DEVELOPING EVIDENCE-BASED CLINICAL TOOLS FOR MANAGING MILD HEARING LOSS IN CHILDREN

开发循证临床工具来治疗儿童轻度听力损失

• 批准号: 10645078
• 负责人: Ryan W. McCreery
• 金额: $ 62.72万
• 依托单位: FATHER FLANAGAN'S BOYS' HOME
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-20 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10645078
• 关键词: 8 year old; Acoustics; Address; Area; Audiology; Auditory; Bilateral Hearing Loss; Calibration; Child; Childhood; Clinical; Clinical Protocols; Clinical assessments; Collaborations; Communication; Cueing for speech; Cues; Data; Development; Diagnosis; Diagnostic; Diagnostic Procedure; Distant; Ear; Early identification; Effectiveness; External auditory canal; Failure; Goals; Hearing; Hearing Aids; Hearing Tests; Individual Differences; Intervention; Knowledge; Language; Learning; Masks; Measurement; Measures; Methods; Monitor; Noise; Outcome; Outcome Measure; Population; Research; Research Personnel; Research Proposals; Risk; Science; Social outcome; Source; Speech; Techniques; Testing; Uncertainty; Underserved Population; Validation; Validity and Reliability; Work; childhood hearing loss; clinical outcome measures; evidence base; experience; hearing impairment; improved; normal hearing; novel; peer; recruit; segregation; service delivery; skills; social; sound; speech in noise; speech recognition; tool

PROJECT SUMMARY/ABSTRACT Even with recent improvements in the early identification of hearing loss, children with mild bilateral hearing loss (MBHL) continue to experience significant delays in communication, social, and academic outcomes due to uncertainty about the benefits of hearing aids for this population. The lack of clinical protocols and tools that are sensitive to the listening needs of children with MBHL contribute to this uncertainty. Children with MBHL often perform like children with normal hearing on current clinical outcome measures. The goal of this proposal is to develop novel clinical protocols and tools that are sensitive to the challenges faced by children with MBHL. Current hearing-aid candidacy criteria based on the audiogram do not adequately quantify the effects of the child’s ear-canal acoustics and self-generated noise on their thresholds. Aim 1 of the proposal will be to develop audibility-based hearing-aid candidacy tools for children with MBHL that account for ear-canal acoustics and self-generated noise. Novel audiological assessment methods will allow for quantification of these factors and for the development of hearing-aid candidacy criteria based speech audibility that are not possible with current methods. Aim 2 of the proposal will be to validate clinical measures of speech recognition with speech maskers, reverberation, and overhearing that reflect real-world difficulties of children with MBHL. The reduction in audibility for low-intensity sounds is the main consequence of MBHL, which leads to difficulty segregating a target talker from a background talker, understanding speech in noise with reverberation, and problems with overhearing distant talkers. Clinical speech recognition tasks that reflect these specific listening challenges will be developed and validated. Aim 3 of the proposal will be to perform a clinical validation of a new test battery for hearing assessment, hearing-aid candidacy, and outcomes for children with MBHL. In collaboration with leading pediatric audiology centers around the U.S., the novel assessment and speech recognition measures will be used to validate these measures with a large clinical population of children with MBHL. The knowledge generated from this research will fundamentally improve the diagnosis and management of MBHL during childhood.

项目摘要/摘要 即使最近在听力损失的早期识别方面有所改善，患有轻度双侧听力损失的儿童 听力损失(MBHL)在沟通、社交和学习方面继续经历重大延迟 由于不确定助听器对这一人群的益处而导致的结果。临床方案的缺乏 而对MBHL儿童的听力需求敏感的工具也导致了这种不确定性。儿童 在目前的临床结果指标上，患有MBHL的儿童通常表现得像听力正常的儿童一样。的目标是 这项提议是开发新的临床方案和工具，以敏感地应对 患有MBHL的儿童。目前基于听力图的助听器候选标准不能充分量化 儿童耳道声学和自身产生的噪声对其阈值的影响。目标1 提案将为患有MBHL的儿童开发基于听力的助听器候选工具，其中 耳道声学和自身产生的噪音。新的听力评估方法将允许 量化这些因素并制定基于演讲的助听器候选标准 这是目前的方法所不能做到的。该提案的目标2将是验证临床措施 具有语音掩码、混响和窃听的语音识别，反映了现实世界中 患有MBHL的儿童。低强度声音的可听性降低是MBHL的主要后果， 这导致很难将目标说话者与背景说话者分开，理解噪声中的语音 有混响，还有偷听远处说话者的问题。临床语音识别任务，反映 这些具体的听力挑战将被开发和验证。该提案的目标3将是执行 一种用于听力评估、助听器候选资格和结果的新测试组件的临床验证 患有MBHL的儿童。与美国领先的儿科听力学中心合作，这部小说 评估和语音识别措施将用于验证这些措施与大型临床 患有MBHL的儿童人口。这项研究产生的知识将从根本上改善 儿童期MBHL的诊断和治疗。

项目成果

Story Generation and Narrative Retells in Children Who Are Hard of Hearing and Hearing Children.

听力障碍儿童和听力儿童的故事生成和叙述重述。

• DOI: 10.1044/2023_jslhr-23-00084
• 发表时间: 2023
• 期刊: Journal of speech, language, and hearing research : JSLHR
• 作者: Walker,ElizabethA;Harrison,Melody;Baumann,Rachel;Moeller,MaryPat;Sorensen,Eldon;Oleson,JacobJ;McCreery,RyanW
• 通讯作者: McCreery,RyanW

Predicting wideband real-ear-to-coupler differences in children using wideband acoustic immittance.

使用宽带声导抗预测儿童宽带真耳与耦合器的差异。

• DOI: 10.1121/10.0020660
• 发表时间: 2023
• 期刊: The Journal of the Acoustical Society of America
• 作者: McCreery,RyanW;Grindle,Anastasia;Merchant,GabrielleR;Crukley,Jeffery;Walker,ElizabethA
• 通讯作者: Walker,ElizabethA

Impact of room acoustics and visual cues on speech perception and talker localization by children with mild bilateral or unilateral hearing loss.

• DOI: 10.3389/fped.2023.1252452
• 发表时间: 2023
• 期刊: Frontiers in pediatrics
• 影响因子: 2.6

Comprehensive Audiological Management of Hearing Loss in Children, Including Mild and Unilateral Hearing Loss.

• DOI: 10.1016/j.otc.2021.08.006
• 发表时间: 2021-12
• 期刊: Otolaryngologic clinics of North America
• 影响因子: 1.7
• 作者: Wiseman K;Sapp C;Walker E;McCreery R
• 通讯作者: McCreery R

Descriptions of Hearing Loss Severity Differentially Influence Parental Concern about the Impact of Childhood Hearing Loss.

对听力损失严重程度的描述会不同地影响父母对儿童听力损失影响的担忧。

• DOI: 10.1097/aud.0000000000001280
• 发表时间: 2023
• 期刊: Ear and hearing
• 影响因子: 3.7
• 作者: Sapp,Caitlin;McCreery,Ryan;Holte,Lenore;Oleson,Jacob;Walker,Elizabeth
• 通讯作者: Walker,Elizabeth