J Am Acad Audiol 2001; 12(04): 202-214
DOI: 10.1055/s-0042-1745598
Original Article

Efficacy of Directional Microphone Hearing Aids: A Meta-Analytic Perspective

Amyn M. Amlani
Department of Audiology and Speech Sciences, Michigan State University, East Lansing, Michigan
› Author Affiliations

Abstract

The literature suggests that directional microphone hearing aids (DMHAs) are a viable means for improving the signal-to-noise ratio (SNR) for hearing-impaired listeners. The amount of directional advantage they provide, however, remains relatively unclear because of variability observed among individual studies. The present investigation was undertaken in an attempt to establish the degree of advantage provided by DMHAs. Data were synthesized from 72 and 74 experiments, respectively, on omnidirectional hearing aids and DMHAs representing both favorable and unfavorable outcomes. Using a meta-analytic approach, 138 weighted averages were derived for a variety of comparable independent and dependent variables. Comparisons were made for hearing-impaired and normal-hearing listeners. Findings are discussed with regard to their clinical and research implications.

Abbreviations: BTE - behind the ear, Cl95 = 95 percent confidence interval, DA = directional advantage, DMHA = directional microphone hearing aid, DSP = digital signal processing, HI = hearing impaired, ITE = in the ear, NH = normal hearing, ODHA = omnidirectional microphone hearing aid, RT = reverberation time, SNR = signal-to-noise ratio.



Publication History

Article published online:
01 March 2022

© 2001. American Academy of Audiology. This article is published by Thieme.

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  • REFERENCES

  • Agnew J. (1997). How multi-microphone arrays can improve directionality. Hear J 50:34, 35, 38, 40, 42, 44, 46.
  • Agnew J, Block M. (1997). HINT thresholds for a dualmicrophone BTE. Hear Rev 4:26, 29, 30.
  • Chasin M. (1994). Improving signal-to-noise ratio with directional microphones. Hear Instr 45:31–33.
  • Cox RM, Bisset JD. (1984). Relationship between measures of aided binaural advantage. J Speech Hear Disord 49:399–408.
  • Durlak, JA. (1996). Understanding meta-analysis. In: Grimm LG, Yarmold PR, eds. Reading and Understanding Multivariate Statistics. Washington, DC: American Psychological Association, 319–352.
  • Dybala P. (1996, April). The Effect of Reverberation on Omnidirectional, Directional, and Multimicrophone Arrays. Poster presented at the American Academy of Audiology Annual Convention, Salt Lake City, UT.
  • Fabry DA. (1991). Programmable and automatic noise reduction in existing hearing aids. In: Studebaker GA, Bess FM, Beck LB, eds. The Vanderbilt Hearing-Aid Report II. Parkton, MD: York, 65–78.
  • Fabry DA, Van Tasell DJ. (1990). Evaluation of an articulation-index based model for predicting the effects of adaptive frequency response hearing aids. J Speech Hear Res 33:676–689.
  • Fortune TW. (1997). Real-ear polar plots and aided directional sensitivity. J Am Acad Audiol 8:119–131.
  • Gravel JS, Fausel N, Liskow C, Chobot J. (1999). Children’s speech recognition in noise using omni-directional and dual-microphone technology. Ear Hear 20:1–11.
  • Hawkins DB. (1984). Comparisons of speech recognition in noise by mildly-to-moderately hearing-impaired children using hearing aids and FM systems. J Speech Hear Disord 49:409–418.
  • Hawkins DB. (1986). Selection of hearing aid characteristics. In: Hodgson WR, ed. Hearing Aid Assessment and Use in Audiologic Habilitation. Baltimore: Williams and Wilkins, 128–151.
  • Hawkins DB, Yacullo WS. (1984). Signal-to-noise ratio advantage of binaural hearing aids and directional microphones under different levels of reverberation. J Speech Hear Disord 49:278–286.
  • Hunter JE, Schmidt FL. (1990). Methods ofMeta-Analysis: Correcting for Error and Bias in Research Findings. Newbury Park, CA: Sage.
  • Larsen CB. (1998). Comparison of a Digitally Programmable Multi-microphone Instrument and a Digital Instrument. Paper presented at the meeting of the Swedish Technical/Audiological Society.
  • Leeuw AR, Dreschler WA. (1991). Advantages of directional hearing aid microphones related to room acoustics. Audiology 30:330–344.
  • Lochner J, Berger J. (1964), The influence of reflections on auditorium acoustics. J Sound Vibration 4:426–454.
  • Madison TK, Hawkins DB. (1983). The signal-to-noise ratio advantage of directional microphone hearing aids. Hear Instr 34:18, 49.
  • May A, Larsen CB, Warland A. (1998). Is digital enough for improved hearing in noise? Studies comparing digital and multi-microphone instruments. Phonak Focus 24:3–11.
  • Moncur JP, Dirks D. (1967). Binaural and monaural speech intelligibility in reverberation. J Speech Hear Res 10:186–195.
  • Mueller HG, Wesselkamp M. (1999). Ten commonly asked questions about directional microphone fittings. Hear Rev 3(Suppl):26–30.
  • Nabelek AK, Letowski TR, Tucker FM. (1989). Reverberant overlap- and self-masking in consonant identification. J Acoust Soc Am 86:1259–1265.
  • Nabelek AK, Mason D. (1981). Effect of noise and reverberation on binaural and monaural word identification by subjects with various audiograms. J Speech Hear Res 24:375–383.
  • Nielsen HB, Ludvigsen C. (1978). Effects of hearing aids with directional microphones in different acoustic environments. ScandAudiol 7:217–224.
  • Nilsson M, Soli S, Sullivan J. (1994). Development of the Hearing In Noise Test for the measurement of speech reception thresholds in quiet and in noise. J Acoust Soc Am 95:1085–1099.
  • Preves D. (1997). Directional microphone use in ITE hearing instruments. Hear Rev 4:21, 22, 24–27.
  • Preves DA, Sammeth CA, Wynne MK. (1999). Field trial evaluations of a switched directional/omnidirectional in- the-ear instrument. J Am Acad Audiol 10:273–284.
  • Prosser S, Biasiolo R. (1998). Misure di guadagno funzionale su protesi achustiche direzionali. Acta Oto- rhinolaryngol Ital 18:70–73.
  • Pumford JM, Seewald RC, Scollie SD, Jenstad LM. (2000). Speech recognition with in-the-ear and behind-the-ear dual-microphone hearing instruments. J Am Acad Audiol 11:23–35.
  • Ricketts T, Dhar S. (1999). Comparison of performance across three directional hearing aids. J Am Acad Audiol 10:180–189.
  • Ricketts TA, Gravel JS. (2000). Directional Microphone Hearing Aids: Fitting Considerations for Adults and Children. Poster presented at the American Academy of Audiology Annual Convention, Chicago, IL.
  • Ricketts T, Mueller HG. (1999). Making sense of directional microphone hearing aids. Am J Audiol 8:117–127.
  • Rosenthal R. (1979). The “file-drawer problem” and tolerance for null results. Psychol Bull 85:638–641.
  • Schum DJ. (1990). Noise reduction strategies for elderly, hearing-impaired listeners. J Am Acad Audiol 1:31–36.
  • Schum DJ. (1996). Speech understanding in background noise. In: Valente M, ed. Hearing Aids: Standards, Options, and Limitations. New York: Thieme, 368–406.
  • Studebaker GA, Cox RM, Formby C. (1980). The effect of environment on the directional performance of head- worn hearing aids. In: Studebaker GA, Hochberg I, eds. Acoustical Factors Affecting Hearing Aid Performance. Baltimore: University Park Press, 81–105.
  • Tyler RS, Kuk FK. (1989). The effects of “noise suppression” hearing aids on consonant recognition in speech babble and low-frequency noise. Ear Hear 10:243–249.
  • Valente M, Fabry DA, Potts LG. (1995). Recognition of speech in noise with hearing aids using dual microphones. J Am Acad Audiol 6:440–449.
  • Valente M, Fabry D, Potts LG, Sandlin R. (1998). Comparing the performance of the Widex Senso digital hearing aid with analog hearing aids. J Am Acad Audiol 9:342–360.
  • Valente M, Sweetow R, Potts L, Bingea B. (1999). Digital versus analog signal processing: effect of directional microphone. J Am Acad Audiol 10:133–150.
  • Valente M, Schuchman G, Potts L, Beck L. (2000). Performance of dual-microphone in-the-ear hearing aids as a function of listening conditions and method of signal processing. J Am Acad Audiol 11:181–189.
  • Van Tasell DJ, Larsen SY, Fabry DA. (1988). Effects of an adaptive filter hearing aid on speech recognition in noise by hearing-impaired subjects. Ear Hear 9:15–21.
  • Wouters J, Litiere L, van Wieringen A. (1999). Speech intelligibility in noisy environments with one- and two-microphone hearing aids. Audiology 38:91–98.