CE Courses / Audiologic Rehabilitation and Treatment

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Aural Rehabilitation: Achieving Functional Outcomes
Format(s): On Demand Webinar
There has been a renewed interest in the provision of aural rehabilitation (AR) services as part of patient-centered hearing health care. Aural rehabilitation is a holistic approach to the management of hearing loss that may include patient education, fitting of devices, and auditory training exercises. Although audiologists may recognize the benefits of comprehensive AR, questions may remain about how to measure functional outcomes of these services. This course reviews functional outcome assessments for aural rehabilitation and how to incorporate these measures into everyday practice to enhance patient success.
A Tale of Two Articles: Adolescent Misophonia and Using Apps in Service Delivery for Children With Hearing Loss
Format(s): SIG Perspectives
This activity has two articles with different foci. The misophonia case study is a contribution to the evidence base for use of sound therapy and coping strategies in treating and managing misophonia. It also shares available tools for diagnosing misophonia. The study about using learning applications in intervention for children with hearing loss shares results of a speech-language pathologists' focus group. The focus group centered on using speech and language application features, benefits, and concerns in school-based service delivery
Audiology Public Health: Navigating the Complexities of Ototoxicity Management
Format(s): On Demand Webinar
Hundreds of medications commonly prescribed for anticancer treatments and some infections are known to cause auditory and/or vestibular dysfunction, known as ototoxicity. This course discusses early detection of ototoxicity through increased awareness, leveraging current tools, and clinical practice approaches for serial monitoring, all of which can provide care teams opportunities to identify adverse effects, modify treatment plans to mitigate hearing loss, and utilize individualized interventions. The speaker discusses strategies for preventing or minimizing cochlear damage to preserve quality of life for patients receiving treatment and to reduce the societal burden of hearing loss.
Gene Therapy: Current Promises and Future Challenges
Format(s): On Demand Webinar
Gene therapy offers the promise to correct inherited forms of hearing loss as well as acquired forms such as noise-induced hearing loss, ototoxicity, and presbycusis. However, there are several barriers that must be overcome before such potential can be realized. This course describes the conceptual framework that governs gene therapy today, reveals how this framework has influenced current progress, and discusses a re-imagining of inner ear gene therapy with the goal of achieving outcomes that are clinically relevant and realistic.
Epidemiology and Boothless Audiology Service Delivery
Format(s): SIG Perspectives
These SIG 8 Perspectives articles focus on topics that are important in promoting public health audiology. In “Fundamentals of Epidemiology for the Audiologist,” Torre and Reavis provide an overview of basic epidemiologic concepts including study design, prevalence, incidence, risk ratios, and odds ratios. The authors emphasize that an understanding of epidemiology is crucial for audiologists for a variety of reasons, including to help them assess the quality of publications, evaluate and discuss the efficacy of screening methods, and evaluate and communicate risk factors for ear and hearing problems. In “Hearing Health Care Delivery Outside the Booth,” Gates, Hecht, Grantham, Fallon, and Martukovich review the literature on boothless audiometry and introduce current tools used to deliver hearing health care outside of the traditional clinic setting. From their review, the authors conclude that boothless audiometry technology provides an opportunity for audiologists to expand services to nontraditional settings such as waiting grooms and nursing homes, increasing access to care, early identification, and intervention, and therefore improving health outcomes.
Patient-Centered Communication in Audiology
Format(s): SIG Perspectives
How can audiologists enhance patient-centered communication, even during the COVID-19 pandemic? This self-study is from the journal, Perspectives of the ASHA Special Interest Groups, SIG 7: Auditory Rehabilitation and Its Instrumentation. It features two articles focused on patient-centered strategies for effective communication, from initial consultations to prioritizing follow-up care, during COVID-19. It also includes the article that won the 2021 ASHA Journals Editor’s Award for Perspectives (for SIGs 6, 7, 8, and 9) by Davidson and Marrone. The first article is, “How to Provide Accessible Hearing Health Information to Promote Patient-Centered Care.” Kelly-Campbell and Manchaiah review the literature within audiology on patient-provider communication. They focus on research studies of communication during initial audiology consultation sessions. Through a summary of themes in the literature, they categorize important research findings that provide insight into communication between patients and their audiologists. Finally, they identify five key strategies for effective patient-centered communication. Each strategy is then reviewed in detail, with clinical examples and specific recommendations that can be immediately implemented in practice. The second article is, “A Clinically Valuable Interaction in the Midst of COVID-19 and Beyond: A Viewpoint on the Importance of Patient-Centered Outcomes in Rehabilitative Audiology.” Davidson and Marrone discuss patient-centered communication following hearing aid device fittings. They identify challenges facing patients and audiologists related to follow-up hearing aid services as a result of the COVID-19 pandemic. Based on a literature review and their own recent research, they developed a decision-tree algorithm to help audiologists prioritize clinical activities following hearing aid fittings, including remote formats for care. The algorithm was based on use of a patient-centered outcome measure, the Measure of Audiologic Rehabilitation Self-Efficacy. Patient-centered outcomes measurement is suggested as an engagement strategy for continued communication with patients during the COVID-19 pandemic and beyond.
Advances in Hearing Diagnostics, Treatment, & Prevention
Format(s): SIG Perspectives
These three articles describe current issues and advances related to hearing diagnostics, treatment, and prevention. The first article is a detailed description of the impact that COVID-19 face masks and social distancing regulations have had on speech recognition and how face masks affect the acoustic signal and increase cognitive effort in listeners with hearing loss. Suggestions for mitigating these deleterious impacts on communication are provided. The second article is a research study examining the correlation between self-perceived hearing difficulty, determined using a questionnaire (Adult Auditory Performance Scale), and speech-in-noise performance (Listening in Spatialized Noise–Sentences Test) in listeners with normal pure-tone thresholds. Results highlight the relationship between self-perceived hearing abilities and binaural speech-in-noise performance supporting the inclusion of speech-in-noise testing even in those with normal pure-tone thresholds. The third article is a review of current genetic, stem cell, and pharmacotherapy research for treatment and prevention of hearing loss. Animal models are discussed, as well as steps to translate this research into clinical practice.
Hearing Loss Prevention: A Moral Obligation for Audiologists
Format(s): On Demand Webinar
Noise is prevalent in everyday life, and the general population lacks awareness of the risks of hazardous noise exposure and strategies to reduce noise-induced hearing loss. By integrating hearing loss prevention education into patient encounters and taking advantage of outreach/education opportunities, audiologists can help reduce the prevalence of noise-induced hearing loss. This course discusses the why, where, and how of integrating prevention education into your practice.
Speech Audiometry for Linguistically Diverse Populations (On Demand Webinar)
Format(s): On Demand Webinar
The likelihood of encountering multilingual individuals, non-English-speaking individuals, and non-native speakers of English in the clinic is becoming more common. As audiologists are working with linguistically diverse populations, they may find themselves asking, “How should I evaluate speech perception in my patients who are not monolingual speakers of English? Which speech materials should I use?” This on demand webinar reviews the current literature on multilingual and non-native speech perception and discusses approaches to best serve patients from diverse linguistic backgrounds.
Language and Literacy Intervention Topics for Children  With Hearing Loss and Deafness
Format(s): SIG Perspectives
This activity includes two articles related to language and literacy intervention for children with hearing loss and deafness. In the first article, Stephanie Mary Raymond and Tring D. Spencer investigate the effect of narrative language intervention on the narrative retelling skills and vocabulary use of children with hearing loss. In the second article, Krystal L. Werfel and Sarah Lawrence describe specific considerations for print-referencing interventions for children with hearing loss along with a case study. The respective authors conclude that print referencing, with specific considerations for children with hearing loss, may be an effective emergent literacy intervention to increase conceptual print knowledge for children preschool-age with hearing loss; and narrative intervention is promising for facilitating language skills improvement for children with hearing loss. Both studies require replication for their findings.
Product-Driven vs. Patient-Centered Care: Increasing Hearing Aid Adoption
Format(s): eWorkshop
The degree of hearing aid adoption as a treatment to lessen communication difficulties has remained essentially unchanged over the past four decades. This session will share evidence and hands-on tools that promote opportunities for evaluating and modifying patient readiness, with the intent of enhancing the adoption of professional audiology services and amplification technologies.
Tips and Tools for Auditory Rehabilitation in Any Practice Setting
Format(s): eWorkshop
The provision of comprehensive auditory rehabilitation services is critical to successful patient outcomes, yet many audiologists focus primarily or exclusively on amplification due to time, reimbursement, and compliance challenges. This session will clearly define the components of auditory rehabilitation and provide specific strategies and tools to help overcome challenges.
Statistical Methods in Audiology Research
Format(s): Journal (Online)
This journal self-study course is composed of papers from a 2019 Research Forum, Advancing Statistical Methods in Speech, Language, and Hearing Sciences. These selected articles provide advanced-level discussion about clinically relevant statistical methodologies to give audiologists a strong foundation from which to analyze and understand the statistical research they come across to decide when and how to apply it in practice. The articles examine frequential and Bayesian statistical methods as well as propensity scores and linear-mixed model analyses.
Addressing Hearing Care Disparities for Individuals With Hearing Loss & Dementia (SIGs 7, 8, and 15) (On Demand Webinar)
Format(s): On Demand Webinar
This webinar will review the current state of hearing loss and hearing health care among individuals living with dementia, with an emphasis on addressing existing care disparities. The speaker will discuss the association between hearing loss and cognition, its impact on individuals living with dementia, and opportunities to expand access to hearing care through community-delivered approaches. This webinar – part of the SIGnature Series – was developed by SIG 7: Aural Rehabilitation and Its Instrumentation, SIG 8: Audiology and Public Health, and SIG 15: Gerontology.
Joint Committee on Infant Hearing 2019 Position Statement: Implications for Practice (SIG 9)
Format(s): On Demand Webinar
The Joint Committee on Infant Hearing (JCIH) was established to develop evidence-based guidelines for supporting infants and young children who are deaf or hard of hearing. In 2019, the JCIH published an updated position statement based on expertise from stakeholder groups – including audiologists, SLPs, pediatricians, early intervention providers, otolaryngologists, and professionals from the Deaf community. This course describes the major changes in the JCIH position statement as well as clinical implications for any professional involved in serving children who are deaf or hard of hearing and their families. This course – part of the SIGnature Series – was developed by SIG 9: Hearing and Hearing Disorders in Childhood.
Management Options for Unilateral and Asymmetrical Sensorineural Hearing Loss (SIG 6)
Format(s): On Demand Webinar
This course explores the most commonly fit devices for patients whose hearing is significantly poorer in one ear than the other (e.g., single-sided deafness or asymmetric hearing loss) and identify factors that impact device selection and hearing management. Using data analysis and case examples from their clinic, the speakers discuss management options for asymmetrical sensorineural hearing loss, including traditional hearing aids, Bi-CROS devices, bone conduction devices (BCD), and cochlear implants (all with or without assistive devices).This course – part of the SIGnature Series – was developed by SIG 6: Hearing and Hearing Disorders: Research and Diagnostics.
Reframing Auditory Rehabilitation: Needs-Based Approaches Across the Life Span (SIG 7)
Format(s): On Demand Webinar
This course features moderated discussions among a panel of clinicians who collectively provide cochlear implant auditory rehabilitation (AR) to patients of all ages. Topics and discussions demonstrate the need to expand and differentiate intervention approaches based on the unique needs of individual patients with cochlear implants. Panelists review recent studies, present translational applications, share case studies and examples, illustrate multidisciplinary professional roles, and discuss evidence-based assessment and treatment. This course – part of the SIGnature Series – was developed by SIG 7: Aural Rehabilitation and Its Instrumentation.
Classroom Participation and Reading in Deaf or Hard-of- Hearing Children
Format(s): SIG Perspectives
This exercise highlights three articles. First, a qualitative research study with multiple high school student participants with deafness/hearing loss examining factors that promoted versus challenged their access to classroom communication and participation is included. The next article is a preliminary study exploring that children with reading impairments are more likely to fail hearing screenings that children with typical reading skills. Finally, the third article looks at shared book reading and its association with language growth aspects for children who are deaf and hard of hearing over a 4-week training program related to caregiver knowledge of emergent literacy features
Clinical and Research Topics in  Audiology and Public Health
Format(s): SIG Perspectives
These Perspectives (SIG 8) articles cover a wide range of audiology and public health research and clinical topics. There are three original research reports and one clinical review. In the first research report, Roman et al. examine the impact of reduced audibility and speaker voice on the mini-mental state examination score in a group of young adults without cognitive impairment. Next, Beamer et al. conduct a preliminary study to investigate the role of a hearing loss prevention education strategies in an active duty military population. Reavis et al. estimate the association between tinnitus and self-reported depression symptoms and between tinnitus and perceived anxiety in a nationally representative sample of U.S. adults. The final article by Henry and Manning is a review article on sound therapy approaches and clinical options for tinnitus management.
Research Symposium in Hearing: Cellular-Level Diagnosis and Personalized Therapy of Sensorineural Hearing Loss
Format(s): eWorkshop
The presenters discuss their work on optical imaging of the inner ear to enable progress in understanding, diagnosing, and treating human sensorineural hearing loss (SNHL). Next, they illustrate their approach to develop personalized therapies for SNHL, using vestibular schwannoma as an example. Finally, they demonstrate the promise of gene therapy, nanotechnology, and computational drug repositioning. This course was presented and recorded at the 2019 ASHA Convention.
SOS, DARN, and TEA: Problem-Solving With Adults Who Have Hearing Loss
Format(s): eWorkshop
Comprehensive auditory rehabilitation for adults includes communication strategies, assistive listening devices, perceptual training, and supportive counseling. The problem-solving format allows an engaging and patient-centered means of addressing communication strategies and counseling needs. This presentation addresses the organization of problem-solving using the problem-solving approach (SOS); distance, angle, reverberation, and noise (DARN); and thinking, emotional response, and action (TEA). This course was presented and recorded at the 2019 ASHA Convention.
Equilibrium Throughout the Life Span: New Horizons for Audiology
Format(s): eWorkshop
The evaluation and non-medical management of balance disorders in children and adults is an exciting and growing opportunity for audiologists to participate in this important aspect of health care services. This presentation highlights the most common conditions throughout the life span from neonate to geriatric and includes an evidence-based clinical pathway model of gold-standard evaluation protocols and management strategies. This course was presented and recorded at the 2019 ASHA Convention. This session was developed by, and presenter invited by, SIG 6: Hearing and Hearing Disorders: Research and Diagnostics.
Factors That Exacerbate or Ameliorate Listening Effort in Children Who Are Hard of Hearing
Format(s): eWorkshop
Listening effort is the allocation of mental resources to overcome obstacles in goal pursuit while listening. Sustained increased effort has important developmental implications. Factors that increase access to acoustic cues can reduce listening effort. This presentation addresses the measurement of listening effort, in addition to how language and auditory input affect effort in children who are hard of hearing. This course was presented and recorded at the 2019 ASHA Convention. The session was developed by, and presenters invited by, Hearing and Vestibular - Assessment and Intervention: Pediatric and Listening, Language, and Speech in Children who are Deaf and Hard of Hearing.
The Vanderbilt Fatigue Scale: Subjective Fatigue in Pediatric Hearing Loss & in Additional Disabilities
Format(s): eWorkshop
Recent studies have implicated fatigue as an important consequence of listening effort, but the impact of fatigue on children is poorly understood. One problem is the lack of a measure of listening-related fatigue. In this presentation, the presenters (1) introduce the construct of listening-related fatigue, and (2) describe the development and validation of the Vanderbilt Fatigue Scale designed to quantify listening-related fatigue. This course was presented and recorded at the 2019 ASHA Convention.
Differential Diagnoses in Children With Hearing Loss: Unpacking the Concerns of Over-Diagnosis, Under-Diagnosis, & Comorbidity
Format(s): eWorkshop
Despite advances in hearing technology and intervention, language, academic, and social outcomes in children with hearing loss generally lag behind those of their hearing counterparts. Providing differential diagnoses is challenging, given the cascading effects of auditory deprivation language delays. This presentation identifies commonly occurring comorbid presentations in children with hearing loss and describes the process of effectively making differential diagnoses. This course was presented and recorded at the 2019 ASHA Convention.
Overview & Case Studies of Bone Conduction Hearing Devices Across the Life Span
Format(s): eWorkshop
This presentation provides an overview of the clinical use of bone conduction hearing devices across the life span. It includes information about clinically available devices, guidelines related to non-surgical and surgical options, and pediatric and adult case studies. The presenters highlight key components of patient assessment, candidacy criteria, and device fitting. This course was presented and recorded at the 2019 ASHA Convention. The session was developed by, and presenters invited by, Hearing and Vestibular - Assessment and Intervention: Pediatric, Audiology Implantables, and Hearing, Vestibular, Tinnitus: Assessment and Intervention: Adult.
Evaluation and Management of Challenging Patient  Populations in Audiology
Format(s): SIG Perspectives
These Perspectives (SIG 6) articles focus on diagnostic tools and considerations for management of several challenging patient populations in audiology. The first article discusses utilizing magnetic resonance imaging to determine the functional and structural neural alterations associated with chronic tinnitus. Researchers are utilizing advanced imaging techniques to study variability in perceptual characteristics and reaction to tinnitus. The second article discusses the continuum of disorders known as “cortical hearing impairment,” supported by a comprehensive summary of clinical presentations. Despite its rarity, an audiologist must understand etiologies of cortical hearing impairment and know how to evaluate and characterize the accompanied hearing difficulty. The third article examines the effects of concussion of the vestibular system and presented an assessment battery for athletes postconcussion and for determining return to play.
Clinical Topics in Audiology and Public Health
Format(s): SIG Perspectives
These Perspectives (SIG 8) articles cover a wide range of audiology and public health topics. Konrad-Martin and colleagues promote effective and standardized coding and third payer billing practices for the audiological management of symptomatic ototoxicity. The article includes relevant ICD-10-CM codes and CPT codes. Myers and Dundas provide a review of the effects of noise on the vestibular system. They note that temporary and permanent effects of noise on the vestibular system have been reported and advocate for further investigations to unpack the complex relationship between the auditory and vestibular systems. Finally, Pletnikova and colleagues conducted a quality initiative project to determine the feasibility and reliability of a tablet-based portable audiometer to identify hearing loss in a cognitively impaired population.
Pediatric Auditory Brainstem Implants, Adult Single-Sided Deafness, and Teaching
Format(s): SIG Perspectives
These Perspectives (SIG 9) articles include topics on evidence, research, and application about pediatric auditory brainstem implants, teaching phonological awareness in young children, and development of The Assessment and Aural Rehabilitation Tool for single-sided deafness in adults.
Topics in Aural Rehabilitation
Format(s): SIG Perspectives
These Perspectives (SIG 7) articles address therapy, patient education/counseling, and novel eHealth programs to serve clients across the lifespan. The topic of multisensory integration is addressed with a review of cognitive neuroscience literature and recommendations are made for therapy protocols for infants and children with hearing loss. There is a review of the development and outcomes of a multimedia education program for adults with hearing loss. The use of eHealth in patient-centered care for adults with hearing loss is considered for current practice and its future directions. Authors discuss considerations for the use of remote microphone technology by the oldest generation of patients. Finally, patient-centered strategies for communication during audiology consultations are presented to build trust and positive therapeutic relationships.
Research Highlights in Audiology: 2018
Format(s): Journal (Online)
This self-study features highly read and cited audiology research articles published in 2018 in ASHA’s scholarly journals. Topics reflect the diversity of the field and include: (1) what users need to know to effectively manage hearing aids, (2) how language skills develop in children with cochlear implants, and (3) information available on social media about tinnitus.
Patient Care and Management for Children Who Are Deaf or Hard of Hearing
Format(s): Journal (Online)
This journal self-study focuses on several aspects of patient care and management for practitioners who serve children who are deaf or hard of hearing. The articles, originally published in a 2014 issue of Perspectives on Hearing and Hearing Disorders in Childhood, discuss the unique needs of children with mild, minimal, and/or unilateral hearing loss; the effects of fatigue on children with hearing loss; and the importance of monitoring speech-language performance and progress as well as hearing aid use in this population.
Research Highlights in Audiology: 2017
Format(s): Journal (Online)
This self-study features highly read and cited audiology research articles published in 2017 in ASHA’s scholarly journals. Topics reflect the diversity of the field and include: (1) a discussion of the economic impact of hearing loss in the U.S., (2) ways to improve museum accessibility for people with hearing loss, (3) how improvements in early detection of hearing loss has impacted children’s literacy outcomes, and (4) the impact of an audiologist’s language on hearing aid uptake.
Hearing Loss and Dementia (On Demand Webinar)
Format(s): On Demand Webinar
The association between hearing loss and dementia has received significant press coverage. This webinar explores this association and discusses clinical implications. The speaker reviews the literature surrounding hearing loss and dementia to better describe the association, explains potential mechanistic pathways, and describes practical impacts on clinical practice.
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Exposing Hidden Hearing Loss
Format(s): On Demand Webinar
Noise exposure and aging are common causes of acquired sensorineural hearing loss, marked by damaged hair cells and evident in threshold audiograms. Recent studies have shown that well before overt hearing loss is apparent, a more insidious process frequently occurs, one that doesn’t kill hair cells, but instead permanently interrupts their communication with cochlear neurons. This cochlear synaptic loss can be dramatic, even in ears with normal threshold audiograms, where it has been called “hidden hearing loss.” This webinar will review hidden and overt effects of noise and aging on the ear and hearing, focusing on documented synaptopathic and neurodegenerative outcomes and predicted functional consequences, including speech-in noise difficulties, tinnitus, and hyperacusis.
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Improving Communication Outcomes for Children With Hearing Aids
Format(s): On Demand Webinar
Initiatives such as universal newborn hearing screening and early hearing detection and intervention programs have improved the early identification of hearing loss so children can receive intervention services at a young age. But many of these children still experience significant delays in communication development as they get older. This webinar will discuss what audiologists and speech-language pathologists can do to support optimal communication outcomes in children who use hearing aids. The webinar will explore evidence-based assessment of audibility, monitoring and supporting consistent hearing aid use, and tools for documenting outcomes.
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Hearing and Cognition in Older Adults
Format(s): Journal (Online)
As people age, they often experience a variety of health-related issues, including hearing loss and memory difficulties. This journal self-study explores the relationship between hearing loss and cognitive functioning and considers what is known about age-related cognitive decline and how it may be influenced by hearing loss and the use of amplification. As the primary provider of hearing-related services for older adults, audiologists are in a position to address cognitive issues and assist patients and families. This journal course discusses strategies on how to do so effectively.
Hearing Aids and the Brain: Implications for Auditory Rehabilitation
Format(s): On Demand Webinar
Many seniors are exposed to considerable amounts of information about hearing loss and hearing health and can find it difficult to separate facts from fiction. Meanwhile, others do not get enough information about these important topics. This webinar will explore educational tools and resources to help older adults meet their individual communication needs. The presenter will share information and resources that you can pass on to your patients regarding hearing aids and the brain, as well as tools to promote healthy hearing as patients age.
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Interprofessional Collaboration to Support Children With Hearing Loss
Format(s): eWorkshop
This course includes four recorded sessions from the online conference “Audiology 2016: Collaborative Strategies for Students With Hearing Loss.” These sessions focus on formats for interprofessional collaboration and tools to facilitate this partnership, the nature of central auditory processing disorders (CAPD), and fostering language and literacy development in children. The conference included a total of 15 sessions, with the broad goal of providing practitioners practical, outcome-driven strategies, new information, and resources to help bridge the gap between children and teens with hearing loss, their families, and the educational and medical providers who support them. The four sessions in this course are:

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