title: The effects of asymmetric directional microphone fittings on acceptance of background noise.
abstract: OBJECTIVE
  The effects of asymmetric directional microphone fittings (i.e., an omnidirectional microphone on one ear and a directional microphone on the other) on speech understanding in noise and acceptance of background noise were investigated in 15 full-time hearing aid users.
  
  
  METHODS
  Subjects were fitted binaurally with four directional microphone conditions (i.e., binaural omnidirectional, right asymmetric directional, left asymmetric directional and binaural directional microphones) using Siemens Intuis Directional behind-the-ear hearing aids. Speech understanding in noise was assessed using the Hearing in Noise Test, and acceptance of background noise was assessed using the Acceptable Noise Level procedure. Speech was presented from 0° while noise was presented from 180° azimuth.
  
  
  CONCLUSIONS
  The results revealed that speech understanding in noise improved when using asymmetric directional microphones compared to binaural omnidirectional microphone fittings and was not significantly hindered compared to binaural directional microphone fittings. The results also revealed that listeners accepted more background noise when fitted with asymmetric directional microphones as compared to binaural omnidirectional microphones. Lastly, the results revealed that the acceptance of noise was further increased for the binaural directional microphones when compared to the asymmetric directional microphones, maximizing listeners' willingness to accept background noise in the presence of noise. Clinical implications will be discussed.
authors.affiliation: Yakima Valley Hearing and Speech Center, Yakima Valley, WA, USA.
authors.forename: Jong S
authors.initials: JS
authors.lastname: Kim
authors.forename: Melinda Freyaldenhoven
authors.initials: MF
authors.lastname: Bryan
mesh_terms: D006310:Hearing Aids; D006312:Hearing Loss, Bilateral / Q000628:therapy*; D006319:Hearing Loss, Sensorineural / Q000628:therapy*; D006801:Humans; D008297:Male; D009622:Noise; D013067:Speech Perception