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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Do we need audiogram-based prescriptions? A systematic review.

Ibrahim Almufarrij1,2, Harvey Dillon1,3, Kevin J Munro1,4

  • 1Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK.

International Journal of Audiology
|May 9, 2022
PubMed
Summary
This summary is machine-generated.

Programming hearing aids using an audiogram-based prescription improves outcomes compared to other methods. However, self-adjustment may yield similar or better results, though evidence quality is low.

Keywords:
Hearing aidsbenefitdirect-to-consumerover-the-counterreal-ear probe-microphone measures

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Area of Science:

  • Audiology
  • Hearing Science
  • Biomedical Engineering

Background:

  • Traditional hearing aid programming relies on audiometric thresholds and real-ear measures.
  • Direct-to-consumer hearing devices bypass traditional programming methods.
  • This review evaluates programming strategies for adult hearing loss.

Approach:

  • Systematic review of seven experimental studies.
  • Studies categorized by fitting method: comparative, client choice, and self-fit.
  • PRISMA guidelines and PROSPERO registration followed.

Key Points:

  • Audiogram-based prescriptions enhance hearing aid outcomes over comparative or client-choice fittings.
  • Self-adjustment during use may offer equivalent or superior results.
  • Evidence quality for outcomes is low to very low.

Conclusions:

  • High-quality studies are needed for evidence-based hearing aid fitting decisions.
  • The effectiveness of different hearing aid fitting methods requires further investigation.
  • Future research should focus on robust methodologies to guide clinical practice.