审查显示，常规使用助听听阈进行验证以及验证。
对于使用骨导助听器的儿童，需要有临床可行的电声验证来配合适当的结果测量。
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