Communication Sciences and Disorders Publications

DSL prescriptive targets for bone conduction devices: adaptation and comparison to clinical fittings

Document Type

Article

Publication Date

7-3-2017

Journal

International Journal of Audiology

Volume

56

Issue

7

First Page

521

Last Page

530

URL with Digital Object Identifier

10.1080/14992027.2017.1302605

Abstract

Objective: To develop an algorithm that prescribes targets for bone conduction frequency response shape, compression, and output limiting, along with a clinical method that ensures accurate transforms between assessment and verification stages of the clinical workflow. Design: Technical report of target generation and validation. Study sample: We recruited 39 adult users of unilateral percutaneous bone conduction hearing aids with a range of unilateral, bilateral, mixed and conductive hearing losses across the sample. Results: The initial algorithm over-prescribed output compared to the user’s own settings in the low frequencies, but provided a good match to user settings in the high frequencies. Corrections to the targets were derived and implemented as a low-frequency cut aimed at improving acceptance of the wearer’s own voice during device use. Conclusions: The DSL-BCD prescriptive algorithm is compatible with verification of devices and fine-tuning to target for percutaneous bone conduction hearing devices that can be coupled to a skull simulator. Further study is needed to investigate the appropriateness of this prescriptive algorithm for other input levels, and for other clinical populations including those with single-sided deafness, bilateral devices, children and users of transcutaneous bone conduction hearing aids.

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