Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging
Purpose: To compare listening ability (speech reception thresholds) and real-life listening experience in users with a percutaneous bone conduction device (BCD) with two listening programs differing only in high-frequency gain. In situ real-life experiences were recorded with ecological momentary as...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/17/3923 |
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| author | Arjan J. Bosman Jeppe Høy Christensen Tove Rosenbom François Patou Arno Janssen Myrthe K. S. Hol |
| author_facet | Arjan J. Bosman Jeppe Høy Christensen Tove Rosenbom François Patou Arno Janssen Myrthe K. S. Hol |
| author_sort | Arjan J. Bosman |
| collection | DOAJ |
| description | Purpose: To compare listening ability (speech reception thresholds) and real-life listening experience in users with a percutaneous bone conduction device (BCD) with two listening programs differing only in high-frequency gain. In situ real-life experiences were recorded with ecological momentary assessment (EMA) techniques combined with real-time acoustical data logging and standard retrospective questionnaires. Methods: Nineteen experienced BCD users participated in this study. They all used a Ponto 4 BCD from Oticon Medical during a 4-week trial period. Environmental data and device parameters (i.e., device usage and volume control) were logged in real-time on an iPhone via a custom iOS research app. At the end of the trial period, subjects filled in APHAB, SSQ, and preference questionnaires. Listening abilities with the two programs were evaluated with speech reception threshold tests. Results: The APHAB and SSQ questionnaires did not reveal any differences between the two listening programs. The EMAs revealed group-level effects, indicating that in speech and noisy listening environments, subjects preferred the default listening program, and found the program with additional high-frequency gain too loud. This finding was corroborated by the volume log—subjects avoided the higher volume control setting and reacted more to changes in environmental sound pressure levels when using the high-frequency gain program. Finally, day-to-day changes in EMAs revealed acclimatization effects in the listening experience for ratings of “sound quality” and “program suitability” of the BCD, but not for ratings of “loudness perception” and “speech understanding”. The acclimatization effect did not differ among the listening programs. Conclusion: Adding custom high-frequency amplification to the BCD target-gain prescription improves speech reception in laboratory tests under quiet conditions, but results in poorer real-life listening experiences due to loudness. |
| first_indexed | 2024-03-10T08:08:35Z |
| format | Article |
| id | doaj.art-3365154ce24843c6acee65010d053232 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T08:08:35Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3365154ce24843c6acee65010d0532322023-11-22T10:49:25ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011017392310.3390/jcm10173923Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data LoggingArjan J. Bosman0Jeppe Høy Christensen1Tove Rosenbom2François Patou3Arno Janssen4Myrthe K. S. Hol5Department of Otorhinolaryngology, Radboud University Medical Center, P.O. Box 9101, NL-6500 HB Nijmegen, The NetherlandsEriksholm Research Centre, Oticon A/S, Rørtangvej 20, DK-3070 Helsingør, DenmarkOticon Medical, Kongebakken 9, DK-2765 Copenhagen, DenmarkOticon Medical, Kongebakken 9, DK-2765 Copenhagen, DenmarkDepartment of Otorhinolaryngology, Radboud University Medical Center, P.O. Box 9101, NL-6500 HB Nijmegen, The NetherlandsDepartment of Otorhinolaryngology, Radboud University Medical Center, P.O. Box 9101, NL-6500 HB Nijmegen, The NetherlandsPurpose: To compare listening ability (speech reception thresholds) and real-life listening experience in users with a percutaneous bone conduction device (BCD) with two listening programs differing only in high-frequency gain. In situ real-life experiences were recorded with ecological momentary assessment (EMA) techniques combined with real-time acoustical data logging and standard retrospective questionnaires. Methods: Nineteen experienced BCD users participated in this study. They all used a Ponto 4 BCD from Oticon Medical during a 4-week trial period. Environmental data and device parameters (i.e., device usage and volume control) were logged in real-time on an iPhone via a custom iOS research app. At the end of the trial period, subjects filled in APHAB, SSQ, and preference questionnaires. Listening abilities with the two programs were evaluated with speech reception threshold tests. Results: The APHAB and SSQ questionnaires did not reveal any differences between the two listening programs. The EMAs revealed group-level effects, indicating that in speech and noisy listening environments, subjects preferred the default listening program, and found the program with additional high-frequency gain too loud. This finding was corroborated by the volume log—subjects avoided the higher volume control setting and reacted more to changes in environmental sound pressure levels when using the high-frequency gain program. Finally, day-to-day changes in EMAs revealed acclimatization effects in the listening experience for ratings of “sound quality” and “program suitability” of the BCD, but not for ratings of “loudness perception” and “speech understanding”. The acclimatization effect did not differ among the listening programs. Conclusion: Adding custom high-frequency amplification to the BCD target-gain prescription improves speech reception in laboratory tests under quiet conditions, but results in poorer real-life listening experiences due to loudness.https://www.mdpi.com/2077-0383/10/17/3923bone conduction device (BCD)data loggingecological momentary assessment (EMA)linear mixed-effects regressionhearing loss |
| spellingShingle | Arjan J. Bosman Jeppe Høy Christensen Tove Rosenbom François Patou Arno Janssen Myrthe K. S. Hol Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging Journal of Clinical Medicine bone conduction device (BCD) data logging ecological momentary assessment (EMA) linear mixed-effects regression hearing loss |
| title | Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging |
| title_full | Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging |
| title_fullStr | Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging |
| title_full_unstemmed | Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging |
| title_short | Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging |
| title_sort | investigating real world benefits of high frequency gain in bone anchored users with ecological momentary assessment and real time data logging |
| topic | bone conduction device (BCD) data logging ecological momentary assessment (EMA) linear mixed-effects regression hearing loss |
| url | https://www.mdpi.com/2077-0383/10/17/3923 |
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