Loudness discomfort levels (LDLs) have been advocated as a means for selecting the SSPL90 setting of an individual's hearing aid. Kawell, Kopun, and Stelmachowicz (Ear Hear 1988; 9:133–136) recently developed a procedure to measure LDLs in children. Several procedural cautions, involving the hearing aid stimulus delivery and sound field calibration, have been noted with this method. As a means of overcoming these problems, a new method utilizing insert earphone derived stimuli delivered to a child's ear-mold with probe tube microphone monitoring of real-ear sound pressure level was explored. Twenty children, aged 7 to 14 years, served as subjects. The advantage of the present method lies in the procedural conveniences and the ability to compare real-ear audiometric measures and hearing aid performance.
Address reprint requests to Andrew Stuart, MSc., c/o School of Human Communication Disorders, Dalhousie University, 5599 Fen-wick St., Halifax, NS, Canada, B3H 1R2.
Paper presented in part at the Canadian Association of Speech-Language Pathologists and Audiologists Annual Conference, Toronto, May 1989.
Received May 28, 1989; accepted November 9, 1990.
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