{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:13:38Z","timestamp":1767676418770,"version":"3.37.0"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2007,6,1]]},"abstract":"<jats:p>The purpose of this study was to evaluate a clinical protocol for setting hearing aid maximum output (MPO) in adult users. The protocol consisted of matching prescriptive targets for MPO followed by aided loudness validation and adjustment. Twenty-eight adults fit with multichannel\n hearing aids during the previous two years were recalled for unaided loudness measures. During the recall visit, unaided frequency-specific loudness discomfort levels were measured for frequencies between 250 and 3000 Hz. These values were converted to real-ear levels by adding individually\n measured real-ear dial differences. Real-ear saturation responses (RESR) were measured using a 90 dB pure-tone sweep and compared to the real-ear loudness discomfort levels. All participants completed the APHAB Aversiveness scale and Munro-Patel loudness questionnaire. A subset of participants\n (n = 20) completed the Profile of Aided Loudness.The average RESR-UCL difference was \u22125.7 dB, and the maximum difference was 15 dB. For all but one participant, the average RESR values (.5\u20133 kHz) were either less than or no more than 5 dB above the LDLs, and the aided APHAB Aversiveness\n scores were below the 80th percentile. There were no significant correlations between the scores on the loudness questionnaires and the differences between RESR and LDL values. Results suggest that unaided LDL measures may be redundant if aided loudness validation measures are completed. El\n prop\u00f3sito de este estudio fue evaluar un protocolo cl\u00ednico para la graduac\u00f3n de la salida m\u00e1xima (MPO) de un auxiliar auditivo para usuarios adultos. El protocolo consisti\u00f3 en unir metas de prescripci\u00f3n para MPO seguido de una validaci\u00f3n amplificada\n y ajustes en la apreciaci\u00f3n subjetiva de la intensidad (sonoridad). Veintiocho adultos que hab\u00edan sido adaptados con auxiliares auditivos multi-canal durante los dos a\u00f1os anteriores, fueron sometidos a mediciones de sonoridad sin amplificaci\u00f3n. Durante la evaluaci\u00f3n,\n se midieron niveles de molestia de frecuencia espec\u00edfica para la sonoridad en las frecuencias entre 250 y 3000 Hz. Estos valores se convirtieron en niveles de o\u00eddo real adicionando mediciones individuales de las diferencias de dial para o\u00eddo real. Se midieron respuestas\n de saturaci\u00f3n de o\u00eddo real (RESR) usando un barrido de tonos puros a 90 dB y compar\u00e1ndolo con los niveles de o\u00eddo real de molestia en la sonoridad. Todos los participantes completaron la escala APHAB de aversi\u00f3n al sonido y el cuestionario Munro-Patel de\n sonoridad. Un subgrupo de participantes complet\u00f3 el Perfil de Sonoridad con Amplificaci\u00f3n. La diferencia RESR-UCL fue de \u22125.7 dB, y la diferencia m\u00e1xima fue de 15 dB. Para todos excepto uno de los participantes, los valores promedio de RESR (0.5\u20133 kHz) fueron\n menores o no m\u00e1s de 5 dB por encima del LDL, y los puntajes APHAB de aversi\u00f3n al sonido estuvieron por debajo del percentil 80. No existi\u00f3 una correlaci\u00f3n significativa entre los puntajes de los cuestionarios de sonoridad y las diferencias entre los valores del\n RESR y el LDL. Los resultados sugieren que las medidas no amplificadas del LDL pueden ser redundantes si se completan las medidas de validaci\u00f3n de la sonoridad.<\/jats:p>","DOI":"10.3766\/jaaa.18.6.5","type":"journal-article","created":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T15:17:46Z","timestamp":1512141466000},"page":"504-514","source":"Crossref","is-referenced-by-count":4,"title":["Hearing Aid Maximum Output and Loudness Discomfort: Are Unaided Loudness Measures Needed?"],"prefix":"10.3766","volume":"18","author":[{"given":"Carol L.","family":"Mackersie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2007\/00000018\/00000006\/art00005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T23:16:06Z","timestamp":1738797366000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.18.6.5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,6,1]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,6,1]]}},"alternative-id":["1050-0545(20070601)18:6L.504;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.18.6.5","relation":{},"ISSN":["1050-0545"],"issn-type":[{"type":"print","value":"1050-0545"}],"subject":[],"published":{"date-parts":[[2007,6,1]]}}}