Use of a loudness model for hearing-aid fitting. I. Linear hearing aids. 1998

B C Moore, and B R Glasberg
Department of Experimental Psychology, University of Cambridge.

A model for predicting loudness for people with cochlear hearing loss is applied to the problem of prescribing the frequency-gain characteristic of a linear hearing aid. It is argued that a reasonable goal is to make all frequency bands of speech equally loud while achieving a comfortable overall loudness; this can maximize the proportion of the speech spectrum that is above the absolute threshold for a given loudness. In terms of the model this means that 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). The model is used to develop a new formula - the 'Cambridge formula' - for prescribing insertion gain from audiometric thresholds. It is shown that, for a fixed overall loudness of 23 sones, the Cambridge formula leads to a higher calculated articulation index than three other commonly used prescriptive methods: NAL(R), FIG6 and DSL.

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
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
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001309 Auditory Threshold The audibility limit of discriminating sound intensity and pitch. Auditory Thresholds,Threshold, Auditory,Thresholds, Auditory
D013067 Speech Perception The process whereby an utterance is decoded into a representation in terms of linguistic units (sequences of phonetic segments which combine to form lexical and grammatical morphemes). Speech Discrimination,Discrimination, Speech,Perception, Speech
D017755 Prosthesis Fitting The fitting and adjusting of artificial parts of the body. (From Stedman's, 26th ed) Prosthesis Adjustment,Adjustment, Prosthesis,Adjustments, Prosthesis,Fitting, Prosthesis,Fittings, Prosthesis,Prosthesis Adjustments,Prosthesis Fittings

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