DSL<sub<child</sub<-Algorithm-Based Hearing Aid Fitting Can Improve Speech Comprehension in Mildly Distressed Patients with Chronic Tinnitus and Mild-to-Moderate Hearing Loss
Background: Patients with chronic tinnitus and mild-to-moderate hearing loss (HL) can experience difficulties with speech comprehension (SC). The present study investigated SC benefits of a two-component hearing therapy. Methods: One-hundred-seventy-seven gender-stratified patients underwent binaural DSL<sub<child</sub<-algorithm-based hearing aid (HA) fitting and conducted auditory training exercises. SC was measured at four timepoints under three noise interference conditions each (0, 55, and 65 dB): after screening (t<sub<0</sub<; without HAs), HA- fitting (t<sub<1</sub<), additional auditory training (t<sub<2</sub<), and at 70-day follow-up (t<sub<3</sub<). Repeated-measure analyses of covariance investigated the effects of HAs (t<sub<0</sub<–t<sub<1</sub<), auditory training (t<sub<1</sub<–t<sub<2</sub<), and the stability of the combined effect (t<sub<2</sub<–t<sub<3</sub<) on SC per noise interference level and HL subgroup. Correlational analyses examined associations between SC, age, and psychological indices. Results: Patients showed mildly elevated tinnitus-related distress, which was negatively associated with SC in patients with mild but not moderate HL. At 0 dB, the intervention lastingly improved SC for patients with mild and moderate HL; at 55 dB, for patients with mild HL only. These effects were mainly driven by HAs. Conclusions: The here-investigated treatment demonstrates some SC-benefit under conditions of no or little noise interference. The auditory training component warrants further investigation regarding non-audiological treatment outcomes..
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2022 |
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Erschienen: |
2022 |
Enthalten in: |
Zur Gesamtaufnahme - volume:11 |
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Enthalten in: |
Journal of Clinical Medicine - 11(2022), 5244, p 5244 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Benjamin Boecking [VerfasserIn] |
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Links: |
doi.org [kostenfrei] |
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Themen: |
Auditory training |
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doi: |
10.3390/jcm11175244 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
DOAJ033531102 |
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520 | |a Background: Patients with chronic tinnitus and mild-to-moderate hearing loss (HL) can experience difficulties with speech comprehension (SC). The present study investigated SC benefits of a two-component hearing therapy. Methods: One-hundred-seventy-seven gender-stratified patients underwent binaural DSL<sub<child</sub<-algorithm-based hearing aid (HA) fitting and conducted auditory training exercises. SC was measured at four timepoints under three noise interference conditions each (0, 55, and 65 dB): after screening (t<sub<0</sub<; without HAs), HA- fitting (t<sub<1</sub<), additional auditory training (t<sub<2</sub<), and at 70-day follow-up (t<sub<3</sub<). Repeated-measure analyses of covariance investigated the effects of HAs (t<sub<0</sub<–t<sub<1</sub<), auditory training (t<sub<1</sub<–t<sub<2</sub<), and the stability of the combined effect (t<sub<2</sub<–t<sub<3</sub<) on SC per noise interference level and HL subgroup. Correlational analyses examined associations between SC, age, and psychological indices. Results: Patients showed mildly elevated tinnitus-related distress, which was negatively associated with SC in patients with mild but not moderate HL. At 0 dB, the intervention lastingly improved SC for patients with mild and moderate HL; at 55 dB, for patients with mild HL only. These effects were mainly driven by HAs. Conclusions: The here-investigated treatment demonstrates some SC-benefit under conditions of no or little noise interference. The auditory training component warrants further investigation regarding non-audiological treatment outcomes. | ||
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