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PubMed · 9857524

Does hearing aid benefit increase over time?

Abstract

In a recent tutorial for the journal, Palmer et al. [J. Acoust. Soc. Am. 103, 1705-1721 (1998)] reviewed the literature on the potential for increases in hearing aid benefit over time (acclimatization). Their review might leave some readers with the impression that acclimatization has implications for the fitting and selection of hearing aids today. We (Turner and Bentler), along with two other researchers in the field (Humes and Cox), conducted a similar review of the literature a few years earlier [Turner et al., Ear and Hearing 17, 14S-28S (1996)] and found little evidence of a robust effect. The bulk of the existing evidence, including the most recent studies on this topic, support earlier conclusions, i.e., that there is no evidence for the existence of a strong acclimatization effect in current hearing aid use.

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BibTeXRIS

C W Turner, R A Bentler. 1998. Does hearing aid benefit increase over time?. https://doi.org/10.1121/1.423949

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Fitting strategies and candidature criteria for unilateral and bilateral hearing aid fittings.

In this paper, hearing aid fitting strategies are reviewed and candidature criteria for unilateral and bilateral fittings are discussed. Fitting strategies are primarily governed by the objectives of hearing aid fitting that can be set in different ways. Based on common goals, fitting strategies can be broken down into three stages: (1) basic fitting, (2) fine-tuning and (3) verification and validation. A fine-tuning concept basing on so-called meta-controllers is described and the issue of bilateral fitting strategies is discussed. In a first order approach, bilateral hearing aids can be fitted in parallel as unilateral aids, followed by bilateral fine-tuning, making sure that loudness is balanced and overall loudness is accepted. Parallel fitting of bilateral aids is more favourable than sequential fitting to avoid rejection because of a negative experience with unilateral amplification due to difficulties in disadvantageous listening situations. Candidature criteria are presented by means of a flow chart structuring the decision making process and arriving at the conclusion that bilateral fitting should be considered the normal case. If there is any doubt about the benefit of bilateral fitting, a trial with bilateral aids should be performed.

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