Use of a loudness model for hearing aid fitting: II. Hearing aids with multi-channel compression. 1999

B C Moore, and J I Alcántara, and M A Stone, and B R Glasberg
Department of Experimental Psychology, University of Cambridge.

A model for predicting loudness for people with cochlear hearing loss was applied to the problem of the initial fitting of a multi-channel compression hearing aid. The fitting was based on two constraints: (1) The specific loudness pattern evoked by speech of a moderate level (65 dB SPL) should be reasonably flat (equal loudness per critical band), and the overall loudness should be similar to that evoked in a normal listener by 65-dB speech (about 23 sones for binaural listening); (2) Speech with an overall level of 45 dB SPL should just be audible in all frequency bands from 500 Hz up to about 4 kHz, provided that this does not require compression ratios exceeding about 3. These two constraints were used to determine initial values for the gain, compression ratio and compression threshold in each channel of a multi-channel compression system. This initial fitting was based entirely on audiometric thresholds; it does not require suprathreshold loudness measures. The fitting method was evaluated using an experimental fast-acting four-channel compression system. The initial fitting was followed by an adaptive procedure to 'fine tune' the fitting, and the aids were then used in everyday life. Performance was evaluated by use of questionnaires and by measures of speech intelligibility. Although the fine tuning resulted in modest changes in the fitting parameters for some subjects, on average the frequency response shapes and compression ratios were similar before and after the fine tuning. The fittings led to satisfactory loudness impressions in everyday life and to high speech intelligibility over a wide range of levels. It was concluded that the initial fitting method gives reasonable starting values for the fine tuning.

UI MeSH Term Description Entries
D008144 Loudness Perception The perceived attribute of a sound which corresponds to the physical attribute of intensity. Loudness Perceptions,Perception, Loudness,Perceptions, Loudness
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D011474 Prosthesis Design The plan and delineation of prostheses in general or a specific prosthesis. Design, Prosthesis,Designs, Prosthesis,Prosthesis Designs
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D006310 Hearing Aids Wearable sound-amplifying devices that are intended to compensate for impaired hearing. These generic devices include air-conduction hearing aids and bone-conduction hearing aids. (UMDNS, 1999) Ear Molds, Hearing Aid,Aid, Hearing,Aids, Hearing,Hearing Aid
D006319 Hearing Loss, Sensorineural Hearing loss resulting from damage to the COCHLEA and the sensorineural elements which lie internally beyond the oval and round windows. These elements include the AUDITORY NERVE and its connections in the BRAINSTEM. Deafness Neurosensory,Deafness, Neurosensory,Deafness, Sensoryneural,Neurosensory Deafness,Sensorineural Hearing Loss,Sensoryneural Deafness,Cochlear Hearing Loss,Hearing Loss, Cochlear,Deafnesses, Neurosensory,Deafnesses, Sensoryneural,Neurosensory Deafnesses,Sensoryneural Deafness,Sensoryneural Deafnesses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000161 Acoustic Stimulation Use of sound to elicit a response in the nervous system. Auditory Stimulation,Stimulation, Acoustic,Stimulation, Auditory
D001301 Audiometry, Pure-Tone Measurement of hearing based on the use of pure tones of various frequencies and intensities as auditory stimuli. Audiometry, Bekesy,Audiometry, Pure Tone,Bekesy Audiometry,Pure-Tone Audiometry
D001309 Auditory Threshold The audibility limit of discriminating sound intensity and pitch. Auditory Thresholds,Threshold, Auditory,Thresholds, Auditory

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