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Audiometric profiles and patterns of benefit: a data-driven analysis of subjective hearing difficulties and handicaps

Sanchez-Lopez, Raul; Dau, Torsten; Whitmer, William M.

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Authors

Raul Sanchez-Lopez

Torsten Dau



Abstract

Objective: Hearing rehabilitation attempts to compensate for auditory dysfunction, reduce hearing difficulties and minimize participation restrictions that can lead to social isolation. However, there is no systematic approach to assess the quality of the intervention at an individual level that might help to evaluate the need of further hearing rehabilitation in the hearing care clinic.

Design: A data-driven analysis on subjective data reflecting hearing disabilities and handicap was chosen to explore “benefit patterns” as a result of rehabilitation in different audiometric groups. The method was based on: 1) Dimensionality reduction; 2) Stratification; 3) Archetypal analysis; 4) Clustering; and 5) Item importance estimation.

Study sample: 572 hearing-aid users completed questionnaires of hearing difficulties (speech, spatial and qualities hearing scale; SSQ) and hearing handicap (HHQ).

Results: The data-driven approach revealed four benefit profiles that were different for each audiometric group. The groups with low degree of high-frequency hearing loss (HLHF) showed a priority for rehabilitating hearing handicaps, whereas the groups with HLHF > 50 dB HL showed a priority for improvements in speech understanding.

Conclusions: The patterns of benefit and the stratification approach might guide the clinical intervention strategy and improve the efficacy and quality of service in the hearing care clinic.

Citation

Sanchez-Lopez, R., Dau, T., & Whitmer, W. M. (2022). Audiometric profiles and patterns of benefit: a data-driven analysis of subjective hearing difficulties and handicaps. International Journal of Audiology, 61(4), 301-310. https://doi.org/10.1080/14992027.2021.1905890

Journal Article Type Article
Acceptance Date Mar 15, 2021
Online Publication Date Apr 7, 2021
Publication Date 2022
Deposit Date Mar 25, 2021
Publicly Available Date Apr 8, 2022
Journal International Journal of Audiology
Print ISSN 1499-2027
Electronic ISSN 1708-8186
Publisher Taylor and Francis
Peer Reviewed Peer Reviewed
Volume 61
Issue 4
Pages 301-310
DOI https://doi.org/10.1080/14992027.2021.1905890
Keywords Speech and Hearing; Linguistics and Language; Language and Linguistics
Public URL https://nottingham-repository.worktribe.com/output/4341499
Publisher URL https://www.tandfonline.com/doi/full/10.1080/14992027.2021.1905890
Related Public URLs https://www.medrxiv.org/content/10.1101/2020.04.20.20045690v2

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