{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:50:15Z","timestamp":1781571015809,"version":"3.54.5"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2008,2,1]]},"abstract":"<jats:p>The purpose of the current study was to evaluate the consistency and reliability of user adjustments to hearing aid gain and the resulting effects on speech understanding. Sixteen bilaterally aided individuals with hearing loss adjusted their hearing aid gain to optimize listening comfort\n and speech clarity while listening to speech in quiet and noisy backgrounds. Following these adjustments, participants readjusted their aids to optimize clarity and comfort while listening to speech in quiet. These final gain settings were recorded and compared to those provided by NAL-NL1\n prescriptive targets. In addition, speech understanding was tested with the hearing aids set at target and user gain settings. Performance differences between the gain settings were then assessed.Study results revealed that although some listeners preferred more or less gain than prescribed,\n on average, user and prescribed gain settings were similar in both ears. Some individuals, however, made gain adjustments between ears resulting in \"gain mismatches.\" These \"mismatches\" were often inconsistent across trials suggesting that these adjustments were unreliable.\n Speech testing results, however, showed no significant difference across the different gain settings suggesting that the gain deviations introduced in this study were not large enough to significantly affect speech understanding. El prop\u00f3sito del actual estudio fue evaluar la consistencia\n y la confiabilidad de los ajustes ganancia del auxiliar auditivo por parte del usuario, en cuanto a mejorar la comprensi\u00f3n del lenguaje. Diecis\u00e9is individuos hipoac\u00fasicos con amplificaci\u00f3n bilateral ajustaron la ganancia de sus auxiliares auditivos para optimizar\n la comodidad al escuchar y la claridad del lenguaje mientras escuchaban lenguaje en ambientes silenciosos y ruidosos. Despu\u00e9s de estos ajustes, los participantes reajustaron sus auxiliares para optimizar la claridad y la comodidad al escuchar lenguaje en silencio. Estos ajustes finales\n de ganancia fueron registrados y comparados a aquellos indicados por las metas de prescripci\u00f3n del NAL-NL1. Adem\u00e1s, se evalu\u00f3 la comprensi\u00f3n del lenguaje con los auxiliares auditivos graduados en el nivel meta y en el nivel escogido por el usuario. Entonces se evaluaron\n las diferencias de desempe\u00f1o entre dichos ajustes de ganancia.El estudio revel\u00f3 que aunque algunos sujetos prefirieron m\u00e1s o menos ganancia de la prescrita, en promedio, los ajustes de ganancia del usuario y los prescritos fueron similares en ambos o\u00eddos. Algunos\n individuos, sin embargo, realizaron ajustes de ganancia entre sus dos o\u00eddos que resultaron en \"desajustes de ganancia\". Estos \"desajustes\" fueron a menudo inconsistentes en los diferentes ensayos sugiriendo que eran no confiables. Los resultados de las pruebas de\n lenguaje, sin embargo, no mostraron diferencias significativas entre los diferentes ajustes de ganancia, sugiriendo que las desviaciones de ganancia introducidas en este estudio no fueron lo suficientemente grandes para afectar significativamente la comprensi\u00f3n del lenguaje.<\/jats:p>","DOI":"10.3766\/jaaa.19.2.6","type":"journal-article","created":{"date-parts":[[2008,7,16]],"date-time":"2008-07-16T01:53:59Z","timestamp":1216173239000},"page":"158-170","source":"Crossref","is-referenced-by-count":11,"title":["User Preference and Reliability of Bilateral Hearing Aid Gain Adjustments"],"prefix":"10.3766","volume":"19","author":[{"given":"Benjamin W.Y.","family":"Hornsby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Gustav","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2008\/00000019\/00000002\/art00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T07:54:57Z","timestamp":1738828497000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.19.2.6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,2,1]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,2,1]]}},"alternative-id":["1050-0545(20080201)19:2L.158;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.19.2.6","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2008,2,1]]}}}