{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T22:21:46Z","timestamp":1788301306743,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T00:00:00Z","timestamp":1629417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives\/Hypothesis<\/jats:title>\n                    <jats:p>In children with mild to moderately severe unilateral hearing loss (UHL), assess whether subject\u2010reported quality of life (QOL) and teacher\u2010 and parent\u2010reported perception of listening difficulty are affected by use of a hearing aid (HA) with baseline accommodations, compared to children receiving only baseline accommodations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Randomized crossover clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010seven children 6\u201312\u2009years of age with mild to moderately severe UHL and \u226580% word recognition scores in the poorer hearing ear were randomized into arm 1, using baseline accommodations (frequency\u2010modulated system and strategic seating) for 12\u2009weeks, followed by addition of a HA for 12\u2009weeks. The other participants were randomized into the reverse methodology: arm 2, using a HA in addition to baseline accommodations for 12\u2009weeks, followed by baseline accommodations alone. Surveys of QOL (Hearing Environments and Reflection on Quality of Life) and listening difficulties or challenges with hearing amplification (CHILD and LIFE\u2010R questionnaires) were administered at 6\u2010week intervals. Differences in mean survey scores, percent change, and improvement over time were computed between the two arms and inter\u2010arm intervals. Per\u2010protocol analysis was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 37 children enrolled, 34 children underwent the study interventions and were included in the analysis, (arm 1\u00a0=\u00a020, arm 2\u00a0=\u00a014) (mean [standard deviation] age\u00a0=\u00a08 [1.5] years; 21 boys [61.8%]). Survey scores averaged across both arms during the HA interval (77.79 [15.13]) were significantly higher than during the baseline\u2010only interval (69.67 [14.69],\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.036). There was no significant difference between trial arms in mean scores between the two HA intervals (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.450) and two baseline\u2010only intervals (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.539).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hearing\u2010related QOL and listening ability improved in children who met eligibility criteria with mild to moderately severe UHL with HA use compared with baseline accommodations alone. Trial Registration: ClinicalTrials.gov identifier: NCT02269124.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      1\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 132:881\u2013888, 2022\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.29829","type":"journal-article","created":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T05:40:13Z","timestamp":1629438013000},"page":"881-888","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Hearing Aid Use in Children With Unilateral Hearing Loss: A Randomized Crossover Clinical Trial"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-5443","authenticated-orcid":false,"given":"Liliya","family":"Benchetrit","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Harvard Medical School Massachusetts Eye and Ear Infirmary  Boston Massachusetts U.S.A."},{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Boston University Medical Center  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Stenerson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Harvard Medical School Massachusetts Eye and Ear Infirmary  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evette A.","family":"Ronner","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Harvard Medical School Massachusetts Eye and Ear Infirmary  Boston Massachusetts U.S.A."},{"name":"Geisel School of Medicine at Dartmouth  Hanover New Hampshire U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi J.","family":"Leonard","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Harvard Medical School Massachusetts Eye and Ear Infirmary  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holle","family":"Aungst","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Head and Neck Institute  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek J.","family":"Stiles","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communication Enhancement Boston Children's Hospital  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia A.","family":"Levesque","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Harvard Medical School Massachusetts Eye and Ear Infirmary  Boston Massachusetts U.S.A."},{"name":"Department of Otolaryngology, Head and Neck Surgery Harvard Medical School  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0851-9272","authenticated-orcid":false,"given":"Margaret A.","family":"Kenna","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communication Enhancement Boston Children's Hospital  Boston Massachusetts U.S.A."},{"name":"Department of Otolaryngology, Head and Neck Surgery Harvard Medical School  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Anne","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Head and Neck Institute  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1877-8668","authenticated-orcid":false,"given":"Michael 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