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Auteur David R. Moore |
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Adaptive Hearing Aid Benefit in Children With Mild/Moderate Hearing Loss: A Registered, Double-Blind, Randomized Clinical Trial / Hannah Stewart in Ear and hearing, Vol. 43, n°5 (septembre-octobre 2022)
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Titre : Adaptive Hearing Aid Benefit in Children With Mild/Moderate Hearing Loss: A Registered, Double-Blind, Randomized Clinical Trial Type de document : Article Auteurs : Hannah Stewart ; Erin Cashin ; Joseph Pinkl ; Cecilia Nakeva von Mentzer ; Li Lin ; Lisa L. Hunter ; David R. Moore Année de publication : 2022 Article en page(s) : p. 1402-1415 Note générale : DOI: 10.1097/AUD.0000000000001230 Langues : Anglais (eng) Descripteurs : HE Vinci
Acclimatation ; Aides auditives ; Audiométrie pédiatrique ; Perte d'auditionMots-clés : Acclimatization, Clinical trial, Hearing aids, Mild to moderate hearing loss, Pediatric Résumé : Objectives: We completed a registered double-blind randomized control trial to compare acclimatization to two hearing aid fitting algorithms by experienced pediatric hearing aid users with mild to moderate hearing loss. We hypothesized that extended use (up to 13 months) of an adaptive algorithm with integrated directionality and noise reduction, OpenSound Navigator (OSN), would result in improved performance on auditory, cognitive, academic, and caregiver- or self-report measures compared with a control, omnidirectional algorithm (OMNI).
Design: Forty children aged 6 to 13 years with mild to moderate/severe symmetric sensorineural hearing loss completed this study. They were all experienced hearing aid users and were recruited through the Cincinnati Children's Hospital Medical Center Division of Audiology. The children were divided into 20 pairs based on similarity of age (within 1 year) and hearing loss (level and configuration). Individuals from each pair were randomly assigned to either an OSN (experimental) or OMNI (control) fitting algorithm group. Each child completed an audiology evaluation, hearing aid fitting using physically identical Oticon OPN hearing aids, follow-up audiological appointment, and 2 research visits up to 13 months apart. Research visit outcome measures covered speech perception (in quiet and in noise), novel grammar and word learning, cognition, academic ability, and caregiver report of listening behaviors. Analysis of outcome differences between visits, groups, ages, conditions and their interactions used linear mixed models. Between 22 and 39 children provided useable data for each task.
Results: Children using the experimental (OSN) algorithm did not show any significant performance differences on the outcome measures compared with those using the control (OMNI) algorithm. Overall performance of all children in the study increased across the duration of the trial on word repetition in noise, sentence repetition in quiet, and caregivers' assessment of hearing ability. There was a significant negative relationship between age at first hearing aid use, final Reading and Mathematical ability, and caregiver rated speech hearing. A significant positive relationship was found between daily hearing aid use and study-long change in performance on the Flanker test of inhibitory control and attention. Logged daily use of hearing aids related to caregiver rated spatial hearing. All results controlled for age at testing/evaluation and false discovery rate.
Conclusions: Use of the experimental (OSN) algorithm neither enhanced nor reduced performance on auditory, cognitive, academic or caregiver report measures compared with the control (OMNI) algorithm. However, prolonged hearing aid use led to benefits in hearing, academic skills, attention, and caregiver evaluation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297618
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1402-1415[article]Associations Between Hearing Health and Well-Being in Unilateral Hearing Impairment / Robert H. Pierzycki in Ear and hearing, Vol. 42, n°3 (Mai- Juin 2021)
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Titre : Associations Between Hearing Health and Well-Being in Unilateral Hearing Impairment Type de document : Article Auteurs : Robert H. Pierzycki ; Mark Edmondsonson-Jones ; Piers Dawes ; Kevin J. Munro ; David R. Moore ; Pádraig Thomas Kitterick Année de publication : 2021 Article en page(s) : p. 520-530 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Comorbidité ; Compréhension dans le bruit ; État de santé ; Solitude
Autres descripteurs
Appareillage unilateralRésumé : Objectives: To determine population-based risks of adverse effects on hearing and well-being outcomes associated with unilateral hearing impairment.
Design: A group of 40- to 69-year-old adults (n = 861) who reported being able to hear only in one ear and having speech reception thresholds (SRTs) in noise indicating normal hearing in that ear (SRTN/-) was selected from the UK Biobank cohort. The UK Biobank participants with SRTs indicating either normal (SRTN/N, n = 95,514) or symmetrically impaired hearing in both ears (SRTI/I, n = 17,429) were selected as comparison groups. Self-reported difficulty following conversations in noise, tinnitus presence, feeling depressed, lonely, unhappy, and being in poor health or dissatisfied with health were selected as hearing and well-being outcomes. Logistic regression models were used to evaluate the risks of reporting adverse outcomes associated with SRTN/- compared with SRTN/N and SRTI/I while controlling for numerous factors linked to hearing and general health.
Results: People with SRTN/- were significantly more likely to report difficulties following conversations in noise (odds ratio, 10.61; 95% confidence interval, 8.83 to 12.75), tinnitus (4.04; 3.51 to 4.66), poor health (1.35; 1.15 to 1.58), health dissatisfaction (1.22; 1.00 to 1.47), and loneliness (1.28; 1.08 to 1.51) compared with people with SRTN/N. Well-being outcomes were similar in the SRTN/- and SRTI/I groups. However, difficulties following conversations in noise (5.35; 4.44 to 6.44) and tinnitus presence (2.66; 2.31 to 3.08) were significantly more likely with SRTN/- than with SRTI/I. The SRTN/- was associated with increased risk of self-reported poor health by 18% (relative risk, 1.18; 95% confidence interval, 1.06 to 1.32) and loneliness by 24% (1.24; 1.07 to 1.43) compared with SRTN/N. The risk of reporting difficulties following conversations in noise increased by 64% (1.64; 1.58 to 1.71) and tinnitus presence by 84% (1.84; 1.69 to 2.01) compared with SRTI/I. The effect of SRTN/- on reporting poor health was similar to that from having other health problems such as hypertension or high cholesterol.
Conclusions: The large increases in the risks of reporting adverse hearing-related outcomes associated with unilateral hearing impairment suggest its specific impact on hearing function in everyday situations. The increased risk of loneliness and poor health indicates that one normally functioning ear is also insufficient to protect against the adverse psychosocial impacts of unilateral hearing impairment. This impact was still significant after controlling for various health-related factors and can lead to perception of poor health comparable to that with having medical problems contributing to life-threatening conditions such as heart disease. The findings suggest the need for effective interventions to address the hearing-related problems and their impact on well-being in people with unilateral hearing impairment.DOI : 10.1097/AUD.0000000000000969|1 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273192
in Ear and hearing > Vol. 42, n°3 (Mai- Juin 2021) . - p. 520-530[article]Computational Audiology: New Approaches to Advance Hearing Health Care in the Digital Age / Jan-Willem A. Wasmann in Ear and hearing, Vol 42, n°6 (Novembre-décembre 2021)
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Titre : Computational Audiology: New Approaches to Advance Hearing Health Care in the Digital Age Type de document : Article Auteurs : Jan-Willem A. Wasmann ; Cris P. Lanting ; Wendy J. Huinck ; Emmanuel A. M. Mylanus ; Jeroen W. van der Laak ; Paul J. Govaerts ; De Wet Swanepoel ; David R. Moore ; Dennis L. Barbour Année de publication : 2021 Article en page(s) : p. 1499-1507 Langues : Anglais (eng) Descripteurs : HE Vinci
Aide auditive numérique ; Automatisation ; Intelligence artificielle (IA)
Autres descripteurs
Recherche computationelleRésumé : he global digital transformation enables computational audiology for advanced clinical applications that can reduce the global burden of hearing loss. In this article, we describe emerging hearing-related artificial intelligence applications and argue for their potential to improve access, precision, and efficiency of hearing health care services. Also, we raise awareness of risks that must be addressed to enable a safe digital transformation in audiology. We envision a future where computational audiology is implemented via interoperable systems using shared data and where health care providers adopt expanded roles within a network of distributed expertise. This effort should take place in a health care system where privacy, responsibility of each stakeholder, and patients' safety and autonomy are all guarded by design. DOI : 10.1097/AUD.0000000000001041|1 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290442
in Ear and hearing > Vol 42, n°6 (Novembre-décembre 2021) . - p. 1499-1507[article]Development and validation of a digits-in-noise hearing test in Persian / Lina Motlagh Zadeha ; Noah H. Silbert ; Katherine Sternasty ; David R. Moore in International Journal of Audiology IJA, Vol. 60, n°3 (Mars 2021)
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Titre : Development and validation of a digits-in-noise hearing test in Persian Type de document : Article Auteurs : Lina Motlagh Zadeha ; Noah H. Silbert ; Katherine Sternasty ; David R. Moore Année de publication : 2021 Article en page(s) : p. 202-209 Langues : Anglais (eng) Descripteurs : HE Vinci
Compréhension dans le bruit ; Digit in noise (DIN) ; Perte d'audition ; Seuil de réception de la parole (SRT) ; Test auditifRésumé : Objective
The prevalence of unrecognised and late-diagnosed hearing loss is higher in low- and middle-income than in high-income countries, due in part to lack of access to hearing services. Because hearing screening is important for early identification of hearing loss, development of an accessible, self-screening test that can detect hearing loss reliably and quickly would provide significant benefits, especially for underserved populations. This study aimed to develop and validate a new version of the digits-in-noise (DIN) test for Persian speaking countries.
Design
Recordings of Persian digits 09 were binaurally presented in broadband speech-shaped noise. Using fitted speech intelligibility functions, digits were homogenised to achieve equal perceptual difficulty across stimuli. The evaluation was established by reference to existing English DIN tests.
Study sample
Thirty Persian speaking young adults with normal hearing thresholds (≤20 dB HL, 0.258 kHz).
Results
Speech intelligibility functions produced a mean speech reception threshold (SRT) of −7.7 dB, corresponding closely to previously developed DIN tests. There was no significant difference between test and retest SRTs, indicating high reliability of the test. Our findings suggest that language-specific factors need to be considered for cross-language comparison of DIN-SRTs.
Conclusion
This study introduces a convenient tool for future hearing screening in Persian speaking countries with limited access to audiology services.Accès : Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne plus Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.tandfonline.com/doi/full/10 [...] Format de la ressource électronique : Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266455
in International Journal of Audiology IJA > Vol. 60, n°3 (Mars 2021) . - p. 202-209[article]Diotic and Antiphasic Digits-in-noise Testing as a Hearing Screening and Triage Tool to Classify Type of Hearing Loss / Karina C. De Sousa in Ear and hearing, Vol. 43, n°3 (Mai-juin 2022)
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Titre : Diotic and Antiphasic Digits-in-noise Testing as a Hearing Screening and Triage Tool to Classify Type of Hearing Loss Type de document : Article Auteurs : Karina C. De Sousa ; Cas Smits ; David R. Moore ; Hermanus C. Myburgh ; De Wet Swanepoel Année de publication : 2022 Article en page(s) : p. 1037-1048 Note générale : DOI 10.1097/AUD.0000000000001160 Langues : Anglais (eng) Descripteurs : HE Vinci
Conduction osseuse ; Digit in noise (DIN) ; Perte auditive unilatérale (USNHL) ; Surdité neurosensorielle (SNHL)Résumé : Objectives: The digits-in-noise test (DIN) is a popular self-test measure that has traditionally been used to screen for hearing loss by providing either a pass or refer result. Standard approaches either tested each ear monaurally or used a binaural diotic version where identical digits and noise were presented simultaneously to both ears. Recently, a dichotic, antiphasic version was developed, increasing sensitivity of the DIN to unilateral or asymmetric sensorineural hearing loss (SNHL) and conductive hearing loss (CHL). The purpose of this study was to determine predictors and normative ranges of the antiphasic and diotic DIN and to determine if a combination of diotic and antiphasic DIN could accurately categorize hearing into (1) normal, (2) bilateral SNHL, or (3) unilateral SNHL or CHL.
Design: The analytical sample consisted of 489 participants between the ages of 18 and 92 years with varying types, symmetry, and degrees of hearing loss. Degree and type of hearing loss were determined based on standard clinical four-frequency (0.5-4 kHz) pure-tone air and bone conduction threshold averages. The sample consisted of bilateral normal hearing (n = 293), bilateral SNHL (n = 172), unilateral SNHL (n = 42), and CHL (n = 32). All participants (n = 489) first completed an antiphasic DIN (digit stimuli 180[degrees] out-of-phase between ears), while 393 of the sample also completed a diotic DIN. Two procedures were assessed for their ability to categorize hearing into one of the three hearing groups. The first used a fixed antiphasic cutoff combined with a cutoff formed by a linear combination of antiphasic and diotic speech recognition threshold (SRT) or binaural intelligibility-level difference.
Results: Poorer ear pure-tone average was the strongest predictor of antiphasic DIN score, whereas better ear pure-tone average explained more of the variance in diotic SRT. The antiphasic DIN sensitivity and specificity was 90% and 84%, respectively, for detecting hearing loss, with outstanding area under the receiver operating characteristics values exceeding 0.93 to identify hearing loss in the poorer ear. The first fixed SRT cutoff procedure could categorize 75% of all participants correctly, while the second procedure increased correct categorization to 79%. False negative rates for both procedures were below 10%.
Conclusions: A sequential antiphasic and diotic DIN could categorize hearing to a reasonable degree into three groups of (1) normal hearing; (2) bilateral SNHL; and (3) unilateral asymmetric SNHL or CHL. This type of approach could optimize care pathways using remote and contactless testing, by identifying unilateral SNHL and CHL as cases requiring medical referral. In contrast, bilateral SNHL cases could be referred directly to an audiologist, or nontraditional models like OTC hearing aids.DOI : 10.1097/AUD.0000000000001160|1 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295814
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 1037-1048[article]Disproportionate Language Impairment in Children Using Cochlear Implants / Kelvin Hawker in Ear and hearing, Vol.29, n° 3 (Juin 2008)
PermalinkEvolving concepts of developmental auditory processing disorder (APD): A British Society of Audiology APD Special Interest Group white paper / David R. Moore in International Journal of Audiology IJA, Vol.52, n°1 (January 2013)
PermalinkIdentifying barriers and facilitators of hearing protection use in early-career musicians: a basis for designing interventions to promote uptake and sustained use / Jane Ginsborg ; Piers Dawes ; Christopher Plack ; David R. Moore ; Kevin J. Munro in International Journal of Audiology IJA, Vol. 61, n°6 (Juin 2022)
PermalinkImproved Sensitivity of Digits-in-Noise Test to High-Frequency Hearing Loss / Lina Motlagh Zadeha in Ear and hearing, Vol. 42, n°3 (Mai- Juin 2021)
PermalinkListening Difficulties in Children With Normal Audiograms: Relation to Hearing and Cognition / Lauren Petley in Ear and hearing, Vol 42, n°6 (Novembre-décembre 2021)
PermalinkMinimal and Mild Hearing Loss in Children: Association with Auditory Perception, Cognition, and Communication Problems / David R. Moore in Ear and hearing, Vol. 41, n°4 (Juillet-aout 2020)
PermalinkPeripheral Auditory Involvement in Childhood Listening Difficulty / Lisa L. Hunter in Ear and hearing, Vol. 42, n°1 (Janvier-Février 2021)
PermalinkPitch and Duration Pattern Sequence Tests in 7- to 11-Year-Old Children : Results Depend on Response Mode / Sheila Andreoli Balen in Journal of the American Academy of Audiology (JAAA), Vol.30, n° 1 (January 2019)
PermalinkPure-tone audiometry without bone-conduction thresholds: using the digits-in-noise test to detect conductive hearing loss / Karina C. De Sousa ; Cas Smits ; David R. Moore ; Hermanus C. Myburgh ; De Wet Swanepoel in International Journal of Audiology IJA, Vol. 59, n°10 (Octobre 2020)
PermalinkReferral and Diagnosis of Developmental Auditory Processing Disorder in a Large, United States Hospital-Based Audiology Service / David R. Moore ; Stephanie L. Sieswerda ; Maureen M. Grainger ; [et al.] in Journal of the American Academy of Audiology (JAAA), Vol.29, n°5 (May 2018)
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