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  • 51.
    Besser, Jana
    et al.
    VU University Medical Center, Amsterdam, The Netherlands.
    Koelewijn, Thomas
    VU University Medical Center, Amsterdam, The Netherlands.
    Zekveld, Adriana
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. VU University Medical Center, Amsterdam, The Netherlands.
    Kramer, Sophia E.
    VU University Medical Center, Amsterdam, The Netherlands.
    Festen, Joost M.
    VU University Medical Center, Amsterdam, The Netherlands.
    How Linguistic Closure and Verbal Working Memory Relate to Speech Recognition in Noise-A Review2013Inngår i: Trends in Amplification, ISSN 1084-7138, Vol. 17, nr 2, s. 75-93Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The ability to recognize masked speech, commonly measured with a speech reception threshold (SRT) test, is associated with cognitive processing abilities. Two cognitive factors frequently assessed in speech recognition research are the capacity of working memory (WM), measured by means of a reading span (Rspan) or listening span (Lspan) test, and the ability to read masked text (linguistic closure), measured by the text reception threshold (TRT). The current article provides a review of recent hearing research that examined the relationship of TRT and WM span to SRTs in various maskers. Furthermore, modality differences in WM capacity assessed with the Rspan compared to the Lspan test were examined and related to speech recognition abilities in an experimental study with young adults with normal hearing (NH). Span scores were strongly associated with each other, but were higher in the auditory modality. The results of the reviewed studies suggest that TRT and WM span are related to each other, but differ in their relationships with SRT performance. In NH adults of middle age or older, both TRT and Rspan were associated with SRTs in speech maskers, whereas TRT better predicted speech recognition in fluctuating nonspeech maskers. The associations with SRTs in steady-state noise were inconclusive for both measures. WM span was positively related to benefit from contextual information in speech recognition, but better TRTs related to less interference from unrelated cues. Data for individuals with impaired hearing are limited, but larger WM span seems to give a general advantage in various listening situations.

  • 52.
    Besser, Jana
    et al.
    VU University Medical Center Amsterdam, The Netherlands .
    Zekveld, Adriana
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Kramer, Sophia E.
    VU University Medical Center Amsterdam, The Netherlands .
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Festen, Joost M.
    VU University Medical Center Amsterdam, The Netherlands .
    New measures of masked text recognition in relation to speech-in-noise perception and their associations with age and cognitive abilities2012Inngår i: Journal of Speech, Language and Hearing Research, ISSN 1092-4388, E-ISSN 1558-9102, Vol. 55, nr 1, s. 194-209Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: This research aimed to increase the analogy between text reception threshold (TRT) and speech reception threshold (SRT) and to examine the TRT's value in estimating cognitive abilities important for speech comprehension in noise.

    Method: We administered five TRT versions, SRT tests in stationary (SRTSTAT) and modulated (SRTMOD) noise, and two cognitive tests: a reading span (RSpan) test for working memory capacity, and a letter-digit-substitution test for information processing speed. Fifty-five normal hearing adults (18–78 years, mean = 44) participated. We examined mutual associations of the tests and their predictive value for the SRTs with correlation and linear regression analyses.

    Results: SRTs and TRTs were well associated, also when controlling for age. Correlations for the SRTSTAT were generally lower than for the SRTMOD. The cognitive tests were only correlated to the SRTs when age was not controlled for. Age and the TRTs were the only significant predictors of SRTMOD. SRTSTATwas predicted by level of education and some of the TRT versions.

    Conclusions: TRTs and SRTs are robustly associated, nearly independent of age. The association between SRTs and RSpan is largely age-dependent. The TRT test and the RSpan test measure different non-auditory components of linguistic processing relevant for speech perception in noise.

  • 53.
    Besser, Jana
    et al.
    ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    Zekveld, Adriana
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Kramer, Sophia E.
    VU University Medical Center, Amsterdam.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Festen, Joost M.
    Vrije University of Amsterdam Medical Centre.
    Recognition of masked text and speech in noise in association with age and cognitive abilities2011Konferansepaper (Annet vitenskapelig)
  • 54.
    Besser, Jana
    et al.
    ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    Zekveld, Adriana
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Kramer, Sophia E.
    ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Festen, Joost M.
    ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    The Test Reception Threshold test revisited - strengthening associations with SRT and working memory2010Konferansepaper (Annet vitenskapelig)
  • 55.
    Besser, Jana
    et al.
    ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    Zekveld, Adriana
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Kramer, Sophia E.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Festen, Joost M.
    ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    The Text Reception Threshold as a Measure for the Non-Auditory Components of Speech Understanding in Noise2010Konferansepaper (Annet vitenskapelig)
  • 56.
    Besser, Jana
    et al.
    (ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    Zekveld, Adriana
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Kramer, Sophia E.
    ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Festen, Joost M.
    (ENT/Audiology & EMGO Institute for Health and Care Research, VU University medical center Amsterdam.
    The Text Reception Threshold (TRT) as a measure of the non-auditory component of speech comprehension in noise2010Konferansepaper (Annet vitenskapelig)
  • 57.
    Beukes, E. W.
    et al.
    Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK.
    Manchaiah, Vinaya K. C.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA; Audiology India, Mysore, India; Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Karnataka, India.
    Valien, T. E.
    Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.
    Baguley, D. M.
    Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK; National Institute for Health Research, Nottingham Biomedical Research Centre, Ropewalk House, The Ropewalk, Nottingham, UK; Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK.
    Allen, P. M.
    Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK; Vision and Eye Research Unit, Anglia Ruskin University, Cambridge, UK.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institute, Stockholm, Sweden.
    Positive experiences related to living with tinnitus: A cross-sectional survey2018Inngår i: Clinical Otolaryngology, ISSN 1749-4478, E-ISSN 1365-2273, Vol. 43, nr 2, s. 489-495Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

    The aim of this study was to gain insights related to positive experiences reported by adults with tinnitus living in the United Kingdom.

    Design

    A cross‐sectional survey design was used in a sample of adults with tinnitus who were interested in undertaking an Internet‐based intervention for tinnitus.

    Setting

    The study was UK wide and data collection was online.

    Participants

    Participants consisted of 240 adults (137 males, 103 females), with an average age of 48.16 years and average tinnitus duration of 11.52 years (SD: 11.88).

    Main outcome measures

    Tinnitus severity was measured by means of the Tinnitus Functional Index. To evaluate the secondary effects of tinnitus, the Insomnia Severity Index, the Hearing Handicap Inventory for Adults‐Screening Version and the Cognitive Failures Questionnaires were administered. Positive experiences related to tinnitus were explored using an open‐ended question format.

    Results

    Around a third of participants (32.5%) reported positive experiences associated with tinnitus. The number of positive responses ranged from one to eight responses per participant, although there were fewer participants with more than one positive response. The predominant themes concerned for (i) coping; (ii) personal development; (iii) support, and to a lesser extent (iv) outlook. Younger participants, those with a lower hearing disability and those with fewer cognitive failures were more likely to report positive experiences associated with having tinnitus.

    Conclusions

    This study has identified that personal development and a positive outlook are possible despite experiencing tinnitus. Ways to facilitate positive experiences related to tinnitus should be promoted, as these may reduce the negative consequences associated with tinnitus. The most prevalent positive theme was the ability to cope with tinnitus. Positive experiences were also drawn from having clinical and other support networks. This highlights the importance of providing tinnitus interventions that can assist people in coping with tinnitus, particularly to those less likely to relate tinnitus to any positive experiences. Those most likely to be helped include those who are older with greater cognitive difficulties and a greater hearing disability.

  • 58.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin University, England.
    Allen, Peter M.
    Anglia Ruskin University, England; Anglia Ruskin University, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar University, TX 77710 USA; Audiol India, India.
    Baguley, David M.
    Anglia Ruskin University, England; University of Nottingham, England.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute, Sweden.
    Internet-Based Intervention for Tinnitus: Outcome of a Single-Group Open Trial2017Inngår i: Journal of american academy of audiology, ISSN 1050-0545, E-ISSN 2157-3107, Vol. 28, nr 4, s. 340-351Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Managing chronic tinnitus is challenging, and innovative ways to address the resulting health-care burden are required. Internet-based cognitive behavioral therapy (iCBT) for tinnitus shows promise as a cost-effective treatment option. The feasibility and effectiveness of iCBT in the United Kingdom are yet to be explored. Furthermore, it is not known if iCBT can be supported by an audiologist rather than a psychologist. Purpose: This study aimed to determine the feasibility of guided iCBT using audiological support on tinnitus distress and tinnitus-related comorbidities. Furthermore, it aimed to establish the feasibility of iCBT for tinnitus distress in the United Kingdom, by determining recruitment, attrition, and compliance rates. Finally, it aimed to identify which aspects of the protocol require refinement for subsequent clinical trials. Research Design: A single-group open trial design was implemented. This study would serve as a prerequisite study, to identify barriers, before undertaking effectiveness trials. Study Sample: Participants consisted of 37 adults (18 males, 19 females), with an age range of between 50 and 59 yr. The mean preintervention tinnitus severity rating was 56.15 (standard deviation = 18.35), which is categorized as "severe tinnitus" as measured by the Tinnitus Functional Index (TFI). Five participants withdrew during the study, and 29 of the remaining participants completed the postintervention questionnaire. Intervention: The guided iCBT intervention ran over an eight-week period and consisted of 16 obligatory modules and five optional modules. The intervention was designed to be interactive, interesting, and stimulating. A key element was the provision of support from an audiologist throughout the program. Data Collection and Analysis: Online questionnaires were used throughout the study. These were administered at baseline and postintervention to determine attrition and compliance rates and to facilitate sample size estimates for further clinical trials. Outcome measures for tinnitus severity, hearing handicap, insomnia, cognitive functioning, hyperacusis, anxiety, depression, and life satisfaction were used to investigate the effects of iCBT with audiological support. In addition, a weekly questionnaire was incorporated to monitor change in tinnitus distress while undertaking the intervention. Results: Feasibility was established using an audiologist to support this guided iCBT intervention, as a significant change postintervention was found for tinnitus severity, as measured by the TFI and the Tinnitus Handicap Inventory, Screening version. The attrition rate was 22% and compliance was variable. Although these results were based on a small sample, they provide encouraging evidence for the feasibility of delivering iCBT treatment for tinnitus symptoms with audiology support in the United Kingdom. Conclusions: An Internet-based intervention of tinnitus appears to be feasible in the United Kingdom when using audiological support. Randomized controlled trials to further investigate the effectiveness of iCBT for tinnitus in the United Kingdom are required.

  • 59.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin Univ, England.
    Baguley, David M.
    Anglia Ruskin Univ, England; Nottingham Biomed Res Ctr, England; Univ Nottingham, England.
    Allen, Peter M.
    Anglia Ruskin Univ, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar Univ, TX 77710 USA; Audiol India, India; Manipal Univ, India.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Audiologist-Guided Internet-Based Cognitive Behavior Therapy for Adults With Tinnitus in the United Kingdom: A Randomized Controlled Trial2018Inngår i: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 39, nr 3, s. 423-433Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: Specialist tinnitus services are in high demand as a result of the negative effect tinnitus may have on quality of life. Additional clinically and cost-effective tinnitus management routes are needed. One potential route is providing Cognitive Behavioural Therapy for tinnitus via the Internet (iCBT). This study aimed to determine the efficacy of guided iCBT, using audiological support, on tinnitus distress and tinnitus-related comorbidities, in the United Kingdom. A further aim was to establish the stability of intervention effects 2-months postintervention. The hypothesis was that iCBT for tinnitus would be more effective at reducing tinnitus distress than weekly monitoring. Design: A randomized, delayed intervention efficacy trial, with a 2-month follow-up was implemented to evaluate the efficacy of iCBT in the United Kingdom. Participants were randomly assigned to the experimental (n = 73) or weekly monitoring control group (n = 73) after being stratified for tinnitus severity and age. After the experimental group completed the 8-week long iCBT intervention, the control group undertook the same intervention. Intervention effects were, therefore, evaluated in two independent groups at two time points. The primary outcome was a change in tinnitus distress between the groups as assessed by the Tinnitus Functional Index. Secondary assessment measures were included for insomnia, anxiety, depression, hearing disability, hyperacusis, cognitive failures, and satisfaction with life. These were completed at baseline, postintervention, and at a 2-month postintervention follow-up. Results: After undertaking the iCBT intervention, the experimental group had a greater reduction in tinnitus distress when compared with the control group. This reduction was statistically significant (Cohens d = 0.7) and was clinically significant for 51% of the experimental group and 5% of the control group. This reduction was evident 4 weeks after commencing the iCBT intervention. Furthermore, the experimental group had a greater reduction in insomnia, depression, hyperacusis, cognitive failures, and a greater improvement in quality of life, as evidenced by the significant differences in these assessment measures postintervention. Results were maintained 2 months postintervention. Conclusions: Guided (using audiological support) iCBT for tinnitus resulted in statistically significant reductions in tinnitus distress and comorbidities (insomnia, depression, hyperacusis, cognitive failures) and a significant increase in quality of life. These effects remained stable at 2-months postintervention. Further trials to determine the longer term efficacy of ICBT to investigate predictors of outcome and to compare iCBT with standard clinical care in the United Kingdom are required.

  • 60.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin University, England.
    Baguley, David M.
    Anglia Ruskin University, England; Nottingham Biomed Research Centre, England; University of Nottingham, England.
    Allen, Peter M.
    Anglia Ruskin University, England; Anglia Ruskin University, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar University, TX 77710 USA; Audiol India, India; Manipal University, India.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute, Sweden.
    Guided Internet-based versus face-to-face clinical care in the management of tinnitus: study protocol for a multi-centre randomised controlled trial2017Inngår i: Trials, ISSN 1745-6215, E-ISSN 1745-6215, Vol. 18, artikkel-id 186Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Innovative strategies are required to improve access to evidence-based tinnitus interventions. A guided Internet-based cognitive behavioural therapy (iCBT) intervention for tinnitus was therefore developed for a U.K. population. Initial clinical trials indicated efficacy of iCBT at reducing tinnitus severity and associated comorbidities such as insomnia and depression. The aim of this phase III randomised controlled trial is to compare this new iCBT intervention with an established intervention, namely face-to-face clinical care for tinnitus. Methods/design: This will be a multi-centre study undertaken across three hospitals in the East of England. The design is a randomised, two-arm, parallel-group, non-inferiority trial with a 2-month follow-up. The experimental group will receive the guided iCBT intervention, whereas the active control group will receive the usual face-to-face clinical care. An independent researcher will randomly assign participants, using a computer-generated randomisation schedule, after stratification for tinnitus severity. There will be 46 participants in each group. The primary assessment measure will be the Tinnitus Functional Index. Data analysis will establish whether non-inferiority is achieved using a pre-defined non-inferiority margin. Discussion: This protocol outlines phase III of a clinical trial comparing a new iCBT with established face-to-face care for tinnitus. If guided iCBT for tinnitus proves to be as effective as the usual tinnitus care, it may be a viable additional management route for individuals with tinnitus. This could increase access to evidence-based effective tinnitus care and reduce the pressures on existing health care systems.

  • 61.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin University, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar University, TX 77710 USA; Audiol India, India.
    Allen, Peter M.
    Anglia Ruskin University, England; Anglia Ruskin University, England.
    Baguley, David M.
    Anglia Ruskin University, England; Cambridge University Hospital NHS Fdn Trust, England.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute, Sweden.
    Internet-based cognitive behavioural therapy for adults with tinnitus in the UK: study protocol for a randomised controlled trial2015Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 5, nr 9, s. e008241-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Tinnitus is one of the most distressing hearing-related symptoms. Innovative ways of managing tinnitus distress and the related healthcare burden of treating tinnitus are required. An internet-based cognitive behavioural therapy (iCBT) intervention has been developed in Sweden to improve access to evidence-based tinnitus treatments. This study aims to determine the feasibility and effectiveness of iCBT in reducing the impact associated with tinnitus, in the UK. It, furthermore, aims to establish whether there are subgroups of tinnitus sufferers for whom this iCBT intervention may be more suitable. Methods and analysis: A two-armed randomised control trial-with a 1-year follow-up design-will be used to evaluate the effectiveness of iCBT on tinnitus distress. A delayed treatment design using a weekly check-in control group will be used. 70 participants will be randomly assigned to each group by an independent researcher by using a computer-generated randomisation schedule, and after being prestratified for age and tinnitus severity. They will undergo the iCBT e-health intervention online together with audiological therapeutic support. The main outcome measure is the Tinnitus Functional Index. Process evaluation of the intervention will also be conducted. Data analysis will be in accordance with Consolidated Standards of Reporting Trials guidelines. Ethics and dissemination: Ethical approval has been granted. If this intervention proves effective, it may be possible that at least some tinnitus sufferers can be managed though an iCBT e-learning treatment programme. This would be cost effective and potentially will free up services for those with more severe problems that need face-to-face treatment.

  • 62.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin Univ, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar Univ, TX 77710 USA; Audiol India, India; Manipal Univ, India.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Allen, Peter M.
    Anglia Ruskin Univ, England; Anglia Ruskin Univ, England.
    Terlizzi, Paige M.
    Lamar Univ, TX 77710 USA.
    Baguley, David M.
    Anglia Ruskin Univ, England; Nottingham Biomed Res Ctr, England; Univ Nottingham, England.
    Situationally influenced tinnitus coping strategies: a mixed methods approach2018Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, nr 24, s. 2884-2894Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The primary aim of this study was to identify coping strategies used to manage problematic tinnitus situations. A secondary aim was to determine whether different approaches were related to the level of tinnitus distress, anxiety, depression, and insomnia experienced. Materials and methods: A cross-sectional survey design was implemented. The study sample was adults interested in undertaking an Internet-based intervention for tinnitus. Self-reported measures assessed the level of tinnitus distress, depression, anxiety, and insomnia. An open-ended question was used to obtain information about how problematic tinnitus situations were dealt with. Responses were investigated using qualitative content analysis to identify problematic situations. Further data analysis comprised of both qualitative and quantitative methods. Results: There were 240 participants (137 males, 103 females), with an average age of 48.16 years (SD: 22.70). Qualitative content analysis identified eight problematic tinnitus situations. Participants had either habituated to their tinnitus (7.9%), used active (63.3%), or passive (28.8%) coping styles to manage these situations. Those who had habituated to tinnitus or used active coping strategies had lower levels of tinnitus distress, anxiety, and depression. Conclusions: The main problematic tinnitus situations for this cohort were identified. Both active and passive coping styles were applied to approach these situations. The coping strategies used most frequently and utilised in the widest range of problematic situations were using sound enrichment and diverting attention.

  • 63.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin Univ, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar Univ, TX 77710 USA; Audiol India, India; Manipal Univ, India.
    Baguley, David M.
    Anglia Ruskin Univ, England; NIHR, England; Univ Nottingham, England.
    Allen, Peter M.
    Anglia Ruskin Univ, England; Anglia Ruskin Univ, England.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Process evaluation of Internet-based cognitive behavioural therapy for adults with tinnitus in the context of a randomised control trial2018Inngår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 57, nr 2, s. 98-109Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The research objective was to identify processes that could either facilitate or hinder clinical implementation of an Internet-based cognitive behavioural therapy intervention for tinnitus in the UK. This was done by exploring the research context, the intervention components and the factors that contributed to the outcomes obtained. Design: This study investigated eight processes including the recruitment strategies, reach, research context, treatment dose delivered and received, implementation fidelity, barriers to implementation and effectiveness of the intervention. Study sample: Of the 169 registered participants, 146 were randomly assigned to the experimental or control groups (23 were excluded). The mean age was 55.57 years with an average tinnitus duration of 11.63 years. Results: The intended sample of people with distressing tinnitus who were underserved with evidence-based tinnitus interventions was reached. The full guided intervention was delivered. The recommended modules were read more than the optional modules. Intervention components such as the easily readable format and the benefits of the applied relaxation programme facilitated significant positive post-intervention outcomes. Barriers hampering the intervention application included time pressures and low self-motivation. Conclusions: Results of this process evaluation together with the outcome data can be used to facilitate translating this research into clinical practice.

  • 64.
    Bianchi, Federica
    et al.
    Oticon Med AB, Denmark.
    Wendt, Dorothea
    Oticon AS, Denmark; Tech Univ Denmark, Denmark.
    Wassard, Christina
    Oticon Med AB, Denmark.
    Maas, Patrick
    Oticon Med AB, Denmark; Oticon Med, Germany.
    Lunner, Thomas
    Linköpings universitet, Institutionen för systemteknik, Reglerteknik. Linköpings universitet, Tekniska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Oticon AS, Denmark; Tech Univ Denmark, Denmark; Orebro Univ, Sweden.
    Rosenbom, Tove
    Oticon Med AB, Denmark.
    Holmberg, Marcus
    Oticon Med AB, Sweden.
    Benefit of Higher Maximum Force Output on Listening Effort in Bone-Anchored Hearing System Users: A Pupillometry Study2019Inngår i: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 40, nr 5, s. 1220-1232Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The aim of this study was to compare listening effort, as estimated via pupillary response, during a speech-in-noise test in bone-anchored hearing system (BAHS) users wearing three different sound processors. The three processors, Ponto Pro (PP), Ponto 3 (P3), and Ponto 3 SuperPower (P3SP), differ in terms of maximum force output (MFO) and MFO algorithm. The hypothesis was that listeners would allocate lower listening effort with the P3SP than with the PP, as a consequence of a higher MFO and, hence, fewer saturation artifacts in the signal. Design: Pupil dilations were recorded in 21 BAHS users with a conductive or mixed hearing loss, during a speech-in-noise test performed at positive signal-to-noise ratios (SNRs), where the speech and noise levels were individually adjusted to lead to 95% correct intelligibility with the PP. The listeners had to listen to a sentence in noise, retain it for 3 seconds and then repeat it, while an eye-tracking camera recorded their pupil dilation. The three sound processors were tested in random order with a single-blinded experimental design. Two conditions were performed at the same SNR: Condition 1, where the speech level was designed to saturate the PP but not the P3SP, and condition 2, where the overall sound level was decreased relative to condition 1 to reduce saturation artifacts. Results: The P3SP led to higher speech intelligibility than the PP in both conditions, while the performance with the P3 did not differ from the performance with the PP and the P3SP. Pupil dilations were analyzed in terms of both peak pupil dilation (PPD) and overall pupil dilation via growth curve analysis (GCA). In condition 1, a significantly lower PPD, indicating a decrease in listening effort, was obtained with the P3SP relative to the PP. The PPD obtained with the P3 did not differ from the PPD obtained with the other two sound processors. In condition 2, no difference in PPD was observed across the three processors. The GCA revealed that the overall pupil dilation was significantly lower, in both conditions, with both the P3SP and the P3 relative to the PP, and, in condition 1, also with the P3SP relative to the P3. Conclusions: The overall effort to process a moderate to loud speech signal was significantly reduced by using a sound processor with a higher MFO (P3SP and P3), as a consequence of fewer saturation artifacts. These findings suggest that sound processors with a higher MFO may help BAHS users in their everyday listening scenarios, in particular in noisy environments, by improving sound quality and, thus, decreasing the amount of cognitive resources utilized to process incoming speech sounds.

  • 65.
    Björk, Mathilda
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Rehabenheten. Jonköping University, Sweden.
    Dahlström, Örjan
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Wetterö, Jonas
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Sjöwall, Christoffer
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Reumatologiska kliniken i Östergötland.
    Quality of life and acquired organ damage are intimately related to activity limitations in patients with systemic lupus erythematosus2015Inngår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 16, nr 188Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Systemic lupus erythematosus (SLE) is an autoimmune multi-organ disease, characterized by episodes of disease flares and remissions over time, which may restrain affected patients ability to perform daily activities. The purpose of the present study was to characterize variation in activity limitations among well-defined SLE patients, and to describe disease phenotypes, acquired organ damage and their relations to activity limitation and self-reported health, respectively. Methods: The disease phenotypes were organized into 4 different clinical groups and logistic regression analyses were used to identify how an elevated health assessment questionnaire (HAQ) score was related to disease variables such as phenotypes, disease activity and damage accrual. Correlation and multiple linear regression analyses were used to examine the association between each group of variables - background variables, disease variables and self-reported measurements - and the degree of elevated HAQ. Results: We found a higher proportion of activity limitation in patients with skin and joint involvement compared to others. The presence of activity limitation, as detected by the HAQ instrument, was significantly associated with quality of life (EuroQol-5D) and accrual of organ damage using the Systemic Lupus International Collaborative Clinics/ACR damage index. Conclusions: The findings highlight the differing requirements of the multi-professional rehabilitation interventions for the various SLE phenotypes in order to optimize the clinical care of the patients.

  • 66.
    Blomberg, Rina
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Danielsson, Henrik
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Rudner, Mary
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Soderlund, Goran B. W.
    Western Norway Univ Appl Sci, Norway.
    Rönnberg, Jerker
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Speech Processing Difficulties in Attention Deficit Hyperactivity Disorder2019Inngår i: Frontiers in Psychology, ISSN 1664-1078, E-ISSN 1664-1078, Vol. 10, artikkel-id 1536Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The large body of research that forms the ease of language understanding (ELU) model emphasizes the important contribution of cognitive processes when listening to speech in adverse conditions; however, speech-in-noise (SIN) processing is yet to be thoroughly tested in populations with cognitive deficits. The purpose of the current study was to contribute to the field in this regard by assessing SIN performance in a sample of adolescents with attention deficit hyperactivity disorder (ADHD) and comparing results with age-matched controls. This population was chosen because core symptoms of ADHD include developmental deficits in cognitive control and working memory capacity and because these top-down processes are thought to reach maturity during adolescence in individuals with typical development. The study utilized natural language sentence materials under experimental conditions that manipulated the dependency on cognitive mechanisms in varying degrees. In addition, participants were tested on cognitive capacity measures of complex working memory-span, selective attention, and lexical access. Primary findings were in support of the ELU-model. Age was shown to significantly covary with SIN performance, and after controlling for age, ADHD participants demonstrated greater difficulty than controls with the experimental manipulations. In addition, overall SIN performance was strongly predicted by individual differences in cognitive capacity. Taken together, the results highlight the general disadvantage persons with deficient cognitive capacity have when attending to speech in typically noisy listening environments. Furthermore, the consistently poorer performance observed in the ADHD group suggests that auditory processing tasks designed to tax attention and working memory capacity may prove to be beneficial clinical instruments when diagnosing ADHD.

  • 67.
    Boenitz, Hanna
    et al.
    Hannover Medical Sch, Germany.
    Kopp, Bruno
    Hannover Medical Sch, Germany.
    Buechner, Andreas
    Hannover Medical Sch, Germany; Cluster Excellence Hearing4all, Germany.
    Lunner, Thomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Oticon AS, Denmark.
    Lyxell, Björn
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Finke, Mareike
    Hannover Medical Sch, Germany; Cluster Excellence Hearing4all, Germany.
    Event-related neuronal responses to acoustic novelty in single-sided deaf cochlear implant users: Initial findings2018Inngår i: Clinical Neurophysiology, ISSN 1388-2457, E-ISSN 1872-8952, Vol. 129, nr 1, s. 133-142Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: A cochlear implant (CI) is an auditory prosthesis restoring profound hearing loss. However, CItransmitted sounds are degraded compared to normal acoustic hearing. We investigated cortical responses related to CI-degraded against acoustic listening. Methods: Event-related potentials (ERPs) were recorded from eight single-sided deaf CI users who performed a three-stimulus oddball task, separatelywith their normal hearing ear and CI ear. The oddball tones were occasionally intermitted by novel sounds. ERP responses were compared between electric and acoustic listening for the auditory (N1) and auditory-cognitive (Novelty P3, Target-P3) ERP components. Results: CI-degraded listening was associated with attenuated sensory processing (N1) and with attenuated early cortical responses to acoustic novelty whereas the late cortical responses to acoustic novelty and the target-P3 did not differ between NH and CI ears. Conclusion: The present study replicates the CI-attenuation of Novelty-P3 amplitudes in a within-subject comparison. Further, we show that the CI-attenuation of Novelty-P3 amplitudes extends to early cortical responses to acoustic novelty, but not to late novelty responses. Significance: The dissociation into CI-attenuated P3 early Novelty-P3 amplitudes and CI-unaffected late Novelty-P3 amplitudes represents a cortical fingerprint of CI-degraded listening. It further contributes to general claims of distinct auditory Novelty-P3 sub-components. (C) 2017 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  • 68.
    Boisvert, Isabelle
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Macquarie University, Australia; HEARing Cooperat Research Centre, Australia; SCIC Cochlear Implant Program, Australia.
    McMahon, Catherine M.
    Macquarie University, Australia; HEARing Cooperat Research Centre, Australia.
    Dowell, Richard C.
    HEARing Cooperat Research Centre, Australia; University of Melbourne, Australia; Royal Victorian Eye and Ear Hospital, Australia.
    Lyxell, Björn
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken US. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Long-Term Asymmetric Hearing Affects Cochlear Implantation Outcomes Differently in Adults with Pre- and Postlingual Hearing Loss2015Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, nr 6, artikkel-id e0129167Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In many countries, a single cochlear implant is offered as a treatment for a bilateral hearing loss. In cases where there is asymmetry in the amount of sound deprivation between the ears, there is a dilemma in choosing which ear should be implanted. In many clinics, the choice of ear has been guided by an assumption that the reorganisation of the auditory pathways caused by longer duration of deafness in one ear is associated with poorer implantation outcomes for that ear. This assumption, however, is mainly derived from studies of early childhood deafness. This study compared outcomes following implantation of the better or poorer ear in cases of long-term hearing asymmetries. Audiological records of 146 adults with bilateral hearing loss using a single hearing aid were reviewed. The unaided ear had 15 to 72 years of unaided severe to profound hearing loss before unilateral cochlear implantation. 98 received the implant in their long-term sound-deprived ear. A multiple regression analysis was conducted to assess the relative contribution of potential predictors to speech recognition performance after implantation. Duration of bilateral significant hearing loss and the presence of a prelingual hearing loss explained the majority of variance in speech recognition performance following cochlear implantation. For participants with post-lingual hearing loss, similar outcomes were obtained by implanting either ear. With prelingual hearing loss, poorer outcomes were obtained when implanting the long-term sound-deprived ear, but the duration of the sound deprivation in the implanted ear did not reliably predict outcomes. Contrary to an apparent clinical consensus, duration of sound deprivation in one ear has limited value in predicting speech recognition outcomes of cochlear implantation in that ear. Outcomes of cochlear implantation are more closely related to the period of time for which the brain is deprived of auditory stimulation from both ears.

  • 69.
    Boisvert, Isabelle
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Macquarie University, Australia, HEARing CRC, Australia.
    McMahon, Catherine M
    Macquarie University, Australia.
    Lyxell, Björn
    Linnaeus Centre HEAD, Linköping University, Sweden.
    Dowell, Richard
    Melbourne University, Australia.
    Monaural sound deprivation; opening a window on central processes underlying cochlear implantation outcomes2011Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    When considering unilateral cochlear implantation, clinicians must decide which ear should be implanted. This decision process is made more complex in the case of long-term monaural sound-deprivation where a hearing aid is used in the non-deprived ear. Clinical recommendations are not uniform where some clinicians suggest implanting the sound-deprived ear, regardless of the length of deprivation, to preserve the remaining hearing of the non-deprived ear. Others recommend implanting the non-deprived ear, arguing that implanting a recently stimulated ear provides higher outcomes with the implant. The literature discussing implanting the “better” or “worse” ear is inconclusive and none have specifically compared outcomes of implantation in ears with long-term monaural sound-deprivation.The current study draws its findings from cochlear implant centres located in 3 countries. Comparative analyses of cochlear implantation outcomes obtained in adults with monaural sound-deprivation of durations ranging from 15 to 65 years and implanted in the non-deprived (n≈90) or sound-deprived ear (n≈100) have been conducted. The results show that similar functional outcomes can be achieved by both groups when comparing the everyday listening condition (cochlear implant alone or bimodal hearing [i.e. cochlear implant in one ear and hearing aid in the other]). Moreover, higher outcomes were obtained after cochlear implantation by individuals with a long-term monaural sound-deprivation compared to individuals with a long-term bilateral sound-deprivation (n≈15), irrespective of which ear was implanted. These results pave the way to a discussion about central processes underlying cochlear implantation outcomes.

  • 70.
    Boisvert, Isabelle
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Macquarie University, Australia, HEARing CRC, Australia.
    McMahon, Chaterine M
    Maquarie University, Sydney, Australia.
    Dowell, Richard
    Melbourne University, Australia.
    Lyxell, Björn
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Cochlear implantation in parients with long-term monaural sound-deprivation: Does the choice of ear matter?2011Konferansepaper (Fagfellevurdert)
  • 71.
    Boisvert, Isabelle
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Macquarie University, Australia, HEARing CRC, Australia.
    McMahon, Chaterine M
    Maquarie University, Sydney, Australia.
    Dowell, Richard
    Melbourne University, Australia.
    Lyxell, Björn
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Östergötlands Läns Landsting, Sinnescentrum, Öron- näsa- och halskliniken US.
    Psarros, Colleen
    Sydney Area, Australia.
    Tremblay, Genevieve
    Institute Readaptation Deficience Phys Quebec, Canada.
    Mäki-Torkko, Elina
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Karltorp, Eva
    Karolinska institute, Stockholm, Sweden.
    How the non-implanted ear influences outcomes of cochlear implantation2012Konferansepaper (Annet vitenskapelig)
  • 72.
    Boisvert, Isabelle
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Macquarie University, Australia, HEARing CRC, Australia.
    McMahon, Chaterine M
    Maquarie University, Sydney, Australia.
    Dowell, Richard
    Melbourne University, Australia.
    Lyxell, Björn
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Östergötlands Läns Landsting, Sinnescentrum, Öron- näsa- och halskliniken US.
    Psarros, Colleen
    Sydney Area, Australia.
    Tremblay, Genevieve
    Institute Readaptat Deficience Phys Quebec, Canada.
    Mäki-Torkko, Elina
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Karltorp, Eva
    Karolinska institute, Stockholm, Sweden.
    The Contribution of the non-implanted ear to Cochlear implantation Outcomes2012Konferansepaper (Annet vitenskapelig)
  • 73.
    Boisvert, Isabelle
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Macquarie University, Australia, HEARing CRC, Australia.
    McMahon, Chaterine M
    Maquarie University, Sydney, Australia.
    Lyxell, Björn
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Relationship between "duration of deafness" and functional outcomes of cochlear implantation in individuals with long-term unilateral sound deprivation2010Konferansepaper (Annet vitenskapelig)
  • 74.
    Boisvert, Isabelle
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Macquarie University, Australia, HEARing CRC, Australia.
    McMahon, Chaterine M
    Maquarie University, Sydney, Australia.
    Lyxell, Björn
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    The limits of speech recognition tests when evaluating cochlear implant candidacies2010Konferansepaper (Annet vitenskapelig)
  • 75.
    Boisvert, Isabelle
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Macquarie University, Australia, HEARing CRC, Australia.
    McMahon, Chaterine M
    Maquarie University, Sydney, Australia.
    Lyxell, Björn
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Östergötlands Läns Landsting, Sinnescentrum, Öron- näsa- och halskliniken US.
    Tremblay, Genevieve
    Institute Readaptat Deficience Phys Quebec, Canada.
    Psarros, Colleen
    Sydney Area, Australia.
    Karltorp, Eva
    Karolinska institutet, Stockholm, Sweden.
    Mäki-Torkko, Elina
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    A Multicenter Study of Cochlear Implantation Outcomes in Individuals with a Long Term Unilateral Sound Deprivation2010Konferansepaper (Annet vitenskapelig)
  • 76. Borch Petersen, E
    et al.
    Wöstmann, M
    Obleser, J
    Stenfelt, Stefan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neurovetenskap. Linköpings universitet, Hälsouniversitetet.
    Lunner, Thomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutet för handikappvetenskap (IHV). Eriksholm Research Centre, Snekkersten, Denmark.
    Compensated hearing loss predicts generation of auditory evoked potentials.2014Konferansepaper (Fagfellevurdert)
  • 77.
    Borch Petersen, Eline
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Institutet för handikappvetenskap (IHV). Eriksholm Research Centre, Snekkersten, Denmark .
    Lunner, Thomas
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Institutet för handikappvetenskap (IHV). Eriksholm Research Centre, Snekkersten, Denmark .
    Cognitive Hearing Aids? - Insights and Possibilities2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The working memory plays an important role in successfully overcoming adverse listening conditions and should consequently be considered when designing and testing hearing aids. A number of studies have established the relationship between hearing in noise and working memory involvement, but with the Sentence-final Word Identification and Recall (SWIRL) test, it is possible to show that working memory is also involved in listening under favorable conditions and that noise reduction has a positive influence in situation with very little noise. Although the capacity of the working memory is a finite individual size, its involvement can differ with fatigue and other factors and individualization of hearing aids should take this into account to obtain the best performance. A way of individually adapting hearing aids is based on changes in the electrical activity of the brain (EEG). Here we present the possibilities that arise from using EEG and show that ear-mounted electrodes is able to record useful EEG that can be explored for individualization of hearing aids. Such an adaptation could be done based on changes in the electrical activity of the brain (EEG). Here we present the possibilities that arise from using EEG and show that ear-mounted electrodes is able to record useful EEG that can be explored for individualization of hearing aids.

  • 78.
    Borch Petersen, Eline
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Snekkersten, Eriksholm Research Centre.
    Lunner, Thomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Snekkersten, Oticon A/S, Eriksholm Research Centre.
    Vestergaard, Martin
    University of Cambridge, Centre for the Neural Basis of Hearing.
    Sundewall Thorén, Elisabet
    Snekkersten, Eriksholm Research Centre.
    Normative Reading Span Data from 283 Hearing Aid Users and the Relationship to Performance in Speech-in-Noise Test2014Inngår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186Artikkel i tidsskrift (Fagfellevurdert)
  • 79.
    Borch Petersen, Eline
    et al.
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Eriksholm Research Centre.
    Wöstmann, Malte
    Department of Psychology, University of Lübeck, Lübeck, Germany.
    Obleser, Jonas
    Department of Psychology, University of Lübeck, Lübeck, Germany.
    Lunner, Thomas
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Eriksholm Research Centre, Snekkersten, Denmark.
    Neural tracking of attended versus ignored speech is differentially affected by hearing loss2017Inngår i: Journal of Neurophysiology, ISSN 0022-3077, E-ISSN 1522-1598, Vol. 117, nr 1, s. 18-27Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Hearing loss manifests as a reduced ability to understand speech, particularly in multitalker situations. In these situations, younger normal-hearing listeners' brains are known to track attended speech through phase-locking of neural activity to the slow-varying envelope of the speech. This study investigates how hearing loss, compensated by hearing aids, affects the neural tracking of the speech-onset envelope in elderly participants with varying degree of hearing loss (n = 27, 62–86 yr; hearing thresholds 11–73 dB hearing level). In an active listening task, a to-be-attended audiobook (signal) was presented either in quiet or against a competing to-be-ignored audiobook (noise) presented at three individualized signal-to-noise ratios (SNRs). The neural tracking of the to-be-attended and to-be-ignored speech was quantified through the cross-correlation of the electroencephalogram (EEG) and the temporal envelope of speech. We primarily investigated the effects of hearing loss and SNR on the neural envelope tracking. First, we found that elderly hearing-impaired listeners' neural responses reliably track the envelope of to-be-attended speech more than to-be-ignored speech. Second, hearing loss relates to the neural tracking of to-be-ignored speech, resulting in a weaker differential neural tracking of to-be-attended vs. to-be-ignored speech in listeners with worse hearing. Third, neural tracking of to-be-attended speech increased with decreasing background noise. Critically, the beneficial effect of reduced noise on neural speech tracking decreased with stronger hearing loss. In sum, our results show that a common sensorineural processing deficit, i.e., hearing loss, interacts with central attention mechanisms and reduces the differential tracking of attended and ignored speech.

  • 80.
    Borch-Petersen, Eline
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Lunner, Thomas
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap.
    Obleser, Jonas
    Frauenhaufer Institute.
    Stenfelt, Stefan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Measuring cognitive load during listening: Changes in the EEG with noise level2013Konferansepaper (Fagfellevurdert)
  • 81. Borg, E
    et al.
    Rönnberg, Jerker
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap.
    Neovius, L
    Orebro Med Ctr Hosp, Ahlsen Res Inst, S-70185 Orebro, Sweden Karolinska Inst, Dept Physiol & Pharmacol, S-17177 Stockholm, Sweden Linkoping Univ, Dept Behav Sci, S-58183 Linkoping, Sweden Hitech Dev AB Aldermansvagen, S-17148 Solna, Sweden.
    Vibratory-coded directional analysis: Evaluation of a three-microphone/four-vibrator DSP system2001Inngår i: Journal of rehabilitation research and development, ISSN 0748-7711, E-ISSN 1938-1352, Vol. 38, nr 2, s. 257-263Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A sound localization aid based on eyeglasses with three microphones and four vibrators was tested in a sound-treated acoustic test room and in an ordinary office. A digital signal-processing algorithm provided a determination of the source angle, which was transformed into eight vibrator codes each corresponding to a 45 degrees sector. The instrument was tested on nine deaf and three deaf-blind individuals. The results show an average hit rate of about 80% in a sound-treated room with 100% for the front 135 degrees sector. The results in a realistic communication situation in an ordinary office room were 70% correct based on single presentations and 95% correct when more realistic criteria for an adequate reaction were used. Ten of the twelve subjects were interested in participating in field tests using a planned miniaturized version.

  • 82.
    Borg, Erik
    et al.
    Universitetssjukhuset Örebro.
    Risberg, Arne
    Talöverföring och musikakustik, Kungliga tekniska högskolan.
    Gullaksen, AnnChristine
    Malmö högskola.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Hörselvårdens vetenskapliga grund: Språngbräda mot framtiden2012Rapport (Annet (populærvitenskap, debatt, mm))
  • 83.
    Bostrom, Karin
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Natterlund, Birgitta Sjöquist
    Örebro University .
    Ahlstrom, Gerd
    Örebro University.
    Sickness impact in people with muscular dystrophy: a longitudinal study over 10 years2005Inngår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 19, nr 6, s. 686-694Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe changes of function in terms of sickness impact over 10 years in adult patients with different types of muscular dystrophy. Design: Patients with muscular dystrophy answered the Sickness Impact Profile and Self-report ADL questionnaires in 1991 and 2001. Setting: The study population was identified in a comprehensive prevalence study in the county of Orebro, Sweden. Subjects: The study group comprised 44 people grouped according to whether they had myotonic dystrophy or muscular dystrophy with proximal or distal muscles affected. Main measures: Comparison was made between assessments of sickness impact in terms of function at the two time points. Results: Most obvious deterioration over time was in activities of daily living that require finger and arm strength. Ambulation was significantly decreased in myotonic dystrophy and proximal muscular dystrophy. Those walking without assistive devices decreased from 91% to 52%, and the number with a disability pension increased from 36 to 55%. There was a relatively small influence with regard to psychosocial dysfunction assessed by the Sickness Impact Profile. Conclusions: This longitudinal study shows the deteriorating functions reported by patients with muscular dystrophy. This knowledge could be used to formulate new interventions in order to offer appropriate support and treatment to this patient group.

  • 84.
    Bremin, Sofia
    et al.
    Linköpings universitet, Institutionen för datavetenskap. Linköpings universitet, Tekniska högskolan.
    Hu, Hongzhan
    Linköpings universitet, Institutionen för datavetenskap. Linköpings universitet, Tekniska högskolan.
    Karlsson, Johanna
    Linköpings universitet, Institutionen för datavetenskap. Linköpings universitet, Tekniska högskolan.
    Prytz Lillkull, Anna
    Linköpings universitet, Institutionen för datavetenskap. Linköpings universitet, Tekniska högskolan.
    Wester, Martin
    Linköpings universitet, Institutionen för datavetenskap. Linköpings universitet, Tekniska högskolan.
    Danielsson, Henrik
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Stymne, Sara
    Linköpings universitet, Institutionen för datavetenskap, NLPLAB - Laboratoriet för databehandling av naturligt språk. Linköpings universitet, Tekniska högskolan.
    Methods for human evaluation of machine translation2010Inngår i: Proceedings of the Swedish Language Technology Conference (SLTC2010), 2010, s. 47-48Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Evaluation of machine translation (MT) is a difficult task, both for humans, and using automatic metrics. The main difficulty lies in the fact that there is not one single correct translation, but many alternative good translation options.MT systems are often evaluated using automatic metrics, which commonly rely on comparing a translation to only a single human reference translation. An alternative is different types of human evaluations, commonly ranking be-tween systems or estimations of adequacy and fluency on some scale, or error analyses.

    We have explored four different evaluation methods on output from three different statistical MT systems. The main focus is on different types of human evaluation. We compare two conventional evaluation methods, human error analysis and automatic metrics, to two lesser used evaluation methods based on reading comprehension and eye-tracking. These two methods of evaluations are performed without the subjects seeing the source sentence. There have been few previous attempts of using reading comprehension and eye-tracking for MT evaluation.

    One example of a reading comprehension study is Fuji (1999) who conducted an experiment to compare English-to-Japanese MT to several versions of manual corrections of the system output. He found significant differences be-tween texts with large differences on reading comprehension questions. Doherty and O’Brien (2009) is the only study we are aware of using eye-tracking for MT evaluation. They found that the average gaze time and fixation counts were significantly lower for sentences judged as excellent in an earlier evaluation, than for bad sentences.

    Like previous research we find that both reading comprehension and eye-tracking can be useful for MT evaluation.

    The results of these methods are consistent with the other methods for comparison between systems with a big quality difference. For systems with similar quality, however, the different evaluation methods often does not show any significant differences.

  • 85.
    Brännström, Jonas K
    et al.
    Linköpings universitet, Filosofiska fakulteten. Dept of clinical science, Section of Logopedics, Phoiatrics and audiology, Lund University, Sweden.
    Öberg, Marie
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken US.
    Ingo, Elisabeth
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Månsson, Kristoffer N. T.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute, Sweden.
    Lunner, Thomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Eriksholm Research Centre, Oticon A/S, Denmark.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Eriksholm Research Centre, Oticon A/S, Denmark.
    The Process of Developing an Internet-Based Support System for Audiologists and First-Time Hearing Aid Clients2015Inngår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 24, nr 3, s. 320-324Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: In audiologic practice, complementary information sources and access to the clinician between appointments improve information retention and facilitate adjustment behaviors. An Internet-based support system is a novel way to support information sharing and clinician access. Purpose: This research forum article describes the process of developing an Internet-based support system for audiologists and their first-time hearing aid clients. Method: The iterative development process, including revisions by 4 research audiologists and 4 clinical audiologists, is described. The final system is exemplified. Conclusion: An Internet-based support system was successfully developed for audiologic practice.

  • 86.
    Brännström, Jonas
    et al.
    Clinical Sciences Lund, Sweden.
    Öberg, Marie
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Östergötlands Läns Landsting, Sinnescentrum, Öron- näsa- och halskliniken US. Linköpings universitet, Medicinska fakulteten.
    Ingo, Elisabeth
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Månsson, Kristoffer N T
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institutet, Department of Clinical Neuroscience, Sweden.
    Lunner, Thomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Snekkersten, Oticon A/S, Eriksholm Research Centre, Denmark.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Snekkersten, Oticon A/S, Eriksholm Research Centre, Denmark.
    The initial evaluation of an internet-based support system for audiologists and first-time hearing aid clientsThe process of developing an internet-based support system for audiologists and first-time hearing aid clients2016Inngår i: Internet Interventions, ISSN 2214-7829, Vol. 4, nr 1, s. 82-91Artikkel i tidsskrift (Fagfellevurdert)
  • 87.
    Båsjö, Sara
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Audiological Research Centre, School of Health and Medical Sciences / Swedish Institute for Disability Research, Örebro University Hospital, Örebro University, Örebro, Sweden.
    Möller, Claes
    Audiological Research Centre, School of Health and Medical Sciences / Swedish Institute for Disability Research, Örebro University Hospital, Örebro University, Örebro, Sweden.
    Widen, Stephen
    Audiological Research Centre, School of Health and Medical Sciences / Swedish Institute for Disability Research, Örebro University Hospital, Örebro University, Örebro, Sweden.
    Jutengren, Göran
    School of Health Sciences, University of Borås, Borås, Sweden.
    Kähäri, Kim
    Division of Audiology , Sahlgrens' Academy at Göteborg University, Göteborg, Sweden.
    Hearing thresholds, tinnitus, and headphone listening habits in nine-year-old children2016Inngår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 55, nr 10, s. 587-596Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Investigate hearing function and headphone listening habits in nine-year-old Swedish children. Design: A cross-sectional study was conducted and included otoscopy, tympanometry, pure-tone audiometry, and spontaneous otoacoustic emissions (SOAE). A questionnaire was used to evaluate headphone listening habits, tinnitus, and hyperacusis. Study sample: A total of 415 children aged nine years. Results: The prevalence of a hearing threshold20dB HL at one or several frequencies was 53%, and the hearing thresholds at 6 and 8kHz were higher than those at the low and mid frequencies. SOAEs were observed in 35% of the children, and the prevalence of tinnitus was 5.3%. No significant relationship between SOAE and tinnitus was found. Pure-tone audiometry showed poorer hearing thresholds in children with tinnitus and in children who regularly listened with headphones. Conclusion: The present study of hearing, listening habits, and tinnitus in nine-year old children is, to our knowledge, the largest study so far. The main findings were that hearing thresholds in the right ear were poorer in children who used headphones than in children not using them, which could be interpreted as headphone listening may have negative consequences to childrens hearing. Children with tinnitus showed poorer hearing thresholds compared to children without tinnitus.

  • 88.
    C. Manchaiah, Vinaya K.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Health behaviour change in hearing healthcare: A discussion paper2012Inngår i: Audiology Research, ISSN 2039-4330, E-ISSN 2039-4349, Vol. 2, nr 4, s. 12-16Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Health behavior change (HBC) refers to facilitating changes to habits and/or behavior related to health. In healthcare practice, it is quite common that the interactions between practitioner and patient involve conversations related to HBC. This could be mainly in relation to the practitioner trying to directly persuade the patients to make some changes in their health behavior. However, the patients may not be motivated to do so as they do not see this change as important. For this reason, direct persuasion may result in a breakdown of communication. In such instances, alternative approaches and means of indirect persuasion, such as empowering the patient and their family members, could be helpful. Furthermore, there are several models and/or theories proposed which explain the health behavior and also provide a structured framework for health behavior change. Many such models/approaches have been proven effective in facilitating HBC and health promotion in areas such as cessation of smoking, weight loss and so on. This paper provides an overview of main models/theories related to HBC and some insights into how these models/approaches could be adapted to facilitate behavior change in hearing healthcare, mainly in relation to: i) hearing help-seeking and hearing-aid uptake; and ii) hearing conservation in relation to music-induced hearing loss (MIHL). In addition, elements of current research related to this area and future directions are highlighted.

  • 89.
    C. Manchaiah, Vinaya K.
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Rönnberg, Jerker
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Filosofiska fakulteten.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Lunner, Thomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Stages of change in adults noticing hearing difficulties but not using hearing aidsManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    Objective: The aim of the current study was to investigate health behaviour change characteristics based on the transtheoretical stages-of-change model in adults noticing hearing difficulties but not using hearing aids using the University of Rhode Island Change Assessment (URICA) scale.

    Design: The study employed a cross-sectional design.

    Study Sample: The study was conducted in United Kingdom and 90 pre-clinical participants completed URICA as well as measures of self-reported hearing disability, self-reported anxiety and depression, self-reported hearing disability acceptance and also provided some demographic details online.

    Results: As predicted, the results indicate that a high percentage of participants (over 90%) were in the contemplation and preparation stages. This was in contrast to a previous study, which included participants attending audiology clinic, where most participants (about 80%) were in the action stage (Laplante-Lévesque et al., 2013). In addition, statistically significant differences were observed in terms of readiness to change composite and committed action composite between the study samples in the current and the previous study.

    Conclusions: Study results support the stages-of-change model. In addition, implications of the current study and areas for future research are discussed.

  • 90.
    C. Manchaiah, Vinaya K.
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Stephens, Dafydd
    Cardiff University.
    Life consequences and positive experiences reported by communication partners of person with hearing impairment: A pilot study2013Inngår i: Speech, Language and Hearing, Vol. 16, nr 1, s. 1-7Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to obtain insights into the life consequences and positive experiences reported by the communication partners (CPs) of person with hearing impairment (PHI). Open-ended questionnaires and semi-structured interviews were conducted with nine CPs who were recruited through the Swansea hearing impaired support group. Data were analyzed using thematic analysis. The results identified a number of life consequences and positive experiences of CPs and PHIs as reported by the CPs. The main life consequences experienced by both CPs and PHIs were related to communication and psychological aspects. The main positive experiences for the CPs were related to personal development and improved relationships and for PHIs were related to the use of hearing loss for self-advantage. Surprisingly, most of the participants were able to identify at least one positive experience. The study also suggested that open-ended questionnaires were a good way to understand life consequences and positive experiences by CPs and such responses can be further elicited by providing some prompts through a semi-structured interview. The study method and results could be useful in involving CPs in audiological enablement/rehabilitation sessions. These findings add to the growing literature that reported positive experiences canbe used during counseling sessions, to motivate the PHIs and their CPs and to boost their positive morale.

  • 91.
    C. Manchaiah, Vinaya K.
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Stephens, Dafydd
    Cardiff University.
    Perspectives in defining ‘hearing loss’ and its consequences2013Inngår i: Hearing, Balance and CommunicationArtikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: This discussion paper aims to highlight factors that may be important in defining hearing loss and its consequences and to present different perspectives based on various models of disability. Method: Relevant literature was reviewed to develop the discussion. Results: Hearing is a complex function that has both cognitive and emotional aspects. A person with hearing loss may have consequences in the physical, mental and social domains. Hearing loss in the context of clinical audiology is currently defined based on type of pathology and severity. However, evidence from both clinical findings and research suggest that this may not cover all the aspects of ‘hearing loss’ as a disability. Conclusion: Defining and describing hearing loss and its consequences with a holistic approach has some clinical value particularly in the context of audiological enablement/rehabilitation.

  • 92.
    C. Manchaiah, Vinaya K.
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Stephens, Dafydd
    Cardiff University, Wales.
    The Patient journey: Living with acquired hearing impairment2011Inngår i: Journal of the Academy of Rehabilitative Audiology, Vol. 44, s. 29-40Artikkel i tidsskrift (Fagfellevurdert)
  • 93.
    C. Manchaiah, Vinaya K.
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Centre for Long Term and Chronic Conditions, College of Human and Health Sciences, Swansea University, Swansea , UK.
    Stephens, Dafydd
    Department of Psychological Medicine and Neurology, School of Medicine, Cardiff University, Cardiff , UK.
    Lunner, Thomas
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Eriksholm Research Centre, Oticon A/S, Snekkersten , Denmark.
    Information about the prognosis given to sudden-sensorineural hearing loss patients: Implications to 'patient journey' process2012Inngår i: Audiological Medicine, ISSN 1651-386X, E-ISSN 1651-3835, Vol. 10, nr 3, s. 109-113Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of this short paper is to highlight the implications of information provision about prognosis given to sudden sensorineural hearing loss (SSNHL) patients. Method: Semi-structured interviews were conducted with four SSNHL patients to develop the patient journey model that is published in our previous paper (12). In this study the implications from general, ethical and legal perspectives about the information provision were considered (i.e. discussion with experts and the use of relevant literature). Results: Three out of four patients interviewed reported that their doctors (both general practitioners and ENT specialists) gave false hopes about prognosis. From the preliminary data it appears that there is considerable variability in the views expressed by patients about preference in information provision. However, this issue needs consideration as the information provided by professionals may have a serious impact on service provision and outcome. Conclusions: It is our view that even though, in some instances, it may appear that false hope provides short-term psychological benefit to patients, providing full and honest information is necessary for general (i.e. to facilitate patient journey process), ethical and legal reasons.

  • 94.
    C. Manchaiah, Vinaya K.
    et al.
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Stephens, Dafydd
    Cardiff University, Wales.
    Zhao, Fei
    Bristol University, UK.
    Kramer, Sophia E.
    VU University Medical Center, The Netherlands.
    The role of communication partners in the audiological enablement/rehabilitation of a person with hearing impairment: An overview2012Inngår i: Audiological Medicine, ISSN 1651-386X, E-ISSN 1651-3835, Vol. 10, nr 1, s. 21-30Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Hearing impairment is known to have various effects upon both the person with hearing impairment (PHI) and their communication partners (CPs). In addition, CPs are reported to play an important role in making the decision to seek a consultation and the acceptance of intervention by the PHI. The overall aim of this paper is to provide a comprehensive overview of the role of the CP in the audiological enablement/rehabilitation of the PHI keeping clinical practice in focus. Method: A literature review was conducted using a number of resources including electronic databases, books and websites. Results: An overview of the literature was presented in the following sections: 1) Factors influencing the audiological enablement/rehabilitation of the PHI; 2) Effect of the PHI's hearing impairment on their CPs; 3) CPs’ influence on their PHI's audiological enablement/rehabilitation; 4) Positive experiences reported by CPs of the PHI; 5) Models to represent CPs within the social network context of the PHI; and 6) CP involvement in the audiological enablement/rehabilitation. This paper also identifies gaps in the literature and provides recommendations for further research. Conclusion: It is clear that involvement of the CP in the audiological enablement/rehabilitation can result in mutual advantages for both the PHI and their CPs.

  • 95.
    Campbell, Ruth
    et al.
    University College London.
    Rudner, Mary
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Cognitive Hearing Science: The view from hearing impairment and deafness.: Editorial in Scandinavian Journal of Psychology, vol 50, issue 5, pp 367-3692009Inngår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 50, nr 5, s. 367-369Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    n/a

  • 96. Cardin, V
    et al.
    Lynnes, R
    Orfanidou, E
    Capek, C
    Rönnberg, Jerker
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Woll, B
    Rudner, Mary
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Heschl's gyrus responses to visual language in deaf individuals are driven by auditory deprivation, and not by language modality2014Inngår i: Society for the Neurobiology of Language, 2014Konferansepaper (Fagfellevurdert)
  • 97.
    Cardin, Velia
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). UCL, Dept Expt Psychol, Deafness Cognit & Language Res Ctr, London, England.
    Effects of Aging and Adult-Onset Hearing Loss on Cortical Auditory Regions2016Inngår i: Frontiers in Neuroscience, ISSN 1662-4548, E-ISSN 1662-453X, Vol. 10, nr 199Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Hearing loss is a common feature in human aging. It has been argued that dysfunctions in central processing are important contributing factors to hearing loss during older age. Aging also has well documented consequences for neural structure and function, but it is not clear how these effects interact with those that arise as a consequence of hearing loss. This paper reviews the effects of aging and adult-onset hearing loss in the structure and function of cortical auditory regions. The evidence reviewed suggests that aging and hearing loss result in atrophy of cortical auditory regions and stronger engagement of networks involved in the detection of salient events, adaptive control and re-allocation of attention. These cortical mechanisms are engaged during listening in effortful conditions in normal hearing individuals. Therefore, as a consequence of aging and hearing loss, all listening becomes effortful and cognitive load is constantly high, reducing the amount of available cognitive resources. This constant effortful listening and reduced cognitive spare capacity could be what accelerates cognitive decline in older adults with hearing loss.

  • 98.
    Cardin, Velia
    et al.
    University College London.
    Orfanidou, E
    University College London, University of Crete.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Capek, C
    University of Manchester.
    Rudner, Mary
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Woll, B
    University College London.
    Dissociating linguistic and sensory neural plasticity in human superior temporal cortex2012Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The study of brain function in deaf individuals provides a unique opportunity not only to understand language independently of speech and hearing, but also to dissociate plastic changes related to adaptive sensory mechanisms from those associated with cognitive processes.In congenitally deaf individuals, sign language[1] and simple visual stimuli[2] reliably elicit activation in the superior temporal cortex (STC), a region usually associated with the processing of auditory input, including speech. However, it is not clear if this plasticity is driven by perceptual or cognitive mechanisms, and disentangling these effects is fundamental for establishing the relationship between the function of cortical regions, and the type of plastic changes that this functional specialisation allows.Here, we show that plastic effects in the STC have a sensory origin, whereas differential activations due to sign language experience are specific to the processing of linguistic stimuli. We dissociated between these two components by characterising the fMRI BOLD response to sign language stimuli in individuals deaf from infancy who were either early and proficient users of a sign language or had no knowledge of a sign language. There was no difference in the level of activation across groups in the right STC, indicating that plasticity in this region is mainly due to sensory deprivation. In contrast, further activations were observed in the group of signers in the left ventral STC, underpinning the role of this region in processing language. None of these activations were observed in a control group of hearing non-signers.These results show that linguistic and sensory factors cause plasticity in anatomically and functionally distinguishable substrates. Furthermore, they demonstrate that functionally distinct cortical areas preserve their perceptual and cognitive roles, but adapt their processing to deal with input from a different modality.1. Nishimura, H. et al. Sign language ‘heard’ in the auditory cortex. Nature 397, 116 (1999).2. Finney, E. M., Fine, I. & Dobkins, K.R. Visual stimuli activate auditory cortex in the deaf. Nature Neurosci 4, 1171-1173 (2001).

  • 99.
    Cardin, Velia
    et al.
    University College London, Department of Cognitive, Perceptual and Brain Sciences.
    Orfanidou, Eleni
    University of Crete, Department of Psychology.
    Kästner, Lena
    Ruhr-University, Bochum.
    Capek, Sheryl M.
    University of Manchester.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Woll, Benice
    University College London, Cognitive, Perceptual and Brain Sciences.
    Rudner, Mary
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Non-signs compared to signs from an unknown sign language differentially engage the parietal cortex of deaf native signers2011Konferansepaper (Annet vitenskapelig)
  • 100.
    Cardin, Velia
    et al.
    University College London, Department of Cognitive, Perceptual and Brain Sciences.
    Orfanidou, Eleni
    University of Crete, Department of Psychology.
    Kästner, Lena
    Ruhr-University, Bochum.
    Capek, Sheryl M.
    University of Manchester.
    Rönnberg, Jerker
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Woll, Benice
    University College London, Cognitive, Perceptual and Brain Sciences.
    Rudner, Mary
    Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Signs that violate phonological rules differentitally activate parietal areas in deaf native signers2011Konferansepaper (Annet vitenskapelig)
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