Matthew Neal – firstname.lastname@example.org
Department of Otolaryngology and other Communicative Disorders
University of Louisville
Louisville, Kentucky 40208
Popular version of 3pID2 – A hearing aid “test drive”: Using virtual acoustics to accurately demonstrate hearing aid performance in realistic environments
Presented at the 184 ASA Meeting
Read the abstract at https://doi.org/10.1121/10.0018736
Many of the struggles experienced by patients and audiologists during the hearing aid fitting process stem from a simple difficulty: it is really hard to describe in words how something will sound, especially if you have never heard it before. Currently, audiologists use brochures and their own words to counsel a patient during the hearing aid purchase process, but a device often must be purchased first before patients can try them in their everyday life. This research project has developed virtual reality (VR) hearing aid demonstration software which allows patients to listen to what hearing aids will sound like in real-world settings, such as noisy restaurants, churches, and the places where they need devices the most. Using the system, patient can make more informed purchasing decisions and audiologists can program hearing aids to an individual’s needs and preferences more quickly.
This technology can also be thought of as a VR ‘test drive’ of wearing hearing aids, letting audiologists act as tour guides as patients try out features on a hearing aid. After turning a new hearing aid feature on, a patient will hear the devices update in a split second, and the audiologist can ask, “Was it better before or after the adjustment?” On top of getting device settings correct, hearing aid purchasers must also decide which ‘technology level’ they would like to purchase. Patients are given an option between three to four technology levels, ranging from basic to premium, with an added cost of around $1,000 per increase in level. Higher technology levels incorporate the latest processing algorithms, but patients must decide if they are worth the price, often without the ability to hear the difference. The VR hearing aid demonstration lets patients try out these different levels of technology, hear the benefits of premium devices, and decide if the increase in speech intelligibility or listening comfort is worth the added cost.
A patient using the demo first puts on a custom pair of wired hearing aids. These hearing aids are the same devices sold that are sold in audiology clinics, but their microphones have been removed and replaced with wires for inputs. The wires are connected back to the VR program running on a computer which simulates the audio in a given scene. For example, in the VR restaurant scene shown in Video 1, the software maps audio in a complex, noisy restaurant to the hearing aid microphones while worn by a patient. The wires send the audio that would have been picked up in the simulated restaurant to the custom hearing aids, and they process and amplify the sound just as they would in that setting. All of the audio is updated in real-time so that a listener can rotate their head, just as they might do in the real world. Currently, the system is being further developed, and it is planned to be implemented in audiology clinics as an advanced hearing aid fitting and patient counseling tool.