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 binaura...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/17/5244 |
| _version_ | 1797494693252038656 |
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| author | Benjamin Boecking Leonie Rausch Stamatina Psatha Amarjargal Nyamaa Juliane Dettling-Papargyris Christine Funk Kevin Oppel Petra Brueggemann Matthias Rose Birgit Mazurek |
| author_facet | Benjamin Boecking Leonie Rausch Stamatina Psatha Amarjargal Nyamaa Juliane Dettling-Papargyris Christine Funk Kevin Oppel Petra Brueggemann Matthias Rose Birgit Mazurek |
| author_sort | Benjamin Boecking |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T01:38:01Z |
| format | Article |
| id | doaj.art-fe7d25c61e1c429b96267c75606e281f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T01:38:01Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-fe7d25c61e1c429b96267c75606e281f2023-11-23T13:30:15ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011117524410.3390/jcm11175244DSL<sub>child</sub>-Algorithm-Based Hearing Aid Fitting Can Improve Speech Comprehension in Mildly Distressed Patients with Chronic Tinnitus and Mild-to-Moderate Hearing LossBenjamin Boecking0Leonie Rausch1Stamatina Psatha2Amarjargal Nyamaa3Juliane Dettling-Papargyris4Christine Funk5Kevin Oppel6Petra Brueggemann7Matthias Rose8Birgit Mazurek9Tinnitus Centre, Charité-Universitätsmedizin Berlin, 10117 Berlin, GermanyTinnitus Centre, Charité-Universitätsmedizin Berlin, 10117 Berlin, GermanyTinnitus Centre, Charité-Universitätsmedizin Berlin, 10117 Berlin, GermanyTinnitus Centre, Charité-Universitätsmedizin Berlin, 10117 Berlin, GermanyTerzo Institute, ISMA AG, 96515 Sonneberg, GermanyTerzo Institute, ISMA AG, 96515 Sonneberg, GermanyTerzo Institute, ISMA AG, 96515 Sonneberg, GermanyTinnitus Centre, Charité-Universitätsmedizin Berlin, 10117 Berlin, GermanyMedical Department, Division of Psychosomatic Medicine, Charité-Universitätsmedizin Berlin, 10117 Berlin, GermanyTinnitus Centre, Charité-Universitätsmedizin Berlin, 10117 Berlin, GermanyBackground: 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.https://www.mdpi.com/2077-0383/11/17/5244auditory traininghearing aidsmild-to-moderate hearing losstinnitus-related distresspsychological epiphenomena |
| spellingShingle | Benjamin Boecking Leonie Rausch Stamatina Psatha Amarjargal Nyamaa Juliane Dettling-Papargyris Christine Funk Kevin Oppel Petra Brueggemann Matthias Rose Birgit Mazurek 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 Journal of Clinical Medicine auditory training hearing aids mild-to-moderate hearing loss tinnitus-related distress psychological epiphenomena |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | auditory training hearing aids mild-to-moderate hearing loss tinnitus-related distress psychological epiphenomena |
| url | https://www.mdpi.com/2077-0383/11/17/5244 |
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