RESUMO
PURPOSE: The study aimed to evaluate the efficacy of amplification with hearing aids for people with chronic subjective tinnitus and mild hearing loss. METHOD: In this randomized, controlled, three-arm trial, 38 subjects with a primary complaint of tinnitus were randomly assigned to one of the three treatment groups. Twelve subjects received informational counselling (IC) only, 13 received IC with hearing aid fitting, and 13 subjects received IC with individualized music stimulation for 12 months. The primary efficacy analysis in tinnitus severity was based on the change from baseline to 12 months after the 1st day of the intervention. Secondary outcome measures included tinnitus impact, psychological and mental health effects, subjective ratings, and psychoacoustically measured tinnitus loudness. RESULTS: A statistically significant treatment difference among the three groups in the Chinese Tinnitus Functional Index (TFI-CH) total score at the predefined end point in Month 12 was observed (F = 3.34, p = .04, partial η2 = .16). Reductions in the TFI-CH scores in both the hearing aid and the customized music group were more prominent than in the IC-only group. Only the hearing aid group showed a significantly greater treatment effect than the IC-only group. CONCLUSION: Results from this study support that a combination of hearing aid use and IC can help improve tinnitus in people with mild hearing loss. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.25015979.
Assuntos
Auxiliares de Audição , Perda Auditiva , Música , Zumbido , Humanos , Zumbido/terapia , Estimulação Acústica/métodos , Perda Auditiva/reabilitação , Resultado do TratamentoRESUMO
OBJECTIVE: To establish the reliability and validity of an automated hearing screening test system for children. DESIGN: Cross-sectional within a comparative study of subjects. STUDY SAMPLE: Subjects were 325 first-grade and second-grade children (6-10 years old) from primary schools in Shenzhen, China. RESULTS: Using the conventional pure-tone screening test with the pass/refer criterion set as 25 dB HL, as the 'gold standard", the sensitivity and specificity of the automated hearing screening test was 0.63 and 0.82, respectively. No specific pattern in the failure rates was observed to relate to the students' grade. There was no statistically significant age effect or gender effect. CONCLUSIONS: The results suggest that with further improvement in terms of its sensitivity and specificity, it may be feasible to use the automated hearing screening test system to conduct routine school hearing screenings.
Assuntos
Audiometria de Tons Puros , Serviços de Saúde da Criança , Transtornos da Audição/diagnóstico , Audição , Programas de Rastreamento/métodos , Estimulação Acústica , Fatores Etários , Limiar Auditivo , Automação , Criança , China , Reações Falso-Positivas , Feminino , Transtornos da Audição/fisiopatologia , Humanos , Masculino , Projetos Piloto , Valor Preditivo dos Testes , Reprodutibilidade dos TestesRESUMO
OBJECTIVE: To adapt the Satisfaction with Amplification in Daily Life questionnaire into Chinese (the SADL-CH questionnaire) and investigate hearing-aid satisfaction in a group of adult Hong Kong Chinese fitted with free hearing aids. DESIGN: Cross-sectional survey. STUDY SAMPLE: One hundred and twenty-five experienced hearing-aid users. METHODS: The subjects completed a history form seeking demographic data and a questionnaire combining the SADL-CH instrument with questions seeking subjects' subjective ratings of satisfaction with some hearing-aid features and overall satisfaction with their hearing aid. RESULTS: The SADL-CH questionnaire had a good internal consistency reliability estimate (α = 0.79) comparable to that of the original version. SADL-CH scores were observed to have significant correlations with other satisfaction ratings on some hearing-aid features and the overall satisfaction measure. A high degree of test-retest reliability (intraclass correlation coefficient = 0.79) was observed. Confirmatory factor analysis revealed that the SADL-CH questionnaire had a four-factor structure. Interim norms were derived for the SADL-CH questionnaire. The level of hearing-aid satisfaction in Chinese adults was generally lower than that reported in studies conducted among Western populations. CONCLUSION: The SADL-CH questionnaire is a reliable and valid instrument for measuring hearing-aid satisfaction.
Assuntos
Atividades Cotidianas , Povo Asiático/psicologia , Percepção Auditiva , Correção de Deficiência Auditiva/psicologia , Auxiliares de Audição , Satisfação do Paciente/etnologia , Pessoas com Deficiência Auditiva/reabilitação , Psicoacústica , Inquéritos e Questionários , Estimulação Acústica , Idoso , Idoso de 80 Anos ou mais , Audiometria de Tons Puros , Limiar Auditivo , China/epidemiologia , Comparação Transcultural , Estudos Transversais , Características Culturais , Análise Fatorial , Feminino , Humanos , Idioma , Masculino , Pessoa de Meia-Idade , Pessoas com Deficiência Auditiva/psicologia , Valor Preditivo dos Testes , Análise de Componente Principal , Reprodutibilidade dos TestesRESUMO
Cantonese dichotic digits recognition was evaluated in free-recall, directed-attention right, and directed-attention left response conditions. All participants were right-handed and included a group of young adults with normal hearing and a group of older adults with minimal sensorineural hearing loss. In all conditions, performance by the young adults was better than performance by the older adults. A right-ear advantage was observed for both groups. Due to a greater deficit in dichotic digits recognition performance in the left ear of older subjects their right-ear advantages were larger than those for the young adults. The results support an age-related disadvantage in recognition performance for dichotic stimuli presented to the left ear of older subjects that is not entirely accounted for by differences in hearing sensitivity between subject groups but may be related to a primary cognitive deficit.