以華語可接受噪音量預測聽力損失成人之助聽器使用率

張宸瑋; 陳小娟

doi:10.6172/BSE.201811_43(3).0004

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P83 - 110

社会科学 > 教育学

DOI： 10.6172/BSE

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以华语可接受噪音量预测听力损失成人之助听器使用率

Predicting the Frequency of Hearing-Aid Use by Using Unaided Mandarin Acceptable Noise Level Values

张宸玮(Chen-Wei Chang) ；陈小娟(Hsiao-Chuan Chen)

特殊教育研究学刊； 43 卷 3 期 (2018 / 11 / 30) ， P83 - 110

繁体中文 DOI： 10.6172/BSE.201811_43(3).0004

助听器使用率；华语可接受噪音量；噪音处理技术； frequency of hearing-aid use ； Mandarin acceptable noise level (M-ANL) ； noise reduction features (NRFs)

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摘要 │ 参考文献 (42) │ 国际计量

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Purpose: Studies have revealed that acceptable noise level can be used to predict the use of hearing aids even before the fitting of the aids. The aim of this study was to develop a corresponding relationship between Mandarin acceptable noise level (M-ANL) and the frequency of hearing-aid use as well as the predictive effectiveness of M-ANL test. The M-ANL test provides clinical professionals a tool to assess how often a particular hearing aid might be used in the future. The frequency of hearing-aid use is defined as the percentage of the hearing-aid use whenever it is required.Methods: The M-ANL test and a questionnaire pertaining to hearing-aid use were the tools used in this study. A total of 126 hearing-aid users participated in the experiment. The participants were categorized into two groups on the basis of whether the noise reduction features (NRFs) of their hearing aids were turned on or off. The group in which the NRFs were off (NRFoff group) comprised 50 participants, and the group in which the NRFs were on (NRF-on group) comprised 76 participants. Results/Findings: (1) The average of unaided M-ANL values for all participants was 5.84 dB (SD = 4.42, range = −3 to +18 dB). (2) There was a significant negative correlation between unaided M-ANL values and the frequency of hearing-aid use (p ＜ .001). Specifically, the lower the unaided M-ANL values were, the higher the frequency of hearing-aid use became, and vice versa. (3) In the NRF-off group and NRF-on group, the average unaided M-ANL values of hearing-aid users who used the hearing aids frequently were 4.33 dB (SD = 3.41) and 4.85 dB (SD = 4.01), respectively. (4) Logistic regression curves revealed that if unaided M-ANL values were lower than 5 dB, then the probability of a hearing-aid user becoming a frequent user was more than 85%. Moreover, if unaided M-ANL values were greater than 13 dB in the NRF-off group and greater than 17 dB in the NRF-on group, then participants would become less frequent hearing-aid users (the odds of becoming a frequent user were less than 20%). Furthermore, unaided M-ANL values could accurately predict 86.0% (NRFoff group) and 80.3% (NRF-on group) of hearing-aid usage patterns.Conclusions/ Implications: One of the most crucial achievements of this study is the determination of ANL values in Mandarin-speaking hearing-aid users. This study also verified that fitting a high-order hearing aid with more signal processing technologies would alter M-ANL values and increase the use of hearing aids. Thus, it is recommended to conduct the M-ANL test before hearing aids are fitted. The results of this study provide insights in informational counseling regarding advanced hearing-aid technologies. This can in turn improve the frequency of hearing-aid use. In clinical application, the unaided M-ANL value is one of the factors for predicting hearing-aid use; there are many unknown factors that should be investigated.

参考文献 ( 42 ) 〈TOP〉

张雅琪、陈小娟、侯友益(2012)。助听器的噪音处理特性设定对华语可接受噪音量之效应。台湾听力语言学会杂志，28，75-91。
连结：
Brännström, K. J.,Lantz, J.,Nielsen, L. H.,Olsen, S. Ø.(2012).Acceptable noise level with Danish, Swedish, and non-semantic speech materials.International Journal of Audiology,51(3),146-156.
Chia, E. M.,Wang, J. J.,Rochtchina, E.,Cumming, R. R.,Newall, P.,Mitchell, P.(2007).Hearing impairment and health-related quality of life: The blue mountains hearing study.Ear and Hearing,28(2),187-195.
Crowley, H. J.,Nabelek, I. V.(1996).Estimation of client-assessed hearing aid performance based upon unaided variables.Journal of Speech, Language, and Hearing Research,39(1),19-27.
Dillon, H.,James, A.,Ginis, J.(1997).Client oriented scale of improvement (COSI) and its relationship to several other measures of benefit and satisfaction provided by hearing aids.Journal of the American Academy of Audiology,8(1),27-43.

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