听力学领域是听觉科学知识的集合,研究,和临床方法,技术,实践发生了很大变化。对心理学有更深刻的理解,认知,和行为相互作用导致越来越多的感兴趣的变量来衡量和跟踪诊断和康复过程。以技术为主导的临床实践变化,包括听力学,预示着采取行动的呼吁,以认识到自主性和机构对临床实践的作用和影响,订婚,和结果。响度模型的进展和新信息,耳鸣,心理声学,深度神经网络,机器学习,预测和自适应算法,和PREM/PROM使技术创新彻底改变了以下临床原则和实践:(i)评估,(ii)听力装置的装配和编程,(三)康复。这篇叙述性评论将考虑作为当代成人听力学实践中日益增长的基本要素的目的听力学的兴起如何影响基于知识和能力的新时代的听力学的原理和实践。哪些领域的知识增长了?新知识如何改变了临床听力学的优先事项?哪些技术创新与这些技术创新相结合来改变临床实践?作为健康和医学领域,听力损失现在在哪里定位?
The field of audiology as a collection of auditory science knowledge, research, and clinical methods, technologies, and practices has seen great changes. A deeper understanding of psychological, cognitive, and behavioural interactions has led to a growing range of variables of interest to measure and track in diagnostic and rehabilitative processes. Technology-led changes to clinical practices, including teleaudiology, have heralded a call to action in order to recognise the role and impact of autonomy and agency on clinical practice, engagement, and outcomes. Advances in and new information on loudness models, tinnitus, psychoacoustics, deep neural networks, machine learning, predictive and adaptive algorithms, and PREMs/PROMs have enabled innovations in technology to revolutionise clinical principles and practices for the following: (i) assessment, (ii) fitting and programming of hearing devices, and (iii) rehabilitation. This narrative review will consider how the rise of teleaudiology as a growing and increasingly fundamental element of contemporary adult audiological practice has affected the principles and practices of audiology based on a new era of knowledge and capability. What areas of knowledge have grown? How has new knowledge shifted the priorities in clinical audiology? What technological innovations have been combined with these to change clinical practices? Above all, where is hearing loss now consequently positioned in its journey as a field of health and medicine?