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EBP Compendium: Summary of Clinical Practice Guideline

American Academy of Audiology
Guidelines for the Audiologic Management of Adult Hearing Impairment

Valente, M., Abrams, H., et al. (2006).
Audiology Today, 18(5), 44 pages.

AGREE Rating: Recommended with Provisos


This evidence-based guideline provides recommendations for the audiologic management of hearing impairment in adults. The guideline is intended for audiologists and provides recommendations mostly for the selection, verification, and validation of hearing aids.


  • Hearing/Balance Screening/Assessment
    • Patients should receive formal self-assessment instrument(s)/inventory(s) prior to fitting to set needs, function, and goals and post-fitting to address the benefits of and satisfaction with the amplification.
    • Patients should be screened for general health concerns, manual dexterity (finger sensitivity), near vision, support systems, motivation, and previous use of amplification.
    • Hearing aid selection should consider: style, occlusion, volume control, monaural vs. binaural, DAI vs. telecoil circuitry, gain processing, frequency shaping, output and OSPL, multiple memories, digital noise reduction, digital feedback suppression/cancellation, switchable directional/omnidirectional microphone, and special technologies or applications.
    • Electroverification of hearing aids and verification of features and physical parameters is recommended prior to fitting.
    • "The preferred hearing aid verification method should include a test signal that produces an output similar to the output for a speech signal of the same input level" (p. 25). In addition, physical fit and the magnitude of the occlusion effect should be assessed, and prescribed gain, maximum output, and special features should be verified.
    • The use of hearing assistive technology (e.g. assistive listening, alerting, and/or signaling devices) should be considered.
    • Information regarding the hearing aid features, insertion and removal, battery use, care and cleaning, comfort, feedback, telephone use, and warranty protection should be provided to individuals and their families.
    • The wearing schedule and environmental issues should be discussed with the individual and family.
    • Post-fitting counseling and follow-up should be provided to hearing aid users and their families.

Keywords: Hearing Loss

Access the Guideline

Added to Compendium: November 2010

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