Work areas
Patient-driven diagnostics and fitting
The various hearing-aids technologies offer their users different options for change of instrument settings, which many appreciate. Maybe it is possible generally to achieve a better outcome and higher satisfaction, if the user is more directly involved in the fitting process. Maybe the user may perform control tests at home, which may help readjust the hearing aid, and maybe the hearing aid can adjust to these changes with a visit to the clinic. We don’t know what options future technologies may have, but with this area we will assess the user challenges and possible advantages, a patient driven diagnosis and fitting may have.
People
Aalborg University
Aalborg University
Aalborg University
Resources
Publications
2022 |
Rye, Palle; Andersen, Rasmus Overgaard; Ravn, Gert; Hammershøi, Dorte Oral presentation at the Joint Euroregio Baltic Nordic Acoustics Meeting, Aalborg, Denmark, 2022. @inproceedings{Palle1_ERBNAM2022, title = {Comparison of Speech Reception Thresholds for Diotic, Dichotic and Antiphasic Headphone Presentations of Digits-in-Noise Triplets using Dantale I Material}, author = {Palle Rye and Rasmus Overgaard Andersen and Gert Ravn and Dorte Hammershøi}, url = {https://www.conforg.fr/bin/time_table?dir=erbnam2022}, year = {2022}, date = {2022-05-11}, booktitle = {Oral presentation at the Joint Euroregio Baltic Nordic Acoustics Meeting, Aalborg, Denmark}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } |
2021 |
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. |
Other
2022 |
Rye, Palle; Andersen, Rasmus Overgaard; Hammershøi, Dorte Efficacy of Gamification in Out-of-Clinic Hearing Diagnostics Inproceedings Poster presentation at the Joint Euroregio Baltic Nordic Acoustics Meeting, Aalborg, Denmark, 2022. @inproceedings{palle2_ERBNAM2022, title = {Efficacy of Gamification in Out-of-Clinic Hearing Diagnostics}, author = {Palle Rye and Rasmus Overgaard Andersen and Dorte Hammershøi}, url = {https://isaar.eu/wp-content/uploads/2021/08/Programme-book-ISAAR-2021.pdf}, year = {2022}, date = {2022-05-11}, booktitle = {Poster presentation at the Joint Euroregio Baltic Nordic Acoustics Meeting, Aalborg, Denmark}, keywords = {}, pubstate = {published}, tppubtype = {inproceedings} } |
2021 |
Rye, Palle; Hammershøi, Dorte Impact of background noise on methods for categorical loudness scaling 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{palle1_ISAAR2021, title = {Impact of background noise on methods for categorical loudness scaling}, author = {Palle Rye and Dorte Hammershøi}, url = {https://isaar.eu/wp-content/uploads/2021/08/Programme-book-ISAAR-2021.pdf}, year = {2021}, date = {2021-08-26}, 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} } |
Rye, Palle; Hammershøi, Dorte Gamification approach to out-of-clinic hearing diagnostics 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{palle2_Isaar2021, title = {Gamification approach to out-of-clinic hearing diagnostics}, author = {Palle Rye and Dorte Hammershøi}, url = {https://isaar.eu/wp-content/uploads/2021/08/Programme-book-ISAAR-2021.pdf}, year = {2021}, date = {2021-08-25}, 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 |
Rye, Palle Towards out of clinic hearing tests Conference Webinar, 1 December 2020, Danish Acoustical Society, 2020. @conference{PR_DAS2020, title = {Towards out of clinic hearing tests}, author = {Palle Rye}, 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 |
Rye, Palle; Ordoñez, Rodrigo; Wolff, Anne; Hougaard, Dan Dupont; Schmidt, Jesper Hvass; Hammershøi, Dorte Poster presentation at the International Symposium on Auditory and Audiological Research: Vol. 7: Auditory Learning in Biological and Artificial Systems, (SP.64), The Danavox Jubilee Foundation 2019. @conference{ISAAR2019PR, title = {A study of reliability and response patterns in self-administered audiometry for adult first-time hearing-aid users}, author = {Palle Rye and Rodrigo Ordoñez and Anne Wolff and Dan Dupont Hougaard and Jesper Hvass Schmidt and Dorte Hammershøi}, url = {https://whova.com/embedded/speaker_session_detail/isaar_201908/701149/}, 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.64}, organization = {The Danavox Jubilee Foundation}, abstract = {Out-of-clinic diagnostics offer the advantage of pre- and post-clinical screenings and potential benefits of increased user ownership, but at the possible cost of accuracy and reliability. The present study examines the determination of a classical audiometric threshold through a custom-made self-administered tablet test, utilizing off-the-shelf Bluetooth headphones. The test includes an initial familiarization session allowing characterization of the user's response time, and integrates a standard usability assessment (System Usability Scale, SUS) accompanied by the experimenter's observations and exit-interview responses. The study compares self-administered thresholds determined in the waiting room of Aalborg University Hospital for 16 potential hearing-aid users with the thresholds determined by the professionals in the subsequent session. The study also includes a comparison of thresholds determined in potential users' own homes, in which case the test is performed both with a standard transportable audiometer and with the out-of-clinic tablet system. The study is on-going.}, keywords = {}, pubstate = {published}, tppubtype = {conference} } Out-of-clinic diagnostics offer the advantage of pre- and post-clinical screenings and potential benefits of increased user ownership, but at the possible cost of accuracy and reliability. The present study examines the determination of a classical audiometric threshold through a custom-made self-administered tablet test, utilizing off-the-shelf Bluetooth headphones. The test includes an initial familiarization session allowing characterization of the user's response time, and integrates a standard usability assessment (System Usability Scale, SUS) accompanied by the experimenter's observations and exit-interview responses. The study compares self-administered thresholds determined in the waiting room of Aalborg University Hospital for 16 potential hearing-aid users with the thresholds determined by the professionals in the subsequent session. The study also includes a comparison of thresholds determined in potential users' own homes, in which case the test is performed both with a standard transportable audiometer and with the out-of-clinic tablet system. The study is on-going. |
Rye, Palle; Ordoñez, Rodrigo; Hammershøi, Dorte Out-of-clinic diagnostics of hearing impairment Conference Poster presentation at the Conference for Internet and Audiology, Southampton, 17-19 June 2019., (13), 2019. @conference{IaA2019PR, title = {Out-of-clinic diagnostics of hearing impairment}, author = {Palle Rye and Rodrigo Ordoñez and Dorte Hammershøi}, url = {http://internetaudiology.com/2019/files/IA2019_booklet.pdf}, year = {2019}, date = {2019-06-17}, booktitle = {Poster presentation at the Conference for Internet and Audiology, Southampton, 17-19 June 2019.}, number = {13}, pages = {27}, abstract = {The potential benefits of out-of-clinic diagnostics are manifold: it may be used to alleviate clinically trained personnel where resources are scarce, it may reduce the need for travel and it allows for increased privacy and discretion for the potentially hearing impaired, who may see a self-administered hearing test as the first step toward accepting the need for a hearing aid. However, one of the inherent problems of such test situations is the lack of control over the user behavior and the test environment. With respect to the latter, the exact characteristics of the equipment used may not be known or available for routine checks and calibration. Background noise levels may pose a problem in some environments, and be a problem for subjects with audiometric thresholds near normal hearing level at some frequencies. Several strategies can be applied to overcome these challenges. Some types of hearing impairment can be characterized using supra-threshold methods that are more robust to background noise and calibration issues. The background noise level may be passively or actively suppressed, or monitored and applied to discard or repeat unreliable measurements. The purpose of present study is to examine the feasibility of selected out-of-clinic test strategies, and in a first evaluation the effect of each is quantified in laboratory assessments, where the key variables can be controlled. A platform consisting of a tablet-based automated paradigm using commercially available active noise cancelling headphones will be used. The accuracy of the procedures in real-life scenarios are determined by comparing the outcome with clinically determined audiometric measures. How well the test subjects manage the test will also be assessed, and data from a usability point of view will be collected.}, keywords = {}, pubstate = {published}, tppubtype = {conference} } The potential benefits of out-of-clinic diagnostics are manifold: it may be used to alleviate clinically trained personnel where resources are scarce, it may reduce the need for travel and it allows for increased privacy and discretion for the potentially hearing impaired, who may see a self-administered hearing test as the first step toward accepting the need for a hearing aid. However, one of the inherent problems of such test situations is the lack of control over the user behavior and the test environment. With respect to the latter, the exact characteristics of the equipment used may not be known or available for routine checks and calibration. Background noise levels may pose a problem in some environments, and be a problem for subjects with audiometric thresholds near normal hearing level at some frequencies. Several strategies can be applied to overcome these challenges. Some types of hearing impairment can be characterized using supra-threshold methods that are more robust to background noise and calibration issues. The background noise level may be passively or actively suppressed, or monitored and applied to discard or repeat unreliable measurements. The purpose of present study is to examine the feasibility of selected out-of-clinic test strategies, and in a first evaluation the effect of each is quantified in laboratory assessments, where the key variables can be controlled. A platform consisting of a tablet-based automated paradigm using commercially available active noise cancelling headphones will be used. The accuracy of the procedures in real-life scenarios are determined by comparing the outcome with clinically determined audiometric measures. How well the test subjects manage the test will also be assessed, and data from a usability point of view will be collected. |
University Hospitals
Odense University Hospital
Rikke Schnack-Petersen
rikke.schnack-petersen@rsyd.dk
Aalborg University Hospital
Michael Gaihede
mlg@rn.dk
Copenhagen University Hospital
Jesper Borchorst Yde
jesper.borchorst.yde.01@regionh.dk
Academia
University of Southen Denmark
Jesper Hvass Schmidt
jesper.schmidt@rsyd.dk
Aalborg University
Dorte Hammershøi
dh@es.aau.dk
Technical University of Denmark
Torsten Dau
tdau@dtu.dk
Tech Service
Industry
Oticon
Karen Wibling Solgård
kaws@oticon.dk
GN Resound
Nikolai Bisgaard
nbisgaard@gnresound.com
WSAudiology
Filip Marchman Rønne
filip.roenne@wsa.com