Determining unilateral or bilateral hearing aid preference in adults: a prospective study
Determining unilateral or bilateral hearing aid preference in adults: a prospective study
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DOI：
10.1080/14992027.2020.1828629
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发表时间：
2020-10-06
影响因子：
2.7
通讯作者：
Roup, Christina
中科院分区：
文献类型：
--
作者：
Glyde, Helen;Dillon, Harvey;Roup, Christina
目标 尽管全球双侧助听器验配率很高，但许多成年人仍然拒绝使用某种助听器。当前的研究旨在找到一种适合临床的工具来确定、预验客户可能更喜欢哪种助听器。研究样本：95 名年龄在 49-87 岁之间的新成人助听器候选人在第一次验配助听器之前接受了评估。六十八名参与者遵守双边和单边助听器使用的规定协议。设计性能通过空间噪声听力 - 句子测试 (LiSN-S) 的修改版本、双耳区分数字差异测试、体验式助听器模拟器和凹槽钉板测试进行评估。所有参与者均进行了双边验配，但被指示在验配后十四周内交替使用单侧和双边助听器。通过简短的调查问卷评估参与者的穿着偏好。结果 78% 的参与者总体上倾向于使用双侧助听器。只有 LiSN-S 双边优势测试结果与整体佩戴偏好显着相关。结论 尽管 LiSN-S 双边优势评分与总体佩戴偏好相关，但预测器的准确性太低，无法保证在助听器验配之前实施该测试。目前推荐使用双侧助听器的做法仍然是临床医生的最佳选择。
Objective Despite high rates of bilateral hearing aid fitting globally, a number of adults continue to reject one hearing aid. The current study aimed to identify a clinically suitable tool for determining, pre-fitting, which clients might prefer one hearing aid. Study Sample:Ninety-five new adult hearing aid candidates, aged 49-87 years, were assessed prior to a first hearing aid fitting. Sixty-eight participants adhered to the prescribed protocol for both bilateral and unilateral hearing aid use. Design Performance was assessed on a modified version of the Listening in Spatialised Noise - Sentences test (LiSN-S), the Dichotic Digits difference Test, the Experiential Hearing Aid simulator, and the Grooved Pegboard Test. All participants were fitted bilaterally, but were instructed to alternate between unilateral and bilateral hearing aid use over fourteen weeks post-fitting. Participants' wearing preferences were assessed via a short questionnaire. Results 78% of participants expressed an overall preference for bilateral hearing aid use. Only the LiSN-S bilateral advantage test outcomes significantly correlated with overall wearing preference. Conclusions Although the LiSN-S bilateral advantage score related to overall wearing preference, the accuracy of the predictor was too low to warrant implementation of this test prior to hearing aid fitting. The current practice of recommending bilateral hearing aid use continues to be the best option for clinicians.