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Validity and repeatability of level-independent HL to SPL transforms
S D Scollie1, R C Seewald, L E Cornelisse
1Hearing Health Care Research Unit, School of Communication Sciences and Disorders, University of Western Ontario, London, Canada.
The real ear to coupler difference (RECD) and real ear to dial difference (REDD) reliably predict real ear sound pressure levels (RESPL). These measures offer a valid alternative to in situ audiometry for hearing aid fitting.
Area of Science:
- Audiology
- Acoustics
- Hearing Science
Background:
- Accurate measurement of sound pressure levels in the ear canal is crucial for hearing aid fitting and audiological assessments.
- Traditional in situ measurements can be time-consuming and may be influenced by factors like probe tube placement.
- The real ear to coupler difference (RECD) and real ear to dial difference (REDD) are established methods for estimating ear canal acoustics.
Purpose of the Study:
- To evaluate the reliability and validity of RECD and REDD in predicting real ear sound pressure levels (RESPL).
- To determine if these measures can serve as substitutes for in situ audiometric procedures.
Main Methods:
- Measurements of RESPL, RECD, and REDD were conducted on 24 normal-hearing subjects.
- Probe microphone equipment was used with both insert and supra-aural earphones.
- Measurements were repeated after removing and replacing the earphones and probe tube to assess reliability.
Main Results:
- RECD and REDD demonstrated high and equal reliability and validity in predicting RESPL.
- RECD was used for insert earphones, and REDD for supra-aural earphones, in the prediction models.
- Test-retest differences for RECD and REDD indicated high reliability.
Conclusions:
- RECD and REDD are reliable and valid predictors of RESPL.
- These measures can be utilized as level-independent hearing loss to sound pressure level transforms.
- RECD and REDD offer a viable alternative to in situ audiometric procedures, simplifying audiological assessments.
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