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Published in: European Archives of Oto-Rhino-Laryngology 9/2008

Open Access 01-09-2008 | Miscellaneous

Comparison of speech intelligibility in quiet and in noise after hearing aid fitting according to a purely prescriptive and a comparative fitting procedure

Authors: Mick Metselaar, Bert Maat, Pieta Krijnen, Hans Verschuure, Wouter Dreschler, Louw Feenstra

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2008

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Abstract

We compared two different types of hearing-aid fitting procedures in a double-blind randomized clinical study. Hearing aid fittings based on a purely prescriptive procedure (the NAL-RP formula) were compared to a comparative fitting procedure based on optimizing speech intelligibility scores. Main outcome measures were improvement of speech intelligibility scores in quiet and in noise. Data were related to the real-ear insertion responses that were measured after fitting. For analysis purposes subgroups were composed according to degree of hearing loss, characterized by unaided speech intelligibility in quiet, previous experience with hearing aids, unilateral or bilateral fittings and type of hearing aid. We found equal improvement of speech intelligibility in quiet, while fitting according to the prescriptive formula resulted in a somewhat better performance as expressed by the speech-to-noise ratio in comparison to the comparative procedure. Both procedures resulted in comparable real-ear insertion responses.
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Metadata
Title
Comparison of speech intelligibility in quiet and in noise after hearing aid fitting according to a purely prescriptive and a comparative fitting procedure
Authors
Mick Metselaar
Bert Maat
Pieta Krijnen
Hans Verschuure
Wouter Dreschler
Louw Feenstra
Publication date
01-09-2008
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 9/2008
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-008-0596-x

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