Evidence map›Paper›PMID 31913801›Full record

ArticleLanguage, speech, and hearing services in schools2020

Audibility-Based Hearing Aid Fitting Criteria for Children With Mild Bilateral Hearing Loss.

Ryan W McCreery, Elizabeth A Walker, Derek J Stiles, Meredith Spratford, Jacob J Oleson, Dawna E Lewis

Open access · greenAbstract read
In one paragraph

Article in Language, speech, and hearing services in schools, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. American Cochlear Implant Alliance Position Statement on Newborn Congenital Cytomegalovirus Screening.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Guideline
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  3. Characteristics of Hearing Aid Use in Adolescents Who Are Deaf and Hard of Hearing.Language, speech, and hearing services in schools · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ryan W McCreeryAudibility, Perception and Cognition Laboratory, Boys Town National Research Hospital, Omaha, NE.
Elizabeth A WalkerDepartment of Communication Sciences and Disorders, The University of Iowa, Iowa City.
Derek J StilesAudiology Program, Boston Children's Hospital, MA.
Meredith SpratfordAudibility, Perception and Cognition Laboratory, Boys Town National Research Hospital, Omaha, NE.
Jacob J OlesonDepartment of Biostatistics, The University of Iowa, Iowa City.
Dawna E LewisAudibility, Perception and Cognition Laboratory, Boys Town National Research Hospital, Omaha, NE.
Boys Town National Research Hospital · USUniversity of Iowa · USBoston Children's Hospital · US

Funding

Outcomes of School-Age Children who are Hard of HearingR01DC009560 · NIDCD · UNIVERSITY OF IOWA · PI MOELLER, MARY PAT, TOMBLIN, JAMES BRUCE · 2008 to 2017
$13.8M
COMPLEX LISTENING SKILLS IN SCHOOL-AGE HARD OF HEARING CHILDRENR01DC013591 · NIDCD · FATHER FLANAGAN'S BOYS' HOME · PI MCCREERY, RYAN W. · 2014 to 2023
$4.8M
NIDCD NIH HHS R01 DC009560NIDCD NIH HHS R01 DC013591
6 · The paper itself

Abstract

Purpose Because of uncertainty about the level of hearing where hearing aids should be provided to children, the goal of the current study was to develop audibility-based hearing aid candidacy criteria based on the relationship between unaided hearing and language outcomes in a group of children with hearing loss who did not wear hearing aids. Method Unaided hearing and language outcomes were examined for 52 children with mild-to-severe hearing losses. A group of 52 children with typical hearing matched for age, nonverbal intelligence, and socioeconomic status was included as a comparison group representing the range of optimal language outcomes. Two audibility-based criteria were considered: (a) the level of unaided hearing where unaided children with hearing loss fell below the median for children with typical hearing and (b) the level of unaided hearing where the slope of language outcomes changed significantly based on an iterative, piecewise regression modeling approach. Results The level of unaided audibility for children with hearing loss that was associated with differences in language development from children with typical hearing or based on the modeling approach varied across outcomes and criteria but converged at an unaided speech intelligibility index of 80. Conclusions Children with hearing loss who have unaided speech intelligibility index values less than 80 may be at risk for delays in language development without hearing aids. The unaided speech intelligibility index potentially could be used as a clinical criterion for hearing aid fitting candidacy for children with hearing loss.

Indexed as

Hearing AidsLanguage DevelopmentSpeech IntelligibilitySpeech PerceptionAcousticsAudiometryChildChild, PreschoolDeafnessFemaleHearing Loss, BilateralHearing TestsHumansIntelligenceLanguageMale

Identifiers

PMID31913801
PMCPMC7251589
OpenAlexW2998745129

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.