The Hearing Health Care Journey: Putting Beans in Your Cups
Semin Hear 2020; 41: 068-078 DOI: 10.1055/s-0040-1701246One of the areas MarkeTrak has explored is the customer journey through hearing health care. The survey has asked question regarding how long they had a hearing loss before they took some type of action, where did they start their journey, why did they obtain hearing instruments or not, and what the hearing instruments cost. To put that journey in perspective, this article looks at the journey of one specific individual and explores their attitudes about their hearing loss through the eyes of a psychologist. [...] Thieme Medical Publishers 333 Seventh Avenue, New York...
Source: Seminars in Hearing - February 10, 2020 Category: Audiology Authors: Harvey, Michael A. Tags: Review Article Source Type: research

Hearing Aid Reimbursement: A Discussion of Influencing Factors
Semin Hear 2020; 41: 055-067 DOI: 10.1055/s-0040-1701245Reimbursement for hearing aids in the present time has become as complicated, if not more so, than any other area of health care. For many years, hearing aids were a noncovered item where insurance was concerned. The predominant model of bundling costs into a single dollar amount was copied decades ago from hearing instrument specialists. However, insurance companies and federal agencies are increasingly covering the cost of the diagnostic hearing evaluation and at least some of the costs associated with hearing aid purchases. One operational question is whether the b...
Source: Seminars in Hearing - February 10, 2020 Category: Audiology Authors: Fifer, Robert C. Tags: Review Article Source Type: research

Emerging Technologies, Market Segments, and MarkeTrak 10 Insights in Hearing Health Technology
This article focuses on how these products will be differentiated from HCP-fit hearing aids through their ability to address the unmet needs of different consumer segments within the population of people with hearing dysfunction. The unmet hearing needs of each segment are discussed, and the size of each segment estimated, demonstrating a large potential market for hearables and a smaller potential market for hearing aids than has been previously mentioned in the literature. The results from MarkeTrak 10's survey of consumers' attitudes toward an OTC model are reviewed, showing that approximately half of both hearing aid o...
Source: Seminars in Hearing - February 10, 2020 Category: Audiology Authors: Edwards, Brent Tags: Review Article Source Type: research

MarkeTrak 10 (MT10) Survey Results Demonstrate High Satisfaction with and Benefits from Hearing Aids
Semin Hear 2020; 41: 021-036 DOI: 10.1055/s-0040-1701243The purpose of this article is threefold. First, it is to evaluate current rates of hearing aid satisfaction, in addition to the examination of factors that influence satisfaction rates. A second purpose is to evaluate the effects of hearing aid use on mental health and quality of life, from the consumer perspective. The third purpose of this article is to review the current status of the market in terms of usage and ownership. The usage statistics from MarkeTrak 10 answer questions such as what is the most common type of hearing aid style. And what types of hearing a...
Source: Seminars in Hearing - February 10, 2020 Category: Audiology Authors: Picou, Erin M. Tags: Review Article Source Type: research

Factors Influencing Hearing Aid Adoption
Semin Hear 2020; 41: 006-020 DOI: 10.1055/s-0040-1701242In the field of audiology, change is inevitable: changes in technologies with hearing devices, changes in consumer knowledge, and changes in consumer-driven solutions. With these changes, the audiologist must adapt to meet the needs of the consumer. There are potential predictors that the audiologist could use to determine who is more likely to pursue and use amplification; by using these data, the audiologists may increase their productivity and increase patient satisfaction. The goal of this article is to investigate the MarkeTrak 10 (MT10) data to determine the tre...
Source: Seminars in Hearing - February 10, 2020 Category: Audiology Authors: Jorgensen, Lindsey Novak, Michelle Tags: Review Article Source Type: research

MarkeTrak 10: History and Methodology
Semin Hear 2020; 41: 003-005 DOI: 10.1055/s-0040-1701241MarkeTrak has been conducted on a regular schedule for over 30 years to take the pulse of the hearing health care market and of consumers with hearing loss. The current version, MarkeTrak 10 (MT10), builds on the successful completion of MarkeTrak 9, with the same two objectives: to estimate hearing difficulty, hearing aid usage, and adoption of hearing aids in the United States and to gain insights into the consumer's journey through the hearing health care delivery system. In addition, MarkeTrak 10 added additional questions regarding use and satisfaction with Perso...
Source: Seminars in Hearing - February 10, 2020 Category: Audiology Authors: Powers, Thomas A. Rogin, Carole Tags: Review Article Source Type: research

MarkeTrak 10: Patients; Providers; Products; and Possibilities
Semin Hear 2020; 41: 001-002 DOI: 10.1055/s-0040-1701493 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - February 10, 2020 Category: Audiology Authors: Carr, Kate Tags: Preface Source Type: research

Auditory and Vestibular Side Effects of FDA-Approved Drugs for Diabetes
This article isolates the auditory and vestibular side effects of those drugs as reported by the drug's manufacturer as well as those side effects that could interfere with a balance assessment. Twenty of the 75 approved medications (26%) could have an auditory-related side effect. Hearing loss and tinnitus are not on the list. Only two, or just 3%, have vertigo and spinning as reported side effects (one each). More than 50% of the drugs will have some effect on a balance assessment. Audiologists who evaluate a patient with diabetes (PWD) are presented with symptoms that could be related to their diabetes medication. Altho...
Source: Seminars in Hearing - October 9, 2019 Category: Audiology Authors: DiSogra, Robert M. Meece, Jerry Tags: Review Article Source Type: research

Evaluation and Management of Patients with Diabetes and Hearing Loss
Semin Hear 2019; 40: 308-314 DOI: 10.1055/s-0039-1697644Diabetes mellitus is a significant risk factor for acquired hearing loss and tinnitus. Persons with diabetes (PWD) may present with hearing loss symptoms earlier in life than those without diabetes. Furthermore, diabetes may exacerbate risk for hearing loss related to noise exposure and ototoxic drugs. The purpose of this article is to provide recommendations for the prevention, screening, evaluation, and management of hearing loss in PWD. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents &n...
Source: Seminars in Hearing - October 9, 2019 Category: Audiology Authors: Spankovich, Christopher Yerraguntla, Krishna Tags: Review Article Source Type: research

Diabetes and the Vestibular System
Semin Hear 2019; 40: 300-307 DOI: 10.1055/s-0039-1697032Falls are among the most injurious, costly, and feared conditions affecting older adults. Patients with diabetes have a significantly greater risk for falling due to complications affecting the sensory systems required for balance: vision, proprioception, and vestibular. The effects of diabetes mellitus on the vestibular system are perhaps the least understood of these systems. The vestibular system is complex, includes multiple structures, and is difficult and expensive to thoroughly assess. There is pathophysiologic evidence suggesting a direct effect of diabetes me...
Source: Seminars in Hearing - October 9, 2019 Category: Audiology Authors: Piker, Erin G. Romero, Daniel J. Tags: Review Article Source Type: research

Diabetes and Auditory-Vestibular Pathology
Semin Hear 2019; 40: 292-299 DOI: 10.1055/s-0039-1697033The relationship between diabetes mellitus (DM) and the auditory/vestibular system has been investigated for more than a century. Most population-based investigations of hearing loss in persons with diabetes (PWD) have revealed a slow progressive, bilateral, high-frequency sensorineural hearing loss. Despite the growing research literature on the pathophysiology of DM-related hearing loss using various animal models and other human studies, knowledge of specific mechanism of the degenerative changes of the inner ear and/or auditory nerve is far from full elucidation. ...
Source: Seminars in Hearing - October 9, 2019 Category: Audiology Authors: Elangovan, Saravanan Spankovich, Christopher Tags: Review Article Source Type: research

Epidemiology of Diabetes and Hearing Loss
Semin Hear 2019; 40: 281-291 DOI: 10.1055/s-0039-1697643Hearing loss is a highly prevalent chronic condition. In addition to age, sex, noise exposure, and genetic predisposition, cardiovascular disease and its antecedents may precipitate hearing loss. Of emerging interest is the connection between diabetes and auditory dysfunction. Cross-sectional studies consistently suggest that prevalence of hearing loss is higher in persons with diabetes compared with those without diabetes, especially among younger persons. Furthermore, longitudinal studies have demonstrated higher incidence of hearing loss in persons with diabetes co...
Source: Seminars in Hearing - October 9, 2019 Category: Audiology Authors: Baiduc, Rachael R. Helzner, Elizabeth P. Tags: Review Article Source Type: research

The Role of Audiology in the Care of Persons with Diabetes
Semin Hear 2019; 40: 279-280 DOI: 10.1055/s-0039-1697031 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - October 9, 2019 Category: Audiology Authors: Dowd, Kathy Tags: Preface Source Type: research

Audiology Private Practice: What Students Should Consider
This article will describe the attributes of an entrepreneur as well as some of the important issues students may wish to consider prior to taking on the responsibility of being the owner of an audiology private practice. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: Kassa, Mary Tags: Review Article Source Type: research

Digital Marketing for Private Practice: How to Attract New Patients
This article provides a digital marketing plan for getting new patients to contact your office for hearing healthcare services. Patients are confused when researching hearing aids, audiologists, and hearing tests. Some Web sites advertise bypassing licensed professionals, recommending only an online hearing test or an audiogram faxed into their office for the purpose of fitting hearing aids or other technology. We know this system does not take the place of a licensed professional but, Web sites that provide this information are very believable. Practitioners and managers are frustrated and confused by what they should be ...
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: StClergy, Kevin D. Tags: Review Article Source Type: research

Often Posed Questions (and Answers) Regarding Medicare, Contracting, and Non-Hearing Aid Services
Semin Hear 2019; 40: 253-259 DOI: 10.1055/s-0039-1693492Medicare Part B provider participation is often met with grumbling and disdain by most health care providers, including audiologists. Other pain points for audiologists likely include insurance contracts, third-party administrators, and the unknown of the future. The dynamic landscape that will include technology and delivery systems was, until recently, mere thoughts on paper and in conference rooms. With the moderate amount of misunderstanding about Medicare and contracting rules among the members of the profession, it is this article's intent to dispel these Medica...
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: Abel, Debra Tags: Review Article Source Type: research

Gaining Greater Adherence from Patients for Amplification
This article will discuss common objections that patients voice each day to obtaining amplification and will offer possible solutions. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: Kasewurm, Gyl A. Tags: Review Article Source Type: research

Resale Product and Accessory Opportunities for Audiology Practices
Semin Hear 2019; 40: 232-244 DOI: 10.1055/s-0039-1693448Patients need and/or want access to any number of products, including consumables and durable goods, and accessories as part of their audiology care. Audiologists have an opportunity to offer products and accessories for resale from their clinical office. Several methods for reselling items to established patients including an overview of an ecommerce approach successfully implemented by several individual audiology private practices will be reviewed. Upon completion, readers will be familiar with the general steps for incorporating an e-shop within an existing busine...
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: Bankaitis Smith, A. U. Tags: Review Article Source Type: research

Making a Good Hire
This article discusses the interviewing and onboarding process to shift the odds positively in the direction of making a lasting, good hire. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: Gregory, Laurel Clark, Deborah Tags: Review Article Source Type: research

What Gets Measured Gets Done: Calculating the Value of Professional Service
This article focuses on providing a straightforward method for calculating revenue per clinical hour required to maintain quality, professionally driven, and profitable care in the hearing aid diagnostic, selection, fitting, and follow-up process. Furthermore, by measuring the value of clinical service, it uncouples the professional from the technology, and provides a tool for assessing how they can improve clinical efficiencies without compromising best practice or clinical outcomes. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  | ...
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: Fabry, Dave Tags: Review Article Source Type: research

Third-Party Payers …. The Silver Bullet?
Semin Hear 2019; 40: 207-213 DOI: 10.1055/s-0039-1693490Healthcare reform brought about many changes in the healthcare industry including the hearing aid delivery model. Third-party payers (TPPs) became a growing trend with health insurance companies. The traditional hearing aid delivery model changed from provider and patient to provider, TPP, and patient. Due to the insertion of this middle man, profit can be diminished from the hearing aid sale, along with processes. Based on this decrease in revenue, decisions need to be made if using a TPP is profitable or even affordable for a clinic. Recent polls indicate more than ...
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: Gosalia, Amit Tags: Review Article Source Type: research

Tools for Success in Private Practice
Semin Hear 2019; 40: 205-206 DOI: 10.1055/s-0039-1693447 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - August 13, 2019 Category: Audiology Authors: Kasewurm, Gyl Tags: Preface Source Type: research

Mechanisms of Cisplatin-Induced Ototoxicity and Prevention
Semin Hear 2019; 40: 197-204 DOI: 10.1055/s-0039-1684048Cisplatin is a highly effective antineoplastic agent used to treat solid tumors. Unfortunately, the administration of this drug leads to significant side effects, including ototoxicity, nephrotoxicity, and neurotoxicity. This review addresses the mechanisms of cisplatin-induced ototoxicity and various strategies tested to prevent this distressing adverse effect. The molecular pathways underlying cisplatin ototoxicity are still being investigated. Cisplatin enters targeted cells in the cochlea through the action of several transporters. Once it enters the cochlea, cisp...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Rybak, Leonard P. Mukherjea, Debashree Ramkumar, Vickram Tags: Review Article Source Type: research

Coding and Reimbursement for Cochleotoxicity and Vestibulotoxicity Services
Semin Hear 2019; 40: 188-196 DOI: 10.1055/s-0039-1684047Because of the ICD-10 disease coding system transition that occurred in the United States in 2015, coding and billing for services on behalf of patients who experience cochlear and/or vestibular toxicity may be daunting and misunderstood. Coding and billing for any audiology procedure can be compelling; choosing the appropriate codes for these specific patients is critical not only for payment for services rendered but also for the national and global implications, given their utilization is tracked for mortality and morbidity statistics and potential policies. [...] ...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Abel, Debra Tags: Review Article Source Type: research

Ototoxicity: Visualized in Concept Maps
Semin Hear 2019; 40: 177-187 DOI: 10.1055/s-0039-1684046Ototoxicity refers to the damage to structures and function of the auditory-vestibular system caused by exogenous agents such as pharmaceuticals, chemicals, and ionizing radiation. There are many potentially ototoxic substances. For example, depending on how ototoxicity is defined, there are 200 to 600 medications that can cause damage to hearing and/or balance. Ototoxicity encompasses cochleotoxicity, vestibulotoxicity, and neurotoxicity. A variety of professional disciplines are involved in determining causation, prevention, and management of ototoxic effects. Resea...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Watts, Kelly L. Tags: Review Article Source Type: research

Otoprotectants: From Research to Clinical Application
Semin Hear 2019; 40: 162-176 DOI: 10.1055/s-0039-1684045There is an urgent need for otoprotective drug agents. Prevention of noise-induced hearing loss continues to be a major challenge for military personnel and workers in a variety of industries despite the requirements that at-risk individuals use hearing protection devices such as ear plugs or ear muffs. Drug-induced hearing loss is also a major quality-of-life issue with many patients experiencing clinically significant hearing loss as a side effect of treatment with life-saving drug agents such as cisplatin and aminoglycoside antibiotics. There are no pharmaceutical ...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Le Prell, Colleen G. Tags: Review Article Source Type: research

Pediatric Ototoxicity: Current Trends and Management
Semin Hear 2019; 40: 154-161 DOI: 10.1055/s-0039-1684044Medical interventions to combat serious infection or malignancies carry significant morbidities, including ototoxicity. While these lifesaving drugs are often necessary to preserve life, the impact on quality of life for survivors is increasingly concerning for families and healthcare providers. Of primary importance for medical prescribers are appropriately sensitive ototoxicity grading scales and audiological monitoring protocols for surveillance for hearing loss. The intent of grading scales is to help communicate complicated audiological information to non-audiolo...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Fligor, Brian J. Tags: Review Article Source Type: research

Vestibular Toxicity: Causes, Evaluation Protocols, Intervention, and Management
Semin Hear 2019; 40: 144-153 DOI: 10.1055/s-0039-1684043The loss of vestibular function, typically bilateral, due to chemical solvents and pharmacological agents is not rare and has been investigated and reported for many years. The successful treatment of bacterial infections and sepsis with IV antibiotics and cancer-fighting drugs like cisplatin makes the decision to use these life-saving drugs less of a debate, despite their potential deleterious effect on balance and equilibrium. The purpose of this article is to provide the reader with an overview of the more common substances found in industry and medicine which may ...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Gans, Richard E. Rauterkus, Grant Tags: Review Article Source Type: research

Monitoring Protocols for Cochlear Toxicity
This article will review tests available to an audiologist, both subjective and objective, that can be used to effectively monitor hearing levels and auditory function during treatment. Published guidelines and various ototoxic monitoring protocols are reviewed regarding tests administered, what constitutes a significant change in test results and how these findings are reported, and the impact significant changes may have on the course of treatment. Test protocols from different institutions are compared for both similarities and contrasts. Effective scheduling and test location are key to a successful monitoring program....
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Lord, Sherman G. Tags: Review Article Source Type: research

A Review of Cisplatin-Associated Ototoxicity
Semin Hear 2019; 40: 108-121 DOI: 10.1055/s-0039-1684041Cisplatin, an effective antineoplastic drug used in the treatment of many cancers, has ototoxic potential, thus placing cancer patients, receiving this treatment, at risk of hearing loss. It is therefore important for health care professionals managing these patients to be aware of cisplatin's ototoxic properties and its clinical signs to identify patients at risk of developing a hearing impairment. Eighty-five English peer-reviewed articles and two books, from January 1975 to July 2015, were identified from PubMed, ScienceDirect, and EBSCOhost. An overview of cisplat...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Paken, Jessica Govender, Cyril D. Pillay, Mershen Sewram, Vikash Tags: Review Article Source Type: research

Common Aminoglycosides and Platinum-Based Ototoxic Drugs: Cochlear/Vestibular Side Effects and Incidence
Semin Hear 2019; 40: 104-107 DOI: 10.1055/s-0039-1684040This is a reference chart that identifies 16 aminoglycoside antibiotics and platinum based drugs that could be cochleotoxic, vestibulotoxic or both. Using the most currently available data from published research from the National Library of Medicine's PubMed data base, incidence figures and risk factors are included in the chart along with the potential of permanence of reversibility of the impairment. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  ...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: DiSogra, Robert M. Tags: Review Article Source Type: research

The Impact of Pharmaceutical Side Effects on Audiological and Vestibular Measurements
This article offers suggestions to obtain a more accurate case history. A review of preferred Web sites to obtain drug side effect information is included. Suggestions for improved communication strategies between the audiologist, the physician, the patient, and the pharmacist are highlighted. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: DiSogra, Robert M. Tags: Review Article Source Type: research

Pharmacology for the Audiologist
Semin Hear 2019; 40: 087-096 DOI: 10.1055/s-0039-1684038The purpose of this article is to provide a brief introduction and review regarding basic principles of pharmacology, including terminology and colloquialisms, as well as pharmacokinetic and pharmacodynamic principles of ototoxic agents. As an audiology practitioner, it is more important than ever to have a working knowledge regarding the known and proposed mechanisms of action for drugs and chemicals with known ototoxicity potential. Additionally, this article provides a discussion regarding the biochemistry behind distribution, which is a major step in determining o...
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: Offerdahl, Tracy Mishra, Vallabhi Tags: Review Article Source Type: research

Pharmacology and Ototoxicity
Semin Hear 2019; 40: 085-086 DOI: 10.1055/s-0039-1685161 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - April 26, 2019 Category: Audiology Authors: DiSogra, Robert M. Tags: Preface Source Type: research

Evidence-Based Interventions for Adult Aural Rehabilitation: That Was Then, This Is Now
Semin Hear 2019; 40: 068-084 DOI: 10.1055/s-0038-1676784More than a decade after Arthur Boothroyd published “Adult Aural Rehabilitation: What Is It and Does It Work?,” the four cornerstones of adult aural rehabilitation are re-examined in terms of research that we and others in the field have undertaken. The focus is on novel advances in high-quality research relating to interventions to support self-management for hearing aids and other listening devices (sensory management), knowledge and skill (instruction), auditory and cognitive training (perceptual training), and motivational engagement (counseling). Much...
Source: Seminars in Hearing - February 5, 2019 Category: Audiology Authors: Ferguson, Melanie Maidment, David Henshaw, Helen Heffernan, Eithne Tags: Review Article Source Type: research

Development and Formative Assessment of the Hearing Loss Toolkit for Self-Management
Semin Hear 2019; 40: 049-067 DOI: 10.1055/s-0038-1676783Hearing aids are a demonstrated efficacious intervention for age-related hearing loss, and research suggests that good hearing loss self-management skills improve amplification satisfaction and outcomes. One way to foster self-management skills is through the provision of patient education materials. However, many of the available resources related to the management of hearing loss do not account for health literacy and are not suitable for use with adults from varying health literacy backgrounds. To address this issue, we developed the Hearing Loss Toolkit for Self-M...
Source: Seminars in Hearing - February 5, 2019 Category: Audiology Authors: Arnold, Michelle L. Oree, Preyanca Sanchez, Victoria Reed, Nicholas Chisolm, Theresa Tags: Review Article Source Type: research

Translating Public Health Practices: Community-Based Approaches for Addressing Hearing Health Care Disparities
Semin Hear 2019; 40: 037-048 DOI: 10.1055/s-0038-1676782Epidemiologic studies reveal disparities in hearing health care with lower prevalence of hearing aid use among older adults from racial/ethnic minority groups and lower socioeconomic positions. Recent national reports recommend exploring innovative delivery models to increase the accessibility and affordability of hearing health care, particularly for underserved and vulnerable populations. With an expected rise in the prevalence of age-related hearing loss over the next four decades due to a rapidly aging population, the condition is a growing public health imperativ...
Source: Seminars in Hearing - February 5, 2019 Category: Audiology Authors: Suen, Jonathan J. Marrone, Nicole Han, Hae-Ra Lin, Frank R. Nieman, Carrie L. Tags: Review Article Source Type: research

Pilot Comparison of Adjustment Protocols of Personal Sound Amplification Products
Semin Hear 2019; 40: 026-036 DOI: 10.1055/s-0038-1676781The Over-the-Counter Hearing Aid Act of 2017 was signed into law in August 2017 and facilitates the introduction of direct-to-consumer sales of hearing aids for adults with mild-to-moderate hearing loss. Among many questions surrounding over-the-counter sales is the ability of users to self-fit amplification. Many studies have conducted self-fitting procedures using guidance materials provided by audiologists. In this pilot, we explore the ability of users to self-adjust personal sound amplification devices using only materials provided by the manufacturer and contras...
Source: Seminars in Hearing - February 5, 2019 Category: Audiology Authors: Reed, Nicholas S. Oliver, Antoinette Srinivasan, Nirmal Kumar Lin, Frank R. Korczak, Peggy A. Tags: Review Article Source Type: research

The Chronic Care Model and Chronic Condition Self-Management: An Introduction for Audiologists
Semin Hear 2019; 40: 007-025 DOI: 10.1055/s-0038-1676780Hearing health care is biomedically focused, device-centered, and clinician-led. There is emerging evidence that these characteristics—all of which are hallmarks of a health care system designed to address acute, rather than chronic, conditions—may contribute to low rates of help-seeking and hearing rehabilitation uptake among adults with hearing loss. In this review, we introduce audiologists to the Chronic Care Model, an organizational framework that describes best-practice clinical care for chronic conditions, and suggest that it may be a viable model f...
Source: Seminars in Hearing - February 5, 2019 Category: Audiology Authors: Convery, Elizabeth Hickson, Louise Keidser, Gitte Meyer, Carly Tags: Review Article Source Type: research

Novel Approaches to Fostering Hearing Loss Self-Management in Adults
Semin Hear 2019; 40: 003-006 DOI: 10.1055/s-0038-1677049 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - February 5, 2019 Category: Audiology Authors: Arnold, Michelle L. Tags: Preface Source Type: research

Important Information Regarding Continuing Education Units for Seminars in Hearing through AAA and ASHA
Semin Hear 2019; 40: 001-002 DOI: 10.1055/s-0038-1679869 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - February 5, 2019 Category: Audiology Authors: Palmer, Catherine V. Tags: Foreword Source Type: research

Profound Hearing Loss: Addressing Barriers to Hearing Healthcare
Semin Hear 2018; 39: 428-436 DOI: 10.1055/s-0038-1670708The impact of profound hearing loss on infants and adults is variable and greatly influenced by improved audition derived from hearing aids and cochlear implants. However, barriers to healthcare, hearing healthcare in particular, can offset the benefits provided by these sensory devices. Common barriers include cost, location, availability of trained professionals, acceptance of the hearing loss, language and cultural differences, secondary disabilities, and mental health issues. These barriers and their distinct presentations vary somewhat by age, language, and where...
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Pratt, Sheila R. Tags: Review Article Source Type: research

Electric and Acoustic Stimulation in Cochlear Implant Recipients with Hearing Preservation
Semin Hear 2018; 39: 414-427 DOI: 10.1055/s-0038-1670707Hearing loss affects 30 million people in the United States, and a subset of these patients have normal low-frequency hearing and ski-sloped high-frequency hearing loss. For these patients, hearing aids alone may not provide adequate benefit. Cochlear implantation alone has been utilized to improve speech perception. The addition of high-frequency electric hearing to low-frequency acoustic hearing in these patients is beneficial. Technical improvements have allowed preservation of low-frequency hearing in cochlear implant recipients, allowing for electric and acoustic...
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Welch, Christopher Dillon, Margaret T. Pillsbury, Harold C. Tags: Review Article Source Type: research

Bimodal Hearing in Individuals with Severe-to-Profound Hearing Loss: Benefits, Challenges, and Management
Semin Hear 2018; 39: 405-413 DOI: 10.1055/s-0038-1670706Binaural hearing offers numerous advantages over monaural hearing. While bilateral implants are a successful treatment option for some patients, many individuals choose to achieve binaural hearing by using a cochlear implant with a contralateral hearing aid. Compared with monaural hearing, benefits of bimodal hearing include improved speech perception in quiet and in noise, improved localization, and more natural sound quality. Despite the advantages, there exist disadvantages to bimodal hearing, primarily related to binaural integration. Management of these devices c...
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Warren, Sarah E. Dunbar, M. Noelle Tags: Review Article Source Type: research

Cochlear Implantation for Children and Adults with Severe-to-Profound Hearing Loss
Semin Hear 2018; 39: 390-404 DOI: 10.1055/s-0038-1670705Cochlear implants (CIs) have proven to be a useful treatment option for individuals with severe-to-profound hearing loss by providing improved access to one's surrounding auditory environment. CIs differ from traditional acoustic amplification by providing information to the auditory system via electrical stimulation. Both postlingually deafened adults and prelingually deafened children can benefit from a CI; however, outcomes with a CI can vary. Numerous factors can impact performance outcomes with a CI. It is important for the audiologist to understand what factors ...
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Entwisle, Lavin K. Warren, Sarah E. Messersmith, Jessica J. Tags: Review Article Source Type: research

The Use of Frequency Lowering Technology in the Treatment of Severe-to-Profound Hearing Loss: A Review of the Literature and Candidacy Considerations for Clinical Application
This article provides a review of the current literature on the topic of frequency lowering hearing aid technology specific to the treatment of severe and profound levels of hearing impairment in child and adult listeners. Factors to consider when assessing listener candidacy for frequency lowering technology are discussed. These include factors related to audiometric assessment, the listener, the type of hearing aid technology, and the verification and validation procedures that can assist in determining candidacy for frequency lowering technology. An individualized candidacy assessment including the use of real-ear verif...
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Glista, Danielle Scollie, Susan Tags: Review Article Source Type: research

Conventional Amplification for Children and Adults with Severe-to-Profound Hearing Loss
Semin Hear 2018; 39: 364-376 DOI: 10.1055/s-0038-1670699The primary goal of amplification is to restore audibility without causing discomfort; for someone with severe-to-profound hearing loss, the reduced dynamic range poses unique challenges in hearing-assistive device fitting. These challenges, including physiological limitation, processing difficulties, technology constraints, and other confounding factors, must be considered when selecting, fitting, and counseling for appropriate amplification. Many of the advanced features in hearing aids do not adequately address the unique characteristics of patients with severe-to-...
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Jorgensen, Lindsey E. Benson, Emily A. McCreery, Ryan W. Tags: Review Article Source Type: research

The Physiologic and Psychophysical Consequences of Severe-to-Profound Hearing Loss
Semin Hear 2018; 39: 349-363 DOI: 10.1055/s-0038-1670698Substantial loss of cochlear function is required to elevate pure-tone thresholds to the severe hearing loss range; yet, individuals with severe or profound hearing loss continue to rely on hearing for communication. Despite the impairment, sufficient information is encoded at the periphery to make acoustic hearing a viable option. However, the probability of significant cochlear and/or neural damage associated with the loss has consequences for sound perception and speech recognition. These consequences include degraded frequency selectivity, which can be assessed wi...
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Souza, Pamela Hoover, Eric Tags: Review Article Source Type: research

Consequences and Treatment Options for Severe-to-Profound Hearing Loss
Semin Hear 2018; 39: 347-348 DOI: 10.1055/s-0038-1670701 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Messersmith, Jessica J. Tags: Preface Source Type: research

Important Information Regarding Continuing Education Units for Seminars in Hearing through AAA and ASHA
Semin Hear 2018; 39: 345-346 DOI: 10.1055/s-0038-1675567 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Hearing)
Source: Seminars in Hearing - October 26, 2018 Category: Audiology Authors: Palmer, Catherine V. Tags: Foreword Source Type: research