Hvem vi er
PhD studerende
Aalborg Universitet
Sreeram Kaithali Narayanan
Sreeram Kaithali Narayanan fik sin ingeniøruddannelse indenfor elektronik og telekommunikation fra Anna University i Indien i 2005. Han arbejdede for mere end 10 år i forskellige industri jobs med blandet rumakustik, før han tog sin kandidatgrad indenfor Lyd og Akustisk Teknologi ved Danmarks Tekniske Universitet i august 2018. Hans kandidat projekt fokuserede på forståelsen af betydningen af hovedbevægelser under måling af hjernestammeaudiometri i frit felt, som er en objektiv målemetode, som er foreslået som klinisk metode i forbindelse med høreapparat tilpasning af spædbørn. Fra 1. september 2018 til 23. januar 2019 arbejdede han som forskningsassistent ved gruppen for Akustisk Teknologi ved DTU.
Arbejdsområde
Sreeram Kaithali Narayanan vil primært arbejde med udfordringerne knyttet til brugere med dårligt udbytte af høreapparat rehabiliteringen.
Ressourcer
Publikationer
2023 |
Narayanan, Sreeram Kaithali; Rye, Palle; Houmøller, Sabina Storbjerg; Wolff, Anne; Hougaard, Dan Dupont; Gaihede, Michael; Hammershøi, Dorte Difference in SII provided by initial fit and NAL-NL2 and its relation to self-reported hearing aid outcomes Journal Article International Journal of Audiology, pp. 1-8, 2023. @article{SKN_SII, title = {Difference in SII provided by initial fit and NAL-NL2 and its relation to self-reported hearing aid outcomes}, author = {Sreeram Kaithali Narayanan and Palle Rye and Sabina Storbjerg Houmøller and Anne Wolff and Dan Dupont Hougaard and Michael Gaihede and Dorte Hammershøi}, doi = {10.1080/14992027.2023.2291633}, year = {2023}, date = {2023-12-19}, journal = {International Journal of Audiology}, pages = {1-8}, abstract = {Objective The speech intelligibility index (SII) is used to quantify the audibility of the speech. This study examined the relationship between self-reported hearing aid (HA) outcomes and the difference in aided SII (SIIA) calculated from the initial fit (IF) gain and that prescribed as per the second generation of National Acoustic Laboratory Non-Linear (NAL-NL2). Design A prospective observational study. Study sample The study included 718 first-time and 253 experienced HA users. All users had a valid real-ear measurement (REM) at three input levels (55, 65 and 80 dB SPL). Results The gain provided by IF was lower than NAL-NL2 at 55 and 65 dB SPL. IF gain exhibited reduced compression than NAL-NL2 as input levels increased from 55 to 80 dB SPL. On average, the SIIA provided by IF was significantly lower than that for NAL-NL2 at all input levels. The difference in SIIA between IF and NAL-NL2 at 80 dB SPL input level with 0 dB signal-to-noise ratio (SNR) turned out to be a predictor for self-reported outcome for first-time HA users. Conclusion The study suggests that an SIIA close to that provided by NAL-NL2 at high input levels would be preferred to obtain a better self-reported outcome. }, keywords = {}, pubstate = {published}, tppubtype = {article} } Objective The speech intelligibility index (SII) is used to quantify the audibility of the speech. This study examined the relationship between self-reported hearing aid (HA) outcomes and the difference in aided SII (SIIA) calculated from the initial fit (IF) gain and that prescribed as per the second generation of National Acoustic Laboratory Non-Linear (NAL-NL2). Design A prospective observational study. Study sample The study included 718 first-time and 253 experienced HA users. All users had a valid real-ear measurement (REM) at three input levels (55, 65 and 80 dB SPL). Results The gain provided by IF was lower than NAL-NL2 at 55 and 65 dB SPL. IF gain exhibited reduced compression than NAL-NL2 as input levels increased from 55 to 80 dB SPL. On average, the SIIA provided by IF was significantly lower than that for NAL-NL2 at all input levels. The difference in SIIA between IF and NAL-NL2 at 80 dB SPL input level with 0 dB signal-to-noise ratio (SNR) turned out to be a predictor for self-reported outcome for first-time HA users. Conclusion The study suggests that an SIIA close to that provided by NAL-NL2 at high input levels would be preferred to obtain a better self-reported outcome. |
Houmøller, Sabina Storbjerg; Tsai, Li-Tang; Wolff, Anne; Narayanan, Sreeram Kaithali; Hougaard, Dan Dupont; Gaihede, Michael; Hammershøi, Dorte; Godballe, Christian; Schmidt, Jesper Hvass A history of occupational noise exposure is associated with steep-slope audiograms and poorer self-reported hearing-aid outcomes Journal Article International Journal of Audiology, 2023. @article{sabina_noise, title = {A history of occupational noise exposure is associated with steep-slope audiograms and poorer self-reported hearing-aid outcomes}, author = {Sabina Storbjerg Houmøller and Li-Tang Tsai and Anne Wolff and Sreeram Kaithali Narayanan and Dan Dupont Hougaard and Michael Gaihede and Dorte Hammershøi and Christian Godballe and Jesper Hvass Schmidt}, url = {https://doi.org/10.1080/14992027.2023.2272558}, doi = {10.1080/14992027.2023.2272558}, year = {2023}, date = {2023-11-01}, journal = {International Journal of Audiology}, abstract = {Objective To investigate the effects of previous occupational noise exposure in older adults with hearing loss on (1) audiometric configuration and acoustic reflex (AR) thresholds and (2) self-reported hearing abilities and hearing aid (HA) effectiveness. Design A prospective observational study. Study sample The study included 1176 adults (≥60 years) with bilateral sensorineural hearing loss. Pure-tone audiometry, AR thresholds, and responses to the abbreviated version of the Speech, Spatial, and Qualities of Hearing Scale (SSQ12) and the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire were obtained, along with information about previous occupational noise exposure. Results Greater occupational noise exposure was associated with a higher prevalence of steeply sloping audiograms in men and women and a 0.32 (95% CI: −0.57; −0.06) scale points lower mean SSQ12 total score among noise-exposed men. AR thresholds did not show a significant relation to noise-exposure status, but hearing thresholds at a given frequency were related to elevated AR thresholds at the same frequency. Conclusions A noise exposure history is linked to steeper audiograms in older adults with hearing loss as well as to poorer self-reported hearing abilities in noise-exposed men. More attention to older adults with previous noise exposure is warranted in hearing rehabilitation.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Objective To investigate the effects of previous occupational noise exposure in older adults with hearing loss on (1) audiometric configuration and acoustic reflex (AR) thresholds and (2) self-reported hearing abilities and hearing aid (HA) effectiveness. Design A prospective observational study. Study sample The study included 1176 adults (≥60 years) with bilateral sensorineural hearing loss. Pure-tone audiometry, AR thresholds, and responses to the abbreviated version of the Speech, Spatial, and Qualities of Hearing Scale (SSQ12) and the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire were obtained, along with information about previous occupational noise exposure. Results Greater occupational noise exposure was associated with a higher prevalence of steeply sloping audiograms in men and women and a 0.32 (95% CI: −0.57; −0.06) scale points lower mean SSQ12 total score among noise-exposed men. AR thresholds did not show a significant relation to noise-exposure status, but hearing thresholds at a given frequency were related to elevated AR thresholds at the same frequency. Conclusions A noise exposure history is linked to steeper audiograms in older adults with hearing loss as well as to poorer self-reported hearing abilities in noise-exposed men. More attention to older adults with previous noise exposure is warranted in hearing rehabilitation. |
Narayanan, Sreeram Kaithali; Houmøller, Sabina Storbjerg; Wolff, Anne; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper Hvass; Hammershøi, Dorte Adapting to New Hearing Aids and Hearing Aid Adjustments in Adult Danish Users Journal Article American Journal of Audiology, 32 (3), pp. 526-542, 2023. @article{skn_aja, title = {Adapting to New Hearing Aids and Hearing Aid Adjustments in Adult Danish Users}, author = {Sreeram Kaithali Narayanan and Sabina Storbjerg Houmøller and Anne Wolff and Dan Dupont Hougaard and Michael Gaihede and Jesper Hvass Schmidt and Dorte Hammershøi}, url = {https://doi.org/10.1044/2023_AJA-23-00030}, doi = {10.1044/2023_AJA-23-00030}, year = {2023}, date = {2023-07-14}, journal = {American Journal of Audiology}, volume = {32}, number = {3}, pages = {526-542}, abstract = {Purpose: This study was aimed at understanding the effect of time taken to adapt to the new hearing aids (HAs) and the timeline of HA adjustments performed over more than a year of rehabilitation on self-reported HA outcomes. Method: A self-report of the time it took to get accustomed to the new HAs and adjustment of the HAs during a year of rehabilitation collected from 690 HA users using a nonstandardized questionnaire were analyzed. The abbreviated version of the Speech, Spatial, and Quality of Hearing questionnaire and the International Outcome Inventory for Hearing Aids were used as the self-reported HA outcome. Result: Out of 690 participants, 442 (64%) got accustomed to HAs within 2 months. Ninety-one participants (13%) did not get accustomed to the HAs at all, out of which 74 (81%) were first-time HA users. Eighty-four participants (12%) did not receive any HA adjustments after their initial fitting, and 49 (7%) had their HAs adjusted four or more times during the 1 year of rehabilitation. Three hundred ninety (57%) participants got their HA adjusted only at the 2-month follow-up visit, showing the intent to adjust given an opportunity. The stepwise multiple linear regression results showed the significant impact of getting accustomed to the HA and having HA adjusted at multiple instances on the self-reported HA outcomes. Conclusion: This study showed the importance of getting accustomed to the HA and having a minimal number of adjustments to have a better long-term self-reported HA outcome.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Purpose: This study was aimed at understanding the effect of time taken to adapt to the new hearing aids (HAs) and the timeline of HA adjustments performed over more than a year of rehabilitation on self-reported HA outcomes. Method: A self-report of the time it took to get accustomed to the new HAs and adjustment of the HAs during a year of rehabilitation collected from 690 HA users using a nonstandardized questionnaire were analyzed. The abbreviated version of the Speech, Spatial, and Quality of Hearing questionnaire and the International Outcome Inventory for Hearing Aids were used as the self-reported HA outcome. Result: Out of 690 participants, 442 (64%) got accustomed to HAs within 2 months. Ninety-one participants (13%) did not get accustomed to the HAs at all, out of which 74 (81%) were first-time HA users. Eighty-four participants (12%) did not receive any HA adjustments after their initial fitting, and 49 (7%) had their HAs adjusted four or more times during the 1 year of rehabilitation. Three hundred ninety (57%) participants got their HA adjusted only at the 2-month follow-up visit, showing the intent to adjust given an opportunity. The stepwise multiple linear regression results showed the significant impact of getting accustomed to the HA and having HA adjusted at multiple instances on the self-reported HA outcomes. Conclusion: This study showed the importance of getting accustomed to the HA and having a minimal number of adjustments to have a better long-term self-reported HA outcome. |
Narayanan, Sreeram Kaithali; Houmøller, Sabina Storbjerg; Wolff, Anne; Lund, Katja; Möller, Sören; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper Hvass; Hammershøi, Dorte Self-Reported Hearing-Aid Use Patterns in an Adult Danish Population Journal Article Audiological Research, 13 (2), pp. 221-235, 2023. @article{AR2023SKN, title = {Self-Reported Hearing-Aid Use Patterns in an Adult Danish Population}, author = {Sreeram Kaithali Narayanan and Sabina Storbjerg Houmøller and Anne Wolff and Katja Lund and Sören Möller and Dan Dupont Hougaard and Michael Gaihede and Jesper Hvass Schmidt and Dorte Hammershøi}, url = {https://doi.org/10.3390/audiolres13020021}, doi = {10.3390/audiolres13020021}, year = {2023}, date = {2023-03-27}, journal = {Audiological Research}, volume = {13}, number = {2}, pages = {221-235}, abstract = {The retrospective reporting of users’ hearing aid (HA) usage can provide insight into individualized HA usage patterns. Understanding these HA usage patterns can help to provide a tailored solution to meet the usage needs of HA users. This study aims to understand the HA usage pattern in daily-life situations from self-reported data and to examine its relationship to self-reported outcomes. A total of 1537 participants who responded to questions related to situations where they always took off or put on the HAs were included in the study. A latent class analysis was performed to stratify the HA users according to their HA usage pattern. The results showed distinct usage patterns in the latent classes derived for both scenarios. The demographics, socio-economic indicators, hearing loss, and user-related factors were found to impact HA usage. The results showed that the HA users who reported using the HAs all the time (regular users) had better self-reported HA outcomes than situational users, situational non-users, and non-users. The study explained the underlying distinct HA usage pattern from self-reported questionnaires using latent class analysis. The results emphasized the importance of regular use of HAs for a better self-reported HA outcome}, keywords = {}, pubstate = {published}, tppubtype = {article} } The retrospective reporting of users’ hearing aid (HA) usage can provide insight into individualized HA usage patterns. Understanding these HA usage patterns can help to provide a tailored solution to meet the usage needs of HA users. This study aims to understand the HA usage pattern in daily-life situations from self-reported data and to examine its relationship to self-reported outcomes. A total of 1537 participants who responded to questions related to situations where they always took off or put on the HAs were included in the study. A latent class analysis was performed to stratify the HA users according to their HA usage pattern. The results showed distinct usage patterns in the latent classes derived for both scenarios. The demographics, socio-economic indicators, hearing loss, and user-related factors were found to impact HA usage. The results showed that the HA users who reported using the HAs all the time (regular users) had better self-reported HA outcomes than situational users, situational non-users, and non-users. The study explained the underlying distinct HA usage pattern from self-reported questionnaires using latent class analysis. The results emphasized the importance of regular use of HAs for a better self-reported HA outcome |
2022 |
Sanchez-Lopez, Raul; Wu, Mengfan; Fereczkowski, Michal; Santurette, Sébastien; Baumann, Monika; Kowalewski, Borys; Piechowiak, Tobias; Bisgaard, Nikolai; Ravn, Gert; Narayanan, Sreeram Kaithali; Dau, Torsten; Neher, Tobias Towards Auditory Profile-Based Hearing-Aid Fittings: BEAR Rationale and Clinical Implementation Journal Article Audiological Research, 12 (5), pp. 564-573, 2022. @article{AudRes2022a, title = {Towards Auditory Profile-Based Hearing-Aid Fittings: BEAR Rationale and Clinical Implementation}, author = {Raul Sanchez-Lopez and Mengfan Wu and Michal Fereczkowski and Sébastien Santurette and Monika Baumann and Borys Kowalewski and Tobias Piechowiak and Nikolai Bisgaard and Gert Ravn and Sreeram Kaithali Narayanan and Torsten Dau and Tobias Neher}, url = {https://doi.org/10.3390/audiolres12050055}, doi = {10.3390/audiolres12050055}, year = {2022}, date = {2022-10-09}, journal = {Audiological Research}, volume = {12}, number = {5}, pages = {564-573}, abstract = {(1) Background: To improve hearing-aid rehabilitation, the Danish ‘Better hEAring Rehabilitation’ (BEAR) project recently developed methods for individual hearing loss characterization and hearing-aid fitting. Four auditory profiles differing in terms of audiometric hearing loss and supra-threshold hearing abilities were identified. To enable auditory profile-based hearing-aid treatment, a fitting rationale leveraging differences in gain prescription and signal-to- noise (SNR) improvement was developed. This report describes the translation of this rationale to clinical devices supplied by three industrial partners. (2) Methods: Regarding the SNR improvement, advanced feature settings were proposed and verified based on free-field measurements made with an acoustic mannikin fitted with the different hearing aids. Regarding the gain prescription, a clinically feasible fitting tool and procedure based on real-ear gain adjustments were developed. (3) Results: Analyses of the collected real-ear gain and SNR improvement data confirmed the feasibility of the clinical implementation. Differences between the auditory profile-based fitting strategy and a current ‘best practice’ procedure based on the NAL- NL2 fitting rule were verified and are discussed in terms of limitations and future perspectives. (4) Conclusion: Based on a joint effort from academic and industrial partners, the BEAR fitting rationale was transferred to commercially available hearing aids.}, keywords = {}, pubstate = {published}, tppubtype = {article} } (1) Background: To improve hearing-aid rehabilitation, the Danish ‘Better hEAring Rehabilitation’ (BEAR) project recently developed methods for individual hearing loss characterization and hearing-aid fitting. Four auditory profiles differing in terms of audiometric hearing loss and supra-threshold hearing abilities were identified. To enable auditory profile-based hearing-aid treatment, a fitting rationale leveraging differences in gain prescription and signal-to- noise (SNR) improvement was developed. This report describes the translation of this rationale to clinical devices supplied by three industrial partners. (2) Methods: Regarding the SNR improvement, advanced feature settings were proposed and verified based on free-field measurements made with an acoustic mannikin fitted with the different hearing aids. Regarding the gain prescription, a clinically feasible fitting tool and procedure based on real-ear gain adjustments were developed. (3) Results: Analyses of the collected real-ear gain and SNR improvement data confirmed the feasibility of the clinical implementation. Differences between the auditory profile-based fitting strategy and a current ‘best practice’ procedure based on the NAL- NL2 fitting rule were verified and are discussed in terms of limitations and future perspectives. (4) Conclusion: Based on a joint effort from academic and industrial partners, the BEAR fitting rationale was transferred to commercially available hearing aids. |
Narayanan, Sreeram Kaithali; Rye, Palle; Piechowiak, Tobias; Ravn, Gert; Wolff, Anne; Houmøller, Sabina Storbjerg; Schmidt, Jesper Hvass; Hammershøi, Dorte Can real-ear insertion gain deviations from generic fitting prescriptions predict self-reported outcomes? Journal Article The International Journal of Audiology, 62 (5), pp. 433-441, 2022. @article{TIJA_SKN_J1, title = {Can real-ear insertion gain deviations from generic fitting prescriptions predict self-reported outcomes?}, author = {Sreeram Kaithali Narayanan and Palle Rye and Tobias Piechowiak and Gert Ravn and Anne Wolff and Sabina Storbjerg Houmøller and Jesper Hvass Schmidt and Dorte Hammershøi}, url = {https://doi.org/10.1080/14992027.2022.2053594}, doi = {10.1080/14992027.2022.2053594}, year = {2022}, date = {2022-04-07}, journal = {The International Journal of Audiology}, volume = {62}, number = {5}, pages = {433-441}, abstract = {Objective The aim of this study was to determine whether the differences in insertion gains from the first fit to generic prescriptions of hearing aids can predict the self-reported hearing aid (HA) outcomes for first-time and experienced HA users. Design This was a prospective observational study. Study Sample The study included 885 first-time and 330 experienced HA users with a valid real-ear measurement on both ears and answers to the abbreviated version of the Speech, Spatial, and Quality of Hearing (SSQ12) and the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaires. Results K-means clustering of gain differences between individual real-ear insertion gain to three generic gain prescriptions (NAL-NL2, NAL-RP, and one-third gain rules) was performed. The gain difference at higher frequencies generally differentiated the clusters. The experienced users in the cluster with fittings closest to NAL-NL2 and NAL-RP prescription were found to exhibit a higher IOI-HA Factor 1 score (representing the overall benefit of the hearing aid use). The gain differences to generic prescription did not affect other self-reported outcomes for first-time and experienced HA users. Conclusion The experienced HA users with minimal gain deviations from generic prescriptions reported better self-perceived benefits than users with larger deviations. However, this was not apparent in first-time users.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Objective The aim of this study was to determine whether the differences in insertion gains from the first fit to generic prescriptions of hearing aids can predict the self-reported hearing aid (HA) outcomes for first-time and experienced HA users. Design This was a prospective observational study. Study Sample The study included 885 first-time and 330 experienced HA users with a valid real-ear measurement on both ears and answers to the abbreviated version of the Speech, Spatial, and Quality of Hearing (SSQ12) and the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaires. Results K-means clustering of gain differences between individual real-ear insertion gain to three generic gain prescriptions (NAL-NL2, NAL-RP, and one-third gain rules) was performed. The gain difference at higher frequencies generally differentiated the clusters. The experienced users in the cluster with fittings closest to NAL-NL2 and NAL-RP prescription were found to exhibit a higher IOI-HA Factor 1 score (representing the overall benefit of the hearing aid use). The gain differences to generic prescription did not affect other self-reported outcomes for first-time and experienced HA users. Conclusion The experienced HA users with minimal gain deviations from generic prescriptions reported better self-perceived benefits than users with larger deviations. However, this was not apparent in first-time users. |
2021 |
Houmøller, Sabina Storbjerg; Wolff, Anne; Narne, Vijaya K; Narayanan, Sreeram Kaithali; Godballe, Christian; Hougaard, Dan Dupont; Loquet, Gérard; Gaihede, Michael L; Hammershøi, Dorte; Schmidt, Jesper Hvass International Journal of Audiology, pp. 1-11, 2021. @article{doi:10.1080/14992027.2021.1916632, title = {Prediction of successful hearing aid treatment in first-time and experienced hearing aid users: Using the International Outcome Inventory for Hearing Aids}, author = {Sabina Storbjerg Houmøller and Anne Wolff and Vijaya K. Narne and Sreeram Kaithali Narayanan and Christian Godballe and Dan Dupont Hougaard and Gérard Loquet and Michael L Gaihede and Dorte Hammershøi and Jesper Hvass Schmidt}, url = {https://doi.org/10.1080/14992027.2021.1916632}, doi = {10.1080/14992027.2021.1916632}, year = {2021}, date = {2021-05-25}, journal = {International Journal of Audiology}, pages = {1-11}, abstract = {Objective: Primarily to understand whether clinically relevant factors affect the International Outcome Inventory (IOI-HA) scores and to examine if IOI-HA scores improve when renewing the hearing aids (HA) for experienced users. Secondly, to estimate the overall HA effectiveness using the IOI-HA. Design: A prospective observational study. Study sample: In total, 1961 patients with hearing loss were included. All patients underwent a hearing examination, were fitted with HAs, and answered the IOI-HA. Factor analysis of IOI-HA separated the items into a Factor 1 (use of HA, perceived benefits, satisfaction, and quality of life) and Factor 2 (residual activity limitation, residual participation restriction and impact on others) score. Results: Degree of hearing loss, word recognition score, motivation, HA usage time, tinnitus, asymmetry, and sex were significantly associated with total IOI-HA, Factor 1, or Factor 2 scores. The seven IOI-HA items increased on average by 0.4 (p < 0.001) when renewing HAs. The total median IOI-HA score at follow-up was 29 (7) for experienced (n = 460) and first-time users (n = 1189), respectively. Conclusions: Degree of hearing loss, word recognition score, motivation, tinnitus, asymmetry, and sex may be used to identify patients who require special attention to become successful HA users.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Objective: Primarily to understand whether clinically relevant factors affect the International Outcome Inventory (IOI-HA) scores and to examine if IOI-HA scores improve when renewing the hearing aids (HA) for experienced users. Secondly, to estimate the overall HA effectiveness using the IOI-HA. Design: A prospective observational study. Study sample: In total, 1961 patients with hearing loss were included. All patients underwent a hearing examination, were fitted with HAs, and answered the IOI-HA. Factor analysis of IOI-HA separated the items into a Factor 1 (use of HA, perceived benefits, satisfaction, and quality of life) and Factor 2 (residual activity limitation, residual participation restriction and impact on others) score. Results: Degree of hearing loss, word recognition score, motivation, HA usage time, tinnitus, asymmetry, and sex were significantly associated with total IOI-HA, Factor 1, or Factor 2 scores. The seven IOI-HA items increased on average by 0.4 (p < 0.001) when renewing HAs. The total median IOI-HA score at follow-up was 29 (7) for experienced (n = 460) and first-time users (n = 1189), respectively. Conclusions: Degree of hearing loss, word recognition score, motivation, tinnitus, asymmetry, and sex may be used to identify patients who require special attention to become successful HA users. |
Rye, Palle; Narayanan, Sreeram Kaithali; Hammershøi, Dorte Effects of Intermittent Noise on Real Ear Measurements in Hearing Aid Fitting Inproceedings Poster presentation at Baltic Nordic Acoustics Meeting, 3-5 May 2021, Oslo, Norway (online), pp. 1–6, NAA (Nordic Acoustical Association), 2021. @inproceedings{PR_BNAM2021, title = {Effects of Intermittent Noise on Real Ear Measurements in Hearing Aid Fitting}, author = {Palle Rye and Sreeram Kaithali Narayanan and Dorte Hammershøi}, url = {http://www.norskakustiskselskap.org/wp-content/uploads/2021/10/BNAM_2021_Effects_of_Intermittent_Noise_on_Real_Ear_Measurements_in_Hearing_Aid_Fitting-31-28-Rye-Palle.pdf}, year = {2021}, date = {2021-05-03}, booktitle = {Poster presentation at Baltic Nordic Acoustics Meeting, 3-5 May 2021, Oslo, Norway (online)}, pages = {1--6}, publisher = {NAA (Nordic Acoustical Association)}, abstract = {When fitting a hearing aid, real ear measurements (REM) can prove a valuable tool for adjusting the gain of the hearing aid. In REM a probe microphone is inserted into the ear canal carefully placing the probe microphone tip a few millimeters from the tympanic membrane. Typically a reference microphone is present outside the ear canal near the pinna. Proper calibration before the REM measurement ensures a flat response of the probe microphone when placing the tip at the same positions as the reference microphone. The real ear unaided gain (REUG) is measured as the level difference between the reference microphone and the probe microphone placed near the tympanic membrane. Inserting the hearing aid the real ear aided gain (REAG) can be measured similarly and the real ear insertion gain (REIG) is calculated as the difference between the REAG and the REUG. Fitting a hearing aid typically involves matching the hearing aid gain to match a REIG prescription target derived by the patients audiogram and occasionally other diagnostic data. To ensure matching the REIG to the prescription target care must be taken to ensure accuracy in the REM measurements. Inspecting a database of thousands of clinically recorded REM a handful of anomalies were detected and the present study seek to reproduce the observed effects under controlled laboratory conditions. The study involves measuring REM using manikins as well as human subjects. A semi-automated test setup was developed to synchronise the measurement equipment and the noise disturbance in order to investigate the effects of different types of intermittent noise on REM. Preliminary results indicate that intermittent noise burst even shorter than 1s in duration can cause detrimental effects on the real ear measurement.}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } When fitting a hearing aid, real ear measurements (REM) can prove a valuable tool for adjusting the gain of the hearing aid. In REM a probe microphone is inserted into the ear canal carefully placing the probe microphone tip a few millimeters from the tympanic membrane. Typically a reference microphone is present outside the ear canal near the pinna. Proper calibration before the REM measurement ensures a flat response of the probe microphone when placing the tip at the same positions as the reference microphone. The real ear unaided gain (REUG) is measured as the level difference between the reference microphone and the probe microphone placed near the tympanic membrane. Inserting the hearing aid the real ear aided gain (REAG) can be measured similarly and the real ear insertion gain (REIG) is calculated as the difference between the REAG and the REUG. Fitting a hearing aid typically involves matching the hearing aid gain to match a REIG prescription target derived by the patients audiogram and occasionally other diagnostic data. To ensure matching the REIG to the prescription target care must be taken to ensure accuracy in the REM measurements. Inspecting a database of thousands of clinically recorded REM a handful of anomalies were detected and the present study seek to reproduce the observed effects under controlled laboratory conditions. The study involves measuring REM using manikins as well as human subjects. A semi-automated test setup was developed to synchronise the measurement equipment and the noise disturbance in order to investigate the effects of different types of intermittent noise on REM. Preliminary results indicate that intermittent noise burst even shorter than 1s in duration can cause detrimental effects on the real ear measurement. |
2020 |
Narayanan, Sreeram Kaithali; Piechowiak, Tobias; Wolff, Anne; Houmøller, Sabina Storbjerg; Narne, Vijaya K; Loquet, Gérard; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper Hvass; Hammershøi, Dorte Speech related hearing aid benefit index derived from standardized self-reported questionnaire data Inproceedings Kressner, Abigail Anne; Regev, Jonathan; Christensen-Dalsgaard, Jakob; Tranebjærg, Lisbeth; Santurette, Sébastien; Dau, Torsten (Ed.): Proceedings of the International Symposium on Auditory and Audiological Research, 2020. @inproceedings{ISAAR2019_sreeram_print, title = {Speech related hearing aid benefit index derived from standardized self-reported questionnaire data}, author = {Sreeram Kaithali Narayanan and Tobias Piechowiak and Anne Wolff and Sabina Storbjerg Houmøller and Vijaya K. Narne and Gérard Loquet and Dan Dupont Hougaard and Michael Gaihede and Jesper Hvass Schmidt and Dorte Hammershøi}, editor = {Abigail Anne Kressner and Jonathan Regev and Jakob Christensen-Dalsgaard and Lisbeth Tranebjærg and Sébastien Santurette and Torsten Dau }, url = {https://proceedings.isaar.eu/index.php/isaarproc/article/view/2019-45}, year = {2020}, date = {2020-04-14}, booktitle = {Proceedings of the International Symposium on Auditory and Audiological Research}, volume = {7}, abstract = {Speech understanding in noisy environments has been the most desired hearing-aid (HA) benefit sought by HA users. This paper examines the possibility of developing a speech-related HA benefit index from the speech- related questions in the self-reported questionnaire data. One question from Health-Related Quality of Life (HRQoL) instrument 15D and nine questions from the Speech, Spatial and Qualities of Hearing Scale (SSQ) having a direct implication to speech were selected for the analysis. After applying weights relevant to 15D, a delta of base-line (prior to HA fitting) and follow-up (two months after the initial fitting) responses to the selected questions were determined. A principal component analysis (PCA) was performed on the scaled and centered delta values. The resultant principal component scores were used to derive the composite index indicative of speech-related HA benefit.}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } Speech understanding in noisy environments has been the most desired hearing-aid (HA) benefit sought by HA users. This paper examines the possibility of developing a speech-related HA benefit index from the speech- related questions in the self-reported questionnaire data. One question from Health-Related Quality of Life (HRQoL) instrument 15D and nine questions from the Speech, Spatial and Qualities of Hearing Scale (SSQ) having a direct implication to speech were selected for the analysis. After applying weights relevant to 15D, a delta of base-line (prior to HA fitting) and follow-up (two months after the initial fitting) responses to the selected questions were determined. A principal component analysis (PCA) was performed on the scaled and centered delta values. The resultant principal component scores were used to derive the composite index indicative of speech-related HA benefit. |
Andet
2023 |
Narayanan, Sreeram Kaithali; Houmøller, Sabina Storbjerg; Wolff, Anne; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper Hvass; Hammershøi, Dorte Do Hearing Aids Help in Real-Life Work-Related Situations? Conference 16th Congress of the European Federation of Audiology Societies, (0304), European Federation of Audiology Societies 2023. @conference{SKNEFAS20230304, title = {Do Hearing Aids Help in Real-Life Work-Related Situations?}, author = {Sreeram Kaithali Narayanan and Sabina Storbjerg Houmøller and Anne Wolff and Dan Dupont Hougaard and Michael Gaihede and Jesper Hvass Schmidt and Dorte Hammershøi}, year = {2023}, date = {2023-05-06}, booktitle = {16th Congress of the European Federation of Audiology Societies}, number = {0304}, organization = {European Federation of Audiology Societies}, keywords = {}, pubstate = {published}, tppubtype = {conference} } |
Narayanan, Sreeram Kaithali; Houmøller, Sabina Storbjerg; Wolff, Anne; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper Hvass; Hammershøi, Dorte Adoption and outcome for adult hearing aid users one-year post fitting Conference 16th Congress of the European Federation of Audiology Societies, (0317), European Federation of Audiology Societies 2023. @conference{SKNEFAS20232, title = {Adoption and outcome for adult hearing aid users one-year post fitting}, author = {Sreeram Kaithali Narayanan and Sabina Storbjerg Houmøller and Anne Wolff and Dan Dupont Hougaard and Michael Gaihede and Jesper Hvass Schmidt and Dorte Hammershøi}, year = {2023}, date = {2023-05-06}, booktitle = {16th Congress of the European Federation of Audiology Societies}, number = {0317}, organization = {European Federation of Audiology Societies}, keywords = {}, pubstate = {published}, tppubtype = {conference} } |
Narayanan, Sreeram Kaithali; Houmøller, Sabina Storbjerg; Möller, Sören; Wolff, Anne; Lund, Katja; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper Hvass; Hammershøi, Dorte The pattern of hearing use in daily life situations in an adult Danish population Conference 16th Congress of the European Federation of Audiology Societies, (0314), European Federation of Audiology Societies 2023. @conference{SKNEFAS20233, title = {The pattern of hearing use in daily life situations in an adult Danish population}, author = {Sreeram Kaithali Narayanan and Sabina Storbjerg Houmøller and Sören Möller and Anne Wolff and Katja Lund and Dan Dupont Hougaard and Michael Gaihede and Jesper Hvass Schmidt and Dorte Hammershøi}, year = {2023}, date = {2023-05-06}, booktitle = {16th Congress of the European Federation of Audiology Societies}, number = {0314}, organization = {European Federation of Audiology Societies}, keywords = {}, pubstate = {published}, tppubtype = {conference} } |
2022 |
Narayanan, Sreeram Kaithali; Rye, Palle; Houmøller, Sabina S; Wolff, Anne; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper Hvass; Hammershøi, Dorte Relation between audibility and self-reported outcome in a large cohort of adult hearing aid users Conference The Bi-Annual Meeting of the Nordic Audiological Society, Nordic Audiological Society 2022. @conference{SKNNAS2023, title = {Relation between audibility and self-reported outcome in a large cohort of adult hearing aid users}, author = {Sreeram Kaithali Narayanan and Palle Rye and Sabina S Houmøller and Anne Wolff and Dan Dupont Hougaard and Michael Gaihede and Jesper Hvass Schmidt and Dorte Hammershøi}, year = {2022}, date = {2022-06-01}, booktitle = {The Bi-Annual Meeting of the Nordic Audiological Society}, organization = {Nordic Audiological Society}, keywords = {}, pubstate = {published}, tppubtype = {conference} } |
Sanchez-Lopez, Raul; Fereczkowski, Michal; Wu, Mengfan; Santurette, Sébastien; Baumann, Monika; Kowalewski, Borys; Piechowiak, Tobias; Ravn, Gert; Narayanan, Sreeram Kaithali; Dau, Torsten; Neher, Tobias Towards auditory profile-based hearing-aid fittings: BEAR rationale and clinical implementation Inproceedings Oral presentation at the Joint Euroregio Baltic Nordic Acoustics Meeting, Aalborg, Denmark, 2022. @inproceedings{raul_ERBNAM20222, title = {Towards auditory profile-based hearing-aid fittings: BEAR rationale and clinical implementation}, author = {Raul Sanchez-Lopez and Michal Fereczkowski and Mengfan Wu and Sébastien Santurette and Monika Baumann and Borys Kowalewski and Tobias Piechowiak and Gert Ravn and Sreeram Kaithali Narayanan and Torsten Dau and Tobias Neher}, url = {https://www.conforg.fr/bin/time_table?dir=erbnam2022}, year = {2022}, date = {2022-05-09}, booktitle = {Oral presentation at the Joint Euroregio Baltic Nordic Acoustics Meeting, Aalborg, Denmark}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } |
Narayanan, Sreeram Kaithali; Houmøller, Sabina S; Wolff, Anne; Tsai, Li-Tang; Lund, Katja; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper H; Hammershøi, Dorte Situations where users always wear or take off their hearing aids Inproceedings Oral presentation at the Joint Euroregio Baltic Nordic Acoustics Meeting, Aalborg, Denmark, 2022. @inproceedings{SKN_ERBNAM2022, title = {Situations where users always wear or take off their hearing aids}, author = {Sreeram Kaithali Narayanan and Sabina S Houmøller and Anne Wolff and Li-Tang Tsai and Katja Lund and Dan Dupont Hougaard and Michael Gaihede and Jesper H Schmidt and Dorte Hammershøi}, url = {https://www.conforg.fr/bin/time_table?dir=erbnam2022}, year = {2022}, date = {2022-05-09}, booktitle = {Oral presentation at the Joint Euroregio Baltic Nordic Acoustics Meeting, Aalborg, Denmark}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } |
Houmøller, Sabina Storbjerg; Wolff, Anne; Tsai, Li-Tang; Narayanan, Sreeram Kaithali; Hougaard, Dan Dupont; Gaihede, Michael; Neher, Tobias; Godballe, Christian; Schmidt, Jesper Hvass Impact of hearing aid technology level on reported outcomes in older adults with presbycusis: a randomized controlled trial Inproceedings Book of Abstracts for the XXXV World Congress of Audiology, pp. 173, 2022. @inproceedings{WCA2022, title = {Impact of hearing aid technology level on reported outcomes in older adults with presbycusis: a randomized controlled trial}, author = {Sabina Storbjerg Houmøller and Anne Wolff and Li-Tang Tsai and Sreeram Kaithali Narayanan and Dan Dupont Hougaard and Michael Gaihede and Tobias Neher and Christian Godballe and Jesper Hvass Schmidt}, url = {https://www.journalofhearingscience.com/XXXV-WORLD-CONGRESS-OF-AUDIOLOGY-WARSAW-POLAND-10-13-APRIL-2022,147771,0,2.html}, year = {2022}, date = {2022-04-13}, booktitle = {Book of Abstracts for the XXXV World Congress of Audiology}, journal = {J. Hear. Sci. }, volume = {12}, number = {1}, pages = {173}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } |
2021 |
Houmøller, Sabina S; Wolff, Anne; Tsai, Li-Tang; Narayanan, Sreeram Kaithali; Hougaard, Dan Dupont; Gaihede, Michael; Neher, Tobias; Godballe, Christian; Schmidt, Jesper H Oral presentation at the International Symposium on Auditory and Audiological Research: Vol 8: The Auditory System Throughout Life – Models, Mechanisms, and Interventions, 2021. @inproceedings{Sabina_ISAAR2021, title = {Impact of hearing aid technology level at first-fit on reported outcomes in older adults with presbycusis: A randomized controlled trial}, author = {Sabina S Houmøller and Anne Wolff and Li-Tang Tsai and Sreeram Kaithali Narayanan and Dan Dupont Hougaard and Michael Gaihede and Tobias Neher and Christian Godballe and Jesper H Schmidt }, url = {https://isaar.eu/wp-content/uploads/2021/08/Programme-book-ISAAR-2021.pdf}, year = {2021}, date = {2021-08-23}, booktitle = {Oral presentation at the International Symposium on Auditory and Audiological Research: Vol 8: The Auditory System Throughout Life – Models, Mechanisms, and Interventions}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } |
Narayanan, Sreeram Kaithali; Wolff, Anne; Houmøller, Sabina S; Tsai, Li-Tang; Hougaard, Dan Dupont; Gaihede, Michael; Schmidt, Jesper H; Hammershøi, Dorte Timeline and preference of the hearing aid adjustments over a year of rehabilitation and relation to self-reported outcome Inproceedings Oral presentation at the International Symposium on Auditory and Audiological Research: Vol 8: The Auditory System Throughout Life – Models, Mechanisms, and Interventions, 2021. @inproceedings{Sreeram_ISAAR2021, title = {Timeline and preference of the hearing aid adjustments over a year of rehabilitation and relation to self-reported outcome}, author = {Sreeram Kaithali Narayanan and Anne Wolff and Sabina S Houmøller and Li-Tang Tsai and Dan Dupont Hougaard and Michael Gaihede and Jesper H Schmidt and Dorte Hammershøi}, url = {https://isaar.eu/wp-content/uploads/2021/08/Programme-book-ISAAR-2021.pdf}, year = {2021}, date = {2021-08-23}, booktitle = {Oral presentation at the International Symposium on Auditory and Audiological Research: Vol 8: The Auditory System Throughout Life – Models, Mechanisms, and Interventions}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } |
2020 |
Narayanan, Sreeram Kaithali; Ravn, Gert Real ear measurements and standardization Conference Webinar, 1 December 2020, Danish Acoustical Society, 2020. @conference{SKN_GR_DAS2020, title = {Real ear measurements and standardization}, author = {Sreeram Kaithali Narayanan and Gert Ravn}, url = {https://d-a‐s.dk/events/bedre‐hoererehabilitering‐i‐danmark/}, year = {2020}, date = {2020-12-01}, booktitle = {Webinar, 1 December 2020}, publisher = {Danish Acoustical Society}, keywords = {}, pubstate = {published}, tppubtype = {conference} } |
2019 |
Narayanan, Sreeram Kaithali; Piechowiak, Tobias; Wolff, Anne; Houmøller, Sabina Storbjerg; Narne, Vijay; Loquet, Gérard; Hougaard, Dan Dupont; Gaihede, Michael L; Schmidt, Jesper Hvass; Hammershøi, Dorte Speech related hearing aid benefit index derived from standardized self-reported questionnaire data Conference Poster presentation at the International Symposium on Auditory and Audiological Research: Vol. 7: Auditory Learning in Biological and Artificial Systems, (SP.50), The Danavox Jubilee Foundation 2019. @conference{isaar2019skn, title = {Speech related hearing aid benefit index derived from standardized self-reported questionnaire data}, author = {Sreeram Kaithali Narayanan and Tobias Piechowiak and Anne Wolff and Sabina Storbjerg Houmøller and Vijay Narne and Gérard Loquet and Dan Dupont Hougaard and Michael L Gaihede and Jesper Hvass Schmidt and Dorte Hammershøi}, url = {https://whova.com/embedded/speaker_session_detail/isaar_201908/701058/}, year = {2019}, date = {2019-08-21}, booktitle = {Poster presentation at the International Symposium on Auditory and Audiological Research: Vol. 7: Auditory Learning in Biological and Artificial Systems}, number = {SP.50}, organization = {The Danavox Jubilee Foundation}, abstract = {Speech understanding in noisy environments has been the most desired hearing aid (HA) benefit sought by hearing aid users. This paper examines the possibility of developing a speech related HA benefit index from correlated speech related questions from three different self-reported questionnaire's (SSQ12, IOI-HA, and 15D). The 4 questions in SSQ12 (question number 1,4,11 and 12), 3 questions in IOI-HA(question number 3,5 and 6) and 3rd question from health-related quality of life questionnaire 15D relating to speech were found correlated and are chosen for further analysis. After the normalization of the relevant questions, a principal component analysis (PCA) is used to reduce the dimensionality and determine the coefficients. The resultant coefficients are used to create a common speech related HA benefit index.}, keywords = {}, pubstate = {published}, tppubtype = {conference} } Speech understanding in noisy environments has been the most desired hearing aid (HA) benefit sought by hearing aid users. This paper examines the possibility of developing a speech related HA benefit index from correlated speech related questions from three different self-reported questionnaire's (SSQ12, IOI-HA, and 15D). The 4 questions in SSQ12 (question number 1,4,11 and 12), 3 questions in IOI-HA(question number 3,5 and 6) and 3rd question from health-related quality of life questionnaire 15D relating to speech were found correlated and are chosen for further analysis. After the normalization of the relevant questions, a principal component analysis (PCA) is used to reduce the dimensionality and determine the coefficients. The resultant coefficients are used to create a common speech related HA benefit index. |
Universitetshospitaler
Odense Universitetshospital
Rikke Schnack-Petersen
rikke.schnack-petersen@rsyd.dk
Aalborg Universitetshospital
Michael Gaihede
mlg@rn.dk
Københavns Universitetshospital
Jesper Borchorst Yde
jesper.borchorst.yde.01@regionh.dk
Universiteter
Jesper Hvass Schmidt
jesper.schmidt@rsyd.dk
Aalborg Universitet
Dorte Hammershøi
dh@es.aau.dk
Danmarks Tekniske Universitet
Torsten Dau
tdau@dtu.dk
GTS
Industri
Oticon
Karen Wibling Solgård
kaws@oticon.dk
GN Resound
Nikolai Bisgaard
nbisgaard@gnresound.com
WSAudiology
Filip Marchman Rønne
filip.roenne@wsa.com