Yorkshire Auditory Implant Service, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Audiology Department, Betsi Cadwaladr University Health Board, North Wales, UK.
Int J Audiol. 2024 Nov;63(11):884-891. doi: 10.1080/14992027.2023.2272560. Epub 2023 Nov 9.
Best-practice guidelines recommend the use of hearing aid verification in children; however, this is not always performed. Automated hearing aid verification has been reported to be more accurate and efficient than manual verification in adults, but it is not known if this transfers to the paediatric population.
A within-group design compared manual and automated hearing aid verification on four measures; fitting accuracy, prescription targets, completion time, and the speech intelligibility index.
Twenty paediatric patient hearing aid profiles ( = 8.25 years) with unilateral or bilateral hearing aids.
A Wilcoxon-signed rank test indicated manual verification achieved a significantly closer match to target at 0.5 kHz, by an average of 1 dB. There were no significant differences at any other frequency. Across 80 comparisons (four frequencies measured in 20 listeners), 82.5% of automated verifications were identical to, or within 1 dB of, manual verifications. A paired-samples -test confirmed automated verification to be an average of 91.9 seconds faster than manual verification.
Automated verification was able to provide an accurate match to target within recommended tolerances for hearing aid fittings and was significantly quicker than manual verification. These data suggest that automated verification of hearing aids could play a role in paediatric audiological management.
最佳实践指南建议在儿童中使用助听器验证;然而,这并不总是执行。与手动验证相比,自动助听器验证已被报道在成人中更准确和高效,但尚不清楚这是否适用于儿科人群。
在一项组内设计中,我们比较了手动和自动助听器验证在四个方面的差异:拟合精度、处方目标、完成时间和言语可懂度指数。
20 名单侧或双侧助听器的儿科患者听力图( = 8.25 岁)。
Wilcoxon 符号秩检验表明,手动验证在 0.5 kHz 处的目标匹配度显著更高,平均为 1 dB。在其他任何频率下都没有显著差异。在 80 次比较(20 名听众的四个频率测量)中,82.5%的自动验证与手动验证完全一致,或相差 1 dB 以内。配对样本检验证实,自动验证比手动验证平均快 91.9 秒。
自动验证能够在助听器拟合的推荐容差内提供准确的目标匹配,并且明显快于手动验证。这些数据表明,自动助听器验证可以在儿科听力学管理中发挥作用。