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The Desired Sensation Level (DSL) Method was revised to support hearing instrument fitting for infants, young children, and adults who use modern hearing instrument technologies, including multichannel compression, expansion, and multimemory capability. The aims of this revision are to maintain aspects of the previous versions of the DSL Method that have(More)
The primary purpose of this study was to compare the overall listening benefit in diffuse noise provided by dual-microphone technology in an in-the-ear (ITE) hearing instrument to that provided by dual-microphone technology in a behind-the-ear (BTE) hearing instrument. Further, the study was designed to determine whether the use of the dual-microphone + the(More)
This study evaluated prototype multichannel nonlinear frequency compression (NFC) signal processing on listeners with high-frequency hearing loss. This signal processor applies NFC above a cut-off frequency. The participants were hearing-impaired adults (13) and children (11) with sloping, high-frequency hearing loss. Multiple outcome measures were repeated(More)
There is a growing trend for hearing aids to incorporate wide dynamic range compression. The input/output (I/O) hearing aid formula, presented in this report, is a general frequency-specific mathematical approach which describes the relationship between the input level of a signal delivered to a hearing aid and the output level produced by the hearing aid.(More)
The predicted real-ear-to-coupler difference (RECD) values currently used in pediatric hearing instrument prescription methods are based on 12-month age range categories and were derived from measures using standard acoustic immittance probe tips. Consequently, the purpose of this study was to develop normative RECD predicted values for foam/acoustic(More)
OBJECTIVE The purpose of this study was to evaluate the reliability and validity of the real ear to coupler difference (RECD) and the real ear to dial difference (REDD) in predicting real ear SPL (RESPL). DESIGN The RESPL, RECD, and REDD were measured in the right ear of 24 normal-hearing subjects using probe microphone equipment and both insert and(More)
The task of selecting the electroacoustic characteristics of hearing aids for young hearing-impaired children continues to challenge many clinical audiologists. The rationale for a theoretically based approach to this problem is presented. Additionally, issues related to the choice of an idealized speech spectrum for a theoretical selection model are(More)
The long-term average speech spectrum (LTASS) was measured at two different recording positions: 30 cm directly in front of the talker (reference position), and at the tragus of the talker's ear (ear-level position), for three groups of subjects: adult males, adult females, and children. Results indicated significant differences in the overall level and(More)
A discussion of the protocols used particularly in the clinical application of the Desired Sensation Level (DSL) Method is presented in this chapter. In the first section, the measurement and application of acoustic transforms is described in terms of their importance in the assessment phase of the amplification fitting process. Specifically, the(More)
OBJECTIVES The goal of this study was to test the theoretical advantages of a single-channel wide dynamic range compression (WDRC) circuit for speech intelligibility and loudness comfort for five speech spectra. DESIGN Twelve adolescents and young adults with moderate to severe hearing loss were fitted with the Siemens Viva 2 Pro behind-the-ear instrument(More)