Literature review

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Transcript Literature review

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Literature Review
7.2 Audio coupling mode
“… audio signal-to-interference ratio of 20 dB
provides a signal quality that is acceptable for
normal operation …” [B41] (= M3)
“At a signal-to interference ratio of 30 dB, 90% of
hearing aid users find the WD highly usable” (= M4)
“… reduction of the signal-to-interference ratio to 10
dB degrades the performance to that which would
generally be judged to be useable but not acceptable
for regular use” (= M2)
[B41] Levitt, H., Kozma-Spytek, L., and Harkins, J., “In-the-ear
measurements of interference in hearing aids from digital wireless
telephones,” Seminars in Hearing, 26(2), pp. 87–98, 2005.
Levitt et al 2005
Exposure: mobile phone in test
transmit mode
Subjects: Volunteers (n = 42)
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
HLAA (SHHH) members (by mail)
ITE and BTE hearing aids
Mild to severe hearing loss
Test: subjective
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
Inter-individual variability >25 dB
GSM 50% “highly usable”
= 18.2 dB S/N
Hansen Poulsen (1996)
Scand Audiol 25:227-232
Exposure:


Simulated GSM noise over speech
Not correlated with E-field, just SPL
Subjects: volunteers (n = 17)
Subjective Testing
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GSM noise superimposed on speech background
Inter-individual variability >30 dB
GSM 50% “not annoying” = 17 dB S/N
Objective Testing

Word score reached max at 10dB S/N and did not improve
with increased margin
Nabelek et al (2004-2006)
Exposure:

Speech babble background noise – not GSM
Subjects: volunteers (n = 191)

Clinic
Subjective Testing (MCL – BNL recruited from U
Tennessee Audiology = ANL)
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MCL = most comfortable speech level (quiet background)
BNL = background noise level (max tolerated)
Inter-individual subjective variability >40 dB
“acceptable” ANL (full- vs part-time HA) = 7.5 vs ~14 dB
Smaller ANL predicted HA success (85% of the time)
EHIMA GSM Project (1993-1994)
Telecon Denmark
Exposure:

GSM Mobile phones placed to users ear
Subjects: volunteers (n = 5)
Hearing aids (n = 5) (i.e., ~ 25 samples)
Subjective Testing
Normal hearing individuals
 GSM 50% “slightly annoying” = 15 dB S/N in
normal environment

Julstrom et al / T-coil
Minimum S/N for a "Usable" Rating
60
50
Display
S/N - dB
40
CDMA
GSM
30
iDEN
20
TDMA
UMTS
10
DSSS
0
FHSS
-10
0%
20%
40%
60%
subjects meeting criteria
80%
100%
U Oklahoma (1996-1999)
Exposure:

Mobile phones in test mode placed to users ear
Subjects: volunteers (n = 78)
Testing
Objective (word recognition)
 Subjective (annoyance)

Interference reported primarily as distance for
interference to occur
Perception of interference increased with
increasing severity of hearing loss
National Acoustics Lab (1995)
Exposure: mobile phone placed to users ear



hooked to network
no make / model / antenna type
phone oriented and positioned to maximize coupling
Subjects: volunteers
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

both hearing impaired and normal hearing
5 groups of 4-8 volunteers
2 x ITE and 3 x BTE models
Test: interference detection
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
data presented in terms of field strength, distance, and HA
immunity for “noticeable interference”
Acceptable performance requires HA immunity ~ 28 dB
Summary
Average S/N for acceptable performance from
recent GSM “usability” testing = 15-18 dB
Variability in subjective response (25-40 dB)
Current 20 dB S/N in ANSI C63.19 incorporates >3
dB for testing error
Refinements in testing and predictive modeling may
support a relaxation in M / T limits



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~ 3 dB corresponds to testing margin, not limits per se
significant improvement in HA immunity
refinements in testing and predictive modeling
increasing inter-lab consistency in testing
Usability Definitions
(M/T1) Highly Usable—I would use this
phone for almost any call.
(M/T2) Minor Limitations on Use—I would
use this phone for most calls, but it is not
ideal.
(M/T3) Major Limitations on Use—I would
use this phone for a few calls, ‘‘in a pinch.’’
(M/T4) Not Usable—I would not use this
phone for any calls.
Usability Definitions
Are the questions consistent across user
groups
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
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nature of conversation ?
duration ?
demographics (age, occupation, regional location)
do we need to define a more specific use case ?
Is this the most appropriate approach ?

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A) does WD + HA combination allow user to hear well ?
B) does WD degrade baseline HA performance ?
HLAA Meeting – Reno Nevada
“Mobile Phones, Hearing Aids, and the ANSI C63.19
Standard to Make Them Work Together”
Friday June 13, 2:15-3:15pm
Confirmed: Harry Levitt, Joe Morrissey, Dave
Preves
Tentative: Dave Case