Semin Hear 2014; 35(03): 206-216
DOI: 10.1055/s-0034-1383505
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Frequency Modulation for Preschoolers with Hearing Loss

Imran Mulla
1   The Ear Foundation, Nottingham, Nottinghamshire, United Kingdom
,
Wendy McCracken
2   School of Psychological Sciences, University of Manchester, Manchester, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
25 July 2014 (online)

Abstract

The aim of this research was to evaluate and explore the benefits of frequency-modulated (FM) technology with preschool children with hearing aids. The research was of a longitudinal prospective design, including both quantitative and qualitative analysis. This article will focus on the quantitative results only. Daily diaries, data-logging, and questionnaires were used to collect quantitative data. Five of the seven families were able to establish regular FM use in a range of environments and settings with the most frequent being at home, in the car, at the nursery, during shopping, and when outdoors. Situational analysis of FM use was established and compared over time using the FM Listening Evaluation for Children questionnaire. Improvements in listening in noise, auditory only, and distance were identified over time. The Language Developmental Snapshot was used to monitor language development over the duration of the study. Results indicated that children who were at risk at the start of the study were within normal levels or close by the end of the study. The current study provides a unique contribution to the existing literature and together with future research can be integral to the provision of FM/remote microphone technology as standard for preschool children with hearing aids.

 
  • References

  • 1 Bradley JS, Sato H. The intelligibility of speech in elementary school classrooms. J Acoust Soc Am 2008; 123 (4) 2078-2086
  • 2 Eisenberg LS, Shannon RV, Martinez AS, Wygonski J, Boothroyd A. Speech recognition with reduced spectral cues as a function of age. J Acoust Soc Am 2000; 107 (5 Pt 1, 5I): 2704-2710
  • 3 Neuman AC, Wroblewski M, Hajicek J, Rubinstein A. Combined effects of noise and reverberation on speech recognition performance of normal-hearing children and adults. Ear Hear 2010; 31 (3) 336-344
  • 4 Nishi K, Lewis DE, Hoover BM, Choi S, Stelmachowicz PG. Children's recognition of American English consonants in noise. J Acoust Soc Am 2010; 127 (5) 3177-3188
  • 5 Nozza RJ, Rossman RN, Bond LC, Miller SL. Infant speech-sound discrimination in noise. J Acoust Soc Am 1990; 87 (1) 339-350
  • 6 Valente DL, Plevinsky HM, Franco JM, Heinrichs-Graham EC, Lewis DE. Experimental investigation of the effects of the acoustical conditions in a simulated classroom on speech recognition and learning in children. J Acoust Soc Am 2012; 131 (1) 232-246
  • 7 Yang W, Bradley JS. Effects of room acoustics on the intelligibility of speech in classrooms for young children. J Acoust Soc Am 2009; 125 (2) 922-933
  • 8 Finitzo-Hieber T, Tillman TW. Room acoustics effects on monosyllabic word discrimination ability for normal and hearing-impaired children. J Speech Hear Res 1978; 21 (3) 440-458
  • 9 Hawkins DB, Yacullo WS. Signal-to-noise ratio advantage of binaural hearing aids and directional microphones under different levels of reverberation. J Speech Hear Disord 1984; 49 (3) 278-286
  • 10 Ross M. FM Auditory Training Systems Characteristics, Selection and Use. Timonium, MD: York Press; 1992
  • 11 Moeller MP, Donaghy KF, Beauchaine KL, Lewis DE, Stelmachowicz PG. Longitudinal study of FM system use in nonacademic settings: effects on language development. Ear Hear 1996; 17 (1) 28-41
  • 12 Moeller MP, Hoover B, Putman C , et al. Vocalizations of infants with hearing loss compared with infants with normal hearing: Part I—phonetic development. Ear Hear 2007; 28 (5) 605-627
  • 13 Moeller MP, Hoover B, Putman C , et al. Vocalizations of infants with hearing loss compared with infants with normal hearing: Part II—transition to words. Ear Hear 2007; 28 (5) 628-642
  • 14 The Pediatric Working Group. Amplification for infants and children with hearing loss. Am J Audiol 1996; 5 (1) 53-68
  • 15 Brackett D. Effects of early FM use on speech perception. In Ross M, , Ed. FM Auditory Training Systems: Characteristics, Selection and Use. Timomium, MD: York Press; 1992
  • 16 Gabbard SA. The Use of FM Technology in Infants and Young Children. In: Fabry D, Johnson CD, , Eds. Achieving Clear Communication Employing Sound Solutions. Stafa, Switzerland: Phonak AG; 2003
  • 17 Statham C, Cooper H. Our experiences of introducing FM systems in the early years. BATOD Association Magazine (January) 2009: 18-20
  • 18 NHSP. Welcome to the NHS Newborn Hearing Screening Programme. Available at: http://hearing.screening.nhs.uk/ . Accessed June 17, 2014
  • 19 Gilkerson J, Richards J LTR-07–2: The LENA Developmental Snapshot. 2008. Available at: http://www.lenafoundation.org/TechReport.aspx/Snapshot/LTR-07-2 . Accessed June 17, 2014
  • 20 Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early- and later-identified children with hearing loss. Pediatrics 1998; 102 (5) 1161-1171
  • 21 Moeller MP. Early intervention and language development in children who are deaf and hard of hearing. Pediatrics 2000; 106 (3) E43
  • 22 Sharma A, Dorman MF, Spahr AJ. A sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation. Ear Hear 2002; 23 (6) 532-539
  • 23 Moeller MP, Hoover B, Peterson B, Stelmachowicz P. Consistency of hearing aid use in infants with early-identified hearing loss. Am J Audiol 2009; 18 (1) 14-23
  • 24 Cole EB, Flexer C. Children with Hearing Loss Developing Listening and Talking. San Diego, CA: Plural Publishing; 2011