{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T16:42:01Z","timestamp":1783615321129,"version":"3.55.0"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"British Association of Paediatricians in Audiology"},{"name":"Cambridge Hearing Trust"},{"DOI":"10.13039\/100010468","name":"British Society of Audiology","doi-asserted-by":"publisher","award":["Stuart Gatehouse Applied Research Grant"],"award-info":[{"award-number":["Stuart Gatehouse Applied Research Grant"]}],"id":[{"id":"10.13039\/100010468","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trends in Hearing"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>The recommended management for children with otitis media with effusion (OME) is \u2018watchful waiting\u2019 before considering grommet surgery. During this time speech and language, listening skills, quality of life, social skills, and outcomes of education can be jeopardized. Air-conduction (AC) hearing aids are problematic due to fluctuating AC hearing loss. Bone-conduction (BC) hearing is stable, but BC hearing aids can be uncomfortable. Both types of hearing aids are costly. Given the high prevalence of OME and the transitory nature of the accompanying hearing loss, cost-effective solutions are needed. The leisure industry has developed relatively inexpensive, comfortable, high-quality BC headsets for transmission of speech or music. This study assessed whether these headsets, paired with a remote microphone, improve speech discrimination for children with OME. Nineteen children aged 3 to 6 years receiving recommended management in the United Kingdom for children with OME participated. Word-discrimination thresholds were measured in a sound-treated room in quiet and with 65\u2009dB(A) speech-shaped noise, with and without a headset. The median threshold in quiet ( N\u2009=\u200917) was 39\u2009dB(A) (range: 23\u201359) without a headset and 23\u2009dB(A) (range: 9\u201335) with a headset ( Z\u2009=\u2009\u22123.519, p\u2009&lt;\u2009.001). The median threshold in noise ( N\u2009=\u200919) was 59\u2009dB(A) (range: 50\u201363) without a headset and 45\u2009dB(A) (range: 32\u201350) with a headset (Z\u2009=\u2009\u22123.825, p\u2009&lt;\u2009.001). Thus, the use of a BC headset paired with a remote microphone significantly improved speech discrimination in quiet and in noise for children with OME.<\/jats:p>","DOI":"10.1177\/2331216519858303","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T05:59:18Z","timestamp":1567058358000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Using a Bone-Conduction Headset to Improve Speech Discrimination in Children With Otitis Media With Effusion"],"prefix":"10.1177","volume":"23","author":[{"given":"Tamsin","family":"Holland Brown","sequence":"first","affiliation":[{"name":"Cambridge Community Health Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5621-5284","authenticated-orcid":false,"given":"Marina","family":"Salorio-Corbetto","sequence":"additional","affiliation":[{"name":"Children\u2019s Hearing Evaluation and Amplification Resource, Shepreth, Royston, Hertfordshire, UK"},{"name":"Auditory Perception Group, Department of Psychology, University of Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Gray","sequence":"additional","affiliation":[{"name":"Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"James Best","sequence":"additional","affiliation":[{"name":"Cambridge Community Health Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine E.","family":"Marriage","sequence":"additional","affiliation":[{"name":"Children\u2019s Hearing Evaluation and Amplification Resource, Shepreth, Royston, Hertfordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,29]]},"reference":[{"key":"bibr1-2331216519858303","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1542\/peds.85.3.442","volume":"85","author":"Adesman A. R.","year":"1990","journal-title":"Pediatrics"},{"key":"bibr2-2331216519858303","unstructured":"Archbold, S., Ng, Z. Y., Harrigan, S., Gregory, S., Wakefield, T., Holland, L. & Mulla, I. (2015).\n                      The Ear Foundation report to NDCS\u2014Mild-moderate hearing loss in children: Experiences of young people with mild to moderate hearing loss: Views of parents and teachers\n                      . London, England: National Deaf Children Society (NDCS) and The Ear Foundation."},{"key":"bibr3-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.05.027"},{"key":"bibr4-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1136\/adc.80.1.28"},{"key":"bibr5-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1136\/adc.85.2.91"},{"key":"bibr100-2331216519858303","unstructured":"British Society of Audiology (2008).\n                      Guidelines on the acoustics of sound field audiometry in clinical audiological applications\n                      . BSA Education Committee, February 2008."},{"key":"bibr6-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2016.1250960"},{"key":"bibr7-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2002\/093)"},{"key":"bibr8-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1542\/pir.20-3-85"},{"key":"bibr9-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31817a98cb"},{"key":"bibr10-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.07.015"},{"key":"bibr11-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1177\/000992288702600508"},{"key":"bibr12-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000572"},{"key":"bibr13-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2017.1302605"},{"key":"bibr14-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1542\/peds.43.5.833"},{"key":"bibr15-2331216519858303","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.15.7.5"},{"key":"bibr16-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1970.04310040005002"},{"key":"bibr17-2331216519858303","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1055\/s-0042-1748136","volume":"11","author":"Jerger J.","year":"2000","journal-title":"Journal of the American Academy of Audiology"},{"key":"bibr18-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2008.01844.x"},{"key":"bibr19-2331216519858303","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2013.769064"},{"key":"bibr20-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3506(77)80003-6"},{"key":"bibr21-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31818b6271"},{"key":"bibr22-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2000.00360.x"},{"key":"bibr23-2331216519858303","volume-title":"Surgical management of otitis media with effusion in children: Clinical guideline commissioned by the National Institute for Health and Clinical Excellence","author":"National Collaborating Centre for Women\u2019s and Children\u2019s Health","year":"2008"},{"key":"bibr24-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3902.278"},{"key":"bibr25-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3905.1059"},{"key":"bibr26-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2004.03.006"},{"key":"bibr27-2331216519858303","doi-asserted-by":"publisher","DOI":"10.1007\/s10882-007-9075-3"},{"key":"bibr28-2331216519858303","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1542\/peds.44.1.35","volume":"44","author":"Paradise J. 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