Towards auditory profile-based hearing-aid fittings: BEAR rationale and clinical implementation

Raul Sanchez-Lopez*, Mengfan Wu (Member of author group), Michal Fereczkowski (Member of author group), Sébastien Santurette (Member of author group), Monika Baumann (Member of author group), Borys Kowalewski (Member of author group), Tobias Piechowiak (Member of author group), Nikolai Bisgaard (Member of author group), Gert Ravn (Member of author group), Sreeram Kaithali Narayanan (Member of author group), Torsten Dau (Member of author group), Tobias Neher

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Background: To improve hearing-aid rehabilitation, the Danish ‘Better hEAring Rehabilitation’ (BEAR) project recently developed methods for individual hearing loss characterization and hearing-aid fitting. Four auditory profiles differing in terms of audiometric hearing loss and supra-threshold hearing abilities were identified. To enable auditory profile-based hearing-aid treatment, a fitting rationale leveraging differences in gain prescription and signal-to-noise (SNR) improvement was developed. This report describes the translation of this rationale to clinical devices supplied by three industrial partners. Methods: Regarding the SNR improvement, advanced feature settings were proposed and verified based on free-field measurements made with an acoustic mannikin fitted with the different hearing aids. Regarding the gain prescription, a clinically feasible fitting tool and procedure based on real-ear gain adjustments were developed. Results: Analyses of the collected real-ear gain and SNR improvement data confirmed the feasibility of the clinical implementation. Differences between the auditory profile-based fitting strategy and a current ‘best practice’ procedure based on the NAL-NL2 fitting rule were verified and are discussed in terms of limitations and future perspectives. Conclusion: Based on a joint effort from academic and industrial partners, the BEAR fitting rationale was transferred to commercially available hearing aids.
Original languageEnglish
JournalAudiology Research
Volume12
Issue number5
Pages (from-to)564–573
ISSN2039-4330
DOIs
Publication statusPublished - 9. Oct 2022

Keywords

  • audiology
  • hearing aid
  • hearing rehabilitation

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