The first objective was to determine the relationship between speech level, noise and signal ratio (SNR), as well distribution of SNR, in real-world situations wherein older adults with hearing loss are listening speech. second develop a set prototype (PLSs) that describe availability visual cues, locations sources typical experienced by these individuals.Twenty mild moderate carried digital recorders for 5 6 weeks record sounds 10 hours per day. They also repeatedly completed situ surveys...

The purpose of the study was to characterize psychometric functions that describe task performance in dual-task listening effort measures as a function signal noise ratio (SNR).Younger adults with normal hearing (YNH, n = 24; experiment 1) and older impairment (n 2) were recruited. Dual-task paradigms wherein participants performed primary speech recognition simultaneously secondary conducted at wide range SNRs. Two different tasks used: an easy (i.e., simple visual reaction-time task) hard...

The purpose of this study was to determine the impact a digital noise reduction (DNR) scheme implemented in current commercial hearing aid. In double-blinded design, three conditions onset time (4, 8, 16 seconds) were randomly assigned 25 subjects, plus one condition wherein noise-reduction feature disengaged. Subsequently, fifth trial/condition, subject had access memories which different onsets programmed, carried out. For each five conditions, subjects an at-home trial, prior obtaining...

The purpose of the present study was to investigate laboratory efficacy and real-world effectiveness advanced directional microphones (DM) digital noise reduction (NR) algorithms (i.e., premium DM/NR features) relative basic-level features contemporary hearing aids (HAs). also examined effect HAs basic no features.

Ecological momentary assessment (EMA) is a methodology involving repeated assessments/surveys to collect data describing respondents' current or very recent experiences and related contexts in their natural environments. The use of EMA audiology research growing.This study examined the construct validity (i.e., degree which measurement reflects what it intended measure) terms measuring speech understanding listening context. Experiment 1 investigated extent individuals can accurately report...

Abstract Studies have examined listening effort in individuals with hearing loss to determine the extent of impairment. Regarding cochlear implants (CIs), results suggest that is improved using bilateral CIs compared unilateral CIs. Few studies investigated and outcomes related hybrid CI. Here, we across three CI groups, a normal-hearing control group. The impact listener traits, is, age, age at onset loss, duration use, working memory capacity, were relative effort. participants completed...

Background: Listening demand, or auditory lifestyle, is an important factor that needs to be considered when selecting a hearing aid and specific amplification features. Although elderly adults often report having fewer listening demands, lifestyles of people in different age groups have not been objectively quantified compared. it assumed the social older adults, e.g., retirement, place demands on hearing, this assumption has examined empirically. Purpose: The purposes current study were...

In Brief Objectives: The dual-task paradigm has been widely used to measure listening effort. primary objectives of the study were (1) investigate effect hearing aid amplification and a directional technology on effort measured by complicated, more real world (2) compare results obtained with this simpler laboratory-style paradigm. Design: adults impairment was using two paradigms, wherein participants performed speech recognition task simultaneously either driving in simulator or visual...

The aim of this study was to compare the benefit self-adjusted personal sound amplification products (PSAPs) audiologist-fitted hearing aids based on speech recognition, listening effort, and quality in ecologically relevant test conditions estimate real-world effectiveness.Twenty-five older adults with bilateral mild-to-moderate loss completed single-blinded, crossover study. Participants underwent aided testing using 3 PSAPs a traditional aid, as well unaided testing. were adjusted...

Objectives: The objective of this study was to evaluate the sensitivity and reliability one subjective (rating scale) three (dual-task paradigm, pupillometry, skin conductance response amplitude) measures listening effort across multiple signal noise ratios (SNRs). Design: Twenty adults with normal hearing attended two sessions listened sentences presented in quiet stationary at different SNRs: 0, –3, –5 dB. Listening assessed by examining change reaction time paradigm), peak pupil diameter...

Objectives: The impact of social distancing on communication and psychosocial variables among individuals with hearing impairment during COVID-19 pandemic. It was our concern that patients who already found themselves socially isolated (Wie et al. 2010) as a result their loss would be perhaps more susceptible to changes in habits resulting further isolation, anxiety, depression. We wanted better understand how forced isolation (as part mitigation) effected group from an auditory ecology...

Objectives Microinteraction-based Ecological Momentary Assessment (micro-EMA) is a smartwatch-based tool that delivers single-question surveys, enabling respondents to quickly report their real-time experiences. The objectives of the two studies presented here were evaluate micro-EMA's psychometric characteristics and feasibility across three response formats (2-point, 5-point, 10-point scales) for adults with hearing loss. Design In first study, thirty-two participants completed dual-task...

Auditory lifestyle, which refers to the variety, range, and types of auditory environments individuals encounter in their daily lives, can affect individuals' communication functions moderate outcomes hearing interventions. This study aimed determine factors associated with adult cochlear implant (CI) users' lifestyle. observational included 209 CI users. The examined sex, age, social network characteristics, geographical location residence, cognitive functioning, speech recognition...

Importance The poor affordability of hearing aids (HAs) limits their adoption. To justify higher costs, HAs fitted by audiologists (AUD service model) and high-end should deliver better outcomes than over-the-counter (OTC) models low-end HAs. Objective determine the effect HA (AUD, OTC, a hybrid OTC+ technology levels (high end low end) on patient outcomes. Design, Setting, Participants This randomized clinical trial was conducted at University Iowa Vanderbilt Medical Center in research...

Purpose This dual-aim study was intended to develop and validate a new fitting paradigm for over-the-counter (OTC) hearing aids. Aim 1 undertaken create limited set of evidence-based preconfigured gain-frequency responses ("presets") use in OTC devices. 2 tested the efficacy presets relative best-practice verification determined best method(s) older adults self-select amplification from set. Method In 1, audiometry data 267 with mild-to-moderate sensorineural loss were obtained National...

In Brief Objectives: The acceptable noise level (ANL) test determines the maximum that an individual is willing to accept while listening speech. first objective of present study was systematically investigate effect wide dynamic range compression processing (WDRC), and its combined with digital reduction (DNR) directional (DIR), on ANL. Because ANL represents lowest signal-to-noise ratio (SNR) a listener accept, second examine whether hearing aid output SNR could predict aided across...

AudioSense integrates mobile phones and web technology to measure hearing aid performance in real-time in-situ. Measuring the of aids real world poses significant challenges as it depends on patient's listening context. uses Ecological Momentary Assessment methods evaluate both perceived well characterize environment using electronic surveys. further characterizes a context by recording their GPS location sound samples. By creating time-synchronized record contexts, will allow researchers...

This paper evaluates the relationship between auditory contexts, hearing aid features, and outcomes based on real-world measurements. We use a mobile phone application to concurrently evaluate contexts using Ecological Momentary Assessments. The collecte

In Brief Objectives: The purpose of the laboratory tests current investigation was to examine how visual cues impact directional (DIR) benefit and preference for DIR microphone hearing aid (re: omnidirectional [OMNI] microphone). Specifically, three hypotheses were examined: (1) presence would improve OMNI-aided performance ceiling levels therefore reduce preference, (2) measured in audiovisual (AV) condition could not be predicted by that using auditory-only (AO) testing, (3) with cues,...

Despite the recognition that directional microphone hearing aid (DMHA) is an important intervention aimed at helping older hearing-impaired adults understand speech in noisy environments, there little evidence listeners can actually benefit from processing.The objective of this study was to determine if and younger obtain perceive comparable afforded by DMHAs.Twenty-four aged 36 through 79 yr were fit with switchable-microphone aids tested laboratory field.In laboratory, listeners'...

Objectives: To determine the validity and usefulness of entropy computed using ecological momentary assessment (EMA) data as a measure auditory environment diversity. Design: We conducted two secondary analyses on existing EMA datasets. The first determined construct by examining effect COVID-19 entropy. demonstrate entropy’s usefulness, second examined if could predict benefit hearing aid (HA) noise reduction features. Results: Consistent with known social lifestyle, significantly reduced...

Individuals with impaired hearing experience difficulty in conversations, especially noisy environments. This often manifests as a change behavior and may be captured via facial expressions, such the expression of discomfort or fatigue. In this work, we build on idea introduce problem detecting loss from an individual's expressions during conversation. Building machine learning models that can represent hearing-related changes is challenge. addition, need to disentangle spurious age-related...

The field tests performed in the current investigation examined how visual cues impact benefit provided by directional (DIR) microphone hearing aids real world. Specifically, study tested hypotheses that (1) provision of would reduce preference for DIR processing (re: omnidirectional [OMNI] microphone) and (2) laboratory audiovisual (AV) testing predict real-world outcomes better than auditory-only testing.The same 24 hearing-impaired adults enrolled this compared modes (DIR versus OMNI...