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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Validation of a Self-Fitting Method for Over-the-Counter Hearing Aids.

Andrew T Sabin1, Dianne J Van Tasell1, Bill Rabinowitz1

  • 1Bose Corporation, Framingham, MA, USA.

Trends in Hearing
|February 1, 2020
PubMed
Summary

Users can effectively select their own hearing aid settings using a simple interface, achieving comparable results to clinician-fitted devices. This empowers individuals with hearing loss to personalize their amplification for better sound quality.

Keywords:
hearing aid benefithearing aidsover-the-counter hearing aidsself-fitting hearing aids

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Area of Science:

  • Audiology
  • Hearing Science
  • Human-Computer Interaction

Background:

  • Traditional hearing aid fitting relies on audiograms and clinician-set targets.
  • User control over hearing aid signal processing parameters is often limited.

Purpose of the Study:

  • To evaluate an alternative hearing aid fitting method where users self-select signal processing parameters.
  • To compare user-selected settings with clinician-prescribed settings in a real-world setting.

Main Methods:

  • A take-home field trial involved participants with hearing loss divided into two groups.
  • The 'Self' group used a novel interface to adjust gain and compression, while the 'Audiologist Best Practices' group used clinician-set parameters.
  • Both groups used hearing aids for one month, with performance evaluated through various measures.

Main Results:

  • Self-selected gain by users was close to audiologist-selected gain (within 1.8 dB overall).
  • Participants who self-selected parameters reported better sound quality and slightly preferred their own settings.
  • No significant differences were found in clinical hearing aid benefit or speech perception in noise between groups.

Conclusions:

  • A simple interface allows users to effectively self-adjust hearing aid amplification parameters.
  • User self-selection of hearing aid parameters can lead to improved subjective sound quality without compromising objective benefit.
  • This approach offers a viable alternative for hearing aid fitting, enhancing user control and satisfaction.