American Journal of Audiology Impact Factor & Information

Publisher: American Speech-Language-Hearing Association, American Speech-Language-Hearing Association

Journal description

American Journal of Audiology (AJA) pertains to all aspects of clinical practice in audiology. Articles concern screening, assessment, and treatment techniques; prevention; professional issues; supervision; and administration, and may appear in the form of clinical forums, clinical reviews, letters to the editor, or research reports that emphasize clinical practice. Print issues of AJA are published in June and December of each year.

Current impact factor: 1.07

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 Impact Factor 1.068
2012 Impact Factor 0.865
2011 Impact Factor 0.867

Impact factor over time

Impact factor

Additional details

5-year impact 0.00
Cited half-life 7.10
Immediacy index 0.26
Eigenfactor 0.00
Article influence 0.00
Website American Journal of Audiology website
Other titles American journal of audiology (Online), American journal of audiology, AJA
ISSN 1558-9137
OCLC 41276712
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

American Speech-Language-Hearing Association

  • Pre-print
    • Archiving status unclear
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • On author's personal website or institutional repository
    • Published source must be acknowledged
    • Must link to journal website
    • Publisher's version/PDF cannot be used
    • Abstract of Publisher's version may be used
    • NIH Authors can deposit in PubMed Central for public release after 12 month embargo
    • Publisher last reviewed on 08/04/2014
  • Classification
    ​ blue

Publications in this journal

  • American Journal of Audiology 07/2015;
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to determine the current clinical practice in approaches to bimodal programming in the United States. Specifically, if clinicians are recommending bimodal stimulation, who programs the hearing aid in the bimodal condition, and the method used for programming the hearing aid. An 11 question online survey was created and sent via email to a comprehensive list of cochlear implant programming centers in the United States. The survey was sent to 360 recipients. Respondents of this study represented a diverse group of clinical settings (response rate of 26%). Results indicate little agreement in who programs the hearing aids, when it is programmed, and how it is programmed in the bimodal condition. Analysis of small versus large implant centers indicated small centers are less likely to add a device to the contralateral ear. Although a growing number of cochlear implant recipients choose to wear a hearing aid on the contralateral ear there is inconsistency in our current clinical approach to bimodal programming. These survey results provide evidence of large variability in our current bimodal programming practices and indicate a need for more structured clinical recommendations and programming approaches.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0069
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    ABSTRACT: To investigate the efficacy of routine screening for high frequency hearing loss (HFHL) including 3000, 6000, 8000 Hz with conventional test frequencies (1000, 2000, 4000 Hz) in adults and children in a university outreach program. Screening outcomes were examined in two cohorts of adults (1: N = 315, M = 66.2 years; 2: N = 67, M = 68.3 years) and children (1: N= 177, M = 6.5 years; 2: N = 57, M = 6.9 years) with a HF screen protocol (1000-8000 Hz at 25 dB HL [adults]; 20 dB HL [children]) using supra-aural headphones. A rescreen was conducted in Cohort 2 with a modified protocol using insert earphones and monitored ambient noise levels. Average total test time significantly increased (p < .0001) and nearly doubled with inclusion of 3000, 6000, 8000 Hz frequencies, adding approximately 1 minute. Rescreen refer rates decreased by ~2-16% at 1000-8000 Hz (~13-16% at 6000, 8000 Hz) using the modified protocol in adults and children, supporting false positive responses using supra-aural headphones. Screening for HFHL should include insert earphones in order to prevent potential errors, particularly at 6000 and 8000 Hz.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-15-0014
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    ABSTRACT: The purpose of this article was to review recent research from our laboratory on the topic of aging, and the ear-brain system, as it relates to hearing aid use and auditory rehabilitation. The method involved a narrative review of previously reported EEG and MEG data from our laboratory as they relate to the (1) neural detection of amplified sound, and (2) ability to learn new sound contrasts. Results from our studies add to the mounting evidence that there are central effects of biological aging as well as peripheral pathology that affect a person's neural detection and use of sound. What is more, these biological effects can be seen as early as middle age. The accruing evidence has implications for hearing aid use because effective communication not only relies on sufficient detection of sound, but also on the individual's ability to learn to make use of these sounds in ever changing listening environments.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0068
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    ABSTRACT: To discuss two questions concerning how hearing aids interact with hearing and cognition. Can signal processing in hearing aids improve memory? Can attention be used for top-down control of hearing aids? Memory recall test of heard sentences at signal-to-noise ratios adjusted to 95% correct speech recognition with and without binary mask noise reduction. A short literature review on recent findings on new brain imaging techniques showing potential for hearing aid control. Two experiments indicate that it is possible to show improved memory with an experimental noise reduction algorithm at ecological signal-to-noise ratios and that it is possible to replicate these findings in a new language. The literature indicates that attention-controlled hearing aids may be developed in the future.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0066
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    ABSTRACT: The purpose of this article is to discuss how cortical auditory evoked potentials might be used to assess speech perception capacity in infants, including acoustic change complex (ACC) data collected in our laboratory. Highlights from data collected in infants and the main issues needing investigation for clinical application are presented. (i) Preliminary studies show promising results for the ACC and confirm that further inquiry into its clinical application is warranted, and (ii) the presence of an onset response can be used clinically to confirm that auditory information has reached the cortex; however, the absence of a response cannot be interpreted with confidence.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0070
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    ABSTRACT: The purpose of this paper is to introduce and provide an overview of the three papers presented in the invited forum on "The Brain and Hearing Aids". The main ideas of the papers presented by the three panelists were identified and a commentary was provided to synthesize the ideas. Benefits from hearing aids and auditory training entail higher-level cortical/cognitive processing involved in categorizing and remembering sound. New approaches to predicting, designing and evaluating technological and behavioral interventions will need to consider the brain and not just the ears of listeners.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0067
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    ABSTRACT: The purpose of this article was to highlight the importance of hearing health care beyond the clinic for older people with impaired hearing. To emphasize factors affecting the success of audiologic rehabilitation for older people and to describe practical clinical and community-based strategies to promote successful hearing health care. Older people are not always aware of the extent of their hearing loss, they may not always expect to benefit from using a hearing aid, and they often have low self-efficacy for managing to learn to use hearing aids. Increased knowledge and support from other health professionals, family caregivers and significant others could optimize older peoples' participation in everyday activities. Further work is needed to develop new interventions for older people with impaired hearing and to increase collaboration with general practitioners as well as other health-care professionals.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0077
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    ABSTRACT: The purpose of this paper is to consider the implications of age-related cognitive decline for hearing health care. Recent research and current thinking about age-related declines in cognition and the links between auditory and cognitive aging were reviewed briefly. Implications of this research for improving prevention, assessment and intervention in audiologic practice and for enhancing inter-professional teamwork were highlighted. Given the important connection between auditory and cognitive aging, and given the high prevalence of both hearing and cognitive impairments in the oldest older adults, health care services could be improved by taking into account how both the ear and the brain change over the lifespan. By incorporating cognitive factors into audiologic prevention, assessment and intervention, hearing health care can contribute to better hearing and communication, as well as to healthy aging.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0076
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    ABSTRACT: The purpose of this article is to provide an overview of the auditory needs of and approaches to management of the oldest-older adult. This paper is an overview of principles of geriatric care and implications of untreated hearing loss for function, management, and care of the oldest-older adult. Person centered care is at the heart of health care delivery to the oldest-older adult who typically suffers from multimorbidity. Given the high prevalence of moderate to severe hearing loss in this cohort and the functional limitations of untreated hearing loss, audiologists must become proactive in educating stakeholders of the import of identifying and referring the oldest old for management of hearing health care needs. Audiologists have an integral role to play in collaborating with health care professionals in optimizing health care for the oldest - older adult.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0078
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    ABSTRACT: To introduce the invited Research Forum on challenges in hearing health care for the oldest older adults. A brief overview of the three presentations in the special session is provided, along with general conclusions. Hearing health care needs of the oldest older adults are multifactorial, and are related to auditory and cognitive declines; social, emotional, and lifestyle changes; and increasing physical disabilities and other co-morbidities. Improved clinical outcomes for hearing health require personalized needs assessments by interprofessional teams and shared decision making on treatment options.
    American Journal of Audiology 04/2015; DOI:10.1044/2015_AJA-14-0075
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    ABSTRACT: The aims of this study were to use focus group discussions to: 1) evaluate the use of an educational presentation as an impetus for hearing health change, and 2) investigate hearing health from the perspective of older adults. Twenty-seven (4 male, 23 female) community-dwelling older adults attended four data-collection events. Participants attended a presentation Hearing Health in Older Adults, which was delivered by a trained presenter in a peer-teaching-peer format. Following each presentation, a focus group discussion took place. Digital audio recordings, field notes and memos of the discussions were used to create verbatim transcripts. Data were analyzed using qualitative description and thematic analysis techniques. Five central themes emerged when older adult focus groups discussed the presentation and hearing health change: Recognizing and admitting; Understanding the options; Sharing stories and experiences; Barriers and facilitators; and, the Presentation. Facilitators to hearing health change identified by participants include wide-spread education about hearing health; clarification about roles, professional motivation, and cost in hearing care; and opportunities to learn from and share personal stories with peers.
    American Journal of Audiology 03/2015; DOI:10.1044/2015_AJA-14-0073
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    ABSTRACT: PURPOSE A priming stimulus activates and increases an association with the target stimulus. The goal of this research was to investigate whether current tinnitus measures are susceptible to increased error due to priming and, if so, examine the feasibility of using the Implicit Association Test for an alternative measurement of tinnitus-related distress. METHOD Participants completed two tinnitus-related questionnaires and an Implicit Association Test (IAT) online. RESULTS While participants with tinnitus did not view sound-related words as significantly more negative and IAT scores did not predict THI scores, priming did impact negative implicit attitudes toward sound-related words. CONCLUSIONS Based on these results it is suggested that current tinnitus measures may be susceptible to priming error and future studies should continue to pursue how the IAT can be utilized in the measure of tinnitus-related distress. Moreover, researchers should develop overt-behavioral measurements that can assess the validity of a tinnitus-IAT.
    American Journal of Audiology 05/2014; 23(3). DOI:10.1044/2014_AJA-14-0013
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    ABSTRACT: OBJECTIVES There is an opportunity to create a questionnaire focused on the primary activities impaired by tinnitus and therefore more sensitive to treatments. DESIGN We developed questions on; 1) emotions, 2) hearing, 3) sleep and 4) concentration. A 20-item questionnaire was administered to 158 patients. First, confirmatory factor analysis was used to select 3 questions per domain. Second, factor analysis was used to evaluate the appropriateness of the 12-item questionnaire. RESULTS The analysis indicated that the selected questions successfully represented four independent domains. Scores were correlated with the Tinnitus Handicap Questionnaire (r = 0.77, p < 0.01) and loudness (r = 0.40, p < 0.01). The sleep subscale correlated with the Pittsburgh Sleep Index (r = 0.68, p < 0.01); the emotion subscale correlated with the Beck Inventory (r = 0.66, p < 0.01) and the Trait Anxiety questionnaire (r = 0.67, p < 0.01). The average scores went from 51 to 38% following treatment. CONCLUSIONS The Tinnitus Primary Function Questionnaire is valid, reliable, and sensitive and can be used to determine in clinical trials.
    American Journal of Audiology 05/2014; 23(3). DOI:10.1044/2014_AJA-13-0014
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    ABSTRACT: PURPOSE To evaluate the effects of policy changes on loss to follow-up rates and the ability to achieve the goals of the Joint Committee on Infant Hearing (JCIH, 2007) for diagnosis of hearing loss by three months, amplification within one month of diagnosis, and start of intervention by six months. METHODS Data were extracted from files of 111 infants including: date of birth, birth hospital, hometown, parents' ages, ethnicity, nursery status, medical history, age at initial evaluation and diagnosis, results of evaluation(s), age at hearing aid fitting and start of early intervention. Data were compared to previously published data from the clinic. RESULTS Policy changes led to a decrease in loss to follow-up and a younger age at diagnosis of hearing loss. Infants identified with hearing loss were fit with amplification at younger ages, but not within one month of diagnosis of hearing loss. Policy changes had positive outcomes on loss to follow-up and age of diagnosis and amplification. CONCLUSIONS Challenges remain in meeting the goals of amplification within one month of diagnosis and documenting the start of early intervention. Improved communication between and education of all parties involved in the care of infants is needed.
    American Journal of Audiology 05/2014; 23(3). DOI:10.1044/2014_AJA-14-0008
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    ABSTRACT: PURPOSE The purpose of the study was to examine reception thresholds for sentences (RTSs) as a function of test session (N = 5) and noise (i.e., continuous and interrupted) in normal hearing adults. It was hypothesized that RTSs would be superior in interrupted noise and would be stable across repeated testing. METHOD Twenty-five normal hearing adults participated. RTSs were determined with Hearing in Noise Test sentences in continuous and interrupted noise presented at 65 dBA. An adaptive technique was used where sentences varied in intensity to converge on a level of 50% of correct performance. Sentence lists were counterbalanced with five unique lists in each continuous and interrupted noise. RESULTS RTS signal-to-noise ratios were significantly better in the interrupted noise (p < .0001). There was no effect of test session (p = .12) or a test session by noise interaction (p = .13). CONCLUSIONS Stable RTS signal-to-noise ratios across test sessions in both noises are consistent with the notion that a learning effect was not present in noise. Further, one may conclude that Hearing in Noise Test sentences provide stable measures of sentence recognition thresholds in normal hearing adults over time so long as sentences are unique/not repeated.
    American Journal of Audiology 04/2014; 23(2). DOI:10.1044/2014_AJA-14-0005
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    ABSTRACT: PURPOSE The purpose of this study was to compare the benefits of three types of remote microphone hearing assistance technology (HAT), Adaptive Digital broadband, Adaptive Frequency Modulation (FM), and Fixed FM, through objective and subjective measures of speech recognition in clinical and real-world settings. METHODS Participants included 11 adults, ages 16 to 78 years, with primarily moderate-to-severe bilateral hearing impairment (HI) who wore binaural behind-the-ear hearing aids and 15 adults, ages 18 to 30 years, with normal hearing (NH). Sentence recognition in quiet and in noise and subjective ratings were obtained in three conditions of wireless signal processing. RESULTS Performance by the listeners with HI when using the Adaptive Digital technology was significantly better than that obtained with the FM technology, with the greatest benefits at the highest noise levels. The majority of listeners also preferred the digital technology when listening in a real-world noisy environment. The wireless technology allowed persons with HI to surpass persons with NH in speech recognition in noise with the greatest benefit occurring with Adaptive Digital technology. CONCLUSIONS The use of Adaptive Digital technology combined with speechreading cues would allow persons with HI to engage in communication in environments that would have otherwise not been possible with traditional wireless technology.
    American Journal of Audiology 04/2014; 23(2). DOI:10.1044/2014_AJA-13-0065
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    ABSTRACT: PURPOSE Hearing loss prevention has always been an important issue for audiologists. The importance of hearing loss prevention education for young musicians is now recognized by the National Association for Music Education and the National Association of Schools of Music as well. Adopt-a-band is a commercial program designed to foster hearing loss prevention behavior in young musicians. METHODS This study assessed changes in ear plug use, measured using self-report on surveys, after Adopt-a-band training. Participants were members of two high school marching bands. Participants viewed an informational DVD, and reviewed fact sheets. Flat-attenuation earplugs were distributed and training provided. In addition, study participants engaged in discussion of hearing loss with an AuD student. RESULTS Prior to training, 23% of participants reported they had used hearing protection previously. Immediately after training, 94% of participants reported they planned to use hearing protection at least occasionally. In a final end-of-season survey season, earplug use was reliably increased; 62% of participants reported they used earplugs at least occasionally. CONCLUSIONS Earplug use was increased, but self-reported behavioral change was not as robust as predicted from self-reported participant intentions. Participant comments regarding factors that influenced their earplug use decisions suggest opportunities to improve training.
    American Journal of Audiology 04/2014; 23(2). DOI:10.1044/2014_AJA-14-0001