Establishing Normative Standards for Measures of Tinnitus Perception

建立耳鸣感知测量的规范标准

• 批准号: 8867901
• 负责人: JAMES A HENRY
• 金额: --
• 依托单位: PORTLAND VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8867901
• 关键词: Adult; Affect; Age; Audiology; Auditory; Characteristics; Chronic; Clinic; Clinical; Clinical Research; Computers; Consensus; Data; Devices; Effectiveness; Engineering; Enrollment; Esthesia; Evaluation; Evidence based intervention; Frequencies; Funding; Goals; Head; Hearing; Individual; Intervention; Life; Loudness; Manuals; Masks; Measurement; Measures; Methods; Military Personnel; Noise; Operative Surgical Procedures; Outcome; Outcome Measure; Patients; Perception; Pharmaceutical Preparations; Prevalence; Procedures; Psychoacoustics; Questionnaires; Reaction; Reference Standards; Reporting; Research Personnel; Sampling; Services; Sleep disturbances; System; Techniques; Technology; Testing; Time; Tinnitus; Treatment Efficacy; Update; Variant; Veterans; Visual; analog; coping; disability; emotional distress; experience; indexing; instrumentation; public health relevance; response; sound; standard measure; touchscreen

 DESCRIPTION (provided by applicant): To conduct this study, 300 individuals who experience chronic tinnitus will be enrolled and stratified by age decades 18-30, 31-40, 41-50, 51-60, 61-70 and 71+ (50 subjects per decade). Each subject will complete testing that will include tinnitus loudness and pitch matching, noise-band matching, forced-choice double staircase, and minimum masking level. Testing for these measures will be accomplished using our automated, self-guided Tinnitus Evaluation System (TES). Subjects will also complete the Tinnitus Functional Index and a visual numeric scale of tinnitus loudness prior to each test session. All testing will be repeated at 1, 3, and 6 months, enabling analyses of test-retest reliability and normal variation of the measures in the absence of intervention. A subset of 60 subjects (10 per age decade) will also perform manual testing of loudness and pitch matching, noise-band matching, and minimum masking level to facilitate a comparison of results obtained with automated versus manual testing. The end product will be a set of age-specific reference standards for each psychoacoustic measure of tinnitus, suitable for application to clinical and research samples. Testing will occur throughout the 3-year funding period. Concurrently, the TES will be upgraded to an integrated touch- screen system. Currently, the TES consists of a PC computer connected via USB port to the TES Module (control device to facilitate patient responses). An upgrade is required to update this technology that was developed over 6 years ago to conduct the previous study. To accomplish this upgrade, we plan to integrate all components into a single unit. The unit will consist of a touch-screen industrial controller and the current TES Module (mounted adjacent to each other within a common enclosure), and attached ER-4B insert earphones. With this upgrade, current technology will be made available to audiologists who perform tinnitus psychoacoustic testing, using a fully-automated system that has been validated for reliability and tested to establish normative responses of the measures. The fulfillment of this project will produce both the upgraded TES and normative data to facilitate interpretation of individual responses to tinnitus psychoacoustic testing.

 描述（由申请人提供）： 为了进行这项研究，将招募 300 名患有慢性耳鸣的个体，并按年龄 18-30、31-40、41-50、51-60、61-70 和 71+ 进行分层（每个受试者 50 名受试者）。将完成测试，包括耳鸣响度和音高匹配、噪声带匹配、强制选择双楼梯，并且将使用最小掩蔽水平来完成这些测量的测试。我们的自动化、自我引导的耳鸣评估系统 (TES) 还将在每次测试之前完成耳鸣功能指数和耳鸣响度的视觉数字量表，以便在 1、3 和 6 个月时重复进行所有测试。在没有干预的情况下，对重测可靠性和测量正常变化进行分析。由 60 名受试者（每个年龄 10 岁）组成的子集还将对响度和音调匹配、噪声频带匹配和最小值进行手动测试。掩蔽水平，以方便对自动测试与手动测试获得的结果进行比较最终产品将是针对每种耳鸣心理声学测量的一组特定年龄的参考标准，适用于临床和研究样本的测试。同时，TES 将升级为集成触摸屏系统。目前，TES 由通过 USB 端口连接到 TES 模块（便于患者响应的控制设备）组成。更新这项技术是在 6 年前开发的，为了完成此次升级，我们计划将所有组件集成到一个单元中，该单元将由触摸屏工业控制器和当前的 TES 模块（彼此相邻安装）组成。通过此升级，听力学家将可以使用当前的技术来进行耳鸣心理声学测试，该系统已通过可靠性验证并经过测试以建立规范响应。的该项目的完成将产生升级后的 TES 和规范数据，以方便解释个人对耳鸣心理声学测试的反应。