

Request
Appointment
The Role of Evidence-Based Hearing Care in Our Practice
When you visit an audiologist, you deserve care that's based on solid scientific evidence rather than outdated methods or unproven marketing claims. At Hearing & Balance Solutions in Charlotte, NC, we prioritize evidence-based practice in everything we do, from initial hearing assessments to ongoing treatment and follow-up care.
What is Evidence-Based Audiology?
Evidence-based audiology means making clinical decisions based on three key factors: the best available scientific research, our clinical expertise, and your individual needs and preferences. This approach ensures that the hearing solutions we recommend are proven effective and tailored specifically to you.
Research in hearing science and audiology has advanced significantly in recent years, with new discoveries about how we process sound and how hearing technology can better support that process. We stay current with these developments to provide you with the most effective care possible.
Real Ear Measurement: The Gold Standard
One of the most important evidence-based protocols we follow is Real Ear Measurement (REM). This objective verification method ensures your hearing aids are properly programmed for your specific hearing loss.
During REM, we place a tiny microphone in your ear canal to measure exactly how sound is being delivered by your hearing aids. This allows us to verify that your devices are providing the right amount of amplification across all frequencies, rather than simply relying on manufacturer settings.
Research consistently shows that hearing aids fitted using REM provide better outcomes than those fitted without it. Yet surprisingly, fewer than 30% of hearing care providers consistently use this critical measurement. Dr. Gosu is proud to be recognized as a Dr. Cliff approved Best Practice Pro provider, committed to following these evidence-based protocols.
How Research Guides Our Technology Recommendations
The hearing aid industry introduces new technology regularly, but not all innovations deliver meaningful benefits. We evaluate new features based on peer-reviewed research to determine which advancements actually improve hearing outcomes.
AI-Driven Hearing Technology
Recent research shows significant benefits from artificial intelligence in hearing aids. For example, the Starkey Edge AI hearing aids we offer use machine learning algorithms to separate speech from background noise more effectively than traditional processing methods.
Studies demonstrate that this approach can improve speech understanding in noisy environments by up to 30% compared to older technologies. The Edge AI also includes a G2 Neuro Processor with an integrated neural processing unit for real-time sound processing and Bluetooth Low Energy Audio connectivity.
Dual-Chip Processing in Modern Hearing Aids
Research into how the brain processes sound has led to innovations like the dual-chip architecture in the Phonak Infinio Sphere. The DEEPSONIC chip handles AI processing for speech-in-noise separation, while the ERA chip manages core sound processing and connectivity.
This design reflects our understanding that speech processing requires both speed and computational power. Studies show this approach can provide up to 10 dB improvement in signal-to-noise ratio, making conversations in noisy settings significantly clearer.
Reducing Signal Distortion
The Widex Moment hearing aids we offer feature PureSound technology, which addresses a problem identified in research studies: the delay between processed and unprocessed sound reaching the eardrum.
This delay creates a comb-filtering effect that degrades sound quality. By using ultrafast signal processing (ZeroDelay technology), Widex Moment minimizes this delay, resulting in more natural sound. Research participants consistently rate the sound quality higher than conventional processing.
The Latest Research-Backed Hearing Aid Options
Our practice offers several hearing aid options that incorporate evidence-based innovations:
Oticon Intent
Oticon Intent represents the latest evolution of Oticon's research-based BrainHearing philosophy, which focuses on delivering speech signals in a way that works with your brain's natural processes. Research shows this approach reduces the cognitive effort required to understand speech, particularly in complex listening environments.
ReSound Vivia
ReSound Vivia features Intelligent Focus technology, which directs microphones based on where you're looking. This builds on research showing that we naturally turn toward sound sources of interest, and aligning hearing aid directionality with this natural behavior improves speech understanding in noise.
Widex Moment and SmartRIC
The new Widex SmartRIC features an innovative L-shaped design with an elevated microphone position. This design is based on research showing improved signal capture when microphones are optimally positioned relative to the ear. Studies demonstrate this configuration provides better signal-to-noise ratios in challenging environments.
Evidence-Based Balance Testing
Our commitment to evidence-based care extends to our balance testing services. We use Videonystagmography (VNG) and innovative Topple Diagnostics, both backed by extensive research validating their accuracy in diagnosing vestibular disorders.
Johns Hopkins research shows that one-third of Americans over 40 have vestibular disorders, increasing to half for those over 60. Our comprehensive testing protocols follow established clinical guidelines to accurately identify the specific type of balance disorder and determine the most effective treatment approach.
Individualized Care Based on Research
While research guides our general approach, evidence also shows that hearing care must be individualized. We apply research findings within the context of your unique needs:
Speech-in-Noise Testing
Standard hearing tests measure your ability to hear tones in quiet environments, but research shows this doesn't fully predict real-world performance. We perform additional speech-in-noise testing to better understand your specific hearing challenges in realistic situations.
Cognitive Factors
Research has established strong links between hearing, cognition, and brain health. We consider these connections when recommending treatment options, especially for patients concerned about cognitive decline. Hearing aids that reduce listening effort may provide cognitive benefits beyond improved hearing.
Lifestyle Analysis
Studies show that hearing aid success depends partly on matching technology to individual lifestyle needs. We use structured assessment tools to analyze your communication requirements in various environments, ensuring recommendations that align with your daily activities.
Patient Education as an Evidence-Based Practice
Research consistently shows that patients who understand their hearing loss and treatment options have better outcomes. We take time to explain your test results using clear language and visual aids. This educational approach is not just good customer service—it's an evidence-based strategy for improving treatment adherence and satisfaction.
Ongoing Care and Adjustment
Evidence demonstrates that successful hearing aid use requires proper follow-up care. Initial fittings rarely provide optimal results without fine-tuning based on your real-world experience. Our follow-up protocols reflect research showing that systematic adjustment based on your feedback significantly improves long-term outcomes.
Research on Hearing Loss and Overall Health
Beyond hearing technology, we apply research on the broader health impacts of hearing loss. Studies link untreated hearing loss to increased risk of cognitive decline, social isolation, and depression. We discuss these connections with patients, as research shows this information often motivates people to address hearing problems they might otherwise ignore.
We believe you deserve to understand the evidence behind our recommendations. When discussing treatment options, we explain the relevant research in straightforward terms. This transparency builds trust and helps you make informed decisions about your hearing care.
The HearingUp Network: A Commitment to Excellence
Dr. Gosu is proud to be a member of the HearingUp Network, a select group of audiologists who have demonstrated their commitment to providing the highest standard of hearing care. As an approved HearingUp provider, Dr. Gosu follows specific protocols and best practices that have been shown through research to produce the best outcomes for patients.
Membership in this network reflects Dr. Gosu's dedication to ongoing education and implementation of evidence-based methods in his practice. This means you can be confident that the care you receive is aligned with the latest research and proven clinical approaches.
Schedule Your Evidence-Based Hearing Evaluation
If you're ready to experience the difference that evidence-based hearing care can make, we invite you to schedule an appointment at our new South Park location in Charlotte. Dr. Gosu will take the time to thoroughly assess your hearing, explain your results in clear terms, and recommend solutions based on solid scientific evidence and your individual needs.
Our practice combines the latest research with personalized care to help you achieve the best possible hearing outcomes. Call us at (704) 912-4422 to schedule your appointment and discover how evidence-based hearing care can improve your quality of life.
Dr. Goutham Gosu has been practicing Audiology for the past 18 years and specializes in pediatric and adult hearing healthcare. He completed his graduate degree at Ohio University and received his doctorate in Audiology from AT Still University.