Document Detail


Validity and reliability of in-situ air conduction thresholds measured through hearing aids coupled to closed and open instant-fit tips.
MedLine Citation:
PMID:  20812890     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Audiometric measurements through a hearing aid ('in-situ') may facilitate provision of hearing services where these are limited. This study investigated the validity and reliability of in-situ air conduction hearing thresholds measured with closed and open domes relative to thresholds measured with insert earphones, and explored sources of variability in the measures. Twenty-four adults with sensorineural hearing impairment attended two sessions in which thresholds and real-ear-to-dial-difference (REDD) values were measured. Without correction, significantly higher low-frequency thresholds in dB HL were measured in-situ than with insert earphones. Differences were due predominantly to differences in ear canal SPL, as measured with the REDD, which were attributed to leaking low-frequency energy. Test-retest data yielded higher variability with the closed dome coupling due to inconsistent seals achieved with this tip. For all three conditions, inter-participant variability in the REDD values was greater than intra-participant variability. Overall, in-situ audiometry is as valid and reliable as conventional audiometry provided appropriate REDD corrections are made and ambient sound in the test environment is controlled.
Authors:
Anna O'Brien; Gitte Keidser; Ingrid Yeend; Lisa Hartley; Harvey Dillon
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-09-03
Journal Detail:
Title:  International journal of audiology     Volume:  49     ISSN:  1708-8186     ISO Abbreviation:  Int J Audiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140017     Medline TA:  Int J Audiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  868-76     Citation Subset:  IM    
Affiliation:
National Acoustic Laboratories, Chatswood, Australia.
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