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助听器验证:南非听力学家的实践与认知

Hearing aid verification: Practices and perceptions of South African audiologists.

作者信息

Moll Jared, Burger Zani, Jacobs Daneel M P, Mothibe Retshepisitswe P, Swanepoel De Wet, Mahomed-Asmail Faheema

机构信息

Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria, Pretoria.

出版信息

S Afr J Commun Disord. 2024 Dec 9;71(1):e1-e7. doi: 10.4102/sajcd.v71i1.1059.

DOI:10.4102/sajcd.v71i1.1059
PMID:39692350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11736548/
Abstract

BACKGROUND

Hearing aid verification is required to objectively measure hearing aid outputs by ensuring that the amplified speech spectrum closely approximates the prescription goals.

OBJECTIVES

This study aimed to determine audiologists' perceptions and practices regarding hearing aid verification and identify facilitators and barriers to its use.

METHOD

A cross-sectional national e-survey included questions related to demographics, perceptions of verification, verification practices and two open-ended questions regarding the facilitators and barriers to conducting hearing aid verification in South Africa.

RESULTS

Seventy-eight South African audiologists, with experience ranging from less than a year to 34 years, completed the online survey. Of these, 76.3% conduct hearing aid verification, while 23.7% seldom or never perform this verification. Among the audiologists who conducted verification, 81.0% reported performing it on both adults and children. More than three-quarters (86.6%) indicated that they conduct verification only during the initial fitting, while half (53.8%) do so only when a problem arises. Thematic analysis revealed the following barriers to verification: improper equipment, a lack of equipment, non-standard clinical practices and time constraints.

CONCLUSION

There are several challenges faced by South African audiologists in performing verification. It may be feasible to address these barriers by raising awareness about the value of verification, offering training, and advocating for the purchase and utilisation of verification equipment.Contribution: This study's findings provide information on the current practices of hearing aid verification in a socioeconomically diverse setting. Furthermore, it highlights important challenges such as a lack of equipment as well as time constraints.

摘要

背景

助听器验证需要通过确保放大后的语音频谱紧密接近处方目标来客观测量助听器输出。

目的

本研究旨在确定听力学家对助听器验证的看法和做法,并确定其使用的促进因素和障碍。

方法

一项全国性横断面电子调查包括与人口统计学、对验证的看法、验证做法以及两个关于在南非进行助听器验证的促进因素和障碍的开放式问题相关的问题。

结果

78名南非听力学家完成了在线调查,他们的经验从不到一年到34年不等。其中,76.3%的人进行助听器验证,而23.7%的人很少或从不进行这种验证。在进行验证的听力学家中,81.0%报告对成人和儿童都进行验证。超过四分之三(86.6%)的人表示他们仅在初次验配时进行验证,而一半(53.8%)的人仅在出现问题时才进行验证。主题分析揭示了以下验证障碍:设备不当、设备短缺、临床实践不规范和时间限制。

结论

南非听力学家在进行验证时面临若干挑战。通过提高对验证价值的认识、提供培训以及倡导购买和使用验证设备来解决这些障碍可能是可行的。贡献:本研究结果提供了在社会经济多样化背景下助听器验证当前做法的信息。此外,它突出了诸如设备短缺和时间限制等重要挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75b8/11736548/4355a0d162e0/SAJCD-71-1059-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75b8/11736548/9f774581a17c/SAJCD-71-1059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75b8/11736548/4355a0d162e0/SAJCD-71-1059-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75b8/11736548/9f774581a17c/SAJCD-71-1059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75b8/11736548/4355a0d162e0/SAJCD-71-1059-g002.jpg

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本文引用的文献

1
Audiologists' Perceptions of Hearing Healthcare Resources and Services in South Africa's Public Healthcare System.听力学家对南非公共医疗系统中听力保健资源与服务的看法。
Health Serv Insights. 2022 Nov 10;15:11786329221135424. doi: 10.1177/11786329221135424. eCollection 2022.
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Does Probe-Tube Verification of Real-Ear Hearing Aid Amplification Characteristics Improve Outcomes in Adults? A Systematic Review and Meta-Analysis.探管法验证真耳助听听阈增益对成人助听效果的影响:系统评价和荟萃分析
Trends Hear. 2021 Jan-Dec;25:2331216521999563. doi: 10.1177/2331216521999563.
3
Sustainable workforce: South African Audiologists and Speech Therapists.
可持续发展的劳动力:南非听力学家和言语治疗师。
Hum Resour Health. 2020 Jul 1;18(1):47. doi: 10.1186/s12960-020-00488-6.
4
Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions.达到儿童助听器验证的最佳实践:挑战与未来方向。
Am J Audiol. 2019 Dec 16;28(4):877-894. doi: 10.1044/2019_AJA-18-0156. Epub 2019 Oct 10.
5
A preliminary investigation into hearing aid fitting based on automated real-ear measurements integrated in the fitting software: test-retest reliability, matching accuracy and perceptual outcomes.基于集成在验配软件中的自动真耳测量进行助听器验配的初步研究:测试-重测信度、匹配准确性和感知结果。
Int J Audiol. 2019 Mar;58(3):132-140. doi: 10.1080/14992027.2018.1543958. Epub 2018 Dec 4.
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Verification and validation of hearing aids: Opportunity not an obstacle.助听器的验证与确认:机遇而非障碍。
J Otol. 2016 Jun;11(2):57-62. doi: 10.1016/j.joto.2016.05.001. Epub 2016 May 14.
7
Survey of Current Practice in the Fitting and Fine-Tuning of Common Signal-Processing Features in Hearing Aids for Adults.成人助听器常见信号处理功能适配与微调的当前实践调查
J Am Acad Audiol. 2018 Feb;29(2):118-124. doi: 10.3766/jaaa.16107.
8
Hearing aids for mild to moderate hearing loss in adults.适用于成人轻至中度听力损失的助听器。
Cochrane Database Syst Rev. 2017 Sep 25;9(9):CD012023. doi: 10.1002/14651858.CD012023.pub2.
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Using probe-microphone measurements to improve the match to target gain and frequency response slope, as a function of earmould style, frequency, and input level.使用探头-麦克风测量来改善与目标增益和频率响应斜率的匹配,作为耳模样式、频率和输入电平的函数。
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Availability of audiological equipment and protocols for paediatric assessment and hearing aid fitting in Gauteng, South Africa.南非豪登省用于儿科评估及助听器验配的听力学设备和方案的可及性。
S Afr J Commun Disord. 2014 Aug 27;61(1):58. doi: 10.4102/sajcd.v61i1.58.