Prescribing and Verifying Hearing Aids Applying the American Academy of Audiology Pediatric Amplification Guideline: Protocols and Outcomes from the Ontario Infant Hearing Program
Prescribing and Verifying Hearing Aids Applying the American Academy of Audiology Pediatric Amplification Guideline: Protocols and Outcomes from the Ontario Infant Hearing Program
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DOI：
10.3766/jaaa.15051
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发表时间：
2016-03-01
影响因子：
1.2
通讯作者：
Scollie, Susan
中科院分区：
文献类型：
--
作者：
Bagatto, Marlene;Moodie, Sheila;Scollie, Susan
背景资料：儿童助听器验配指南和方案对于实现早期听力检测和干预（EHDI）计划的目标是必要的。美国听力学会在2013年发布了其儿科放大指南的更新。安大略的婴儿听力计划（IHP）提供了具体的协议，旨在履行建议的准则。它最近已经更新，以符合美国听力学学会指南和其他证据。目的：对安大略IHP的放大方案的更新进行了总结。研究设计：更新后的安大略协议是基于证据，只要有可能。在研究尚不可用的情况下，已系统地描述了临床决策支持。安大略IHP的结果是通过一项纵向临床观察研究获得的。研究样本：115名听力损失儿童，他们佩戴助听器，被纳入结果分析（平均= 28.6个月;范围= 1.3-115.3个月）。听力损失范围从轻度到重度，单侧或双侧感音神经性（纯音平均值= 52.3 dB HL）。他们是从安大略的四个IHP诊所招募的。干预：根据安大略的放大协议，为儿童安装助听器。数据收集和分析：在常规的临床预约中，IHP听力学家使用系统的结果测量协议（西安大略大学儿科听力监测协议）向儿科患者的父母进行问卷调查。助听器验配细节（例如，言语清晰度指数）也被收集来描述助听器配件的质量与功能结果的关系。进行回归分析，以表征问卷上的分数和重要变量的影响。儿童的复杂性进行了分析，分别从那些谁是典型的developing.Results：重要更新安大略的扩增协议提供了新的细节候选人的考虑，以及技术更新。从IHP的结果显示协议元素可以在临床上执行，当他们是，通常开发儿童佩戴助听器是满足听觉发展和性能milestones.Conclusions：更新安大略的放大协议是必要的，以支持EHDI程序的演变和证据，维持他们。随着技术的进步和更多的研究，儿童助听器验配将继续取得进展，并支持对佩戴助听器的儿童的结果进行系统的测量。在EHDI项目中，将最先进的助听器验配实践应用于儿科人群，为听力损失的婴儿和儿童提供了良好的结果。
Background: Guidelines and protocols for pediatric hearing aid fitting are necessary to meet the goals of Early Hearing Detection and Intervention (EHDI) programs. The American Academy of Audiology published an update to their Pediatric Amplification Guideline in 2013. Ontario's Infant Hearing Program (IHP) offers specific protocols that aim to fulfill recommended guidelines. It has recently been updated to align with the American Academy of Audiology Guideline and other evidence.Purpose: A summary of the updates to the Ontario IHP's Amplification Protocol is described. In addition, data illustrating hearing-related outcomes of the program are offered.Research Design: The updated Ontario protocol is based on evidence, wherever possible. Where research is not yet available, clinical decision support has been described in a systematic way. Outcomes of the Ontario IHP were obtained through a longitudinal clinical observation study.Study Sample: One hundred and fifteen children with hearing loss, who wore hearing aids, were included in the outcome analyses (mean = 28.6 mo; range = 1.3-115.3 mo). Hearing losses ranged from mild to profound, unilateral or bilateral sensorineural (pure-tone average = 52.3 dB HL). They were recruited from four IHP clinics within Ontario. Children with complexities in addition to hearing loss were included.Intervention: The children were fitted with hearing aids following Ontario's Amplification Protocol.Data Collection and Analyses: During routine clinical appointments, IHP Audiologists administered questionnaires to the parents of their pediatric patients using a systematic outcome measurement protocol (University of Western Ontario Pediatric Audiological Monitoring Protocol). Hearing aid fitting details (e.g., speech intelligibility index) were also gathered to describe the quality of the hearing aid fittings in relation to the functional outcomes. Regression analyses were conducted to characterize scores on the questionnaires and the impact of important variables. Children with complexities were analyzed separately from those who were typically developing.Results: Important updates to Ontario's Amplification Protocol offer new details about candidacy considerations as well as technical updates. Outcomes from the IHP reveal protocol elements can be executed clinically and when they are, typically developing children who wear hearing aids are meeting auditory development and performance milestones.Conclusions: Updates to Ontario's Amplification Protocol are necessary to support the evolution of EHDI programs and the evidence which sustains them. With advances in technology and additional research, pediatric hearing aid fitting will continue to progress and support systematic measurement of outcomes for children who wear hearing aids. The application of state-of-the-art hearing aid fitting practices to the pediatric population within EHDI programs supports good outcomes for infants and children with hearing loss.