Evaluation of adjustment behaviour in a semi-supervised self-adjustment fine-tuning procedure for hearing aids

Int J Audiol. 2024 May;63(5):313-325. doi: 10.1080/14992027.2023.2196601. Epub 2023 Apr 20.

Abstract

Objective: This study investigated the adjustment behaviour of hearing aid (HA) users participating in a semi-supervised self-adjustment fine-tuning procedure for HAs. The aim was to link behaviour with the reproducibility and duration of the adjustments.

Design: Participants used a two-dimensional user interface to identify their HA gain preferences while listening to realistic sound scenes presented in a laboratory environment. The interface allowed participants to adjust amplitude (vertical axis) and spectral slope (horizontal axis) simultaneously. Participants were clustered according to their interaction with the user interface, and their search directions were analysed.

Study sample: Twenty older experienced HA users were invited to participate in this study.

Results: We identified four different archetypes of adjustment behaviour (curious, cautious, semi-browsing, and full-on browsing) by analysing the trace points of all measurements for each participant. Furthermore, participants used predominantly horizontal or vertical paths when searching for their preference. Neither the archetype, nor the search directions, nor the participants' technology commitment was predictive of the reproducibility or the adjustment duration.

Conclusions: The findings suggest that enforcement of a specific adjustment behaviour or search direction is not necessary to obtain fast, reliable self-adjustments. Furthermore, no strict requirements with respect to technology commitment are necessary.

Keywords: 2D touch GUI; Hearing aid fitting; archetype; self-adjustment; sound balance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation
  • Aged
  • Aged, 80 and over
  • Auditory Perception
  • Correction of Hearing Impairment / instrumentation
  • Correction of Hearing Impairment / methods
  • Equipment Design
  • Female
  • Hearing Aids*
  • Hearing Loss / psychology
  • Hearing Loss / rehabilitation
  • Humans
  • Male
  • Middle Aged
  • Patient Preference
  • Persons With Hearing Impairments / psychology
  • Persons With Hearing Impairments / rehabilitation
  • Reproducibility of Results
  • Time Factors