4.2.1 Top Ten Questions for Audiologists
1. When should Sound Therapy be recommended?
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For anyone with hearing loss or auditory perception difficulties.
- To assist listening, particularly for those with mild, moderate or acquired hearing loss.
- For back ground noise discrimination problems.
- For someone with mild hearing loss, not yet requiring or choosing a hearing aid
- For new hearing aid users or those having difficulty adjusting to hearing aids
- For those with tinnitus or dizziness.
- For those with auditory processing problems.
- For hearing aid users who would like additional help to stimulate their hearing pathways.
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2. How does it relate to hearing aid use?
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Sound Therapy can be used with a hearing aid and will often enhance hearing aid compliance by improving central auditory processing.
- It will assist adjustment to a hearing aid and optimise brain response to increased auditory input from a hearing aid.
- It will help to reduce the impact of auditory deprivation.
- It can be used through a hearing aid or at times when hearing aid is not being worn (ie while sleeping)
3. When should it be offered for tinnitus clients?
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Sound Therapy is the easiest and should be the first intervention for tinnitus.
- As soon as possible after tinnitus onset.
- When tinnitus is troublesome.
- As part of tinnitus management program.
- In place of a masker.
- As a complement to CBT (Cognitive Behaviour Therapy) or TRT (Tinnitus Retraining Therapy).
- For tinnitus clients who do not need or want a hearing aid.
4. When should it be offered for auditory processing difficulties?
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As the first step before undertaking other remedial measures.
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- First and easiest intervention.
- To support all other learning interventions.
- Optimising the auditory processing function will make the client more responsive to educational interventions.
5. How to address the price objection.
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Sound Therapy is an add-on program which will enhance the value of a hearing aid or other support programs.
- Much less expensive than a hearing aid.
- Show DVD.
- It could double the value of the hearing aid, now or later, by increasing responsiveness of auditory centres in brain
6. What is the initial treatment period and method?
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2 to 3 hours per day, during normal daily activities or sleep.
- Personal Listening Routine Assessment to be completed.
- Listening for 2-3 hours per day.
- Listen during other activities at low volume
- Listen with or without hearing aids in place
7. How long must it be used?
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For at least 3 to 6 months but ideally as an ongoing treatment.
- Three to six months initial period
- Ongoing listening recommended to maintain auditory function throughout life
- Long term listening is easy as the program is played quietly and passively so does not require any time to be taken out of normal daily activities.
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8. How effective is it?
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Surveys show that 90% of listeners gain benefits.
- Changes to neural function: 90% by subjective measure
- Objective research from study at Sydney University
- STI customer survey results
Condition | Percentage that reported improvement | Sample size |
Tinnitus | 86% | 187 |
Hearing Loss | 56% | 123 |
Energy | 84% | 122 |
Stress | 86% | 80 |
Sleep | 75% | 127 |
Communication | 78% | 71 |
Dizziness | 70% | 30 |
Speech Problem | 64% | 14 |
9. How to motivate the client to use it
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Use the educational tools provided with the program.
- Use educational tools, DVD, book, email support
- Follow up appointments
- Ensure client is aware of using at low volume during daily activities or sleep
10. What ongoing support is required from the audiologist?
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Support tools provided with the Synergy program enable efficient follow up at suitable intervals.
- Put into Listener Support Program Email sequence
- Client support interviews at 2 weeks, 6 weeks and 3 months (see Client Feedback Forms provided with program)