Field Study News April 2016 RogerReady RogerReady Automating the Roger™ experience Automating the Roger™ experience Phonak listening in complex environments for hearing aid users of all of ages. The new Phonakcontinuously continuouslystrives strivestotoimprove improve listening in complex environments for hearing aid users all ages. TheRogerReady new RogerReady feature, combines thethe benefits of aofwireless system withwith the hearing performance afforded feature, available availableininSky SkyVVand andNaída NaídaV Vhearing hearingaids, aids, combines benefits a wireless system the hearing performance by automatic activation. In this study, technical measurements were performed to evaluate the activationand deactivation time of through automatic activation. In this study, technical measurements were performed to evaluate the activation and deactivation RogerReady. Results revealed that this feature consistently captures remote microphone input in less than 400 ms, confirming that time of RogerReady. Results revealed that this feature consistently captures remote microphone input in less than 400 ms, the RogerReady feature grants nearly instantaneous access to the Roger microphone signal. Based on these results, the RogerReady feature confirming that the RogerReady feature grants nearly instantaneous access to the Roger microphone signal. Based on these has been applied as the default setting for DSL fittings in Phonak Target Junior mode for the pediatric population, enabling more results, the RogerReady feature has been applied as the default setting for DSL fittings in Phonak Target Junior mode for the seamless application of automatic activation of the Roger program in the hearing aid. pediatric population, enabling more seamless application of automatic activation of the Roger program in the hearing aid. Introduction Introduction It has been universally recognized that use of a Roger wireless It has been universally recognized thatwill useimprove of a Roger wireless communication system or personal FM the speech perception and understanding for the FM hearing impaired the child in communication system or personal will improve the classroom (Thibodeau 2010; Anderson, Colodzin & speech perception and understanding forGoldstein, the hearing impaired Iglehart 2005; Boothroyd & Iglehart 1998). These devices have child in the classroom (Thibodeau 2010; Anderson, Goldstein, also been shown to provide significant benefit for individuals with Colodzinprocessing & Iglehartdisorder, 2005; Boothroyd & Iglehart These auditory single sided deafness,1998). and autism devices have also been shown to provide significant benefit spectrum disorder by improving the signal-to-noise ratio (Rance, Saunders, Carew, Johansson Tan 2013; Schafer et single al 2012; for individuals with auditory& processing disorder, sided Johnstone, John, Hall &spectrum Crandell 2009; Tharpe, Ricketts &the Sladen deafness, and autism disorder by improving 2003). signal-to-noise ratio (Rance, Saunders, Carew, Johansson & Tan 2013; Schafer al 2012; John, Hallwere & Crandell Previously, ensuringetthat remoteJohnstone, microphone signals easily accessible through the hearing aid2003). often necessitated selecting a 2009; Tharpe, Ricketts & Sladen basic listening program that would incorporate direct audio input (DAI). Theseensuring dedicatedthat Roger/DAI programssignals excluded the use Previously, remote+Mic microphone were of advanced soundthrough cleaningthe features available in the hearing aid. easily accessible hearing aid often necessitated While this is a conservative approach to fittings, this hierarchy selecting a basic listening program that would incorporate ensured that children would have dependable, automatic access direct audioparticularly input (DAI).teachers, These dedicated Roger/DAI+Mic to speakers, using a remote microphone. programs excluded the use of advanced sound cleaning This Roger/DAI configuration does not allow children to take advantage of Phonak features available in automatic the hearingtechnology aid. Whilewhich this ishas a now been optimized for approach the listening of a child’s life. conservative to environments fittings, this hierarchy ensured AutoSense Sky OS is the Phonak pediatric operating system that that children would have dependable, automatic access to allows for automatic adaptation of the hearing aid based on the speakers,scene. particularly teachers, using remote microphone. listening This system steers basea program activation, gain This Roger/DAI configuration does not allow children take model, and the activation of directional microphones, asto well as other soundof cleaning In technology the current default advantage Phonakfeatures. automatic which has now configuration forfor DSLthe fittings, older children haveofaccess to the been optimized listening environments a child’s life. automatic program and the associated sound cleaning features via a button press. Research has shown, however, that many children do not reliably change their hearing aid program for different listening environments (Ricketts, Picou, Galster, Federman & Sladen 2010). So even when the automatic program is available,Sky it isOS likely thatPhonak many children not consistently AutoSense is the pediatricdidoperating system activate it. As result, hearing performance challenging that allows fora automatic adaptation of theinhearing aid listening environments such as working in groups, recess, and based on the listening scene. This system steers base program lunch time was sacrificed to ensure instantaneous and reliable activation, gain model, andchildren the activation of directional access to Roger. This leaves at a listening disadvantage microphones, as well as other issound features. In the when the wireless microphone not incleaning use, because the child is limited to using configuration one default program all environments current default for DSLin fittings, older children encountered throughout the day. Wolfe and (2016) shown that have access to the automatic program thehas associated use of a hearing aid automatic mode can have performance and sound cleaning features via a button press. Research has comfort benefits for children that are not realized in a designated shown, however, many children not default. reliably change basic program thatthat is typically applied do as the their hearing aid program for different listening environments AutomaticPicou, hearing aid capability is now available to pediatric (Ricketts, Galster, Federman & Sladen 2010). So even hearing aid users, with no risk of incorrect program-switching, when the automatic program is available, it is likely that many nor the need for manual activation due to a new feature, children did not consistently activate As a result, hearing RogerReady. RogerReady activates the it. Roger/DAI+Mic program performance in challenging listening environments such whenever speech inputs are detected by the Roger microphone. Forworking childrenin whose hearing aids arelunch configured to start up in as groups, recess, and time was sacrificed AutoSense Sky OS, RogerReady eliminates the to need for aThis manual to ensure instantaneous and reliable access Roger. Roger/DAI+Mic program, and the need to have the leaves children at a listening disadvantage when the wireless Roger/DAI+Mic program as the startup default. microphone is OS notcan in use, the as child limitedprogram, to AutoSense Sky nowbecause be assigned theisstartup using oneRogerReady default program in alltheenvironments encountered and with activated, system is designed to consistently the and day. reliably provide immediate access to the signal throughout detected from the Roger transmitter. Wolfe (2016) has shown that use of a hearing aid automatic mode can have performance and comfort benefits for children that are not realized in a designated basic program that is typically applied as the default. Automatic hearing aid capability is now available to pediatric hearing aid users, with no risk of incorrect program-switching, nor the need for manual activation due to a new feature, RogerReady. RogerReady activates the Roger/DAI+Mic Methodology This study was performed at the Phonak Audiology Research Center (PARC) in the USA (Warrenville, Illinois). The tests were conducted in a double-walled, sound-treated booth, using binaural Sky V90-P BTEs coupled to KEMAR’s (Knowles Electronic Mannequin for Acoustic Research) ears with standard BTE couplers. The hearing aids were programmed using a flat 50 dB sensorineural hearing loss. Roger 18 design-integrated receivers were attached to the hearing aids and connected wirelessly to a Roger inspiro microphone. AutoSense Sky OS was programmed as the startup program with the Roger/DAI+Mic triggered automatically via RogerReady. There were no manual programs accessible, and Easy Beeps were disabled, per the Junior mode fitting defaults. The aids were placed on KEMAR inside of the booth. The Roger inspiro was hung in front of a loudspeaker, located approximately two meters outside of the sound booth, with the iLapel microphone attached 20 cm below the center cone of the speaker. A diagram of the set up can be seen in Figure 1. The target stimulus used was female speech taken from an audiobook. The stimulus was played via Adobe Audition software and was calibrated to 80 dBA at the inspiro microphone. Five minutes of recorded silence preceded the speech passage, thus ensuring the hearing aids were in AutoSense Sky OS. Once the sound file was started, both the sound booth and the outside room were vacated for the entire testing period. Center (PARC) in the USA (Warrenville, Illinois). The tests were conducted in a double-walled, sound-treated booth, using binaural Sky V90-P BTEs coupled to KEMAR’s (Knowles Electronic Mannequin for Acoustic Research) ears with standard BTE couplers. The hearing aids were programmed using a flat 50 dB sensorineural hearing loss. Roger 18 design-integrated receivers were attached to the hearing aids and connected wirelessly to a Roger inspiro transmitter. AutoSense Sky OS was programmed as the startup program with the Roger/DAI+Mic triggered automatically via RogerReady. There were no manual programs accessible, and easy beeps were disabled, per the Junior mode fitting defaults. The aids were placed on KEMAR inside of the booth. The Roger inspiro was hung in front of a loudspeaker, located approximately two meters outside of the sound booth, with the iLapel microphone attached 20 cm below the center cone of the speaker. A diagram of the set up can be seen in figure 1. The target stimulus used was female speech taken from an audiobook. The stimulus was played via Adobe Audition software and was calibrated to 80 dBA at the inspiro microphone. Five minutes of recorded silence preceded the speech passage, thus ensuring the hearing aids were in AutoSense Sky OS. Once the sound file was started, both the sound booth and the outside room were vacated for the entire testing period. program to allow for clear program and AutoSense Sk from KEMAR’s ears confirm switched out of the Roger/ AutoSense Sky OS, as the h amplifying the babble in th program whenever speech inputs are detected by the Roger microphone. For children whose hearing aids are configured to Results start up in AutoSense Sky OS, RogerReady eliminates the need Adobe Audition software w for a manual Roger/DAI+Mic program, and the need tothehave hearing aids placed on precisely five minutes afte the Roger/DAI+Mic program as the startup default. AutoSense program was activated in Sky OS can now be assigned as the startup program, and with target stimulus (see Figure times. In each trial, less th RogerReady activated, the system is designed to consistently the Roger microphone was passage is seen below with and reliably provide immediate access to the signal detected from the Roger microphone. “Besides the beautiful birch Figure 2. Analysis from Adobe A stimulus with the red vertical lin bottom graph, the red vertical l while the yellow vertical line ind time between the red and yellow The time difference between th This recording was done w hearing aid. It’s worth noti activation time extends to three syllables being misse are disabled by default for results show that the auto program is fast and can be content. The activation of as 2.0 seconds (Dechant, 2 Figure 1. Sky V90-P hearing aids placed on KEMAR’s ears Figure 1. Sky V90-P hearing aidswere were placed on KEMAR’s ears in the soundin the sound booth with booth doorwith closed. The The Roger was a loudspeaker outside was measure door closed. Rogerinspiro inspiro was hunghung from a from loudspeaker outside Deactivation of the booth. The microphone of ofthe 20below cmthe below cone of the booth. The microphone the inspiro inspiro waswas 20 cm centerthe cone center switch out of the Roger/DA of the loudspeaker to simulate a ateacher wearing an inspiro of the loudspeaker to simulate teacher wearing an inspiro iLapel. iLapel. AutoSense Sky OS. This wa Deactivation or switching out of the Roger/DAI+Mic program was also assessed. The previously described arrangement was used for recording as seen in figure automatically switched ba seconds of the speech stim Deactivation or switching out of the Roger/DAI+Mic program was also assessed. The previously described arrangement was used for this measurement. Additionally, a stimulus consisting of 4-talker babble was played through the speakers in the sound booth with KEMAR. The environmental mic was disabled in the Roger/DAI program to allow for clear distinction between the Roger/DAI program and AutoSense Sky OS. Visual analysis of the recordings from KEMAR’s ears confirmed precisely when the hearing aids switched out of the Roger/ DAI program and back into AutoSense Sky OS, as the hearing aid microphones resumed amplifying the babble in the sound booth. Field Study News | RogerReady 2 tronic 0 dB eivers to a ed as ams de he er, th, er n from phone. ge, nce utside from KEMAR’s ears confirmed precisely when the hearing aids switched out of the Roger/DAI program and back into AutoSense Sky OS, as the hearing aid microphones resumed amplifying the babble in the sound booth. Results Adobe Audition software was used to analyze the recording Results from the hearing aids placed on KEMAR. The acoustic signal Adobe Audition software was used to analyze the recording from started precisely five minutes after the recorded silence. The the hearing aids placed on KEMAR. The acoustic signal started Roger program was activated in less than 400The msRoger from the precisely five minutes after the recorded silence. program in less than ms from the onset of the onset of was the activated target stimulus (see400 Figure 2). These results were target stimulus (see Figure 2). These results were replicated ten replicated ten times. In each trial, less than one syllable of times. In each trial, less than one syllable of speech directed to speech directed to the Roger microphone was missed. An the Roger microphone was missed. An example of the original example thebelow original is seen belowcrossed with the passage isofseen withpassage the missed phoneme out:missed phoneme crossed out: “Besides thebeautiful beautiful birch…” “Besides the birch…” Deactivation was measured as the time it took the devices to switch out of the Roger/DAI program and back into AutoSense Sky OS. This was validated by the Adobe Audition recording as seen in Figure 3. In the ten trials, the hearing aids automatically switched back into AutoSense Sky OS within 50 seconds of the speech stimulus ending. For testing purposes, the hearing aid microphone was disabled in the Roger program. However, normalinuse, would have hearing aid microphone wasindisabled thechildren Roger program. However, in normal wouldaid have uninterrupted uninterrupted accessuse, to children the hearing microphone in the access to the hearing aid microphone in the Roger program and in Roger program and in AutoSense Sky OS. Refere AAA Clin Technolo Supplem www.aud library/h AutoSense Sky OS. Anderson of S/N en listening implant. Boothroy amplifica Figure 3. The deactivation of RogerReady is 50 seconds from the time the Figure 2. Analysis from Adobe Audition software. The top graph is the raw Figure 2. with Analysis Adobe Audition software. Thethe topstimulus graph isbegins. the rawIn the stimulus the from red vertical line indicating when bottom thered redvertical verticalline lineindicating again indicates thestimulus start ofbegins. the stimulus, stimulusgraph, with the when the In the while the yellow vertical line indicates the onset of speech through Roger. The bottom graph, the red vertical line again indicates the start of the stimulus, time between the red and yellow lines is the activation time of RogerReady. The whiledifference the yellowbetween vertical line the onset speech through400 Roger. time the indicates red and yellow linesofwas repeatedly ms. The stimulus is offdeactivation to the exit of from the Roger and intothe AutoSense Figure 3. The RogerReady is program 50 seconds from time the Sky OS. The return to AutoSense Sky OS can be visualized by the presence of noise presented to the hearing aid microphones which is seen as a low amplitude The return tosegment AutoSense can be visualized by the line. presence of noise input in the of Sky the OS recording past the yellow stimulus is off to the exit from the Roger program and into AutoSense Sky OS. presented to the hearing aid microphones which is seen as a low amplitude input in the segment of the recording past the yellow line. Johnston Multiple auditory time between the red and yellow lines is the activation time of RogerReady. The time differencewas between the with red andthe yellow lines was repeatedly 400 This recording done Easy Beeps disabled inms. the hearing aid. It’s worth noting, if the Easy Beeps are enabled, This recording was done with the Easy Beeps disabled in the the activation time extends to an average of 830 ms, resulting hearing aid. It’s worth noting, if the Easy Beeps are enabled, the in three syllables being missed in all trials. Therefore the activation time extends to an average of 830 ms, resulting in Easy arebeing disabled byindefault forTherefore all Targetthe Junior mode three Beeps syllables missed all trials. Easy Beeps fittings. These results for show that the automatic activation are disabled by default all Target Junior mode fittings. These of the Roger/DAI+Mic programactivation is fast and canRoger/DAI+Mic be used with results show that the automatic of the program isloss fastofand can becontent. used with minimal loss of minimal speech The activation ofspeech earlier content. of TheEasyFM activation of EasyFM was as long versions wasofasearlier long versions as 2.0 seconds (Dechant, 2010). ound outside er cone m was ed for as 2.0 seconds (Dechant, 2010). Deactivation was measured as the time it took the devices to switch out of the Roger/DAI program and back into Conclusion AutoSense Sky OS. This was validated by the Adobe Audition recordingJunior as seenmode in figure 3. In for the DSL ten trials, theprovide hearing children aids Phonak defaults fittings automatically AutoSense Sky OS within nine years of switched age and back olderinto with Roger/DAI+Mic as the50startseconds of the speech stimulus ending. For testing purposes, the up program and AutoSense Sky OS as an alternative manual program. This study confirms the new RogerReady feature 2 Field Study News | RogerReady consistently and reliably governs switching into and out of the Roger/DAI+Mic program. Roger activation was achieved within one syllable of the onset of speech through the Roger microphone. Deactivation also occurred reliably, allowing Dechant, Study Ne http://ww ary/Field Conclusion Phonak Junior mode defaults for DSL fittings provide children nine years of age and older with Roger/DAI+Mic as the start-up program and AutoSense Sky OS as an alternative manual program. This study confirms the new RogerReady feature consistently and reliably governs switching into and out of the Roger/DAI+Mic program. Roger activation was achieved within one syllable of the onset of speech through the Roger microphone. Deactivation also occurred reliably, allowing children the benefit of resuming the performance and comfort benefits of an adaptive hearing aid operating system when speech was not present at the Roger microphone. These results are favorable for the application of the RogerReady feature for children of all ages. Rance G. The use o children Ricketts (2010). P Classroom Amplifica Schafer E Maloney spectrum children the benefit of resuming the performance and comfort disorder 46(1):30 benefits of an adaptive hearing aid operating system when speech was not present at the Roger microphone. These results are favorable for the application of the RogerReady feature for children of all ages. Tharpe A Children Clear Com Wolfe, J. Evaluatio Children Field Study News | RogerReady 3 References AAA Clinical Practice: Remote Microphone Hearing Assistance Technologies for Children and Youth Birth-21 Years and Supplement A (2011). Available at www.audiology.org/publications-resources/ document-library/hearing-assistance-technologies. Anderson K., Goldstein H., Colodzin L., Iglehart F. (2005). Benefit of S/N enhancing devices to speech perception of children listening in a typical classroom with hearing aids or a cochlear implant. J Educ Audiol (12): 14-28. Boothroyd A. & Iglehart F.(1998). Experiments with classroom FM amplification. Ear Hearing (19): 202-217. Dechant, S. (2010). New EasyFM Feature for Naida. Phonak Field Study News. Available at: http://www.phonak.com/content/dam/ phonak/b2b/C_M_tools/Library/Field_Study_News/en/fsn_2010_ march_easyFM_GB.pdf Johnstone K.N., John A.B., Hall J.W., & Crandell C.C. (2009). Multiple benefits of personal FM system use by children with auditory processing disorder (APD). Int J of Audiol 48(6): 371-83. Authors and investigators Rance G., Saunders K., Carew P., Johansson M., & Tan J. (2013). The use of listening devices to ameliorate auditory deficit in children with autism. J Pediatr 164(2): 352-57. Ricketts T.A.,Picou E.M., Galster J.A., Federman J., & Sladen D.P. (2010). Potential for Directional Hearing Aid Benefit in Classrooms: Field Data. A Sound Foundation Through Early Amplification: 143-152. Schafer E.C., Mathews L., Mehta S., Hill M., Munoz A., Bishop R., & Maloney M. (2012). Personal FM systems for children with autism spectrum disorders (ASD) and/or attention-deficit hyperactivity disorder (ADHD): An initial investigation. J Commun Disord 46(1): Authors and investigators 30-52. Lisa Standaert started with the Phonak Tharpe A.M., Ricketts T., & Sladen D.(2003). FM Systems for Children Audiology Technical SupportClear Department with Minimal to Mild Hearing Loss. ACCESS: Achieving in 2005, and recently joined the Phonak Communication Employing Sound Solutions: 191-97. Audiology Research Center (PARC) in Wolfe, J., Morais, M., Schafer, E., Her Jones, C., Rakita, L. (2016). Evaluation 2015. prior work history includes of Adaptive Noise Management Technologies for Children with hearing aid fitting and dispensing, Hearing Loss. Manuscriptcochlear submitted for publication. implant programming and counseling, and intraoperative monitoring. She earned an M.A. in Audiology at Wayne State University and an Au.D. from A.T. Still University. Charla Levy,graduated graduatedwith withher herAu.D. Au.D. in Lisa Charla Levy Lisa Standaert Standaertstarted startedwith withthe thePhonak Phonak 2015 from the University of North Audiology Technical Support Department in 2015 from the University of NorthTexas Texas Audiology Technical Support Department and her B.S. B.S.ininCommunication Communication in 2005, and recently joined the Phonak and earned earned her in 2005, and recently joined the Phonak Disorders TexasState StateUniversity Universityinin Audiology Research Center (PARC) in Disorders from Texas Audiology Research Center (PARC) in 2015. Her prior work history includes 2011. Currently 2011. Currentlyshe sheisisworking workingasasa research a 2015. work includes hearingHer aidprior fitting andhistory dispensing, cochlear audiologist in the Phonak Audiology research audiologist in the Phonak hearing aid fitting andand dispensing, implant programming counseling, Research Center (PARC) studying to develop Audiology Research Center (PARC) cochlear implant programming and and intraoperative monitoring. She earned hearing aid and aid advance studying to technologies develop hearing counseling, and intraoperative monitoring. technologies and advance an M.A. in Audiology at Wayne State hearing healthcare worldwide. hearing healthcare worldwide. University Au.D. from A.T. Still She earnedand anan M.A. in Audiology at University. Wayne State University and an Au.D. from A.T. Still University. 028-1577-03/V1.00/2016-04/© Phonak AG All rights reserved Charla Levy, graduated with her Au.D. in 2015 from the University of North Texas and earned her B.S. in Communication Disorders from Texas State University in 2011. Currently she is working as a research audiologist in the Phonak Audiology Research Center (PARC) studying to develop hearing aid technologies and advance hearing healthcare worldwide. Field Study News | RogerReady 4
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