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Acclimatization in first-time hearing aid users using three different fitting protocols.

Monika Bertges Reber1, Martin Kompis

  • 1Department of ENT, Head and Neck Surgery, Inselspital, University of Berne, 3010 Berne, Switzerland.

Auris, Nasus, Larynx
|July 26, 2005
PubMed
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First-time hearing aid users show significant speech understanding improvements over six months, regardless of fitting protocol. The audiologist-driven (AD) protocol appears most effective, balancing performance and patient satisfaction.

Area of Science:

  • Audiology
  • Hearing Science
  • Rehabilitation Engineering

Background:

  • Auditory acclimatization is crucial for hearing aid users' success.
  • Understanding the impact of different hearing aid fitting protocols on acclimatization and outcomes is essential for optimizing patient care.

Purpose of the Study:

  • To investigate auditory acclimatization and hearing aid outcomes in new users.
  • To compare the effectiveness of three distinct hearing aid fitting protocols: audiologist-driven (AD), patient-driven (PD), and set-to-target (STT).

Main Methods:

  • Twenty-eight adult first-time hearing aid users were assigned to AD, PD, or STT fitting groups.
  • Digital hearing aids were fitted, and speech recognition scores were measured over a six-month period.
  • Hearing aid usage and fine-tuning requests were also recorded.

Related Experiment Videos

Main Results:

  • All groups demonstrated significant improvements in aided speech understanding over six months, with minimal changes in hearing aid gain.
  • No statistically significant differences in speech recognition scores were found between the groups after two weeks or six months.
  • Patients in the AD and STT groups used hearing aids more and requested more fine-tunings compared to the PD group.

Conclusions:

  • A significant auditory acclimatization effect was observed, enhancing speech intelligibility.
  • The patient-driven (PD) protocol may not adequately meet patient needs, indicated by lower usage and higher withdrawal rates.
  • The audiologist-driven (AD) protocol showed an overall advantage, balancing hearing aid usage and patient satisfaction, despite similar objective outcomes to the STT group.