Applying the Hearing Aid Fitting Standard to Selection for Adults.
Applying the Hearing Aid Fitting Standard to Selection for Adults.
复制标题
将助听器验配标准应用于成人选型。
DOI：
10.1055/s-0042-1748874
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发表时间：
2022
影响因子：
--
通讯作者：
Ricketts,ToddA
中科院分区：
文献类型：
--
作者：
Picou,ErinM;Roberts,RichardA;Angley,Gina;Ricketts,ToddA
最近的成人助听器验配标准概述了听力学家为听力损失的成年患者验配的最低实践。本文重点介绍标准中的三个项目（5、6和7），除了功能选择外，还重点介绍了单侧/双侧助听器的选择、助听器类型和耦合。该标准强调，应根据患者的需求评估，以个性化的方式为患者推荐围绕这三个方面的决定。对于这些决策，需求评估可能包括噪声中言语能力、社交网络规模、患者偏好和试用期的测量。其他因素可能包括评估手的灵活性，双耳干扰和对助听器的态度。然而，有多种方法可以在临床上实践，并且仍然符合标准中概述的项目。只要选择决策考虑了个性化的患者因素，并且能够满足经验证的规定目标，临床医生就可以满足成人助听器验配最低标准指南。此外，尽管过去有大量研究支持这些标准，但仍需要额外的高质量研究，包括随机对照临床试验，以进一步支持适当的最低标准建议。
The recent hearing aid fitting standard for adults outlines the minimum practice for audiologists fitting adult patients with hearing loss. This article focuses on three items of the standard (5, 6, and 7), which focus on the selection of unilateral/bilateral hearing aids, hearing aid style, and coupling, in addition to feature selection. The standard emphasizes that decisions around these three aspects should be recommended for a patient in an individualized manner, based on their needs assessment. For these decisions, the needs assessment might include measures of speech-in-noise ability, social network size, patient preference, and a trial period. Additional elements could include assessments of manual dexterity, binaural interference, and attitude toward hearing aids. However, there are a multitude of ways to practice clinically and still meet the items outlined in the standard. As long as the selection decisions consider individualized patient factors and are capable of meeting validated prescriptive targets, a clinician would be meeting the adult hearing aid fitting minimum standard guidance. In addition, despite the large number of past studies supporting these standards, additional, high-quality research including randomized, controlled, clinical trials are still needed to further support appropriate minimum standard recommendations.