Comparing criteria for deviation from hearing aid prescriptive targets in children.

Autor: Wiseman, Kathryn B., Walker, Elizabeth A., Spratford, Meredith, Brennan, Marc, McCreery, Ryan W.
Předmět:
Zdroj: International Journal of Audiology; Dec2024, Vol. 63 Issue 12, p997-1008, 12p
Abstrakt: Objective: To determine if a stricter criterion for paediatric hearing aid fitting for proximity of fit-to-target of <3 dB root-mean-square (RMS) error produces better audibility and outcomes compared to the current <5 dB criterion, and to examine the relationship between aided audibility and RMS error by degree of hearing loss. Design: We evaluated the influence of unaided hearing level on the relationship between RMS error and aided audibility. We assessed the effect of RMS error category (<3, 3–5, >5 dB) on aided audibility, speech recognition, expressive vocabulary, and morphosyntax. Study sample: The study included 2314 hearing aid verification measurements from 307 children with hearing aids. Results: Children who met a <3 dB criterion had higher aided audibility than children who met no criterion (>5 dB error). Results showed no differences in speech recognition or vocabulary by error category, but children with <3 dB error demonstrated better morphosyntax than children with 3–5 and >5 dB RMS error. Conclusions: Fittings that are close to prescriptive targets provide a more positive outcome for children with hearing aids. Using probe microphone measures to adjust hearing aids to within 3 dB may benefit language abilities in children. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index