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The Subjective Evaluation of a New Hearing Aid Fitting

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1.  In the opinion of the presenter: A hearing aid fitting has to be proven to meet certain speech-in-noise improvement values The patient is the ultimate judge of the value of a fitting The patient's opinion only matters if the hearing care professional cannot establish a measured speech-in-noise improvement The family members are not going to be a better judge of benefit than the patient

2.  The factors that can influence a patient’s reaction to amplification include: Cognitive status Listening demands Motivation All of the above

3.  Which factors will influence perceptual preference: Loudness preference Tonal balance preference Amount of assistance from helping systems All of the above

4.  What is the likely order of dimensions that a first-time user can reasonably provide valid feedback on after a new fitting, according to the instructor? Performance in noise, sound quality, tolerance Tolerance, sound quality, long-term outlook Tolerance, sound quality, performance in real world conditions Sound quality, sound booth performance, long-term outlook

5.  When questioning a patient about their reaction to using newly fit amplification: Don’t give too much credence to what patients say because they are not hearing professionals Limit the discussion to only their perception of speech Let the patient describe the dimensions that stood out to them Confirm whatever they tell you using objective testing before you accept it

6.  When performing subjective analysis in a sound booth: Only use speech-shaped noise in order to maximize stability Only use soft level speech in order to not shock the listener Use only a 0-45 degree speaker set-up in order to replicate listening around a corner None of the above

7.  When doing a “walk around” analysis: Be careful to not overreact to the patient’s immediate perceptions Make sure you have a good idea of the nature of the environments that the patient will visit Maybe be particularly careful about setting Loud Gain and/or MPO All of the above

8.  The questionnaire that included a specific focus on spatial perception was: SSQ APHAB HHIE HAPI

9.  The unique aspect of the COSI when it was introduced was: Including a vast list of described situations Had the patient describe which situations mattered most Included normative ranges about what was a valid rating by the patient Had the patient rate their expected amount of benefit at the start of the process

10.  In order to maximize the counseling effect of the COSI: Don’t worry if you cannot elicit a full list of five targeted situations Make sure the items on the list are truly important to the patient Do not fill out the form too quickly All of the above