RSS-Feed abonnieren
DOI: 10.3766/jaaa.16104
Hearing Aid Use and Mild Hearing Impairment: Learnings from Big Data
Publikationsverlauf
Publikationsdatum:
26. Juni 2020 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00046128/201708/lookinside/thumbnails/10-3766-jaaa-16104_00731-1.jpg)
Abstract
Background:
Previous research, mostly reliant on self-reports, has indicated that hearing aid (HA) use is related to the degree of hearing impairment (HI). No large-scale investigation of the relationship between data-logged HA use and HI has been conducted to date.
Purpose:
This study aimed to investigate if objective measures of overall daily HA use and HA use in various listening environments are different for adults with mild HI compared to adults with moderate HI.
Research Design:
This retrospective study used data extracted from a database of fitting appointments from an international group of HA providers. Only data from the participants’ most recent fitting appointment were included in the final dataset.
Study Sample:
A total of 8,489 bilateral HA fittings of adults over the age of 18 yr, conducted between January 2013 and June 2014, were included. Participants were subsequently allocated to HI groups, based on British Society of Audiology and American Speech-Language-Hearing Association audiometric descriptors.
Data Collection and Analysis:
Fitting data from participating HA providers were regularly transferred to a central server. The data, with all personal information except age and gender removed, contained participants’ four-frequency average (at 500, 1000, 2000, and 4000 Hz) as well as information on HA characteristics and usage. Following data cleaning, bivariate and post hoc statistical analyses were conducted.
Results:
The total sample of adults’ average daily HA use was 8.52 hr (interquartile range [IQR] = 5.49–11.77) in the left ear and 8.51 hr (IQR = 5.49–11.72) in the right ear. With a few exceptions, there were no statistical differences between hours of HA use for participants with mild HI compared to those with moderate impairment. Across all mild and moderate HI groups, the most common overall HA usage was between 8 and 12 hr per day. Other factors such as age, gender, and HA style also showed no relationship to hours of use. HAs were used, on average, for 7 hr (IQR = 4.27–9.96) per day in quiet and 1 hr (IQR = 0.33–1.41) per day in noisy listening situations.
Conclusions:
Clinical populations with mild HI use HAs as frequently as those with a moderate HI. These findings support the recommendation of HAs for adults with milder degrees of HI.
Portions of this work were presented at the XXXII World Congress of Audiology in Brisbane, Australia, May 3–7, 2014, and the International Hearing Aid Research Conference (IHCON) in Lake Tahoe, CA, August 13–17, 2014.
This project was part of a PhD studentship for author B.H.B.T., funded by Sonova AG, Zürich, Switzerland.
-
REFERENCES
- Abdellaoui A, Tran Ba Huy P. 2013; Success and failure factors for hearing-aid prescription: results of a French national survey. Eur Ann Otorhinolaryngol Head Neck Dis 130 (06) 313-319
- Bertoli S, Staehelin K, Zemp E, Schindler C, Bodmer D, Probst R. 2009; Survey on hearing aid use and satisfaction in Switzerland and their determinants. Int J Audiol 48: 183-195
- British Society of Audiology (BSA). (2011) Recommended Procedure. Pure-tone air-conduction and bone-conduction threshold audiometry with and without masking. Berkshire, UK: British Society of Audiology.
- Büchler M, Allegro S, Launer S, Dillier N. 2005; Sound classification in hearing aids inspired by auditory scene analysis. EURASIP J Adv Signal Process 18 (18) 387845
- Clark JG. 1981; Uses and abuses of hearing loss classification. ASHA 23 (07) 493-500
- Cox RM, Alexander GC. 1995; The abbreviated profile of hearing aid benefit. Ear Hear 16: 176-186
- Cox RM, Alexander GC. 2002; The International Outcome Inventory for Hearing Aids (IOI-HA): psychometric properties of the English version. Int J Audiol 41 (01) 30-35
- Dillon H, Birtles G, Lovegrove R. 1999; Measuring outcomes of a national rehabilitation program: normative data for the Client Oriented Scale of Improvement (COSI) and the Hearing Aid User’s Questionnaire (HAUQ). J Am Acad Audiol 10 (02) 67-79
- Gaffney P. 2008; Reported hearing aid use versus datalogging in a VA population. Hear Rev 6 (42) 46-47
- Gatehouse S.. 1999; The Glasgow hearing aid benefit profile: derivation and validation of a client-centred outcome measure for hearing aid services. J Am Acad Audiol 10: 80-103
- Gopinath B, Schneider J, Hartley D, Teber E, McMahon CM, Leeder SR, Mitchell P. 2011; Incidence and predictors of hearing aid use and ownership among older adults with hearing loss. Ann Epidemiol 21: 497-506
- Hartley D, Rochtchina E, Newall P, Golding M, Mitchell P. 2010; Use of hearing aids and assistive listening devices in an older Australian population. J Am Acad Audiol 21: 642-653
- Humes LE, Halling D, Coughlin M. 1996; Reliability and stability of various hearing-aid outcome measures in a group of elderly hearing-aid wearers. J Speech Hear Res 39: 923-935
- Jerger J.. 2001; Asymmetry of auditory function in elderly persons. Semin Hear 22: 255-269
- Johnson CE, Danhauer JL, Ellis BB, Jilla AM. 2016; Hearing aid benefit in patients with mild sensorineural hearing loss: a systematic review. J Am Acad Audiol 27 (04) 293-310
- Joore MA, Potjewijd J, Timmerman AA, Anteunis LJC. 2002; Response shift in the measurement of quality of life in hearing impaired adults after hearing aid fitting. Qual Life Res 11 (04) 299-307
- Knudsen LV, Oberg M, Nielsen C, Naylor G, Kramer SE. 2010; Factors influencing help seeking, hearing aid uptake, hearing aid use and satisfaction with hearing aids: a review of the literature. Trends Amplif 14 (03) 127-154
- Kochkin S. 2007; Increasing hearing aid adoption through multiple environmental listening utility. Hear J 60 (11) 28-31
- Kochkin S. 2012; MarkeTrak VIII: the key influencing factors in hearing aid purchase intent. Hear Rev 19 (03) 12-25
- Laplante-Lévesque A, Nielsen C, Jensen LD, Naylor G. 2014; Patterns of hearing aid usage predict hearing aid use amount (data logged and self-reported) and overreport. J Am Acad Audiol 25 (02) 187-198
- Mäki-Torkko EM, Sorr MJ, Laukli E. 2001; Objective assessment of hearing aid use. Scand Audiol Suppl 30 (52) 81-82
- Perez E, Edmonds BA. 2012; A systematic review of studies measuring and reporting hearing aid usage in older adults since 1999: a descriptive summary of measurement tools. PLoS One 7 (03) e31831
- Rakita L, Jones C. 2015; Performance and preference of an automatic hearing aid system in real-world listening environments. Hear Rev 22 (12) 28-36
- Roup CM, Wiley TL, Wilson RH. 2006; Dichotic word recognition in young and older adults. J Am Acad Audiol 17 (04) 230-240, quiz 297–298
- Salomon G, Vesterager V, Jagd M. 1988; Age-related hearing difficulties. I. Hearing impairment, disability, and handicap—a controlled study. Audiology 27 (03) 164-178
- Shiffman S, Stone AA, Hufford MR. 2008; Ecological momentary assessment. Annu Rev Clin Psychol 4 (01) 1-32
- Solheim J, Kværner KJ, Sandvik L, Falkenberg E-S. 2012; Factors affecting older adults’ hearing-aid use. Scand J Disabil Res 14 (04) 300-312
- Strom KE. 2014; HR 2013 dispenser survey: dispensing in the age of Internet and big box retailers. Hear Rev 21 (04) 22-28
- Taubman LB, Palmer CV, Durrant JD, Pratt S. 1999; Accuracy of hearing aid use time as reported by experienced hearing aid wearers. Ear Hear 20 (04) 299-305
- Timmer BHB, Hickson L, Launer S. 2015; Adults with mild hearing impairment: are we meeting the challenge?. Int J Audiol 54 (11) 786-795
- Vuorialho A, Karinen P, Sorri M. 2006; Counselling of hearing aid users is highly cost-effective. Eur Arch Otorhinolaryngol 263 (11) 988-995
- Walker EA, McCreery RW, Spratford M, Oleson JJ, Van Buren J, Bentler R, Roush P, Moeller MP. 2015; Trends and predictors of longitudinal hearing aid use for children who are hard of hearing. Ear Hear 36 (1, Suppl) 38S-47S
- World Health Organization 2004. The Global Burden of Disease. Geneva, Switzerland: World Health Organization;
- Wu Y-H, Bentler RA. 2012; Do older adults have social lifestyles that place fewer demands on hearing?. J Am Acad Audiol 23: 697-711