Relative benefits of linear analogue and advanced digital hearing aids

Wood, Sally A. and Lutman, Mark E. (2004) Relative benefits of linear analogue and advanced digital hearing aids. International Journal of Audiology, 43, (3), 144-155. (doi:10.1080/14992020400050020).


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Speech recognition performance and self-reported benefit from linear analogue and advanced (digital) hearing aidswere compared in 100 first-time hearing aid users withmild-to-moderate sensorineural hearing loss fitted monaurally with a behind-the-ear (BTE) hearing aid in a single-blind randomized crossover trial. Subjects usedeach aid for 5 weeks in turn, with aid order balancedacross subjects. Three alternative models of digital hearing aid were assigned to subjects according to a balanceddesign. Aid type was disguised to keep subjects blind within practical limitations. Aided speech recognition performance in noise was measured at speech levels of 65 and 75 dB at a speech-to-noise ratio (SNR) of _2 dB forclosed sets of single words. Self-rated benefit was measured using the Abbreviated Profile of Hearing Aid Benefit (APHAB) and the Glasgow Hearing Aid Benefit Profile (GHABP). Quality of life, hearing aid use and user preferences were also assessed. Speech recognition scores with the digital aids were significantly better at 75 dB than with the analogue aids. Self-reported benefit (APHAB, GHABP) and improvement in quality of life were generally not significantly different between analogue and digital aids, although aversiveness measured with the APHAB was significantly lower with digital aids,and satisfaction measured with the GHABP was greater. The digital aids were preferred significantly more often than the analogue aids, with 61 subjects choosing their digital aid, 26 choosing the analogue aid, and nine being equivocal. Overall, this study shows advantages for advanced digital over simple linear analogue aids interms of both objective and subjective outcomes, although average differences are not large.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1080/14992020400050020
ISSNs: 1499-2027 (print)
Related URLs:
Subjects: R Medicine > RF Otorhinolaryngology
T Technology > TA Engineering (General). Civil engineering (General)
Divisions : University Structure - Pre August 2011 > Institute of Sound and Vibration Research > Human Sciences
ePrint ID: 10735
Accepted Date and Publication Date:
March 2004Published
Date Deposited: 22 May 2006
Last Modified: 31 Mar 2016 11:20

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