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Updated: Nov 17, 2025
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Published on: January 17, 2025
Counseling During Real Ear Measurements: The Clients' Perspective
Angela Ryall1, Lorienne M Jenstad1,2, John Pumford3
1School of Audiology & Speech Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
Background:
When dispensing hearing aids, audiologists must follow validated fitting and verification procedures to ensure that the hearing aids are properly fitted to the client's hearing. Real ear measurements (REMs) are best practice for verifying hearing aids. Prior literature regarding REMs has mainly focused on the clinicians' perspective.
Purpose:
This study investigated informational counseling throughout REMs by gathering perspectives of first-time hearing aid users regarding the content and format of counseling.
Research Design:
The study used an interpretive description approach with focus groups.
Study Sample:
There were 16 adult participants (4 males, 12 females) who were first-time hearing aid users and who all had memory of REMs occurring during their own hearing aid verification.
Intervention:
We investigated the addition of informational counseling during REM verification.
Data Collection And Analysis:
Four focus groups were conducted to elicit feedback on a demonstration of informational counseling during REM hearing aid verification. The data from the focus groups were transcribed verbatim and analyzed using qualitative content analysis.
Results:
Analysis revealed positive aspects, negative aspects, and suggested changes in relation to the verbal and visual information presented during the REM verification demonstration. These data fell into two broad categories: the interaction and transaction of informational counseling.
Conclusion:
Most clients were interested in learning more about REMs if the information was accessible. Results provide recommendations for clinical audiologists and REM system manufacturers to make the information presented during informational counseling more client-friendly and individualized for client-centered care. To continue exploring this new inquiry, further experimental research is required to determine if there is any added value of incorporating informational counseling during REMs.
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