{"id":"https://openalex.org/W7223294591","doi":"https://doi.org/10.1044/2026_aja-24-00084","title":"Enhancing Audibility for Low-Level Speech in Pediatric Hearing Aid Users","display_name":"Enhancing Audibility for Low-Level Speech in Pediatric Hearing Aid Users","publication_year":2026,"publication_date":"2026-10-23","ids":{"openalex":"https://openalex.org/W7223294591","doi":"https://doi.org/10.1044/2026_aja-24-00084","pmid":"https://pubmed.ncbi.nlm.nih.gov/42913420"},"language":"en","primary_location":{"id":"doi:10.1044/2026_aja-24-00084","doi":"https://doi.org/10.1044/2026_aja-24-00084","is_oa":true,"landing_page_url":"https://doi.org/10.1044/2026_aja-24-00084","pdf_url":null,"source":{"id":"https://openalex.org/S37662143","display_name":"American Journal of Audiology","issn_l":"1059-0889","issn":["1059-0889","1558-9137"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320281","host_organization_name":"American Speech\u2013Language\u2013Hearing Association","host_organization_lineage":["https://openalex.org/P4310320281"],"host_organization_lineage_names":["American Speech\u2013Language\u2013Hearing Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Audiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1044/2026_aja-24-00084","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061217973","display_name":"Jacy Manning","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jacy Manning","raw_affiliation_strings":["The Auditory Processing Clinic, Tulsa, OK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Auditory Processing Clinic, Tulsa, OK","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112087534","display_name":"Jace Wolfe","orcid":"https://orcid.org/0000-0003-1192-2986","observed_orcids":["https://orcid.org/0000-0003-1192-2986"]},"institutions":[{"id":"https://openalex.org/I4405269038","display_name":"Oberkotter Foundation","ror":"https://ror.org/02x7k1j36","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269038"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jace Wolfe","raw_affiliation_strings":["Oberkotter Foundation, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oberkotter Foundation, Philadelphia, PA","institution_ids":["https://openalex.org/I4405269038"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125709559","display_name":"Johanna Nelson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210114179","display_name":"Sonova (Switzerland)","ror":"https://ror.org/027rr8795","country_code":"CH","type":"company","lineage":["https://openalex.org/I4210114179"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Johanna Nelson","raw_affiliation_strings":["Phonak AG, St\u00e4fa, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Phonak AG, St\u00e4fa, Switzerland","institution_ids":["https://openalex.org/I4210114179"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000830140","display_name":"Chelsea Anderson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chelsea Anderson","raw_affiliation_strings":["The Auditory Processing Clinic, Tulsa, OK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Auditory Processing Clinic, Tulsa, OK","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138198502","display_name":"Andrea Dunn","orcid":"https://orcid.org/0009-0004-0648-8761","observed_orcids":["https://orcid.org/0009-0004-0648-8761"]},"institutions":[{"id":"https://openalex.org/I4405269038","display_name":"Oberkotter Foundation","ror":"https://ror.org/02x7k1j36","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269038"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrea Dunn","raw_affiliation_strings":["Oberkotter Foundation, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oberkotter Foundation, Philadelphia, PA","institution_ids":["https://openalex.org/I4405269038"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053041490","display_name":"Sara Neumann","orcid":"https://orcid.org/0000-0001-5183-1339","observed_orcids":["https://orcid.org/0000-0001-5183-1339"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sara Neumann","raw_affiliation_strings":["Hearts for Hearing, Oklahoma City, OK"],"raw_orcid":"https://orcid.org/0000-0001-5183-1339","affiliations":[{"raw_affiliation_string":"Hearts for Hearing, Oklahoma City, OK","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10283","display_name":"Hearing Loss and Rehabilitation","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10283","display_name":"Hearing Loss and Rehabilitation","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11285","display_name":"Hearing Impairment and Communication","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10860","display_name":"Speech and Audio Processing","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/1711","display_name":"Signal Processing"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/speech-perception","display_name":"speech perception","score":0.40799999237060547},{"id":"https://openalex.org/keywords/pediatric-hearing-aids","display_name":"pediatric hearing aids","score":0.7919999957084656},{"id":"https://openalex.org/keywords/sensorineural-hearing-loss","display_name":"sensorineural hearing loss","score":0.9390000104904175},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.6399999856948853},{"id":"https://openalex.org/keywords/audibility","display_name":"audibility","score":0.5600000023841858},{"id":"https://openalex.org/keywords/speech-recognition-in-quiet","display_name":"speech recognition in quiet","score":0.3160000145435333},{"id":"https://openalex.org/keywords/speech-transmission-index","display_name":"speech transmission index","score":0.3059999942779541}],"concepts":[{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.8163999915122986},{"id":"https://openalex.org/C2780801066","wikidata":"https://www.wikidata.org/wiki/Q323808","display_name":"Hearing aid","level":2,"score":0.7717999815940857},{"id":"https://openalex.org/C67761136","wikidata":"https://www.wikidata.org/wiki/Q2105849","display_name":"Post-hoc analysis","level":2,"score":0.7179999947547913},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6959999799728394},{"id":"https://openalex.org/C99476002","wikidata":"https://www.wikidata.org/wiki/Q42297","display_name":"Analysis of variance","level":2,"score":0.6190999746322632},{"id":"https://openalex.org/C2780607864","wikidata":"https://www.wikidata.org/wiki/Q928697","display_name":"Sensorineural hearing loss","level":3,"score":0.6050000190734863},{"id":"https://openalex.org/C2992886853","wikidata":"https://www.wikidata.org/wiki/Q18381816","display_name":"Post hoc","level":2,"score":0.5932000279426575},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5799000263214111},{"id":"https://openalex.org/C102959455","wikidata":"https://www.wikidata.org/wiki/Q7313954","display_name":"Repeated measures design","level":2,"score":0.4772000014781952},{"id":"https://openalex.org/C2780493683","wikidata":"https://www.wikidata.org/wiki/Q16035842","display_name":"Hearing loss","level":2,"score":0.45980000495910645},{"id":"https://openalex.org/C2777185736","wikidata":"https://www.wikidata.org/wiki/Q7265603","display_name":"QUIET","level":2,"score":0.45410001277923584},{"id":"https://openalex.org/C2780554537","wikidata":"https://www.wikidata.org/wiki/Q758881","display_name":"Audiometry","level":3,"score":0.40400001406669617},{"id":"https://openalex.org/C99209842","wikidata":"https://www.wikidata.org/wiki/Q643696","display_name":"Speech perception","level":3,"score":0.396699994802475},{"id":"https://openalex.org/C2778067643","wikidata":"https://www.wikidata.org/wiki/Q166507","display_name":"Interval (graph theory)","level":2,"score":0.3547999858856201},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.3353999853134155},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.3041999936103821},{"id":"https://openalex.org/C2986587452","wikidata":"https://www.wikidata.org/wiki/Q938438","display_name":"Statistical analysis","level":2,"score":0.3034999966621399},{"id":"https://openalex.org/C28490314","wikidata":"https://www.wikidata.org/wiki/Q189436","display_name":"Speech recognition","level":1,"score":0.2962000072002411},{"id":"https://openalex.org/C150856459","wikidata":"https://www.wikidata.org/wiki/Q8034367","display_name":"Word recognition","level":3,"score":0.27000001072883606}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1044/2026_aja-24-00084","doi":"https://doi.org/10.1044/2026_aja-24-00084","is_oa":true,"landing_page_url":"https://doi.org/10.1044/2026_aja-24-00084","pdf_url":null,"source":{"id":"https://openalex.org/S37662143","display_name":"American Journal of Audiology","issn_l":"1059-0889","issn":["1059-0889","1558-9137"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320281","host_organization_name":"American Speech\u2013Language\u2013Hearing Association","host_organization_lineage":["https://openalex.org/P4310320281"],"host_organization_lineage_names":["American Speech\u2013Language\u2013Hearing Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Audiology","raw_type":"journal-article"},{"id":"pmid:42913420","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42913420","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American journal of audiology","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1044/2026_aja-24-00084","doi":"https://doi.org/10.1044/2026_aja-24-00084","is_oa":true,"landing_page_url":"https://doi.org/10.1044/2026_aja-24-00084","pdf_url":null,"source":{"id":"https://openalex.org/S37662143","display_name":"American Journal of Audiology","issn_l":"1059-0889","issn":["1059-0889","1558-9137"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320281","host_organization_name":"American Speech\u2013Language\u2013Hearing Association","host_organization_lineage":["https://openalex.org/P4310320281"],"host_organization_lineage_names":["American Speech\u2013Language\u2013Hearing Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Audiology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W1970794461","https://openalex.org/W1975513957","https://openalex.org/W2005873114","https://openalex.org/W2067149324","https://openalex.org/W2078417517","https://openalex.org/W2120489529","https://openalex.org/W2143052041","https://openalex.org/W2155002669","https://openalex.org/W2159863266","https://openalex.org/W2163222865","https://openalex.org/W2594903403","https://openalex.org/W2736409103","https://openalex.org/W3122431529","https://openalex.org/W3211906101"],"related_works":["https://openalex.org/W3211906101","https://openalex.org/W56944517","https://openalex.org/W2916442775","https://openalex.org/W3004767188","https://openalex.org/W4378781582","https://openalex.org/W1981316455","https://openalex.org/W2102716442","https://openalex.org/W2228877953","https://openalex.org/W2088844350","https://openalex.org/W6965256943"],"abstract_inverted_index":{"Purpose:":[0],"The":[1,312],"purpose":[2],"of":[3,91,314],"the":[4,95,189],"study":[5,53,293],"was":[6,76,106,177,196,269],"to":[7,328],"evaluate":[8],"whether":[9],"an":[10,297,315],"adaptive":[11],"gain":[12,300,318],"enhancer":[13,301,319],"significantly":[14,138,229,302],"improved":[15],"soft":[16,310,332],"speech":[17,304],"recognition":[18,74],"at":[19,66,83,103,193],"40":[20,84,194,275],"and":[21,30,69,85,101,108,143,161,172,199,234,250,276,288],"50":[22,86,104,277],"dBA.":[23,87],"Method:":[24],"Twenty":[25],"children,":[26,32],"ages":[27,33],"9\u201312":[28],"years,":[29,35],"13":[31],"5\u20138":[34],"with":[36,52,56,61,78,180,261],"sensorineural":[37],"hearing":[38,54],"loss":[39],"were":[40,50,137,228,280],"included":[41],"in":[42,81,307,325],"this":[43],"single,":[44],"cross-sectional":[45],"group":[46],"intervention":[47],"study.":[48],"They":[49],"fitted":[51],"aids":[55],"three":[57,96,190],"programs:":[58],"Calm":[59],"Situation":[60],"Speech":[62],"Enhancer":[63],"(SE)":[64],"set":[65],"\u201cmoderate,\u201d":[67],"\u201cstrong,\u201d":[68],"\u201coff.\u201d":[70],"Consonant\u2013nucleus\u2013consonant":[71],"(CNC)":[72],"word":[73],"testing":[75],"completed":[77],"each":[79],"program":[80],"quiet":[82],"Results:":[88],"An":[89],"analysis":[90],"variance":[92],"(ANOVA)":[93],"for":[94,173,188,309,323,331],"SE":[97,141,144,159,162,181,191,232,235,248,251,268,286,289],"conditions":[98,192],"off,":[99],"moderate,":[100],"strong":[102,163,252,287],"dBA":[105,195],"significant":[107,178,198,282],"had":[109,200],"a":[110,201],"small":[111],"effect":[112],"size:":[113],"F":[114,204],"(2)":[115,205],"=":[116,124,148,206,214],"9.40":[117],"(":[118,146,164,208,237,253],"p":[119,147,165,209,238,254],"\u2264":[120],".001;":[121],"\u03b7":[122,212],"2":[123,213],".16).":[125],"Post":[126,217],"hoc":[127,218],"comparisons":[128,219],"using":[129,220],"Bonferroni's":[130,221],"correction":[131,222],"found":[132,223,284],"that":[133,224,296],"mean":[134,225],"CNC":[135,226,266],"scores":[136,227],"different":[139,230],"between":[140,231,285],"off":[142,160,233,249],"moderate":[145,236],".005,":[149],"95%":[150,168,241,257],"confidence":[151],"interval":[152],"[CI,":[153],"1.79,":[154],"12.99])":[155],"as":[156,158,245,247],"well":[157,246],"<":[166,210,239,255],".001,":[167,211,240,256],"CI":[169,242,258],"[3.91,":[170],"15.11]),":[171],"both":[174,274],"conditions,":[175],"there":[176,279],"improvement":[179],"enabled":[182,270],"versus":[183,271],"off.":[184,272],"A":[185],"separate":[186],"ANOVA":[187],"also":[197],"medium":[202],"effect:":[203],"14.93,":[207],".24":[215],".":[216],"[5.10,":[243],"20.12])":[244],"[8.50,":[259],"23.51]),":[260],"participants":[262],"scoring":[263],"higher":[264],"on":[265],"when":[267],"For":[273],"dBA,":[278],"no":[281],"differences":[283],"moderate.":[290],"Conclusions:":[291],"This":[292],"provides":[294],"evidence":[295],"adaptive,":[298,316],"low-level":[299,317],"improves":[303],"perception":[305],"performance":[306],"children":[308],"speech.":[311,333],"use":[313,324],"may":[320],"be":[321],"considered":[322],"pediatric":[326],"patients":[327],"improve":[329],"audibility":[330]},"counts_by_year":[],"updated_date":"2026-10-26T11:51:55.731654","created_date":"2026-10-24T00:00:00"}