title: Clinical evaluation of an over-the-counter hearing aid (TEO First®) in elderly patients suffering of mild to moderate hearing loss.
abstract: Presbycusis has a direct influence on autonomy of the elderly but hearing aids lack of affordability. Moreover a recent review demonstrate that electroacoustic characteristics of OTC hearing aids were generally not suitable for the elderly people. In our study, we assessed the clinical value of a new over-the-counter (OTC) hearing aid device (TEO First®) in the elderly.
  
  
  
  This prospective monocentric open label study included patients over 60 years of age with a mild to moderate presbycusis. Patients were assessed with acceptable noise level test (ANL), pure tone (PTA) and speech (SA) audiometry in silent and noisy environment, with and without TEO First®. A Glasgow Hearing Aid Benefit Profile, acceptability and satisfaction surveys were completed after one month of using the device.
  
  
  
  Thirty one patients were included. There was an improvement of hearing with TEO First® in silence (SA: +39.2 %, p < 0.01; PTA: -9.04 dB, p < 0.01) or in noise (SA +47.7 %, p < 0.01; PTA: -5.23 dB, p < 0.05). After one month of use of the device, quality of life has improved with regards to the following parameters: decrease of perceived hearing difficulties during conversation without background noise (-9.6 % p = 0.018), in conversation with several people (-16.2 % p = 0.0076), decrease of negative emotions while watching TV (-18.5 % p = 0.011), during conversation without background noise (-16.5 % p = 0.0024), during conversation in noisy background (-17.1 % p = 0.027) and during conversation with several people (-20 % p = 0.014). The acceptability of the device was low to moderate.
  
  
  
  TEO First® is an effective OTC hearing aid that improves the patient's quality of life.
  
  
  
  Current Controlled Trials NCT01815788.
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France. sacco.g@chu-nice.fr.|CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, Nice Sophia-Antipolis University, Nice, France. sacco.g@chu-nice.fr.|Rehabilitation Unit, Department of Geriatrics, University Hospital of Nice, Cimiez Hospital, Nice, France. sacco.g@chu-nice.fr.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Sacco
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France.|Long Care and Nursing Home Unit, Department of Geriatrics, University Hospital of Nice, Cimiez Hospital, Nice, France.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Gonfrier
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Teboul
authors.affiliation: ENT Unit, University Hospital of Nice, University institute of face and neck (IUFC), Nice, France.
authors.forename: Ivan
authors.initials: I
authors.lastname: Gahide
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France.
authors.forename: Fredéric
authors.initials: F
authors.lastname: Prate
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France.
authors.forename: Mathilde
authors.initials: M
authors.lastname: Demory-Zory
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France.|Rehabilitation Unit, Department of Geriatrics, University Hospital of Nice, Cimiez Hospital, Nice, France.
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Turpin
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France.
authors.forename: Claire
authors.initials: C
authors.lastname: Vuagnoux
authors.affiliation: ENT Unit, University Hospital of Nice, University institute of face and neck (IUFC), Nice, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Genovese
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Schneider
authors.affiliation: Center for Healthcare Innovation and Uses (CIU-santé), University Hospital of Nice, Cimiez Hospital, Pavillon Mossa 4ème étage aile Sud, 4 av Reine Victoria, 06000, Nice, France.|CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, Nice Sophia-Antipolis University, Nice, France.|Acute Geriatrics Unit, Department of Geriatrics, University Hospital of Nice, Cimiez Hospital, Nice, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Guérin
authors.affiliation: ENT Unit, University Hospital of Nice, University institute of face and neck (IUFC), Nice, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Guevara
mesh_terms: D000368:Aged; D001299:Audiometry; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006310:Hearing Aids / Q000592:standards*; D034381:Hearing Loss / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009622:Noise; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
keywords: Elderly; Hearing rehabilitation; OTC Hearing aid