My intent here is to summarize the approach that I use. YMMV.
After over a decade of self-programming my various Phonak HAs and hundreds of adjustments using Phonak’s Target software, I have found, in the end, the following approach works best for me. Wish I had known this when I first started. So, I’m offering my approach here for others who might be wondering where to start. I am assuming, if you are here, that you have Target software and a Noahlink Wireless (or another brand equivalent). I am also assuming you are attempting to program your HAs yourself and already know that a competent audiologist who can perform REM adjustments can most likely get the best outcome for your hearing loss. Finally, the approach I am suggesting you try here is one that I notice several other experienced and longtime DIYers are using as well. Try it, as a starting point, and fiddle if you must from there. I fiddled first, for years, and arrived here. So, I hope this approach works for you and saves you some time.
How to self-program
Acoustic Parameters
Dome choice makes a difference. Each change/experiment of dome type and size requires repeating AudiogramDirect and Feedback & real ear test. The recommended receiver and dome from the Target software (designated by the “Target” symbol) worked the best for me.
Fitting
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Use “AudiogramDirect” and “Feedback & real ear test” to measure your hearing loss. By all means start with an actual hearing test audiogram but I find that using AudiogramDirect gives different (and much better) results. One small adjustment up or down (5 dbs) makes a perceptible difference.
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I also attempt to fine tune my results with “Overtuning” (found on the “Feedback & real ear test” screen in Target software) and can find the point where higher dBs are crisp but not artificial. Adjusting this is an iterative process based on trial and error.
Global tuning
I recommend beginners use the following:
Adaptive Phonak Digital 2.0
Gain Level 100%.
Occlusion Compensation “Off”.
Compression “Prescribed compression”
SoundRecover2 “selected/On”
Fine tuning
Use Target’s default settings for everything. SoundRecover 2.0 certainly has a significant effect but I found, for me, the default settings work best. Same with all the other possible adjustments Target provides. I’ve probably tried hundreds of settings now over the years but have settled on only changing the items described in Fitting - Steps 1) and 2) above, as the drivers of my DIY fine tuning. I play classical guitar and use that along with the Music program to determine the ideal settings as a DIYer.
Good luck!
