In-Home Hearing-Aid Fitting, Evaluation and Training

描述（由申请人提供）：远程保健领域正在迅速发展，最近已经开发出可以远程调节的听力仪器。在家中安装和评估助听器的技术将使用连接到互联网的基于计算机的系统开发。该系统将包括一种自我管理的听觉训练方法，并通过互联网远程监控进度。助听器电声特性的远程自适应调整将用于最大限度地提高助听器的语音识别技能。这些调整将在用户适应声学放大的持续基础上进行。该系统的预期应用对象是有听力损失的老年人，这些老年人必须呆在家里，或者由于距离或其他旅行限制而难以到达助听器诊所。 公共卫生相关性：将开发和评估一种在个人家中而不是诊所安装和评估助听器的方法。该方法将有益于居住在偏远地区或可能居住在听力诊所附近但很难前往诊所的人。安装方法将考虑到家庭中常见的背景噪音类型。将使用可由计算机远程编程的助听器。该计算机还将用于实现评估助听器工作情况的新方法，使用称为语音跟踪的会话语音评估方法进行调整。该技术也将用于家庭听觉训练。该系统将在一个实验中进行评估，该实验旨在确定听觉训练对语音识别的影响以及适应声学放大的影响。

DESCRIPTION (provided by applicant): The field of telehealth is advancing rapidly and hearing instruments which can be adjusted remotely have recently been developed. Techniques for fitting and evaluating hearing aids in the home will be developed using a computer-based system linked to the internet. The system will include a method for self-administered auditory training with progress monitored remotely over the internet. Remote adaptive adjustment of the hearing-aid's electroacoustic characteristics will be used to maximize speech-recognition skills with the hearing aid. These adjustments will be made on an ongoing basis as the user adapts to acoustic amplification. The intended application of the system is for older people with hearing loss who are home-bound or who have difficulty reaching a hearing-aid dispensary because of distance or other constraints on travel. PUBLIC HEALTH RELEVANCE: A method for fitting and evaluating a hearing aid in a person's home instead of a clinic will be developed and evaluated. The method will be of benefit to people who live in remote areas or who may live in the vicinity of a hearing clinic but have great difficulty in traveling to a clinic. The method of fitting will take into account the type of background noise commonly encountered in the home. A hearing aid that can be programmed remotely by a computer will be used. The computer will also be used to implement novel ways of assessing how well the hearing aid is working using an adaptation of an evaluation method using conversational speech known as speech tracking. The technique will also be used for auditory training in the home. The system will be evaluated in an experiment designed to determine the effects of auditory training on speech recognition as well as the effect of adaptation to acoustic amplification.