Volume 42 Issue 13

HOH-LD-News
Vol. 42, Issue 13
March 27, 2010

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Table of Contents
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- Article 1: Are Group Aural Rehabilitation (AR) Programs Effective? - Part One

- Article 2: Working with the FCC's Consumer Advisory Committee

- Article 3: New Technology Improves Speech Intelligibility in Noise

- Article 4: Short Takes

Our advertisers make it possible for us to provide HOH-LD-News as a free service. Please let them know you appreciate their support, and please mention that you saw their message in HOH-LD-News.

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First Premium Placement:
YOUR AD HERE
Second Premium Placement:
Final Days of March Madness Sale
Third Premium Placement:
Hearing Aid Repairs and Reduced Price Hearing Aids from Hearing Haven
Classified Section:
One Online Store and four Employment Opportunities

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Contact information and disclaimers are at the end of this newsletter.
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If you're interested in getting your message out to people who are hard of hearing or late deafened, and to the people who serve them, you might consider a premium ad in this newsletter! Our rates are surprisingly affordable and we reach the movers and shakers in the hearing loss world. And this newsletter (unlike some of the others) is strictly "opt-in", which means that everyone who receives it WANTS to receive it!

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- Article 1: Are Group Aural Rehabilitation (AR) Programs Effective? - Part One
By Mark Ross
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Editor: One of my hot buttons is the tendency of too many audiologists and hearing aid dispensers to treat their clients like a giant ear that needs a hearing aid shoved in it, rather than as a person who needs a complete range of services to help them deal with the effects of hearing loss. I've long believed that group aural rehabilitation programs should be a standard offering of everyone who dispenses hearing aids. But are they effective? Here's Mark Ross to weigh in on the subject.

This article originally appeared in Hearing Loss Magazine, and is reprinted with the author's kind permission.

This is part one of two parts.

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We seem to be hearing about more and more people who are undergoing surgery for hip, knee, shoulder, etc. replacement. Almost always (and I have never heard of an exception), this surgery is followed by a prescribed course of physical therapy. It is simply assumed that, post-surgery, the patient will need to be seen by a physical therapist for, at the least, a short regime of follow-up physical therapy. In other words, surgeons do not tell their patients that they've done all they could, schedule one or two future appointments, and then tell them to "call if there are any problems." Rather, physical therapy is conceived as an integral component of the overall procedure, and the assumption is made that patients will follow through with the recommendation.

Now contrast this situation with the most common service delivery model for obtaining hearing aids. After the aids are selected, the clients are routinely scheduled for appointments within the thirty or sixty day trial period, to be followed (possibly) by one or two follow-up appointments within the first year. What they do not generally receive is anything remotely resembling the organized and scheduled follow-up program that people getting replacement body parts receive. Instead, they are given the admonition to "call if there are any problems." This statement is not a substitute for an organized, coherent, and relevant post hearing aid fitting follow-up program.

Without minimizing the profound effect a physical condition will have on someone's quality of life, nonetheless an uncorrected hearing loss can be every bit as debilitating, though different, than such a condition. Why, then, don't people with hearing loss receive the same care and attention as do people requiring hip or knee surgery? We know that a hearing loss brings with it many issues and problems, and not just for the person directly affected but for family, friends, and co-workers as well. Why, then, isn't the hearing aid selection process defined so that a short-term aural rehabilitation (AR) program is recognized as integral to the entire process, much as physical therapy is following restorative surgery? One fundamental reason seems to be that in our society, we tend to trivialize or misinterpret the impact of impaired hearing (except if you or a family member is the one affected!). In other words, it often remains the "invisible handicap" and is not generally taken very seriously. Another reason is that for many people, just using any sort of sound amplification device appears to significantly diminish the hearing loss handicap, often to the point where no further services are apparently required or desired.

In my view, this is a rather specious rationale for several reasons. First, for people who have never worn any sort of sound amplification device, just the experience of hearing sounds louder will often seem to be miraculous; the comparison effects are immediate and apparent and their hearing problems now seems to be "solved." But this optimistic judgment soon fades as they confront the many and varied hearing difficulties in the real-world. To a lesser extent, this also applies to an experienced hearing aid user. What this person is doing is comparing the sounds perceive through their new (and expensive) instruments with their older ones, the very ones they are discarding because they are somehow dissatisfied with them. Of course, the newer instruments sound better, else why purchase them? But will their use be sufficient to resolve the hearing difficulties, to the point where the hearing loss no longer has any significant detrimental effect on their lives? Possibly, I would certainly hope so, but my impression is that too often people settle for less than is possible.

To be sure, I don't want to minimize the positive impact that properly fitted hearing aids can have for hearing aid users. My point, rather, is that even given this fitting (something that cannot be taken for granted), the routine inclusion of a group AR program for adults can provide valuable information and assistance to a participant beyond that available from the hearing aids alone, no matter how well fit the aids may be. Right now the marketing and provision of hearing aids are focused primarily on the presumed power of the new technical developments that keep being introduced. The implicit message that this focus conveys is that a technical cure (i.e., the sophisticated features included in the newer model hearing aids) is now possible; all one has to do is purchase this or that product and "lo and behold" the problem is solved. I may be overstating somewhat, but as I peruse the many marketing appeals published by the various hearing aid companies, I don't think I am overstating by much. Of course, hearing aids are the essential ingredient in reducing the overall impact of a hearing loss, no argument with that, but still that's not all there is.

It should be apparent that the more we know about a condition, particularly one that affects how we interact with others in our society, the better able we'll be to deal with the inevitable consequences of that condition. And we can learn how to do this not only from professionals but from people who experience a similar condition. And that is why I stress a group AR program, one that routinely includes a significant other (SO). The necessity to include SOs rests on the observation that while the affected person will have the hearing loss, it is really the entire family that has the hearing problem (i.e., that also has to deal with the consequences of the condition). These are not exactly new or revolutionary recommendations; twelve years ago the HLAA passed a position paper on this very topic. Unfortunately, it hasn't gotten much traction, which it surely deserves.

The very first and most significant advantage a group AR program offers is intrinsic to the format itself. We have in our society thousands of various kinds of support groups, one for every ailment and condition extant it seems, and their very prevalence offers convincing evidence for their effectiveness. The essence of any group program is listening to and sharing feelings and experiences with people who are in the same boat. For people with hearing loss, this sharing will aid them in acknowledging the reality of their condition, an acknowledgement that is a prerequisite in helping them help themselves. It may seem counterintuitive but because a hearing loss, particularly among older folks, is such a common occurrence in our society, its consequences tend to be underestimated or ascribed to other causes (such as the beginning of dementia, for example). The group format is designed to bring home the important message: You are not alone and you're not going crazy!

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- Article 2: Working with the FCC's Consumer Advisory Committee
By Cheryl Heppner
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Editor: You probably know that Cheryl Heppner of NVRC is one of the most prolific and effective advocates for folks with hearing loss. I can't begin to keep track of all her activities. Fortunately for me (and you), she often records some of her activities and shares that record with those of us in the hearing loss community. Here's her latest report. We appreciate NVRC's permission to share this report.

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Some of you may know that I was reappointed last year to serve as a representative of NVRC on the Federal Communications Commission (FCC) Consumer Advisory Committee. The FCC's work is very important to NVRC in its quest for accessible communication, whether by wired and wireless telephone with telecommunications relay services like IP relay, captioned telephone and VRS, television with captioning, or emergency 9-1-1 calls by voice, video or text, or many more technologies.

During the last year there have been a lot of changes at the FCC. There's a new Chairman, Julius Genachowski. Two veteran Commissioners, Michael Copps and Robert McDowell, have been joined by new appointees Mignon Clyburn and Meredith Attwell Baker. Other people in positions of great responsibility, such as the chiefs of the bureaus, have also changed, and so have many of the staff. Thomas Chandler, who has been heading the Disability Rights Office at the FCC, will soon return to the U.S. Department of Justice.

Disability Working Group

The latest meetings of the Consumer Advisory Committee were held last Thursday and Friday. The committee's Disability Working Group, which I co-chair with Eric Bridges of the American Council for the Blind, met for almost two hours. Lise Hamlin of HLAA, Claude Stout of TDI were there, and Karen Peltz Strauss, soon to become a Deputy Bureau Chief, was there to listen in. Our discussion focused on what we believe should be the top priorities for the FCC to address during the coming weeks and months. We touched on a long list of topics such as setting standards for the quality of television captioning and video description, the process of setting reimbursement rates for telecommunications relay services, ensuring access to televised emergency information by those who are blind or visually impaired, and the need for the agency to update and implement new rules and regulations for today's technology.

It's almost overwhelming to look at the backlog of things NVRC has worked on with the FCC that still haven't been addressed. Does anybody remember how much time and energy we spent working with other organizations to submit what we called the "caption quality petition" more than 5 years ago? Or our work to get the word out about the FCC's granting exemptions from captioning, while working to get that decision reversed? No action has been taken to address the petition to improve caption quality, and over 700 waivers are still in effect.

Our working group also talked about the need to work more closely with the companies that make the equipment we use to watch television so we can be sure the new technologies are still accessible to us. The first 3-D televisions are rolling onto shelves at stores like Best Buy, and we don't yet know how they will work with captioning. One individual who has given presentations on 3-D television issues calls 3-D TVs "the most dangerous TV ever made," and lest you think he was talking about rogue captions, there are many other concerns. Some people get queasy watching movies in 3-D because our eyes and brains just aren't wired for it.

And hey, while we're celebrating how more members of the Consumer Electronics Association have listened to our plea for a caption button on each TV remote, it would be nice to cut down on hunting time by having the button's location jump out right away or be in the same general location on every remote. If you travel a lot, I'm sure you'd also love to be able to get your captions without feeling like you're in training to become an electronics engineer. It seems like every hotel television either has a different menu to get the captions or you have to get a tech person to come to your room with a master remote to turn them on.

Consumer and Governmental Affairs Bureau

This was our first Consumer Advisory Committee meeting with the new Bureau Chief of the Consumer and Governmental Affairs Bureau, Joel Gurin. How could I not like this guy? He and I come from the same background, journalism and nonprofit management. In his case, the nonprofit was on a much greater scale; he helped revolutionize Consumer Reports to bring its power to the Web and many was involved in many other advances. At the FCC, one of the most recent innovations has been FCC Connect, which is still being tested. Go to http://fcc.gov/connect/ and you'll find 13 different ways you can keep in touch with the FCC's actions and provide input. Click on one of them, OpenInternet.gov, to see blog discussions about the Open Internet proceeding. Clearly the FCC is setting a new standard for transparency and consumer input.

Mr. Gurin has a Consumer Task Force which consists of the chiefs of all seven of the FCC's bureaus. His goal is to make the FCC a consumer-responsive consumer protection agency. One of the things the FCC has done is to go through old video footage and use the video's closed captions to translate the information to other languages. Those complaints about the cost and time to put in ramps for wheelchairs evaporated once the world began discovering that they make life better for delivery people and those pushing baby strollers. Now there's recognition of what we've said all along -- our captions give a valuable tool for many, many people who aren't deaf or hard of hearing.

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(c)2010 by Northern Virginia Resource Center for Deaf and Hard of Hearing Persons (NVRC), 3951 Pender Drive, Suite 130, Fairfax, VA 22030; www.nvrc.org; 703-352-9055 V, 703-352-9056 TTY, 703-352-9058 Fax.

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- Article 3: New Technology Improves Speech Intelligibility in Noise
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Editor: Understanding speech in the presence of background noise is the "holy grail" of hearing aid functionality, and something on which the manufacturers are working very hard. It appears that Unitron may have made some real improvements in this area! Here's their press release.

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Unitron today announced the results from three third-party research sites that proves its exclusive smartFocus(tm) technology significantly addresses the number one complaint* of hearing instrument wearers: understanding speech in noise.

While adaptive features have provided listening improvements, all proven signal to noise (SNR) benefits to date have been tied to directional microphone strategies or FM technology. SmartFocus now breaks through this SNR barrier using a proprietary approach that combines multiple adaptive features into one powerful algorithm. By optimizing these features to work together with maximum efficiency, smartFocus technology allows hearing instrument wearers to experience clear, comfortable listening in noisy situations. In fact, smartFocus provides the largest clinically proven SNR improvement in over a decade-a benefit that goes beyond directional microphones. Additionally, smartFocus uniquely offers wearers the ability to adjust these adaptive features to meet their personal listening preferences, though significant SNR improvements were found even without adjustment of the user control.

SmartFocus(tm) provides a 16% increase in speech intelligibility in noise

Two independent and accredited universities conducted a study involving 22 participants at each site. The study clearly demonstrated that hearing instrument wearers fit with smartFocus performed significantly better in speech in noise than those wearing the same hearing instruments without smartFocus enabled. These results were proven at the University of Rochester and then replicated at Louisiana Tech University, resulting in a combined SNR improvement of 16% (1.8 dB).

Researchers also discovered that the speech intelligibility in noise benefits delivered by smartFocus extended to open-fit, with an additional 22 participants at each university site experiencing combined SNR improvement of 13.5% (1.5 dB).

90% of hearing instrument wearers prefer the meaningful control of smartFocus(tm)

A third study run by the University of Iowa gave 24 participants the opportunity to choose between two hearing instruments: one fully automatic, the other with smartFocus enabled. Over 90% of participants chose the hearing instrument with smartFocus, citing better clarity, comfort in noise, and flexibility and control as the three main reasons why.

"SmartFocus is an excellent example of our relentless drive to improve speech intelligibility without compromising either comfort or clarity," explains Donald Hayes, Ph.D., Director, Audiology, Unitron. "The results of this study validate all we set out to do when developing this technology in June 2009."

The study findings around smartFocus have been further validated in the market, where user acceptance of the technology has been high since it first launched in Unitron's premium Passport(tm) hearing instrument in June 2009, followed by Latitude(tm) in October of the same year.

About Unitron

Unitron is a global innovator of technologically advanced hearing instruments. We care deeply about people with hearing loss and work closely with hearing healthcare professionals to make advanced, purpose-driven solutions available to everyone. Headquartered in Kitchener, Ontario, Canada, Unitron, a member of the Sonova Group, meets the needs of customers through 16 international offices and through distributors in a further 53 countries. For more information, please visit us on the web at unitron.com or at the Unitron web channel on Audiology Online.

*Kochkin, Sergei, "MarkeTrak VIII: Consumer satisfaction with hearing aids is slowly increasing." Hearing Journal 63, no. 1 (January 2010)

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- Article 4: Short Takes
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Editor: Here are our picks of some additional stories that you may find interesting. For more, please point your browser to: http://www.hearinglossweb.com/news/curr.htm

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Digital Wireless Hearing Aids, Part 1: A Primer

Digital signal processing has opened up innovative ways where an audio signal can be manipulated. This flexibility allows the development of algorithms to improve the sound quality of the audio signal and opens up new ways in which audio signals can be stored and transmitted. Whereas FM has been the standard of analog wireless transmission used in the hearing aid world, digital is fast becoming the new norm for wireless transmission. This paper takes a behind-the-scenes look at some of the basic components of a wireless digital hearing aid that transmits audio data so that readers may appreciate the complexity of such a system.

http://www.hearingreview.com/issues/articles/2010-03_09.asp

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A Brief History of Captioned Phones

In 2003, the captioned telephone was introduced. In its original form, CapTel was an analog technology that allowed those with hearing loss to listen to and read captions of the other party's words through the use of a specially designed CapTel phone. Captions appeared on the phone display screen in nearly real time. This advancement in hearing technology helped create a sense of independence for people who previously may have felt limited by their hearing loss.

http://www.hearingreview.com/issues/articles/2010-03_10.asp

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Captioning for Online TV

The entertainment world is moving to the next generation of closed captioning technology with online TV, as a new Spreety.com video demonstrates. For example, ABC.com has the ability to customize white on black vs. black on white text. FOX.com does a good job of moving captions to the top or the bottom of the screen, based on the most appropriate place for the text to be displayed. PBS and PBS Kids have most of their shows online with closed caption support. . . . Hulu further innovates with a caption search feature that hot links to the matching video clip. With any YouTube video, Speech to Text technology can be used to generate same language captions. Then, through translation software, the captions can be rendered in many languages.

http://www.transworldnews.com/NewsStory.aspx?id=280770&cat=2

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- Classifieds
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One Online Store and four Employment Opportunities appear in this issue. (Ads appear after this brief table of contents.)

WCI. Your Single Source for Assistive Technology
MARCH MADNESS SAVINGS AT WCI!
http://www.weitbrecht.com/onsale?php?utm_source=hlw

Employment Opportunity 1
Exciting Career Opportunities at GLAD
Various Southern California Locations

Employment Opportunity 2
Various Positions at GSD
Georgia School for the Deaf
Cave Spring, GA

Employment Opportunity 3
Instructor of the Deaf and Hearing Impaired
Idaho Educational Services for the Deaf and the Blind
Department of Human Resources, 1450 Main St, Gooding, ID 83330

Employment Opportunity 4
Certified Rehabilitation Counselor
Georgia Department of Labor, Vocational Rehabilitation Services
Cave Spring, GA

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For a copy of our NEW catalog, email your request to: sales@weitbrecht.com .

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Employment Opportunity 1
Exciting Career Opportunities at GLAD
Various Southern California Locations
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Exciting Career Opportunities at GLAD

GLAD is an Affirmative Action Employer with equal opportunity for men, women and people with disabilities. For more information on the following positions, please go to: www.gladinc.org. The status of all positions is: Regular, Full-time, Non-Exempt, Full Fringe Benefits unless otherwise noted. All positions are open until filled.

* Job Developer/Interpreter-- Crenshaw, CA
* Community Interpreter - Los Angeles, CA

If interested for any of these positions then please submit resume and application to:

Jeff Fetterman
Human Resources Specialist
Greater Los Angeles Agency on Deafness, Inc.
2222 Laverna Avenue
Los Angeles, CA 90041
V/TDD: (323) 550-4207
Fax #: (323)550-4204
E-mail: jfetterman@gladinc.org

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Employment Opportunity 2
Various Positions at GSD
Georgia School for the Deaf
Cave Spring, GA
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Currently accepting applications for the following positions:
Assistant Director for Instruction
Graduation Coach *10 Month Position
Teacher-High School Math *10 Month Position
Teacher-High School Language Arts *10 Month Position
Literacy Content Specialist *10 Month Position
Substitute Teachers (hourly paid, based on credentials)
Support Services Worker-Library Aide (hourly paid)

* 10 month employees work 200 days (10 months) but receive payroll checks during each of the 12 months of the year.

For more information about these positions, visit the Georgia Department of Education web site at http://www.doe.k12.ga.us/pea_hr_jobsearch.aspx

Download Job Applications at:
http://www.spa.ga.gov/word/jobinfo/stateapp-emp.doc

Completed applications may be mailed, e-mailed, or faxed to:
Denise Clark, Personnel Office
Georgia School for the Deaf
232 Perry Farm Rd. SW
Cave Spring, Georgia 30124
denise.clark@doe.k12.ga.us
Fax: (706) 777-2240

For more information about these positions, contact Denise Clark, Personnel Office, denise.clark@doe.k12.ga.us or visit the Department of Education web site at www.doe.k12.ga.us

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Employment Opportunity 3
Instructor of the Deaf and Hearing Impaired
Idaho Educational Services for the Deaf and the Blind
Department of Human Resources, 1450 Main St, Gooding, ID 83330
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Begin Date: August 2010
Closing Date: Open until filled.
Location: ISDB campus in Gooding.

Nature of Work:
Provide academic programs for elementary and/or middle/high school students and other duties as assigned.

Minimum Qualifications:
Idaho Standard Exceptional Child Certification with a Hearing Impaired Endorsement or ability to obtain; excellent receptive and expressive skills in American Sign Language; Bachelor's degree acceptable, Master's degree preferred; Desired Math, Science or Language Arts Certification.

Salary: Commensurate with education and experience

Benefits: Comprehensive fringe benefit package included

To Apply:
Interested persons are to submit a letter of application, resume, official transcripts, copies of certification and three letters of recommendations to:
Idaho Educational Services for the Deaf and the Blind
Attn: Human Resources
1450 Main St
Gooding, ID 83330

Successful candidate will be required to submit a completed ten finger fingerprint card or scan to the Idaho State Dept. of Education no later than five days after the employees' first day of employment with the school or unsupervised contact with students in a K-12 setting, whichever is sooner per Idaho Code 33-130 & 33-512.

Hiring is done without regard to race, color, religion, national origin, gender, age or disability. In addition, preference may be given to veterans who qualify under state and federal laws and regulation.

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Employment Opportunity 4
Certified Rehabilitation Counselor
Georgia Department of Labor, Vocational Rehabilitation Services
Cave Spring, GA
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The Georgia Department of Labor, Vocational Rehabilitation Services - Deafness and Hard of Hearing Program is looking for a Certified Rehabilitation Counselor to join our team at Cave Spring Rehabilitation Center and serve our clients who are Deaf, Hard of Hearing and late Deafened.

To formally apply and for additional details regarding this position, please click on the URL below.

Certified Rehabilitation Counselor for Deaf Services / Cave Spring
http://tinyurl.com/yzqtx8p

Please visit the Georgia Department of Labor website frequently for additional openings now and in the near future:
http://www.dol.state.ga.us/Access/Service/GDOLJobSearch

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