MGH Institute of Health Professions, Boston, Massachusetts, USA.
Sonova, Phonak Audiology Research Center, Aurora, Illinois, USA.
Trends Hear. 2023 Jan-Dec;27:23312165231177509. doi: 10.1177/23312165231177509.
Hearing aid fitting formulas intended for the pediatric population can differ by 6 to 25 dB in prescribed output across frequency leading to large variations in aided audibility. Children perceive these differences and have expressed preferences that favor more audibility for quiet speech and less audibility for noisy speech. In this study, the effect of variations in audibility consistent with hearing aid fittings for children was examined. Sixteen children and adolescents (9-17 years) with mild-to-moderate hearing loss participated. Hearing aids programed to National Acoustic Laboratories or Desired Sensation Level v5.0a targets were fitted to each participant. Also, separate programs with and without a low-level adaptive gain feature were provided with each prescription. Speech reception threshold (SRT) was measured as well as performance for four suprathreshold auditory tasks that increased in cognitive demand. These tasks were word recognition, nonword detection, multiword recall, and rapid word learning. A significant effect of fitting formula, but not low-level or adaptive gain, was observed for SRT. Significant effects of presentation level, fitting formula, and low-level gain were observed for word recognition. The effect of presentation level was significant for nonword detection, multiword recall, and rapid word learning but no other main effects or interactions were significant. Finally, word recognition and nonword detection increased significantly with audibility while multiword recall and word learning did not. The results suggest that audibility assists with the initial perception of auditory input but plays a smaller role in memory formation and learning.
适用于儿科人群的助听器验配公式在规定的输出频率上可能相差 6 至 25dB,导致助听后的可听度有很大差异。儿童能够感知到这些差异,并表达了对安静语音更响亮、对嘈杂语音更柔和的偏好。本研究旨在探讨与儿童助听器验配相符的可听度变化的影响。16 名轻度至中度听力损失的儿童和青少年(9-17 岁)参与了研究。根据国家声学实验室或期望感知水平 v5.0a 目标为每位参与者调试助听器。此外,还提供了每个处方的带和不带低水平自适应增益功能的单独程序。测量了言语接受阈(SRT)以及四项超阈值听觉任务的表现,这些任务的认知要求逐渐增加。这些任务包括单词识别、非单词检测、多词回忆和快速单词学习。助听器验配公式对 SRT 有显著影响,但低水平或自适应增益没有影响。呈现水平、助听器验配公式和低水平增益对单词识别有显著影响。呈现水平对非单词检测、多词回忆和快速单词学习有显著影响,但没有其他主效应或交互作用显著。最后,单词识别和非单词检测的可听度显著提高,而多词回忆和单词学习没有。结果表明,可听度有助于听觉输入的初始感知,但在记忆形成和学习中作用较小。