ArticleEar and hearing
A "Goldilocks" Approach to Hearing Aid Self-Fitting: Ear-Canal Output and Speech Intelligibility Index.
Article in Ear and hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Effectiveness of a Self-Fitting Tool for User-Driven Fitting of Hearing Aids.International journal of environmental research and public health · 2021Trial
- Perceptions of Over-the-Counter Hearing Aids: A Qualitative Study Informed by the Technology Acceptance Model.Journal of the American Academy of Audiology · 2026Article
- Spectral peak picking improves tactile speech perception.Scientific reports · 2025Article
- Preserving the Role of the Audiologist in a Clinical Technology, Consumer Channel, Clinical Service Model of Hearing Healthcare.Seminars in hearing · 2023Review
- Evaluating and optimizing hearing-aid self-fitting methods using population coverage.Frontiers in audiology and otology · 2023Article
- The effect of stimulus duration on preferences for gain adjustments when listening to speech.International journal of audiology · 2022Article
- Self-Adjustment of Hearing Aid Amplification for Lower Speech Levels: Independent Ratings, Paired Comparisons, and Speech Recognition.American journal of audiology · 2022Article
- Feasibility of hearing aid gain self-adjustment using speech recognition.The journal of the Acoustical Society of Korea · 2022Article
- The Collaboration between Hearing Aid Users and Artificial Intelligence to Optimize Sound.Seminars in hearing · 2021Review
- Common Configurations of Real-Ear Aided Response Targets Prescribed by NAL-NL2 for Older Adults With Mild-to-Moderate Hearing Loss.American journal of audiology · 2020Article
- Open Speech Platform: Democratizing Hearing Aid Research.International Conference on Pervasive Computing Technologies for Healthcare : [proceedings]. International Conference on Pervasive Computing Technologies for Healthcare · 2020Article
- A Wearable, Extensible, Open-Source Platform for Hearing Healthcare Research.IEEE access : practical innovations, open solutions · 2019Article
- Article
- Perceptual Effects of Adjusting Hearing-Aid Gain by Means of a Machine-Learning Approach Based on Individual User Preference.Trends in hearingArticle
- Article
- Self-Adjusted Amplification Parameters Produce Large Between-Subject Variability and Preserve Speech Intelligibility.Trends in hearingArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesThe objective was to determine self-adjusted output response and speech intelligibility index (SII) in individuals with mild to moderate hearing loss and to measure the effects of prior hearing aid experience.
designThirteen hearing aid users and 13 nonusers, with similar group-mean pure-tone thresholds, listened to prerecorded and preprocessed sentences spoken by a man. Starting with a generic level and spectrum, participants adjusted (1) overall level, (2) high-frequency boost, and (3) low-frequency cut. Participants took a speech perception test after an initial adjustment before making a final adjustment. The three self-selected parameters, along with individual thresholds and real-ear-to-coupler differences, were used to compute output levels and SIIs for the starting and two self-adjusted conditions. The values were compared with an NAL second nonlinear threshold-based prescription (NAL-NL2) and, for the hearing aid users, performance of their existing hearing aids.
resultsAll participants were able to complete the self-adjustment process. The generic starting condition provided outputs (between 2 and 8 kHz) and SIIs that were significantly below those prescribed by NAL-NL2. Both groups increased SII to values that were not significantly different from prescription. The hearing aid users, but not the nonusers, increased high-frequency output and SII significantly after taking the speech perception test. Seventeen of the 26 participants (65%) met an SII criterion of 60% under the generic starting condition. The proportion increased to 23 out of 26 (88%) after the final self-adjustment. Of the 13 hearing aid users, 8 (62%) met the 60% criterion with their existing hearing aids. With the final self-adjustment, 12 out of 13 (92%) met this criterion.
conclusionsThe findings support the conclusion that user self-adjustment of basic amplification characteristics can be both feasible and effective with or without prior hearing aid experience.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.