Prediction of aided preferred listening levels for hearing aid gain prescription.

Relative accuracy was assessed for two methods for predicting preferred listening levels as estimated by measurements of the upper limit of the comfortable loudness range (ULCL). Sixteen hearing-impaired subjects provided ULCL data for eight test stimuli on each of five occasions. The stimuli were four narrow bands of noise centered at 500, 1000, 2000, and 4000 Hz and four narrow bands of speech babble also centered at 500, 1000, 2000, and 4000 Hz. Best estimates of ULCL were determined to be the means of the five measurements for each subject for each of the eight test signals. Results revealed that the mean ULCL for each speech-band stimulus was predicted more accurately from that subject's first measurement of ULCL for that speech-band than from his/her threshold for the same signal. However, the accuracy with which noise-band ULCLs could be used to predict the mean speech-band ULCL varied with frequency and with the number of trials averaged. Relationship of ULCL to preferred listening levels was explored by comparing results obtained in this study with work of previous investigators. Implications of the results for hearing aid gain prescription are discussed.