Clinical Significance or Statistical Significance: Which One Should Be Considered for Analyzing the Gain- Frequency Responses of Hearing Aids?
Abstract
Background and Aim: When analyzing the gain-frequency response of a hearing aid, data can be analyzed both clinically and statistically. This study aimed to investigate and compare the gain-frequency responses using statistical and clinical analyses under active digital noise reduction (DNR-on) and inactive digital noise reduction (DNR-off) conditions.
Methods: The gain-frequency responses of a hearing aid for one of the most well-known commercial digital hearing aid manufacturers were measured using the FP35 hearing aid analyzer (Frye Electronics Inc., USA) by presenting two types of signals (digital speech and composite noise) at input levels of 65 and 80 dB SPL under the DNR-on and DNR-off conditions. Data analysis was performed both statistically (using Wilcoxon signed rank test) and clinically (using 3 dB difference criterion).
Results: A statistically significant difference was found in the gain-frequency responses for all speech and noise input levels between the two conditions; while a clinically significant difference was observed only at noise input levels of 65 and 80 dB SPL.
Conclusion: For analyzing the hearing aid performance, both clinical and statistical analyses should be considered.
[2] Seol HY, Park S, Ji YS, Hong SH, Moon IJ. Impact of hearing aid noise reduction algorithms on the speech-evoked auditory brainstem response. Sci Rep. 2020;10(1):10773. [DOI:10.1038/s41598-020-66970-2]
[3] Fredelake S, Holube I, Schlueter A, Hansen M. Measurement and prediction of the acceptable noise level for single-microphone noise reduction algorithms. Int J Audiol. 2012;51(4):299-308. [DOI:10.3109/14992027.2011.645075]
[4] Alcántara JI, Moore BCJ, Kühnel V, Launer S. Evaluation of the noise reduction system in a commercial digital hearing aid: Evaluación del sistema de reducción de ruido en un auxiliar auditivo digital comercial. Int J Audiol. 2003;42(1):34-42. [DOI:10.3109/14992020309056083]
[5] Nordrum S, Erler S, Garstecki D, Dhar S. Comparison of performance on the hearing in noise test using directional microphones and digital noise reduction algorithms. Am J Audiol. 2006;15(1):81-91. [DOI:10.1044/1059-0889(2006/010)]
[6] Vaseghi SV. Advanced Digital Signal Processing and Noise Reduction. 4th ed. Chichester: John Wiley & Sons Ltd.; 2008. [DOI:10.1002/9780470740156]
[7] Ricketts TA, Hornsby BWY. Sound quality measures for speech in noise through a commercial hearing aid implementing. J Am Acad Audiol. 2005;16(5):270-7. [DOI:10.3766/jaaa.16.5.2]
[8] Lakshmi MSK, Rout A, O’Donoghue CR. A systematic review and meta-analysis of digital noise reduction hearing aids in adults. Disabil Rehabil Assist Technol. 2021;16(2):120-129. [DOI:10.1080/17483107.2019.1642394]
[9] Ahmadi R, Jalilvand H, Mahdavi ME, Ahmadi F, Akbarzadeh Baghban AR. The effects of hearing aid digital noise reduction and directionality on acceptable noise level. Clin Exp Otorhinolaryngol. 2018;11(4):267-274. [DOI:10.21053/ceo.2018.00052]
[10] Bentler R, Wu Y-H, Kettel J, Hurtig R. Digital noise reduction: Outcomes from laboratory and field studies. Int J Audiol. 2008;47(8):447-60. [DOI:10.1080/14992020802033091]
[11] Bentler R, Chiou L-K. Digital noise reduction: An overview. Trends Amplif. 2006;10(2):67-82. [DOI:10.1177/1084713806289514]
[12] Krishnamurti S, Anderson L. Digital noise reduction processing in hearing aids: How much and where? Hearing Review. 2008;15(3):90.
[13] Dillon H. Hearing Aids. 2nd ed. Sydney: Boomerang Press; 2012.
[14] Brown M. Evaluating the performance of digital hearing aid features: A real-world Approach. Audiology online. Available at: https://www.audiologyonline.com/articles/evaluating-performance-digital-hearing-aid-916. August:4.2008.
[15] Ranganathan P, Pramesh CS, Buyse M. Common pitfalls in statistical analysis: Clinical versus statistical significance. Perspect Clin Res. 2015;6(3):169-70. [DOI:10.4103/2229-3485.159943]
[16] Schober P, Bossers SM, Schwarte LA. Statistical significance versus clinical importance of observed effect sizes: what do P values and confidence intervals really represent? Anesth Analg. 2018;126(3):1068-72. [DOI:10.1213/ANE.0000000000002798]
[17] Bentler R, Mueller HG, Ricketts TA. Modern Hearing Aids: Verification, Outcome Measures, and Follow-up. 1st ed. San Diego: Plural Publishing, Inc.; 2016.
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Issue | Vol 31 No 3 (2022) | |
Section | Research Article(s) | |
DOI | https://doi.org/10.18502/avr.v31i3.9869 | |
Keywords | ||
Digital noise reduction gain-frequency response clinical analysis |
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