WCA2016 SPEAKER PRESENTATIONS



round table sessions


Monday, september 19, 2016

08:15 - 10:15


BRAIN IMAGING IN AUDIOLOGY, RESEARCH AND CLINICAL PRACTICE
 
Leading edge developments in the use of brain imaging in assessment of auditory function. Relationship between imaging and function, Brain imaging advances that may relate to audiology. Cognitive changes and connections.

LEARNING OBJECTIVES
After this round table, learners will be able to:
  1. Explain age-related changes in the neural processes that are involved in identification and localisation of auditory objects
  2. Describe how animal experiments have informed an understanding of the relationship between neural and behavioural processing of auditory information
  3. Describe the effects of peripheral hearing loss on the central auditory nervous system and its interaction with other brain regions
Chair:

Peter Thorne | BIO

"Brain Imaging in Audiology, Research and Clinical Practice"

  Speakers:

 Dan Sanes | BIO

"Can transient hearing loss harm the developing nervous system?"

 

 Claude Alain | BIO

"The Object-Related Negativity: A Neural Metric to Assess Concurrent Sound Segregation from Infancy to Old Age"

 

Larry Roberts | BIO

"Electrophysiological and metabolic imaging of tinnitus from cochlea to brain"

tuesday, september 20, 2016

08:15 - 10:15


EVIDENCE BASE FOR BEST PRACTICE: RESEARCH AND APPLICATIONS
 
The Round Table will provide an overview of the foundations of Evidence-Based Practice along with examples of evidence and its application in a range of audiology contexts.

LEARNING OBJECTIVES
After this round table, learners will be able to:
  1. Understand the principles of Evidence Based Practice (EBP)
  2. Gain knowledge about a range of applications of EBP in clinical practice
  3. Identify barriers and facilitators to EBP
  4. Understand how to relate research evidence to consumers

Chair:

Louise Hickson | BIO

"Evidence Base for Best Practices: Research and Applications"

 Speakers:

Lena Wong | BIO

"The essence of Evidence Based Practice (EBP)"

 

Terry Chisolm | BIO

"Implementing Evidence-Based Practices: The Role of Manualization"

 

Thais Morata | BIO

'Hearing loss Prevention: from “says who” to “show me the evidence' 

Wednesday, september 21, 2016

13:45 - 15:45


HEARING: A GLOBAL PUBLIC HEALTH PRIORITY
 
Hearing health contributes significantly to years lived with disability, especially for people over 70 years of age who now live more years but have reduced quality of life. In the rapidly changing world, innovation challenges us to curate the best knowledge, experience and procedures to enable citizens with hearing problems to get the best support and solutions. Adrian Davis will present a population hearing health framework using collaborative research with the Global Burden of Disease team in Seattle to frame the narrative of the impact that hearing problems have on individuals, families, communities and populations. Lesley Burn and Adrian Davis will report on work with Better Value Healthcare in Oxford, UK to innovate across healthcare science; they have shown the advantages of forming peer-to-peer networks in paediatric audiology and also how these networks can innovate in bringing the benefits of new technology to adults with hearing problems. Howard Hoffman has curated epidemiological data for the USA and other countries to show trends in prevalence and etiology that can support good policy and services. Satvinder (Pearly) Dhingra will illustrate the path to the future where data analytics can guide us to provide best services for those with hearing and related problems.

LEARNING OBJECTIVES
After this round table, learners will be able to:
  1. Understand the Global Burden of Disease programme conclude about the disabling burden that is attributable to hearing loss in their own country
  2. Understand what is value based care
  3. Understand how might value based care be applied to hearing healthcare in an individuals population / country
Co-Chair & Speaker:

Adrian Davis | BIO

"Population Health Perspective for Hearing Health and Hearing Loss"

 Co-Chair:

 Satvinder "Pearly" Dhingra | BIO

"Past, Present and Future of Public Health Research"

 Speakers:

Lesley Burn | BIO

"Hearing: a global public health priority"

 

 Howard Hoffman | BIO

"Epidemiology of Adult Hearing Impairment and Disorders: Perspectives from Population-Based Studies in the United States and Globally"

 

isa -world health organization (WHO) lecture


WEDNESDAY, september 21, 2016

13:00 - 13:45


MAKING HEARING CARE ACCESSIBLE FOR ALL
 
WHO programme for prevention of deafness and hearing loss has a vision of a world in which no person experiences hearing loss due to preventable causes and those with unavoidable hearing loss can achieve their full potential through intervention, education and empowerment. 360 million people across the world live with disabling hearing loss. Resources and services for hearing care are least available in those parts of the world which have the greatest need. The WHO programme aims to develop and strengthen hearing care activities in its Member States (countries). It does so through the development of comprehensive hearing care strategies in partnership with governments and national agencies. To support its efforts, WHO develops evidence-based and validated tools for advocacy and technical guidance. In recent years,

WHO has launched a number of initiatives which include the World Hearing Day; Make Listening Safe; and Childhood hearing loss: act now; here is how! Partnerships are key to WHO’s work in this area. It is essential that all stakeholders in the field of hearing care, such as: international organizations, national governments, ear and hearing care professionals and civil society work together to create a global movement for promoting access to hearing care for all.

LEARNING OBJECTIVES
After this lecture, learners will be able to:
  1. Sensitize the delegates to the WHO programme for prevention of deafness and hearing loss
  2. Share the public health aspects of hearing care
  3. Arouse interest in the global movement for making hearing care accessible to all
WHO Lecturer:  

Dr. Shelly Chadha | BIO

"Making Hearing Care Accessible for All"

       

 

Glorig Lecture


WEDNESDAY, september 21, 2016

16:15 - 17:00


LISTENING IN NOISE
 
Listening in noise is the first problem experienced as hearing loss commences, and the problem that brings most people to the hearing clinic.  It is also the major problem experienced by children with spatial processing disorders, and probably other types of auditory processing disorder. Listening in noise is also the key to assessing hearing remotely when the test must be done via diverse unknown headphones and tablet devices or computers.  This talk will show how binaural beamformer microphones can be used to improve listening in noise for people with sensorineural hearing loss, and how training in spatialized noise can be used to completely overcome the deficits experienced by children with spatial processing disorder.  The talk will also show how adaptive speech-in-noise tests can be combined with adaptive tone-in-noise tests, and adaptive speech tests in quiet to remotely and automatically not only detect hearing problems, but also determine whether the problems arise from sensorineural loss, conductive loss, or auditory processing disorders / language disorders, even in children as young as 4 years of age.

LEARNING OBJECTIVES
After this lecture, learners will be able to:
  1. Operate principles of a binaural beamformer and the advantages it provides;
  2. Understand the characteristics of spatial processing disorder and methods for remediating it;
  3. Understand some methods for detecting hearing loss and auditory processing disorders in children via the internet.

Glorig Lecturer: Dr. Harvey Dillon | BIO
       

 

featured sessions


Monday, september 19, 2016

10:45 - 12:15

HEARING LOSS IN CHILDHOOD: CONSEQUENCES OF MISSING A MOVING TARGET IN BRAIN DEVELOPMENT
 
Hearing loss in childhood: consequences of missing a moving target in brain development. In this panel, we aim to discuss the implications of abnormal hearing within the moving target of auditory development. Although children are typically born with hearing, their auditory system is immature. The hearing pathways develop over time, becoming increasingly specialized as children listen and respond to the many different sounds around them. The developing auditory system is particularly vulnerable to deviations arising from a lack of normal input to the ears and/or auditory pathways. Activity-dependent processes can be arrested and compensatory plasticity promotes reorganization which may not be possible to reverse with later treatment. Efforts to detect these changes as early as possible have encouraged screening programs and promising new techniques to emerge. Yet, questions of how best to treat identified problems remain. Auditory prostheses will not restore normal ears; rather, these devices improve input to the hearing pathways and brain with the intention of maintaining the developmental trajectory for all parts of the system. How close are we to hitting these “moving targets”?

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Describe how early auditory experience influences brain development
  2. Explain what infants and children listen to as they learn to speak and read
  3. Recognize that there are variations of auditory development even in children with normal audiograms
  4. Plan treatment of hearing loss in children considering both sensory and cognitive processes
Chair:

Karen Gordon | BIO

"Hearing Loss in Childhood: Consequences of Missing a Moving Target in Brain Development"

Speakers:

Dr. Steve Lomber | BIO

"How Brain Development Depends on Acoustic Experience"

 

Dr. David Moore | BIO

"Contribution of peripheral and central auditory processes to understanding listening difficulties (aka Auditory processing disorder, APD) in children"

 

Dr. Janet Werker | BIO
"Perceptual foundations of language acquisition: Surprising new findings"


 

Dr. Nina Kraus | BIO
"The importance of everyday listening: Unraveling the biology of language development"


AUDITORY AND COGNITIVE AGING: FROM SOUNDS TO MEANING
 
Over the past decade there has been an explosion in research activity related to the behavioral and brain mechanisms that regulate the perception of speech in noise. This increase in scientific interest has been motivated in part by advances in brain signal processing, which now highlight in more details the role of brainstem and cortical regions in processing speech sounds in adverse listening conditions. In this symposium, we will discuss recent research on age-related hearing loss and its potential impact on brainstem and cortical activity and explore new research avenues. Several research themes will be covered including the role of expertise, context, knowledge and memory in processing speech in noise.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Understand evidence-based information and advances in neuroimaging and aging research
  2. Portray the effects of age and hearing loss on auditory and speech motor systems
  3. Describe the role of musical training in mitigating age-related declined in central auditory processing
Chair:

Claude Alain | BIO

"Auditory and Cognitive Aging: From Sounds to Meaning"

 
 Speakers:

Yi Du | BIO
"Motor Compensation for Speech Perception in Adverse Listening Conditions in Young and Older Adults"

 
 

Gavin Bidelman | BIO

"Age- and training-related plasticity in the auditory neural processing of speech: Connecting periphery to percept"

 
 

Ann Eddins | BIO

"Relating perceptual deficits in older adults to dynamic changes in cortical processing"

 
 

Bernhard Ross | BIO

"Perceptual binding in young and older listeners"

 

IERASG: USING EVOKED POTENTIALS TO SOLVE CLINICAL PROBLEMS
 
In this session, the use of auditory evoked response potentials in clinical audiology will be illustrated in examples of knowledge translations bridging research and practice.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. To adapt their own clinical practices based on the examples provided
  2. To explain the reasons for selecting ERP tests for specific clinical purposes
  3. To explain how ERP test results complement other components of the case history
Chair: Suzanne Purdy | BIO
 
 Speakers:

Andy Beynon | BIO

"Audio-vestibular assessment in Cochlear Implants"

 
 

 Mridula Sharma | BIO
"Auditory selective attention and P300"

 
 

Bob Burkard | BIO
"From bench to bedside in ERA: s faster always better?"

 
 

Barbara Cone | BIO
"What can we learn about infant speech detection and discrimination from cortical auditory evoked potentials? "

 
 

John Durrant | BIO

"Low-rate, longer-latency equivalent steady-state responses and removing the time-frequency barrier",

Durrant, JD¹, Ozdamar, O², and Cone, B³. ¹University of Pittsburgh; ²University of Miami; ³University of Arizona, USA.

 

TINNITUS: EARS AND BRAINS  
Although much progress has been made, tinnitus is one of those hearing-related conditions which remains a scientific and clinical enigma. Tinnitus is a symptom, not a disease in its own right and so there are numerous different risk factors for developing the condition. The main risk factor is hearing loss, but this association is not simple or straightforward. Nevertheless, because otological conditions, especially high-frequency hearing loss, present one of the major risk factors for tinnitus, the auditory phantom sensations are often considered to be a neuroplastic response to sensory deprivation. This presentation entitled “Tinnitus: ears and brain” takes you on a journey through the peripheral and central auditory system, from cochlear abnormalities that might be the initial source of tinnitus, through the cascade of neural changes in the ascending auditory pathway that are more likely to maintain the condition. Invited speakers are experts in animal and human models of tinnitus. Their talks will introduce you to the techniques and methods that they use, and will share with you some of the insights from their research as well as some of the challenges of working in this dynamic and exciting field.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Develop an ability to explain to patients what might be causing their tinnitus
  2. Be confident about describing some of the latest research on tinnitus to patients
  3. Understand some of the challenges of conducting high quality tinnitus research so that you can better critically evaluate studies and reports that you might read in the future

Chair & Speaker:

Prof Deborah Hall | BIO

'How informative are biomarkers in clinical trials for chronic subjective tinnitus?'

  Speakers:             

Prof Alan Palmer | BIO

"Biomarkers for Tinnitus"

 
 

Dr. Phillip Gander | BIO
"Human neuroimaging of tinnitus"

 
         

Monday, september 19, 2016  

13:30 - 15:00

EXTRA-MUSICAL BENEFITS OF MUSIC TRAINING
 
Recent evidence suggests that music training may support hearing functions beyond music. This session will consider the available behavioral and neural evidence for extra-musical benefits drawing on research from different methodological approaches.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Understand specific populations that may benefit from music training
  2. Understand types of benefits obtained from music training
  3. Understand brain plasticity linked to music training
Chair & Speaker:

Frank Russo | BIO
"Effect of Choir Participation on Speech-in-Noise Perception and Neural Timing in Hearing-Impaired Older Adults"

Speakers:

Claude Alain | BIO

"Benefits of Musical Training and Bilingualism on Auditory Working Memory"

 

Dr. Nina Kraus | BIO
"How experience tunes the hearing brain: What have we learned from music?"


AUDITORY AND LANGUAGE PROCESSING IN OLDER ADULTS  
Spoken language plays a central role in most of our lives, and clinical interventions are centered around optimizing speech comprehension. Despite widespread changes in brain anatomy and cognitive function, many older adults are able to maintain high levels of successful speech comprehension. However, the mechanisms by which they do so differ from young adults. Furthermore, auditory processing challenges—such as those caused by background noise or age-related hearing loss—challenge older adults’ sensory and cognitive systems to a greater degree than those of young adults. In this session we will provide an overview of the most salient cognitive and brain systems involved in adult language processing, how these change in normal aging, and the ways in which auditory challenges such as background noise or hearing loss impact speech comprehension. We will discuss different levels of language processing, including single words and sentences. No background in brain imaging is assumed, and general principles will be emphasized in addition to specific findings.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Know the most common cognitive and neural changes that occur in normal aging.
  2. Understand different cognitive and neural processes that support different levels of language processing (single words, sentences, discourse).
  3. Appreciate multiple ways through which changes in auditory function might affect language processing, particularly in older adults.
Co-Chair:

Jonathan Peelle | BIO
"Individual differences in neural systems supporting speech comprehension"

  Yune Lee | BIO
Speakers:

Mark Eckert | BIO
"Value from Listening: Neural Systems that Support Speech Recognition in Challenging Conditions"

 

Natalie Phillips | BIO
"Aging, Hearing Loss, Cognitive Function, and Dementia:  What are the links?"


HEARING AIDS: EARS AND BRAINS  
It is widely recognized that hearing instruments such as hearing aids do more than increase the audibility of a signal; they also stimulate the central auditory system. The ability to quantify brain activity in response to amplified sound therefore offers many opportunities for clinicians and neuroscientists. Some examples include using EEG measures to assist with the fitting of hearing aids, as well as to define central contributions to hearing aid success. Future generations of hearing aids are also being designed with brain contributions in mind. Therefore, in this session; we will review the current state of the field Hearing Aid/Brain science with the following learner objectives in mind:

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Explain how EEG is being used to verify hearing instrument fitting in children and adults.
  2. Identify potential central contributions to hearing aid success.
  3. Identify long-term effects of amplification on the human brain as well their function.
  4. Recognize future directions in instrument design and fitting.
Chair:

Kelly Tremblay | BIO

"Hearing Aids: Ears and Brains"

Speakers:

Viji Easwar | BIO

"Objective outcome measures of hearing aid fittings"

 

Curtis Billings | BIO

"EEG approaches to assist with HA fitting, and future HA design"

 

Kristina Backer | BIO

"Effects of HA amplification on the neural representation of auditory and visual memory"

   

Matt Winn | BIO

"Objective measures of effort and speech perception in HA users."


LISTENING EFFORT: EARS AND BRAINS  
It is a common complaint that listening seems effortful when conditions for communication are suboptimal. One of the challenges for audiologists is to find ways of making listening less effortful for clients who are hard of hearing. Neural markers of listening effort including pupil dilation (obtained using pupillometry) and the Blood Oxygen Level Dependent (BOLD) response (obtained using functional Magnetic Resonance Imaging, fMRI) may provide important information about the connection between ears and brains. Listening to speech in background noise compared to listening to speech in quiet is associated with greater pupil dilation as well as greater BOLD response in speech processing areas of the brain. Further, there is evidence that activation of the neural substrate of listening in noise is modulated by top-down factors including cognition and knowledge. An exciting possibility is that brain training can ease listening effort. This featured session brings together latest developments in the application of pupillometry, fMRI and brain training to understanding listening effort.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Identify bottom-up and top-down factors that can influence listening effort
  2. Describe how pupil dilation and the BOLD signal can be used as neural markers of listening effort
  3. Discuss how brain training can ease listening effort
Chair:

Mary Rudner | BIO

"Listening Effort: Ears and Brains"

 Speakers:

Ingrid Johnsrude | BIO

"Listening effort, and the cognitive demands imposed by noisy and ambiguous speech."

 
 

 Claes Moller | BIO

"Can cognitive training improve speech-in-noise-understanding in persons with hearing loss ?"

 
 

Stefanie Kuchinsky | BIO

"Assessing listening effort: Theoretical and methodological considerations"

 

TUESDAY, september 20, 2016

13:00 - 14:30

NEW AND EMERGING INNOVATIONS IN HEARING TECHNOLOGIES  
Analyses of the history of technology show that technologic change tends not to occur linearly over time, but instead follows an exponential trajectory. For example, Moore’s Law is the observation that the number of components in integrated circuits should double approximately every two years. Originally formulated by Intel co-founder Gordon Moore in 1975, his prediction has accurately described the pace of transistor development over the past 40 years. This and other advances in science and technology have resulted in a world that is not only changing, but one that is changing at an increasingly rapid pace. Indeed, over the past 20 years, technologies such as the Internet, smartphones, and wireless technologies (e.g., Bluetooth) have transformed modern life in countless ways. The purpose of this session is to focus on new and emerging technologies and the role such innovations have in the area of hearing instrument technologies and hearing loss rehabilitation. Special attention will focus on the role of the Internet, wireless connectivity, and smartphones in audiology.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Explain how current hearing aids are different than those available a few years ago
  2. Describe how new advances in technology will affect the development of modern hearing instruments
  3. Describe how new advances in technology will alter hearing loss rehabilitation
Chair: Gurjit Singh | BIO
Speakers:

Andi Vonlanthen | BIO

"Hearing Systems in a Connected World"

 
 

Gitte Keidser | BIO

"Self-fitting hearing aids"

 
 

Brent Edwards | BIO

"Make light, not sound: Innovations in audibility with laser-driven hearing"

 
 

Graham Naylor | BIO

"The movement-aware listener and the movement-aware hearing aid"

 

DUAL SENSORY IMPAIRMENT: EFFECTS & MANAGEMENT
 
Concurrent vision and hearing impairment (termed dual sensory impairment, DSI) is strongly age-related, affecting about 6% of community-dwelling adults aged 55+ years and increasing to 26.8% aged 80+ years. It is assumed that individuals with DSI experience more than the sum of the consequences of vision or hearing impairment alone. Population-based studies show that individuals with DSI experience greater depression and functional limitations, poorer quality of life and increased mortality risk compared with those with a single sensory loss or no sensory loss. While vision is important for interaction with the physical and spatial world and hearing is important for interaction with the social world, both sensory systems can be used synergistically. For example, when listening in noisy environments, visual cues can increase speech understanding, and under poor visual conditions, echolocation can be used to support spatial perception. For individuals with DSI, this benefit can be significantly degraded. In this session, we will explore the risks associated with DSI in older adults, the perceived and measured effects on health and well-being, as well as opportunities for improved management.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Understand the risks associated with dual sensory impairment in older adults;
  2. Understand the barriers for management of DSI in older adults;
  3. Identify possible strategies to improve management of DSI in older adults

Chair:

Catherine McMahon | BIO

"Dual Sensory Impairment: Effects & Management"

  Speakers:

 Claes Moller | BIO

"Dual sensory loss/deafblindness"

 
 

Walter Wittich | BIO

"Sensory Rehabilitation For Age-related Acquired Deafblindness: A Quebec Story"

 
         

INTERNET-BASED REHABILITATION  
The Internet of Things. Dr Google. Big Data. We hear these terms almost every day, but what do they mean for us audiologists and how we help our patients? The World Health Organisation defines eHealth as the “use of information and communication technologies (ICT) for health. In its broadest sense, eHealth is about improving the flow of information, through electronic means, to support the delivery of health services and the management of health systems.” This session focuses on eHealth applications for the rehabilitation of hearing impairment, tinnitus, and balance.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. List the typical steps taken in developing an Internet-based intervention
  2. Name at least three examples of audiology populations for which Internet-based interventions have been developed and tested
  3. Describe one barrier to implementation of an Internet-based intervention and propose how this barrier can be overcome

Chair: Ariane Laplante-Levesque | BIO
  Speakers:

Melanie Ferguson | BIO

"Using m-health technologies to increase access and benefits of hearing and communication-related interventions"

 
 

Jill Preminger | BIO

"Design Considerations for Internet-Delivered Self-Management Programs for Adults with Hearing Impairment"

 
 

Kristina Blaiser | BIO
"Evaluating the Effectiveness of Early Intervention Services Provided Via Telehealth"

 

CENTRAL PROCESSING  
Hearing is a complex function underpinned by analysis of sounds in temporal, spectral, and spatial domains. Anatomically, this requires transmission of the auditory signal from the ear to the auditory cortex and further processing to facilitate sound perception and recognition, attention, memory, and learning, which are all integral components of auditory cognition. Hearing impairment has a profound effect on an individual's ability to function at a personal, social, and professional level Understanding how complex acoustic stimuli are encoded along the auditory pathway and how this processing is related to lower and higher levels from the pathway can help us to better understand the processes underlying normal and altered human communication. Auditory evoked potentials (AEPs) are important tools in the investigation of auditory function because, in addition to being objective and noninvasive tests, they are

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Discuss the behavioral evaluation of the processing disorder as well as the role of Auditory Evoked Potential as a diagnostic support to evaluate auditory processing disorder,particularly in young children or individuals whose behavioral assessment is not possible.
  2. Understand how experimental work with animals is related to clinical work.
Chair: Eliane Schochat | BIO
 Speakers:

Jos Eggermont | BIO

"Animal models of auditory processing disorders"

 
 

Frank Musiek | BIO

"The Vertebro-basilar System: Neuroanatomical and Neuroaudiological Correlates"

 
 

Dr. Nina Kraus | BIO
"Unifying audiology, speech, language, and learning through auditory processing: Biological insights"

 

LISTENING EFFORT AND HEARING AIDS  
Optimization of speech intelligibility through the use of hearing aids (HAs) has received tremendous attention in research and clinical practice. As a result, hearing aid technology has advanced spectacularly over the years – HAs can enhance speech perception in different conditions using various signal processing algorithms. The importance of optimizing ease of listening has been widely acknowledged and the number of studies attempting to examine the benefit of HAs in terms of both performance and reduced listening effort or fatigue is increasing. Frequently applied outcome measures in these studies range from reaction time measurement in dual task paradigms to pupillometry, and self-perceived listening effort. In this session, the existing evidence related to the effectiveness of HAs in reducing listening effort will be presented. Questions that will be reflected upon are: is there an optimal methodology for reliable and sensitive measurement of listening effort in HA benefit studies? To what extent does listening effort vary between conditions where speech performance is optimized? Does the effect of hearing aid configuration differ between listeners with different ages and cognitive capacities?

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Increase knowledge about the existing evidence regarding the effect of HAs on listening effort/fatigue
  2. Identify different methods that are used to assess listening effort in HA benefit studies
  3. Understand which HA signal processing algorithms are most beneficial in terms of reduced listening effort/fatigue and learn if this benefit depends on the level of other variables (e.g. age, cognition)
  4. Generate new research questions related to the benefit of HAs in terms of reduced effort/fatigue

Chair:

Sophia Kramer | BIO

"Listening Effort and Hearing Aids"

  Speakers:

Thomas Lunner | BIO

"Puillometry for advanced hearing aid signal processing under ecological test conditions"

 
 

Ben Hornsby | BIO

"Hearing aids, perceived effort and speech-processing related fatigue"

 
 

Tobias Neher | BIO

"Noise management technology and listening effort: Acoustical and perceptual influences"

 

TUESDAY, september 20, 2016

15:00 - 16:30

ADVANCES IN TELEAUDIOLOGY ASSESSMENT  
Hearing disorders are a leading contributor to the global burden of disease affecting 1 in every 20 people globally. Unfortunately access to care is severely limited with a dearth and unequal distribution of hearing health providers. Recent technological advances and the proliferation of connectivity to the Internet are however expanding the horizon for detection and diagnosis of hearing disorders. This session will provide an update on recent advances in the assessment of hearing disorders using telehealth modes including internet-based assessment and mobile health (mHealth) solutions.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Understand the range of telehealth assessment modes
  2. Appreciate the role of the internet and novel technologies in increasing access to hearing health assessment
  3. Understand telehealth assessment in terms of the range of services and the current evidence
Chair: De Wet Swanepoel | BIO
 Speakers:

Robert Eikelboom | BIO

"Diagnostic automated audiometry in teleaudiology clinical practice"

 

Dr. Lucille Beck | BIO

"Teleaudiology: Expanding Access to Hearing Care and Enhancing Patient Connectivity"

 

David Eddins | BIO

"Waves of the future: automated and remote audiologic service delivery"

HEARING, BALANCE AND FALLS
 
Falls are a growing area of concern for older adults around the world. According to the World Health Organization, up to 35% of adults age 65 years and older fall each year. Fall events may result in a myriad of negative physical, emotional, and social consequences, all of which may compound to increase an individual’s overall risk of falling. Audiology patients may be at increased risk for falls. Therefore, it is imperative that audiologists—as hearing and balance healthcare professionals—are cognizant of each patient’s fall history, risk factors for falls, and methods to prevent falls. In this feature session, we will explore fall risk and its relation to hearing and balance function, and emerging research that supports audiologic involvement in fall risk identification and prevention

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Identify fall risk factors that may be present in audiology patients
  2. Describe how hearing and balance function relate to fall risk
  3. Discuss the role of audiologists in identifying fall risk and prevention needs in their patients

Chair & Speaker:

Robin Criter | BIO

"Falls in Audiology Patients"

  Speakers:

 Jennifer Campos | BIO
"Interactions between Hearing Loss and Mobility during Realistic, Everyday Challenges"

 
 

 Julie Honaker | BIO

"Examining the impact of fear of falling on balance and gait function, brain activity, and eye movement patterns"

 
         

INFANTS WITH HEARING LOSS: DIAGNOSIS AND REHABILITATION  
An issue that continues to challenge clinicians and researchers is the prediction of functional auditory skills in infants and young children with different types and degrees of hearing loss. Ideally, we would like to assess an infant’s speech detection and discrimination capacity, in addition to peripheral sensitivity, to guide management decisions regarding amplification and cochlear implantation. We have clinical tools that estimate hearing thresholds in infants to tonal stimuli at the level of the brainstem with reasonable accuracy when the hearing loss is primarily sensory in nature. However, we do not yet have an efficient way to assess hearing sensitivity or degree of disruption to the processing of speech features in neural hearing losses (e.g., auditory neuropathy spectrum disorder). We also have established hearing-aid verification methods to confirm audibility but we need tools to measure speech discrimination ability when infants with sensory or neural hearing loss are aided to confirm benefit. Currently, researchers are focussing on the application of behavioural outcome measures and cortical auditory evoked potentials to objectively measure speech discrimination skills in infants with hearing aids and cochlear implants. This session will discuss recent research in these areas and potential clinical applications.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Explain how cortical auditory evoked potentials (AEP), behavioural measures and parent report are used to assess auditory function and development in children with sensorineural hearing loss and auditory neuropathy spectrum disorder
  2. Describe the effects of asymmetric auditory input on the auditory cortex based on AEP data and behavioural measures that assess language skills and spatial perception
  3. Understand the benefits and limitations of AEP and behavioural measures to plan intervention and monitor progress for infants and young children who use hearing aids and cochlear implants

Chair:

Susan Small | BIO

"Infants with Hearing Loss: Diagnosis and Rehabilitation"

 Speakers:

Teresa Ching | BIO

"How do you know what they are hearing? Cortical assessment and functional evaluation for management of infants with hearing loss."

 
 

Astrid van Wieringen | BIO

"Single sided deafness in children: risks and intervention"

 
 

Karen Gordon | BIO

"Tracking effects of experience on auditory development from infancy to adolescence."

 

INTERVENTIONS FOR HEARING LOSS USING HEALTH PSYCHOLOGY  
This session will begin with an overview about health psychology – why it is and why it might be of value to audiologists interested in developing interventions for hearing loss. A variety of health behavior theories will be described and their hypothetical application to audiology will be discussed. Following this, where available, empirical work in which these theories have been applied to intervention development will be described, and the measures used will be explained. Finally, ideas for future development and application of behavioral audiological interventions using principles of health psychology will be proposed. Audience participation will be encouraged throughout, but particularly during this latter section when attendees will be asked to share ideas of their own.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Specify the constructs of at least two health behavior theories
  2. Describe how at least two health behavior theories can be applied to audiological rehabilitation 
  3. Explain the rationale behind at least one intervention for hearing loss that uses the principles of health psychology

Chair:

Gaby Saunders | BIO

"Interventions for Hearing Loss Using Health Psychology"

 Speakers:

Marc Fagelson | BIO

"Traumatic exposures and interprofessional management of tinnitus"

 

Melissa Frederick | BIO

"Hearing Health Behavior Change in Adults"

 

Elizabeth Beach | BIO

"Attitudes to hearing loss prevention in the context of health behaviour theory"




INTERVENTIONS FOR ADULTS WITH DEMENTIA AND THEIR CAREGIVERS  
Declines in sensory and cognitive functions associated with dementia affect the quality of communication and overall well being of persons experiencing these impairments and their caregivers. Although approaches have been developed to accommodate to specific functional changes (e.g., use of assistive listening devices; memory strategies), there is a need for interventions that recognize the dynamic interdependence across functional domains. The four presentations in this symposium report on interventions that seek to increase the social, mental, and functional well being of persons with dementia and their caregivers by training them to use sensory and cognitive supportive communication strategies, materials and technology.

LEARNING OBJECTIVES:
After this featured session, learners will be able to:
  1. Understand the impact of combined cognitive and hearing impairments on family and formal caregivers and what supports they need to effectively manage communication
  2. Describe how hearing and communication interventions can promote the cognitive, social, and functional well being of persons with hearing loss and dementia
  3. Appreciate the ways in which these interventions can be effectively adapted to and delivered in different contexts and with varied partners in care

Chair & Speaker:

Jeff Small | BIO

"The use of mobile devices and communication apps to facilitate interactions with persons experiencing memory, language, and/or hearing impairments"

 Speakers:

Kate Dupuis | BIO

"Caring for someone with concurrent hearing loss and cognitive loss: Experiences of family members"

 
 

Sara Mamo | BIO

"Aural rehabilitation for persons with hearing loss and dementia in geriatric clinic and group care settings"

 
 

Tammy Hopper | BIO

"Social well-being and individuals with dementia: Interventions that focus on engagement"

 

WEDNESDAY, september 21, 2016

08:30 - 10:00

EMOTION AND HEARING AIDS
 
Auditory perception extends far beyond the pure intelligibility of speech in various listening conditions. In daily communication situations, speech sounds do not only convey information about the content but also include information about the speaker’s emotional state or intent. Emotional content is strongly encoded in the way we pronounce or intonate and accentuate utterance. Normal hearing persons are extremely well trained in identifying the emotional state especially of familiar persons. Evidence suggests that people with hearing loss have a poorer ability to identify this information. How hearing loss affects identification of emotion and intent, and the way in which hearing aids affect the reception of this information, is important to understand. The purpose of this session is to present information about how emotions are being processed by normal hearing listeners and especially what the impact of hearing loss with and with using hearing instruments on processing emotional content might be.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Understand how emotional content in speech is encoded in acoustic information
  2. Understand what the impact of hearing loss on perception of emotional content potentially could be
  3. Understand how hearing instrument as well as cochlear implant signal processing might impact the perception of emotional content
Chair: Stefan Launer | BIO
 Speakers:

 Gurjit Singh | BIO

"More than a Feeling: An Audiological Exploration of Speech Spoken with Emotion"

 
 

Erin Picou | BIO

"The effect of hearing aids on emotional responses to sounds"

 
 

Frank Russo | BIO
"Modeling perception of emotion in speech in hearing impaired and hearing aided users"

 
 

Monita Chatterjee | BIO

"Voice emotion communication by children with hearing loss"

 

BRINGING SOUND TO THE PEOPLE: PROMOTING HEARING HEALTH IN THE COMMUNITY  
New methods of delivering hearing health care are needed to meet rising demand, reduce access barriers, and provide services to underserved populations. The session will focus on interventions that bring hearing health care out of the clinic and into community settings and homes. Multidisciplinary approaches are emphasized and to that end, speakers include an emergency physician, an academic audiologist, an endocrinologist, and speech and language pathologist. James Heilman, an emergency physician from Cranbrook, Canada, and the founder of WikiProject Medicine Translation Task Force, will discuss how the internet (and Wikipedia in particular) is changing how patients access health information. Caroline Jones will discuss an Australian initiative bringing hearing health care to aboriginal children in the Outback. Charlotte Jones has developed a comprehensive exercise, socialization and health education program for seniors in Kelowna, Canada, and will speak about how auditory rehabilitation is incorporated. Finally, Nicole Marrone will discuss how community health workers are providing hearing and communication therapy to low-income Spanish speakers living near the international border in Arizona. There will be ample time to discuss how the different approaches all serve the common goals of increasing access and improving the delivery of hearing health care.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Understand its increasing prevalence and public health burden
  2. Understand the association between hearing loss and psychosocial, cognitive, psychiatric and functional health outcomes in aging.
  3. Relate strengths and limitations of current evidence.
  4. Understand current and potential solutions to the age-related hearing loss epidemic at the individual and societal levels
  5. Identify future research needs

Chair: Paul Mick | BIO
 Speakers:

 Charlotte Jones | BIO

"Targeting Functional Fitness, Hearing and Health–Related Quality of Life and in Older Adults with Hearing Loss.Walk, Talk and Listen for Your Life."

   
 

 Nicole Marrone | BIO

"Oyendo Bien: Addressing Hearing Health Care Disparities Through a Community-based Intervention"

   
 

James Heilman | BIO

"Why Wikipedia Matters"

   
 

Caroline Jones | BIO

"An early childhood program to respond to otitis media: Feedback from families"

   

GENETICS OF HEARING ACROSS THE LIFESPAN
 
Hearing loss is a common and extremely heterogeneous genetic disorder with over 100 genes and hundreds of causative mutations identified in humans. Genetic defects can target the peripheral and/or central auditory system, causing a variety of early and late-onset hearing disorders. Until recently, only a few genes were routinely tested in patients with hearing loss at birth.  However, new genome-level analysis techniques are efficient, affordable and providing insights into the pathology of middle ear, cochlear and auditory neural pathologies. In this session, we will consider the genetics of hearing across the lifespan, with topics ranging from the causative molecular mechanisms to implications for the clinical care of affected patients and their families.  A better understanding of the disease-causing molecular mechanisms and their impact on auditory system dysfunction can be gained by studying the relationship between causative gene variants and their clinical presentation, or phenotype. Genetic findings associated with early and late-onset hearing loss will be compared to the phenotype for a variety of hearing disorders. Insights gained through a genetic approach to hearing loss hold great promise for innovation in hearing health care, with the development of new diagnostic tests and more tailored interventions.

Learning Objectives:
After this featured session, learners will be able to:
  1. Learn basic genetic concepts related to human disease, including the heterogeneous nature of genetic hearing loss
  2. Describe how genetic changes are associated with early-onset, progressive and adult-onset hearing loss phenotypes
  3. Discuss the impact of genetic research on clinical care
Chair: Sue Stanton | BIO
 Speakers:

 Terry-Lynn Young | BIO
"Genetic models of human hearing loss provide homogenous patient populations"

   
 

Ann Eddins | BIO

"Beyond the audiogram: Characterizing clinical attributes of the genetics of age-related hearing loss"

   
 

Lauren Gallagher & Dennis Bulman | BIO
"Enhancing Infant Hearing Screening by Testing Newborn Dried Blood Spots for Congenital Cytomegalovirus and Genetic Mutations Associated with Hearing Loss"

   

TESTING HEARING AND HEARING AIDS IN REALISTIC SITUATIONS  
A major aim of audiological rehabilitation is to enable hearing-impaired people to communicate effectively in everyday life. Tests currently relied upon to obtain a measure of a client’s communication ability simulate very simplified listening conditions by, for example, presenting few and stationary sound sources and no visual distractors. Additionally, while the auditory system assists with hearing speech, the cognitive system assists with comprehension and formulating a response; i.e. the interactive part of communication. Current clinical tests do not require use of the mental resources required to actively participate in a communication situation. Finally, when using adaptive tests to compare performances with different interventions, testing often takes place using signal-to-noise ratios (SNRs) below those in which most people would choose to communicate and below the optimal SNR for hearing devices. This session will present new initiatives for obtaining a better understanding of the factors that influence the ability of a hearing-impaired person to communicate in real life, and for tapping into both the auditory and cognitive systems when measuring speech-in-noise performance in the laboratory.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. List the SNRs of common listening situations and describe how they impact on hearing-impaired listeners’ effort to understand speech
  2. Describe at least two novel initiatives for obtaining more realistic laboratory measures for a person's communication ability
  3. Describe methods that measure the cognitive effect of hearing devices

Chair:

Gitte Keidser | BIO

"A new dynamic conversations test and its sensitivity to hearing thresholds, cognition, and amplification"

Speakers:

Inga Holube | BIO

"Subjective and objective momentary ecological observations in everyday life using a smartphone-based system"

 
 

Astrid van Wieringen | BIO

"True-to-life listening scenarios"

 
 

 Sridhar Kalluri | BIO

"Laboratory assessment of daily-life speech understanding"

 
         

ACOUSTICS AND COMMUNICATION IN SCHOOL, WORKPLACE, HEALTH CARE AND COMMUNITY SETTING
 
Complaints are often heard about bad acoustics in a variety of real world settings, such as schools, hospitals and workplaces. In such environments, communication can be disrupted causing, for example, annoyance, learning difficulties, delayed patient recovery, and even accidents. While LEED certification has been the primary focus to target healthy and efficient environments, acoustics is often overlooked. What can and should be done to improve the acoustical characteristics of these environments so that individuals may enjoy learning, working, resting and even take part in hobbies without the addition of undue stress? Panelists will address examples of good practice and demonstrate that it is possible to avoid mismatches between the tasks to be accomplished and the environments in which they occur.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Understand acoustical characteristics of a variety of environments, such as schools, health care settings, workplaces and recognize which ones are detrimental to communication;
  2. Identify how it is possible to improve such environments in order to optimize communication;
  3. Describe the acoustical criteria related to the LEED certification

Chair: Chantal Laroche | BIO
 Speakers:

Murray Hodgson | BIO

"Subjective and objective acoustical quality in healthcare office facilities"

   
 

John Swallow | BIO

"Recent Developments in Acoustic Standards for Health Care Facilities"

   
 

Sigfrid Soli | BIO

"A method for assessing the effects of ambient noise on the likelihood of effective speech communication in the workplace"

   
 

Charlotte Clark | BIO

"Noise in the school environment: effects on children’s learning and health"

   

WEDNESDAY, september 21, 2016

10:30 - 12:00

ACCESSIBILITY AND ASSISTIVE TECHNOLOGIES: PEOPLE, DEVICES AND LIFE
 
It is commonly reported that personal hearing technology does not solve all communication challenges for persons with hearing loss particularly when they are in noisy environments. There are numerous types of assistive devices for persons with hearing aids and/or cochlear implants that allow for a significant increase in the signal-to-noise ratio. In order to determine the best arrangement for someone, a thorough assessment of their communication challenges must be completed. The TELEGRAM is one tool that can be used to evaluate communication across several areas. When the communication challenges are determined, the best network of devices can be recommended. A review of assistive technology options and clinical applications will be provided.

LEARNING OBJECTIVES:
After this featured session, learners will be able to:
  1. Use the TELEGRAM to determine the need for assistive technology to benefit those with hearing loss
  2. Describe various types of wireless remote microphone technology and how these technologies can benefit persons with hearing loss
  3. Describe how wireless technology can be of benefit in everyday situations that involve communicating in noisy environments such as dining in restaurants
Chair:

Linda Thibodeau | BIO

"Accessibility and Assistive Technologies: People, Devices and Life"

 Speakers:

 Imran Mulla | BIO
"Wireless Hearing Devices: From Babies to Boomers"

   
 

 Charles Laszlo | BIO

"Technology is not enough - The need for the communication specialist"

   
           

NOISE, EARS AND EVERYDAY LIFE  
Noise and hearing loss – with their associated implications on communication, employment opportunities, job performance, injury-risk, depression, and anxiety – place a significant burden on society. Noise-induced hearing loss represents a substantial portion of all hearing impairments and is nearly always permanent. The negative consequences associated with noise exposure are not confined to the workplace or the working years. Each of us encounters hazardous sound exposures during childhood and the exposures continue throughout our life span, regardless of the job(s) we perform. As noise is everywhere, the prevention of its effects requires expanding preventive initiatives to outside the workplace; it requires the integration of occupational safety and health protection with health promotion. Audiologists and public health professional’s efforts must broaden towards building a culture that promotes healthy hearing. Today we have fewer obstacles and more tools than were available in past decades, but we still need to increase our effectiveness. We need to plan for research and intervention evaluations that will result in evidence-based recommendations and practices in hearing loss and tinnitus prevention. This session will cover factors that affect our hearing health and initiatives that can impact not only individual, but society’s decisions, and determine change that improve lives.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Identify scenarios where exposure to noise or music can represent a risk to healthy hearing
  2. Identify sources of scientific evidence on intervention effectiveness to base decisions pertinent to the practice of hearing loss prevention
  3. Identify public health approaches that could enhance an audiologist’s contribution towards the prevention of hearing loss and tinnitus

Chair:

Thais Morata | BIO

"Noise, Ears and Everyday Life"

  Speakers:

 Peter Thorne | BIO

"What pre-clinical studies inform us about prevention and treatment of noise induced hearing loss "

 
 

Hugh Davies | BIO

"Noise exposure and cardiovascular effects"

 
 

Elizabeth Beach | BIO

"Changing perceptions and habits in the use of hearing protection devices"

 

MUSIC AS NOISE, PLEASURE, AND AS AN INPUT TO HEARING AIDS
 
Music can be quite enjoyable, but not necessarily when amplified through modern hearing aids. It also may not be enjoyable if it’s coming from the pub down the street and you are trying to sleep or listening to a band or orchestra in a room that is better suited to a Bingo Hall. Presenters will cover the following four areas: 1. Music and modern digital hearing aids- the problems, the solutions, and the future. 2. The Psychology of Music 3. Architectural acoustics and the relevant measures- a primer 4. Outside community noise and music- what can be done.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Explain the engineering limitations of most modern hearing aids for music
  2. Identify some strategies to minimize complaints about community music exposure from live performance venues.
  3. Understand the basics of room acoustics and the relevant measures

Chair & Speaker:

Marshall Chasin | BIO

"Music and modern digital hearing aids- the problems, the solutions, and the future"

 Speakers:

 Frank Russo | BIO
"Perception of Music in Hearing Aids "

   
 

Dr. Joseph Montano | BIO

"Aural Rehabilitation: Counseling musicians with hearing loss"

   
 

William Gastmeier | BIO

"Architectural Acoustics and the Relevant Measures - a Primer"

   

HEARING, COGNITION AND SOCIAL PARTICIPATION IN OLDER ADULTS  
Increasing evidence has demonstrated a connection between sensory and cognitive aging. One possible explanation for this connection is that older adults who are hard of hearing may withdraw from social participation and that increasing social isolation diminishes opportunities for maintaining cognitive functioning. Other possibilities are that both sensory and cognitive declines conspire to reduce social participation or that reduced social participation has a negative effect on how well older adults adjust to sensory and cognitive declines. Better insight into these associations will be needed to optimize rehabilitation and to guide social policy for healthy aging. This session will explore these connection from different perspectives, including those of a consumer advocate for seniors who are hard of hearing, a rehabilitative audiologist, an otolaryngologist engaged in community-based health promotion programs for older adults, and a cognitive scientist doing longitudinal research on aging with a focus on the connections between auditory and cognitive aging.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Explain possible connections between age-related changes in hearing, cognition and social participation
  2. Relate new knowledge about the connections between age-related changes in hearing, cognition and social participation to adapt rehabilitation practice
  3. Discuss how a better understanding of the connections between age-related changes in hearing, cognition and social participation could help to improve the health and quality of life of older adults

Chair: Kathy Pichora-Fuller | BIO


 Speakers:

Paul Mick | BIO

"Hearing loss and social epidemiology"

   
 

Henrik Danielsson | BIO

"Modeling how early age-related hearing loss affects memory and social participation "

   
 

Marilyn Dahl | BIO
'Expanding the model for auditory rehabilitation - a consumer perspective'

   

HEARING, COMMUNICATION AND SOCIAL PARTICIPATION IN CHILDREN  
The session will present data from both the United States and Canada about children who are deaf or hard of hearing. The presenters will explore the relationship between hearing, communication and social communication from infancy through the school-aged years for children who have both bilateral and unilateral hearing losses. This session will present information from the National Early Childhood Assessment Project of children enrolled in early intervention programs across 15 states. The relationship between language and social skills will be reported for more than 1000 children enrolled in these early intervention programs. Data from the Outcomes of Children with Hearing Loss Study in the United States, examining the auditory, communication and social development longitudinally of children with mild through severe hearing loss will be presented. Data from a longitudinal study of Canadian preschool-aged children with mild bilateral and unilateral hearing loss will be presented. The social participation of school-aged Canadian children who are deaf or hard of hearing will also be discussed.

LEARNING OBJECTIVES
After this featured session, learners will be able to:
  1. Describe the relationship between language and social skills development in children in the US who are deaf or hard of hearing from birth through three years of age across 15 states
  2. Describe the development of pragmatic language skills of children in the state of Colorado who are deaf or hard of hearing between the ages of 4 to 7 years
  3. Describe the auditory, language and social skills longitudinal development of children with mild to severe hearing loss in the United States
  4. Describe the language and social development comparing children with unilateral and bilateral hearing loss
  5. Describe the social participation skill of school-aged children who are deaf or hard of hearing in inclusive settings

Chair & Speaker:

Christine Yoshinaga-Itano | BIO

"The relationship between language and social skills of deaf and hard of hearing children across 14 US states"

 Speakers:

Mary Pat Moeller | BIO

"Longitudinal Outcomes of Children who are Hard of Hearing"

   
 

Elizabeth Fitzpatrick | BIO

"Early-identified children with mild bilateral and unilateral hearing loss"