Latest Publications in Journals of Students of the Master in Clinical Audiology and Hearing Therapy 2022 (I)

A sample of the most outstanding latest publications made by our students of the Master in Clinical Audiology and Hearing Therapy.

Complication Associated with Hearing Aid Fitting among Adults

By Akinyode Gbenga Akinyemi, July 2022



Objective: To identify and as well as gather perspectives of hearing aid users with regard to the main difficulties that may arise following hearing aid fitting among adults across states and to address the main problems.


Design: Descriptive and psychometric research design type of the survey. Development of the HAUQ and HASKI-self and investigation of its psychometric properties in a prospective convenience cohort of 250 adult hearing aid users, ranging in age from 18 to 99 years of age (M = 151 F = 99), 60.4% male, 39.6% female, recruited from different regions or states in Nigeria.


Results: The majority of participants (87%) indicated that they were experiencing at least one of the hearing aid problems included on the survey. The prevalence of individual problems ranged from 2.8% to 87.25%. The most reported problems or difficulty in this study were related to hearing aid management (insertion and removal), hearing aid maintenance and sound quality (hearing aid feedback/whistling, unbearable loud noises, own voice sound/quality), and hearing aid knowledge or lack of information and training. Participants who reported experiencing a greater number of hearing aid problems also reported lower levels of hearing aid benefit, and satisfaction with their hearing aids.


Conclusions: Problems relating to hearing aid fitting and management were most often considered to have the greatest impact on hearing aid success. The majority of hearing aid users experience difficulty with their hearing aids. The magnitude and diversity of hearing aid problems identified in this study highlight the ongoing difficulty that hearing aid users face and suggest that current processes for hearing aid fitting can be upgraded. These results can be used to inform clinicians on areas that need more emphasis in the fitting process and help identify those clients who are at risk for hearing aid non-users or do not wear their hearing aids as much as they would like to and provide additional support to them, and as well improved hearing aid outcomes among adults.


Keywords: Hearing loss; adult; hearing aid; hearing aid fitting; hearing aid user; hearing aid complication


Read the full article at Complication Associated with Hearing Aid Fitting among Adults (

Comparison of the Effectiveness of TRV Chair and Canalith Repositioning Procedure (CRP) for the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)

By Abdul Kader Afif Yamout, July 2022


The primary goal of this research is to evaluate the efficacy of traditional manual canalith repositioning procedures (CRP) to that of automated multi-axial repositioning chair (TRV). A total of 37 BPPV positive patients were distributed into two groups. The first group consisted of 20 patients, 10 under 50 years old (young group) and 10 over 50 years old (old group), who received TRV chair treatment, whereas the remaining 17 patients, 7 under 50 years old (young group) and 10 over 50 years old (old group) received CRP treatment. The DHI and VAS questionnaires were given to the patients before and after treatment, and the results were compared. The average VAS score for TRV patients was 84.5% (young group) and 77.5% (old group). These patients’ DHI results were as follows: for young patients, 10% had a mild handicap, 80% had a moderate handicap, and 10% had a severe handicap, while for the elderly, 40% had a mild handicap, 40% had a moderate handicap, and 20% had a severe handicap. The results improved significantly after the first treatment session. Old patients had a VAS of 28%, 30% had a mild handicap and only 10% had a moderate handicap. However, only 43% of the young group and 30% of the old group who underwent standard CRP suffered from mild handicap and had a VAS of 20% and 34.3% successively. The third session revealed that all patients in the TRV chair group had no handicap, whereas the CRP patients indicated that they still had a mild handicap. Upon analyzing the results, both treatment methods revealed the same efficacy in treating single canal BPPV. However, TRV chair appeared to be superior to traditional CRP in treating multi-canal BPPV.

Keywords: Manual Repositioning Procedure, Vertigo, DHI, CRP, BPPV, VAS, TRV Chair

Read the full article at Comparison of the Effectiveness of TRV Chair and Canalith Repositioning Procedure (CRP) for the Treatment of Benign Paroxysmal Positional Vertigo (BPPV) (

Normative eSRT Value among MED-EL Pediatric Population in Indonesia

By Nurul Aini,  July 2022



Introduction: Early stimulation of the auditory sense is essential for the development of language and speech. In children with a cochlear implant, the most common issue is whether the hearing has been optimized or not, as they are still unable to provide reliable feedback regarding their hearing ability. Thus, electrical evoked stapedius reflex threshold (ESRT) based fitting has been used as one of the available methods in programming a cochlear implant (CI) audio processor. As eSRT is an objective test, patient cooperation was not needed making it especially beneficial for children with CI who have limitations in providing feedback. Now that eSRT has been applied commonly almost worldwide, the goal of this study is to determine the normative value of eSRT among the pediatric population in Indonesia.


Methods: A total of 32 pediatric CI users in the age range 3 – 11 years implanted with Med-El cochlear implant were included in this study. ESRT was performed during follow-up mapping between September 2021 and January 2022 in the Med-El Indonesia hearing center.


Results: The result of the present study showed an average normative value of 20.55 qus. This finding is consistent with the values obtained in previous studies. 


Conclusion: The result found can be used as a valuable indicator of average optimised MCL among the pediatric population.


Keywords: Cochlear Implant, eSRT, Mapping, Acoustic Reflex


Read the full article at Normative eSRT Value among MED-EL Pediatric Population in Indonesia (

The Neonatal Hearing Screening Program in the Maltese Islands : Shining a spotlight on a national pilot project

By Stephanie De Bono, April 2022

An established neonatal hearing screening program is a direct indicator of the health and security index of a country. Its importance has been emphasised by WHO since 1995 and is now an anticipated standard of care in the developed world. The aim is for this standard to become a globally unquestionable prerequisite for healthcare. This study casts a detailed look at the neonatal hearing screening pilot project within the Maltese Islands, which was thereafter planned to be implemented on a national level to safeguard the future generation, make available timely responses and put the nation on the global map of a high standard of healthcare. This pilot project studies the outcomes of the collected data. From a sample of 1877 neonates born between October 2020 and September 2021, it was found that the rate of incidence of neonatal hearing loss identified at screening was that of 5 neonates, equating to 0.3%. This was a statistic comparable to various other studies done in different countries. It is notable that whilst it is known that NICU neonates are at an increased risk of hearing loss, none of the affected neonates in the pilot project were from this subgroup of recruits. In conclusion, the pilot project produced good results and gained satisfactory departmental feedback. An established national screening program is now in operation.


Keywords: Neonatal, Hearing Loss, AABR, OAE, data, health.



Efficacy of Remote Hearing Aids Programming Using Teleaudiology: A Systematic Review

By Maryam Ba Mashmous, March 2022



Telemedicine is defined as a system that allows healthcare workers to deliver their services and consultations to the patients remotely without the need of their physical presence within academic institutions, hospitals, and medical clinics aiming to reduce the personal contact and limiting it to the need only. The field of telemedicine is growing every day and facilitating more flexible services for patients around the world especially during COVID-19 pandemic.


Methods: This systematic review was conducted according to the Cochrane Handbook for Systematic Reviews. Database search was made on several databases including PubMed/Medline, Scopus, Web of Science, Publons, EMBASE, and Google Scholar using the relevant keywords. Inclusion criteria for articles in our study included the following original research (primary research articles), addressing the efficacy of teleaudiology for hearing aids programming and satisfaction of patients. 


Results: Seven studies were included in this systematic review article. Included studies were assessed using Cochrane handbook guidelines. 


Conclusions: The results of this work based on the currently available literature denote that remote programming for the hearing aids using modern technology is effective and provide comparable results with the standard face-to-face clinic programming, even for patients with no previous experience in hearing aids fitting in either of in-person physical presence programming or remotely over the internet using teleconferencing which is known as teleaudiology. Most of the results were positive and support the continuity to develop better facilities to improve the teleaudiology to be an essential part of hearing aids programming with its different types. Minimal results provided negative impact from the participating patients, this resulted because of the non-upgraded infrastructure and facilities of the audiology clinic or the personal computer of the patient in his home workplace or both sides don’t have enough specifications to smoothly perform this modern approach.


Keywords: Telemedicine, Teleaudiology, Hearing Aids and COVID-19 Pandemic


Read the full article at Efficacy of Remote Hearing Aids Programming Using Teleaudiology: A Systematic Review (