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Auteur Hannah Stewart
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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)
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'audition
Mots-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]Listening Difficulties in Children With Normal Audiograms: Relation to Hearing and Cognition / Lauren Petley in Ear and hearing, Vol 42, n°6 (Novembre-décembre 2021)
Titre : Listening Difficulties in Children With Normal Audiograms: Relation to Hearing and Cognition Type de document : Article Auteurs : Lauren Petley ; Lisa L. Hunter ; Lina Motlagh Zadeha ; Hannah Stewart ; Nicholette Sloat ; Audrey Perdew ; Li Lin ; David R. Moore Année de publication : 2021 Article en page(s) : p. 1640-1655 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Compréhension dans le bruit ; Effort d'écoute ; Surdité due au bruit
Résumé : Objectives: Children presenting at audiology services with caregiver-reported listening difficulties often have normal audiograms. The appropriate approach for the further assessment and clinical management of these children is currently unclear. In this Sensitive Indicators of Childhood Listening Difficulties (SICLiD) study, we assessed listening ability using a reliable and validated caregiver questionnaire (the Evaluation of Children's Listening and Processing Skills [ECLiPS]) in a large (n = 146) and heterogeneous sample of 6- to 13-year-old children with normal audiograms. Scores on the ECLiPS were related to a multifaceted laboratory assessment of the children's audiological, psycho- and physiological-acoustic, and cognitive abilities. This report is an overview of the SICLiD study and focuses on the children's behavioral performance. The overall goals of SICLiD were to understand the auditory and other neural mechanisms underlying childhood listening difficulties and translate that understanding into clinical assessment and, ultimately, intervention.
Design: Cross-sectional behavioral assessment of children with "listening difficulties" and an age-matched "typically developing" control group. Caregivers completed the ECLiPS, and the resulting total standardized composite score formed the basis of further descriptive statistics, univariate, and multivariate modeling of experimental data.
Results: All scores of the ECLiPS, the SCAN-3:C, a standardized clinical test suite for auditory processing, and the National Institutes of Health (NIH) Cognition Toolbox were significantly lower for children with listening difficulties than for their typically developing peers using group comparisons via t-tests and Wilcoxon Rank-Sum tests. A similar effect was observed on the Listening in Spatialized Noise-Sentences (LiSN-S) test for speech sentence-in-noise intelligibility but only reached significance for the Low Cue and High Cue conditions and the Talker Advantage derived score. Stepwise regression to examine the factors contributing to the ECLiPS Total scaled score (pooled across groups) yielded a model that explained 42% of its variance based on the SCAN-3:C composite, LiSN-S Talker Advantage, and the NIH Toolbox Picture Vocabulary, and Dimensional Change Card Sorting scores (F[4, 95] = 17.35, p Conclusions: Children with listening difficulties but normal audiograms have problems with the cognitive processing of auditory and nonauditory stimuli that include both fluid and crystallized reasoning. Analysis of poor performance on the LiSN-S Talker Advantage measure identified subclinical hearing loss as a minor contributing factor to talker segregation. Beyond auditory tests, evaluations of children with complaints of listening difficulties should include standardized caregiver observations and consideration of broad cognitive abilities.
DOI : 10.1097/AUD.0000000000001076|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=290701
in Ear and hearing > Vol 42, n°6 (Novembre-décembre 2021) . - p. 1640-1655[article]Peripheral Auditory Involvement in Childhood Listening Difficulty / Lisa L. Hunter in Ear and hearing, Vol. 42, n°1 (Janvier-Février 2021)
Titre : Peripheral Auditory Involvement in Childhood Listening Difficulty : Moore, David R. Type de document : Article Auteurs : Lisa L. Hunter ; Chelsea M. Blankenship ; Li Lin ; Nicholette Sloat ; Audrey Perdew ; Hannah Stewart ; David R. Moore Année de publication : 2021 Article en page(s) : p.29-41 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie haute fréquence (EHF) ; Déficience auditive ; Emissions otoacoustiques spontanées (OAEs) ; Wideband absorbance (WBA)
Résumé : AB Objectives: This study tested the hypothesis that undetected peripheral hearing impairment occurs in children with idiopathic listening difficulties (LiDs), as reported by caregivers using the Evaluation of Children"s Listening and Processing Skills (ECLiPS) validated questionnaire, compared with children with typically developed (TD) listening abilities. Design: Children with LiD aged 6-14 years old (n = 60, mean age = 9.9 yr) and 54 typical age matched children were recruited from audiology clinical records and from IRB-approved advertisements at hospital locations and in the local and regional areas. Both groups completed standard and extended high-frequency (EHF) pure-tone audiometry, wideband absorbance tympanometry and middle ear muscle reflexes, distortion product and chirp transient evoked otoacoustic emissions. Univariate and multivariate mixed models and multiple regression analysis were used to examine group differences and continuous performance, as well as the influence of demographic factors and pressure equalization (PE) tube history. Results: There were no significant group differences between the LiD and TD groups for any of the auditory measures tested. However, analyses across all children showed that EHF hearing thresholds, wideband tympanometry, contralateral middle ear muscle reflexes, distortion product, and transient-evoked otoacoustic emissions were related to a history of PE tube surgery. The physiologic measures were also associated with EHF hearing loss, secondary to PE tube history. Conclusions: Overall, the results of this study in a sample of children with validated LiD compared with a TD group matched for age and sex showed no significant differences in peripheral function using highly sensitive auditory measures. Histories of PE tube surgery were significantly related to EHF hearing and to a range of physiologic measures in the combined sample. DOI : 10.1097/AUD.0000000000000899|1 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=263551
in Ear and hearing > Vol. 42, n°1 (Janvier-Février 2021) . - p.29-41[article]