Hearing Aid Education, Use, and Management

Longitudinal Changes in Hearing Aid Use and Hearing Aid Management Challenges in Infants (2021)

  • This article talks about...experiences caregivers have had managing their infants' hearing aids at 3 to 7 months and again at 7-21 months of age.
  • The study found...managing hearing aids for their infants got easier over time. It also found daily hearing aid use time went down from 6.6 to 5.3 hours.
  • This is important because...understanding challenges caregivers face can help audiologists adjust care as they partner with parents to solve problems that arise.
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eHealth parent education for hearing aid management: a pilot randomized controlled trial (2021)

  • This article talks about...an additional support program (eHealth) to help parents learn how to manage their child’s hearing aids.
  • The study found...that parents in the eHealth program had more knowledge and confidence, and checked hearing aid function more often, than parents that only received their regular audiology services.
  • This is important because...parents are key partners in the intervention process. This support program can supplement regular services to help parents manage hearing aids.
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Spoken Language Skills in Children with Bilateral Hearing Aids or Bilateral Cochlear Implants at the Age of Three Years (2021)

  • This article talks about...how spoken language skills of children with hearing loss compared to children with normal hearing at the age of three years.
  • The study found...That spoken language skills for children with hearing loss were behind compared to their peers with typical hearing. Children with hearing aids were more likely to have poorer receptive vocabulary and phonological skills than children with cochlear implants. It also found that children who were diagnosed early and received intervention had better opportunities to achieve age-appropriate spoken language development.
  • This is important because...hearing loss is a risk factor for age-appropriate development of spoken language skills in children. Close monitoring of children’s language skills over time can help prevent potential delays in spoken language with timely intervention when needed.
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Audibility-Based Hearing Aid Fitting Criteria for Children with Mild Bilateral Hearing Loss (2020)

  • This article talks about...using a method to decide on the need for hearing aids based on how well children can hear speech sounds without hearing aids.
  • The study found...that a measurement called the Speech Intelligibility Index (SII) can show when children are candidates for hearing aids. Children are at risk for delays in language development if their score is less than 80.
  • This is important because...children with mild hearing loss may be at risk for delays in language development without using hearing aids.
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Effects of Grade and School Services on Children's Responsibility for Hearing Aid Care (2019)

  • This article talks about...how elementary school aged children with hearing aids and their caregivers handled maintenance and responsibility of the devices.
  • This study found...that child responsibility for hearing aid management was better among children who were on an Individualized Education Plan (IEP) or 504 plan. It also found that less than half of the families participating in the study performed daily listening checks.
  • This is important because...parents and professionals have a role in teaching children how to manage their hearing aids. Children need support to build skills in managing their hearing aids and in advocating for their hearing needs.
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Learning from the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study: summary of 5-year findings and implications (2017)

  • This article talks about...a 5-year long experiment that followed the language and auditory development of children with hearing loss. All participants were fitted with amplification devices before they were 3 years-old.
  • This study found...that children had better language, speech and other auditory related outcomes when they received their hearing devices at a younger age.
  • This is important because...the earlier a child with a hearing loss gets appropriate amplification the better their speech and language will develop. Parents and professionals working together can address the child’s access to sound.
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Hearing Technology Use and Management in School-Age Children: Reports from Data Logs, Parents, and Teachers (2017)

  • This article talks about...getting information about children’s hearing-aid use from data logging, parent reports and teacher reports.
  • This study found...parents thought that their children were wearing their hearing aids more than they actually were. Reports from teachers about how a child handles his/her own hearing aids in the classroom can be useful information.
  • This is important because...when children wear their hearing aids, language and vocabulary skills improve. Audiologists should talk to parents about their child’s hearing aid use, to determine in what areas the child is struggling. This information can be used in intervention, so a child can begin to manage his/her own hearing aids. Additionally, since children are often around their teachers, using teacher reports in intervention can help parents understand how their children manage their own hearing aids.
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Pediatric Hearing Aid Management: Challenges among Hispanic Families (2017)

  • This article talks about...the challenges that Hispanic families face with managing their child’s hearing aids.
  • This study found...Hispanic families often reported needing an interpreter during hearing appointments. Overall, they felt they did not understand the information as well as they could and they would benefit from more resources and support from the audiologist than what they were offered.
  • This is important because...understanding and feeling comfortable managing their child’s hearing aids is one factor that can help increase hearing aid use. Audiologists should be aware and understanding of cultural differences when providing support and instruction during appointments.
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Paediatric Hearing Aid Management: A Demonstration Project for Using Virtual Visits to Enhance Parent Support (2016)

  • This article talks about...audiologists helping parents learn how to manage their child’s hearing aids using the Internet to talk with them at home.
  • This study found...children used their hearing aids more hours per day after receiving additional support from their home.
  • This is important because...for children to learn to listen and talk, they need to wear their hearing aids when they are awake, usually 10 or more hours per day.
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Pediatric Hearing Aid Management: Parent Reported Needs for Learning Support (2016)

  • This article talks about...what parents want to learn about hearing aid management, the support they want from their audiologist, and things that affected hearing aid use.
  • This study found...that even though parents felt supported, they struggled with hearing aid use. Children used their hearing aids less when the parent had symptoms of depression, a lower income, less education, a mild hearing loss, or additional disabilities.
  • This is important because...audiologists need to be aware of struggles parents are experiencing to provide effective support targeted for their individual needs.
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Audiologist Practices: Parent Hearing Aid Education and Support (2016)

  • This article talks about...what audiologists do to help parents learn how to manage their child’s hearing aids.
  • This study found...that many parents are given data logging (i.e., hearing aid use time) results. Some gaps in services were found. For example, not all parents are told about loaner hearing aids, or how to do a sound check. Many audiologists do not routinely communicate with other service providers.
  • This is important because...parents need support in many ways to learn how to manage their child’s hearing aids. Audiologists are an important source of support, and communication with other providers can expand support for parents.
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Pediatric Hearing Aid Use: Parent Reported Challenges (2015)

  • This article talks about...challenges mothers and fathers had dealing with their children’s hearing aids.
  • This study found...only one-third of parents reported their child wears their hearing aids most of the day. Parents had a variety of challenges. For example, the child’s behavior and activities such as playing outside, interfered with wearing the hearing aids. Mothers and fathers both expressed they were not confident in how to troubleshoot hearing aid problems. Parents also wanted more time to talk about their emotions with the audiologist.
  • This is important because...various problems can cause challenges with hearing aid use. Audiologists need to understand the parents’ feelings and help them through their challenges.
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Pediatric Hearing Aid Use: How Can Audiologists Support Parents To Increase Consistency? (2014)

  • This article talks about...hearing aid use for young children.
  • This study found...hearing aid use varied for young children. Parents also over-estimated how much their children used their hearing aids. When parents were given objective information (i.e., data logging), hearing aid use time increased.
  • This is important because...children need to wear their hearing aids consistently to learn to talk. When parents know the hours of use (i.e. data logging) they can address problems.
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Parent Hearing Aid Experiences in the United States (2013)

  • This article talks about...experiences parents have had getting and managing hearing aids for their children.
  • This study found...many children are being identified with hearing loss by 1 month of age, and getting hearing aids by 5 months. Parents experienced various challenges that delayed their child’s ability to get hearing aids. Many parents wanted more support from their audiologist than they received.
  • This is important because...early access to hearing aids is critical for language development. Audiologists can help parents address challenges and avoid delays.
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Predictors of hearing aid use time in children with mild-to-severe hearing loss (2013)

  • This article talks about...how much children wear their hearing aids and issues that impact daily hours of use.
  • This study found...parents had a variety of challenges related to hearing aid use. Three things predicted how much children wore their hearing aids: age, degree of hearing loss, and the mothers’ education. Hours of hearing aid use measured by the hearing aid (i.e., data logging) was often less than what parents reported.
  • This is important because...different factors can affect hearing aid use. Parents may need support in overcoming challenges so that their child wears their hearing aids consistently.
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Hearing Aid Functioning in the Preschool Setting: Stepping Back in Time? (2011)

  • This article talks about...why it is important to make sure children’s hearing aids are working well.
  • This study found...half of the hearing aids checked in four preschool classrooms were not working appropriately.
  • This is important because...hearing aids will malfunction. Hearing aids need to be checked every day. Parents and professionals need to know how to check hearing aids.
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Important Hearing Aid Considerations

Language Outcomes in Young Children with Mild to Severe Hearing Loss (2015)

  • This article talks about...language abilities of preschool-aged children with hearing loss. The study looked at three things. The first part looked at changes over time and how hearing aid use affected language development. The second part looked at children’s language on tests compared to language they used during a conversation. The third part looked at development for small details in how words are put together.
  • This study found...on average that children with hearing loss had lower language levels than children with normal hearing. Children had better language scores when they got hearing aids early and wore them at least 10 hours a day.
  • This is important because...children with hearing loss are at risk for delays in language development. Risks can be reduced by fitting hearing aids early and supporting use during all waking hours.
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The Characteristics of Hearing Aid Fittings in Infants and Young Children (2013)

  • This article talks about...why it is important for hearing aid settings to be adjusted correctly for each child.
  • This study found...many children did not have their hearing aids adjusted appropriately.
  • This is important because...hearing aids need to be set correctly for children to hear speech sounds, so they can learn to talk. Audiologists need to do tests, specific to children, to make sure the hearing aids are set appropriately.
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Outcomes of Early- and Late-identified Children at 3 Years of Age: Findings from a Prospective Population-based Study (2013)

  • This article talks about...speech and language performance of children with hearing loss.
  • This study found...children with hearing loss did not perform as well as children with normal hearing when tested at three years of age.
  • This is important because...even though early identification and intervention are important, there are other things that can affect a child’s performance. Parents and professionals need to monitor how children are doing so challenges can be managed.
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