Effectiveness of a programable body-worn digital hearing aid for older adults in a developing country: a randomized controlled trial with a cross-over design

Abstract Background Hearing aids are important assistive devices for hearing rehabilitation. However, the cost of commonly available commercial hearing aids is often higher than the average monthly income of individuals in some developing countries. Therefore, there is a great need to locally produc...

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Main Authors: Pornthep Kasemsiri, Kwanchanok Yimtae, Panida Thanawirattananit, Pasin Israsena, Anukool Noymai, Supawan Laohasiriwong, Patravoot Vatanasapt, Pipop Siripaopradith, Pritaporn Kingkaew
Format: Article
Language:English
Published: BMC 2021-07-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-021-02325-4
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author Pornthep Kasemsiri
Kwanchanok Yimtae
Panida Thanawirattananit
Pasin Israsena
Anukool Noymai
Supawan Laohasiriwong
Patravoot Vatanasapt
Pipop Siripaopradith
Pritaporn Kingkaew
author_facet Pornthep Kasemsiri
Kwanchanok Yimtae
Panida Thanawirattananit
Pasin Israsena
Anukool Noymai
Supawan Laohasiriwong
Patravoot Vatanasapt
Pipop Siripaopradith
Pritaporn Kingkaew
author_sort Pornthep Kasemsiri
collection DOAJ
description Abstract Background Hearing aids are important assistive devices for hearing rehabilitation. However, the cost of commonly available commercial hearing aids is often higher than the average monthly income of individuals in some developing countries. Therefore, there is a great need to locally produce cheaper, but still effective, hearing aids. The Thai-produced P02 hearing aid was designed to meet this requirement. Objective To compare the effectiveness of the P02 hearing aid with two common commercially available digital hearing aids (Clip-II™ and Concerto Basic®). Methods A prospective, randomized controlled trial with a cross-over design was conducted from October 2012 to September 2014 in a rural Thai community. There were 73 participants (mean age of 73.7 ± 7.3 years) included in this study with moderate to severe hearing loss who were assessed for hearing aid performance, including probe microphone real-ear measurement, functional gain, speech discrimination, and participant satisfaction with the overall quality of perceived sound and the design of the device. Results There were no statistically significant differences in functional gain or speech discrimination among the three hearing aids evaluated (p-value > 0.05). Real-ear measurements of the three hearing aids met the target curve in 93% of the participants. The best real-ear measurement of the hearing aid following the target curve was significantly lower than that of Clip-II™ and Concerto Basic® (p-value < 0.05) at high frequency. However, participants rated the overall quality of sound higher for the P02 hearing aid than that of Clip-II™ but lower than that of Concerto Basic® (p-value > 0.05). Participants revealed that the P02 hearing aid provided the highest satisfaction ratings for design and user-friendliness with statistical significance (p-value < 0.05). Conclusion The P02 hearing aid was an effective device for older Thai adults with hearing disabilities. Additionally, its modern design, simplicity of use, and ease of maintenance were attractive to this group of individuals. These benefits support the rehabilitation potential of this hearing aid model and its positive impact on the quality of life of older adults in developing countries. Trial registration This study was registered under Clinicaltrial.gov NCT01902914 . Date of registration: July 18, 2013.
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spelling doaj.art-0a1ab621631b477fa04e55c8035642342022-12-21T22:52:13ZengBMCBMC Geriatrics1471-23182021-07-012111810.1186/s12877-021-02325-4Effectiveness of a programable body-worn digital hearing aid for older adults in a developing country: a randomized controlled trial with a cross-over designPornthep Kasemsiri0Kwanchanok Yimtae1Panida Thanawirattananit2Pasin Israsena3Anukool Noymai4Supawan Laohasiriwong5Patravoot Vatanasapt6Pipop Siripaopradith7Pritaporn Kingkaew8Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Khon Kaen UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Khon Kaen UniversityNational Electronics and Computer Technology Center (NECTEC), National Science and Technology Development Agency (NSTDA)National Electronics and Computer Technology Center (NECTEC), National Science and Technology Development Agency (NSTDA)Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Khon Kaen UniversityPhuwieng Hospital, Ministry of Public HealthHealth Intervention and Technology Assessment Program (HITAP), Ministry of Public HealthAbstract Background Hearing aids are important assistive devices for hearing rehabilitation. However, the cost of commonly available commercial hearing aids is often higher than the average monthly income of individuals in some developing countries. Therefore, there is a great need to locally produce cheaper, but still effective, hearing aids. The Thai-produced P02 hearing aid was designed to meet this requirement. Objective To compare the effectiveness of the P02 hearing aid with two common commercially available digital hearing aids (Clip-II™ and Concerto Basic®). Methods A prospective, randomized controlled trial with a cross-over design was conducted from October 2012 to September 2014 in a rural Thai community. There were 73 participants (mean age of 73.7 ± 7.3 years) included in this study with moderate to severe hearing loss who were assessed for hearing aid performance, including probe microphone real-ear measurement, functional gain, speech discrimination, and participant satisfaction with the overall quality of perceived sound and the design of the device. Results There were no statistically significant differences in functional gain or speech discrimination among the three hearing aids evaluated (p-value > 0.05). Real-ear measurements of the three hearing aids met the target curve in 93% of the participants. The best real-ear measurement of the hearing aid following the target curve was significantly lower than that of Clip-II™ and Concerto Basic® (p-value < 0.05) at high frequency. However, participants rated the overall quality of sound higher for the P02 hearing aid than that of Clip-II™ but lower than that of Concerto Basic® (p-value > 0.05). Participants revealed that the P02 hearing aid provided the highest satisfaction ratings for design and user-friendliness with statistical significance (p-value < 0.05). Conclusion The P02 hearing aid was an effective device for older Thai adults with hearing disabilities. Additionally, its modern design, simplicity of use, and ease of maintenance were attractive to this group of individuals. These benefits support the rehabilitation potential of this hearing aid model and its positive impact on the quality of life of older adults in developing countries. Trial registration This study was registered under Clinicaltrial.gov NCT01902914 . Date of registration: July 18, 2013.https://doi.org/10.1186/s12877-021-02325-4Hearing aidHearing lossOlder adultsRural community
spellingShingle Pornthep Kasemsiri
Kwanchanok Yimtae
Panida Thanawirattananit
Pasin Israsena
Anukool Noymai
Supawan Laohasiriwong
Patravoot Vatanasapt
Pipop Siripaopradith
Pritaporn Kingkaew
Effectiveness of a programable body-worn digital hearing aid for older adults in a developing country: a randomized controlled trial with a cross-over design
BMC Geriatrics
Hearing aid
Hearing loss
Older adults
Rural community
title Effectiveness of a programable body-worn digital hearing aid for older adults in a developing country: a randomized controlled trial with a cross-over design
title_full Effectiveness of a programable body-worn digital hearing aid for older adults in a developing country: a randomized controlled trial with a cross-over design
title_fullStr Effectiveness of a programable body-worn digital hearing aid for older adults in a developing country: a randomized controlled trial with a cross-over design
title_full_unstemmed Effectiveness of a programable body-worn digital hearing aid for older adults in a developing country: a randomized controlled trial with a cross-over design
title_short Effectiveness of a programable body-worn digital hearing aid for older adults in a developing country: a randomized controlled trial with a cross-over design
title_sort effectiveness of a programable body worn digital hearing aid for older adults in a developing country a randomized controlled trial with a cross over design
topic Hearing aid
Hearing loss
Older adults
Rural community
url https://doi.org/10.1186/s12877-021-02325-4
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