对抗式助听器的自适应策略进行比较:一个交叉临床试验
Megan Knoetze1,2, Vinaya Manchaiah1,2,3,4,5, Karina De Sousa1,2
1Department of Speech-language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.
JAMA otolaryngology-- head & neck surgery
|July 25, 2024
概括
无处方药自适配助听器显示,手动自调和自动化 in situ 听力测试的结果相似. 手动自调可能会带来更大的用户满意度和更长的日常穿戴,这表明积极参与助听器配件的好处.
科学领域:
- 听力学 听力学是指听力学.
- 听力 医疗保健 技术 技术
- 消费者健康 消费者健康
背景情况:
- 助听器的高成本和有限的获取影响了许多有听力损失的成年人.
- 非处方 (OTC) 助听器提供了一个更容易获得的解决方案,通常使用基于智能手机的自适配策略.
- 以前的研究证实了FDA批准的OTC助听器的自适配策略,但方法之间缺乏直接比较.
研究的目的:
- 为了比较手动自我调整与现场听力测试对自装OTC助听器的有效性.
- 评估这些策略在轻度至中度听力障碍的成年人中.
主要方法:
- 进行了一项交叉,参与者内部的临床试验,与28名参与者进行了8周的时间 (每个策略为4周).
- 参与者使用手动自我调整 (Lexie B2) 或通过智能手机应用程序自动化实地听力测量 (Lexie B2 Plus).
- 结果包括听力助听器益处的缩写概况 (APHAB),听力助听器国际结果清单 (IOI-HA),语音噪音测试和真耳测量.
主要成果:
- 在自我调整和实地听力测量之间,对于整体APHAB益处或IOI-HA满意度,没有发现临床上显著的差异.
- 使用手动自我调整的参与者报告说,与实地听力测试组相比,他们对助听器的使用满意度更高,每天使用助听器时间更长.
- 语音在噪音中的表现和真实耳朵测量显示,这两种装配策略之间没有任何有意义的差异.
结论:
- 自调和现场听力测量都是安装OTC助听器的可行策略,产生类似的客观和主观结果.
- 手动自调可能会提高用户的满意度和坚持,这表明用户积极参与安装过程是有益的.
- 需要进一步的研究来探索这些自适配方法的长期疗效和用户体验.
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