The time course of adaptation to hearing aid use

The time course of adaptation to hearing aid use
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DOI:
10.3109/03005369609077930
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发表时间:
1996-02-01
期刊:
BRITISH JOURNAL OF AUDIOLOGY
影响因子:
--
通讯作者:
Brooks, DN
Brooks, DN
中科院分区:
其他
文献类型:
--
作者:
Brooks, DN

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是否适应使用助听器将取决于许多因素,例如听力损失的程度、个人的年龄和个性、损失的持续时间、助听器的性能以及听力科医生/配药员给出的建议。这项研究通过监测从第一次提供扩音器开始的一年时间内的电池消耗来调查助听器的使用情况。在最初问题发生10年后,对使用情况进行了进一步调查。第一年的使用模式被调查,如果可能的话,与10年后的使用水平相关。大约三分之一的受试者很少或根本不使用后面的助听器-第一年通过国家卫生服务免费提供的耳朵助听器。一小部分人,主要是年轻的受试者,后来增加了对个人扩音的使用,达到了相当高的水平。大多数人往往处于该年龄段的高端,他们并不是这样。类似比例(三分之一)从有限使用开始,在监测初期逐步扩大使用。在一些人中,进步的速度是渐进的。在其他国家,使用率从低到高的转变是在很短的时间内完成的,但间隔时间从几周到几个月不等。大约六分之一的人从一开始就广泛地使用了援助,并在这种使用水平上一直持续到长期审查。最后的六分之一,他们倾向于接近这个年龄范围的高端,只使用了最少的辅助手段。在良好使用者的情况下,短期(不到6个月)的使用评估可被视为成功的衡量标准,但如果当时使用率较低,长期结果可能主要取决于助听器使用者的年龄。
Adaptation to use of a hearing aid will depend on many factors, such as the degree of the loss, the age and personality of the individual, the duration of the loss, the performance of the aid, and the advice given by the audiologist/dispenser. This study investigated the use made of hearing aids by monitoring battery consumption over a one year period commencing at the first provision of amplification. A further investigation into use was made 10 years after the initial issue. Patterns of use over the first year were investigated and related, where possible, to the level of use 10 years later.About one-third of the subjects made little or no use of the behind-the ear hearing aid provided free of direct cost through the National Health Service over the first year. A small proportion, primarily younger subjects, later increased their use of personal amplification to substantial levels. The majority, who tended to be at the upper end of the age range, did not. A similar proportion (one-third) started with limited use and progressed during the initial period of monitoring to more extended use. In some individuals the rate of progress was gradual. In others the transition from low to high use took place over a short period of time but after an interval ranging from a few weeks to many months. About one-sixth of the group used the aid extensively from the beginning and continued at this use level through to the long-term review. The final sixth, who tended to be towards the upper end of the age range, made only minimal use of their aids. Short-term (less than 6 months) assessment of use may, in the case of good users, be regarded as a measure of success, but if use is low at that time the long-term outcome may depend substantially on the age of the hearing aid user.