title: The selection and validation of output sound pressure level in multichannel hearing aids.
abstract: OBJECTIVE
  To validate the Australian National Acoustic Laboratories' (NAL) procedure for prescribing output sound pressure level (OSPL) for multichannel hearing aids (Dillon & Storey, 1998)
  
  
  METHODS
  The NAL OSPL prescriptive procedure for multichannel hearing aids was used to calculate Predicted OSPL, Predicted Maximum Acceptable OSPL and Predicted Minimum Acceptable OSPL for 20 subjects with sensorineural hearing loss fitted with a 2-channel linear hearing aid. Subjects rated the speech clarity and quality of average (65 dBA) and loud (80 dBA) speech, in quiet and in noise, with the hearing aid set to a number of OSPL settings. These data were used to evaluate the validity of the Predicted OSPL. Frequency-specific loudness discomfort levels (LDLs) were measured to determine whether use of measured LDLs would improve the accuracy of the prediction.
  
  
  RESULTS
  The Predicted Minimum Acceptable OSPL was in good agreement with the measured minimum acceptable OSPL for both the low- and high-frequency channels. The Predicted Maximum Acceptable OSPL was in good agreement with the measured maximum acceptable OSPL for the low-frequency channel, but was only a fair predictor for the high-frequency channel. The use of measured LDLs rather than predicted LDLs did little to improve the accuracy of the fitting. A direct comparison between the NAL single-channel and multichannel prescribed OSPL settings showed that most listeners rated speech clarity higher for the multichannel settings.
  
  
  CONCLUSIONS
  In two channel hearing aids, the NAL Predicted Minimum Acceptable OSPL and Predicted Maximum Acceptable OSPL are reasonable predictors of minimum and maximum OSPL levels measured using sound clarity and quality ratings. The results of this study support the use of the NAL prescriptive formula for setting OSPL in multichannel hearing aids. Such settings should be verified by having the listener rate the loudness of an intense speech signal. If tolerance problems are evident, the OSPL in the high-frequency channel(s) should be reduced first.
authors.affiliation: Department of Surgery, University of Louisville School of Medicine, Kentucky 40292, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Preminger
authors.forename: A C
authors.initials: AC
authors.lastname: Neuman
authors.forename: D R
authors.initials: DR
authors.lastname: Cunningham
mesh_terms: D000161:Acoustic Stimulation / Q000295:instrumentation; D000328:Adult; D000368:Aged; D003258:Consumer Behavior; D004867:Equipment Design; D005260:Female; D006310:Hearing Aids; D006801:Humans; D008144:Loudness Perception; D008297:Male; D008875:Middle Aged; D011312:Pressure; D013016:Sound; D013067:Speech Perception