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助听 APP:对于处于困境中的儿童和青少年,它们安全、实用且有益吗?

Hearing Aid apps: are they safe, practical and beneficial for children and teens in challenging situations?

机构信息

Audiology Division, Department of Otolaryngology, Head and Neck Surgery, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.

Communication Disorders Division, Department of Otolaryngology, Head and Neck Surgery, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.

出版信息

Eur Arch Otorhinolaryngol. 2024 Nov;281(11):6021-6029. doi: 10.1007/s00405-024-08851-2. Epub 2024 Jul 31.

Abstract

PURPOSE

An adult version of an app giving users the control over the level of the volume, microphone directionality and noise reduction was adapted for children. The main purpose of this study was to evaluate the effect of changes made to microphone directionality and noise reduction in the myPhonak Junior (the app) on Speech intelligibility in challenging listening environments in children and teens.

METHODS

The randomized, non-blinded interventional study with a single group of subjects involved two study visits with a home trial in-between. In the final study session speech assessment in noise was conducted in three different, randomly assigned conditions: default mode (Autosense Sky OS), preffered (self-adjusted) and the extreme condition. Questionnaire based assessment was conducted to assess the subjective benefit of using the app in different daily situations.

RESULTS

The best scores (speech results in noise) were achieved with the preferred setting and the default Autosense Sky OS setting was significantly better than the extreme setting. The self-reported benefit through the questionnaire indicates significantly better result when adjusting the hearing aids through the app.

CONCLUSION

The app is an easy-to-use way of controlling the level of noise reduction and the beam forming for children 11 years and older. It has the potential to help customizing the hearing aids beyond the default setting and helping to improve speech understanding in noise.

摘要

目的

为儿童改编了一款应用程序的成人版本,该应用程序让用户可以控制音量、麦克风指向性和降噪水平。本研究的主要目的是评估在 myPhonak Junior(应用程序)中对麦克风指向性和降噪的更改对儿童和青少年在挑战性聆听环境中的言语可懂度的影响。

方法

这是一项具有单一受试组的随机、非盲干预性研究,在两次研究访问之间进行了一次家庭试验。在最后一次研究会议中,在三种不同的、随机分配的条件下进行噪声中的言语评估:默认模式(Autosense Sky OS)、首选(自我调整)和极端条件。通过问卷调查评估在不同日常情况下使用该应用程序的主观获益。

结果

最佳得分(噪声中的言语成绩)是在首选设置下获得的,默认的 Autosense Sky OS 设置明显优于极端设置。通过问卷报告的自我报告收益表明,通过应用程序调整助听器的效果明显更好。

结论

该应用程序是一种简单易用的控制降噪水平和波束形成的方法,适用于 11 岁及以上的儿童。它有可能帮助超越默认设置来定制助听器,并帮助提高噪声中的言语理解能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef39/11512926/ab4c51723003/405_2024_8851_Fig1_HTML.jpg

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