Auditory Training Program Research Articles

Impact of an Auditory Processing Training Program on Individuals With Autism Spectrum Disorder.

Children and young adults diagnosed with autism spectrum disorder (ASD) often report and exhibit significant auditory processing difficulties, particularly in background noise. This study extends our previous work by examining the potential benefits of a 12-week auditory processing training (APT) program designed to address the auditory processing difficulties in individuals with ASD via auditory training and the use of remote-microphone technology. Effect sizes of training benefits also were calculated, and principal component analysis (PCA) was used to consolidate performance across various tests into fewer meaningful constructs related to auditory processing in this population. Twenty-eight children and young adults with ASD participated in a 12-week APT program that included one-on-one speech-in-noise training, computerized dichotic training, and use of remote-microphone technology at home and at school. Before and after training, each participant completed tests of speech recognition in noise, spatial processing, binaural integration, and general auditory processing skills. Significant performance improvements and medium-to-large effect sizes were found across most test measures after the participants completed the APT program and when using the remote-microphone system. PCA identified strong relationships among all test measures as well as documented the relationships between behavioral performance, training duration, and training improvements. The APT program significantly improved spatial processing, binaural integration, phonological processing, auditory memory, auditory cohesion, and speech recognition in noise in individuals with ASD when the remote-microphone system was used. PCA analysis of pre- and posttraining data showed a strong relationship among all test measures, suggesting an abbreviated auditory processing test battery may be feasible for individuals with ASD. Training duration (minutes) and training improvements were associated with performance outcomes measured by the test battery.

Utility of deficit-specific computer-based training on children with temporal processing deficit.

Children with temporal processing deficits struggle to detect and discriminate syllables, phonemes, and stress patterns in speech. To overcome these deficits, computer-based auditory training programs have been widely used as one of the rehabilitation alternatives in recent years. The present study aimed to examine the usefulness of one such computer-based temporal processing training (CBTPT) module on children with temporal processing deficits. Sixteen children (8-15years) with temporal processing deficits were enrolled in the study, further divided into active (CBTPT) and placebo (placebo training) groups. Further, 8 typically developing children (no training) were enrolled as a comparison group. The auditory outcome measures included Duration Pattern Test (DPT), Gap Detection Test (GDT), Dichotic CV (DCV), and Speech-in-Noise-Indian English (SPIN-IE) assessed before and after training for all three groups. Wilcoxon-sign rank test showed a statically significant difference between pre and post-test scores of DPT, GDT, and SPIN (p < 0.001) except DCV among the active group. However, no significant differences were noted in the pre and post-test scores among the placebo and TD groups. Mann Whitney U test showed a significant difference in DPT and SPIN post-training scores between active and placebo groups; active and TD group; placebo and TD group. From the above finding, it is inferred that the CBTPT module is useful among children having temporal processing deficits.

Speech-in-Noise and Dichotic Auditory Training Students With Autism Spectrum Disorder.

Individuals diagnosed with autism spectrum disorder (ASD) often exhibit auditory processing issues, including poor speech recognition in background noise and dichotic processing (integration of different stimuli presented to the two ears). Auditory training could mitigate these auditory difficulties. However, few auditory training programs have been designed to target specific listening deficits for students with ASD. The present study summarizes the development of an innovative, one-on-one, clinician-developed speech-in-noise (SIN) training program that has not been previously described and an existing dichotic auditory training program to address common auditory processing deficits in students with ASD. Twenty verbal students with ASD, ages 7-17 years, completed a one-on-one, clinician-developed SIN training program and a commercially available dichotic training program 2-3 times a week (30-45 min per session) for 12 weeks. Maximum and minimum training levels from the SIN and dichotic training programs were analyzed statistically to document changes in training level over the training period. Analyses of the pre- and posttraining data revealed significant improvements in training level for both the SIN and dichotic training programs. Overall, the proposed SIN training resulted in significant improvements in training level and may be used along with dichotic training to improve some of the most common auditory processing issues documented in verbal individuals with ASD requiring minimal support. Both types of auditory training may be implemented in one-on-one therapy in clinics and in the schools.

Enhancing Communication Ability in Hearing Aid Users: Preliminary Case Study of A Hybrid Auditory Training Approach

Auditory training programs aim to improve speech perception and communication skills in hearing aid users. Despite the effectiveness of traditional face-to-face training, logistical challenges hinder its widespread adoption. To overcome these barriers, hybrid auditory training, integrating face-to-face and self-administered sessions at home, has emerged as a potential solution. This study evaluates the efficacy of a hybrid auditory training program in enhancing communication abilities among hearing aid users. Six participants engaged in a 10-session hybrid auditory training program, comprising five face-to-face sessions conducted by professionals and five self-administered sessions at home, either independently or with family members. Training activities focused on listening to sentences with and without noise, and one and two-syllable words in noise-free conditions. Standardized assessments, including the Korean version of the matrix test, modified client-oriented scale inventory, and International Outcome Inventory-Alternative Interventions, were utilized to assess speech perception, and self-reported communication abilities. Pre- and post-training assessments demonstrated significant enhancements in speech perception in noise across various signal-to-noise ratios (0-, 5-, and 10-dB signal to noise ratio). Participants reported a slight improvement in communication ability and expressed satisfaction with their participation. The study suggests that hybrid auditory training effectively enhances communication abilities in hearing aid users, akin to traditional face-to-face methods. The hybrid approach offers flexibility and accessibility, addressing logistical challenges. Further research should explore and compare various auditory training modalities to develop tailored interventions for individuals with hearing impairments.

Current practices and opinions on auditory training in adult cochlear implant recipients

ObjectiveTo examine current practices and opinions of cochlear implant (CI) providers with respect to post-implantation auditory training. MethodsA survey was submitted to the American Cochlear Implant Alliance membership that reviewed current practice and opinions with respect to post-implantation auditory training for adult CI recipients. Main outcome measuresReview of respondent practice, center volume, role on CI team, and current usage and opinions surrounding auditory training, including resources used and schedule of use. ResultsMost (79 %) of the 79 CI providers surveyed reported working at academic centers, 34 % at high-volume centers (>150 CIs/year), and 38 % were surgeons. Nearly all (99 %) respondents recommend auditory training for new adult CI recipients. Just over half (52 %) provide auditory training resources to the patient in the form of a broad list of patient-directed exercises from which a patient could select. A specific training resource, generally a computer-based auditory training program (e.g., AngelSound™), is recommended to patients by 30 % of the respondents.Regarding timing of rehabilitation, median preferred start time was 0 months (interquartile range [IQR] 0–1) post-activation. Sessions were preferably performed for a median of 3 h per week (IQR 2–4) and continued for a median of 12 months (IQR 6–12).Recommendations for auditory training were fairly consistent between surgeon and non-surgeon providers and by center volume. Non-surgeons more often had specific recommendations on training resources, benefits of music, and training condition (e.g., contralateral ear plugged). ConclusionsDespite a lack of clinical guidelines for adult post-implantation auditory training, a cross-sectional survey of providers' current practices and opinions demonstrates that these services are widely recommended and regarded as valuable. Training is almost universally patient-directed and believed to be most beneficial if started soon after activation. Interestingly, specific recommendations for which training approaches to use are not common, suggesting a gap in provider knowledge of which resources are most efficacious.

Cognitive Auditory Training: Comparative Impact of Telerehabilitation and In-person Training

Abstract Background: Cognitive auditory approach has been shown effective in assessment and intervention with children with Central Auditory Processing Disorders (CAPD). Objective: To compare the intervention methods: telerehabilitation for synchronous auditory training through an Online Cognitive Auditory Training Program, with the traditional rehabilitation method, called acoustically controlled auditory training, carried out in person in an acoustic booth. Methods: The sample included 23 children between the ages of 7 and 9, of both genders, living in the state of São Paulo, Brazil, who were divided into two groups: Group I - 13 children undergoing telerehabilitation and Group II - 10 children undergoing auditory training in an acoustic booth. The instruments used were: i) Pediatric Speech Intelligibility (PSI) test in the ipsilateral competitive messages (ICM condition); ii) Digit Dichotic (DD) in binaural integration and separation skills test in auditory separation and integration skills. Results: In this study the following results were: a) there were statistically significant differences in the performance of children who underwent telerehabilitation for CAPD, revealing the reliability of the method, b) there were statistically significant differences both in the effect of auditory training carried out through telerehabilitation and in the effect of auditory training carried out in person, proving that the effectiveness of the two methods is equivalent, c) there were statistically significant differences in the performance of school-age students with CAPD who used the Online Cognitive Auditory Training Program, showing that the cognitive auditory approach is effective in intervention with children with CAPD. Conclusion: There is efficacy in cognitive auditory training through the telerehabilitation intervention. Results shown that intervention through the Online Cognitive Auditory Training Program support student learning and communication skills. Keywords: Auditory Processing, Cognitive Auditory Training, Telerehabilitation, Central Auditory Processing Disorders (CAPD).

The Effects of a Home Personal Computer-based Auditory Training Program on the Binaural Listening Skills of Children With Specific Learning Disability: A Protocol for a Randomized Clinical Trial

Background and Objectives: A high prevalence of central auditory processing disorders has been reported in children with learning disabilities. One of the crucial auditory processing disorders in these children is a binaural processing problem. Binaural hearing leads to improved auditory performance in noisy situations. This research aims to develop an auditory training program based on binaural interaction at the brainstem level and to investigate its effect on the binaural listening skills of children with a specific learning disability. Methods: After developing the rehabilitation program and determining its validity, this intervention study is conducted in three stages. The first stage includes baseline assessments, the second stage includes the implementation of rehabilitation intervention and the third stage consists of the re-implementation of the tests of the first stage once immediately after intervention and then once after 45 days of training. Masking level differences (MLD), Persian auditory recognition of words in noise (PARWIN), and binaural speech-auditory brainstem response (Speech-ABR) tests are the primary outcome measures. Persian randomized dichotic digits test (PRDDT), Persian pediatric competing word test (PPCWT), Persian pediatric competing sentences test (PPCST), and Persian version of the auditory processing disorder questionnaire (APDQ-P) were included as secondary outcome measures. The sample size in each intervention and control group was 15 people and the duration of training was 3 months. Conclusion: Considering the importance of brainstem function in binaural hearing, it is recommended to investigate the effectiveness of the developed binaural interaction training program in improving hearing in background noise in children with specific learning disabilities.

Research on Effective Methodology for Hearing Impairment Rehabilitation; Based on a Diary Study for Elderly OnlineAuditory Training

This study analyzes the utilization of online-based auditory training content by individuals aged 70 and above, who are the primary users of auditory training programs. Additionally, we explore effective methodologies for online-based auditory training programs by investigating the impact of differences in auditory training content on training outcomes. Two elderly individuals, one female and one male, wearing hearing aids, participated in this study. We assessed speech perception in noise at 5 dB SNR before and after auditory training. They completed a listening effort questionnaire and attended a total of 20 auditory training sessions over 7 weeks. During the training period, they maintained a “training diary” three times a week. We conducted interviews with the two audiologists who provided auditory training to objectively analyze the diary survey results. Both hearing aid users demonstrated improved speech perception in noise scores and reduced listening effort. The analysis of auditory training experiences categorized them into three types: ‘emotion-stimulating,’ ‘information-generating,’ and ‘participatory.’ These categories informed the development of strategies for online auditory training content, including: 1) personalized auditory training content using artificial intelligence, 2) integration of auditory training into senior education programs, and 3) creation of interactive online auditory rehabilitation content using bidirectional technology. The study emphasizes the need for continuous development of interactive content tailored to the demographic and lifestyle characteristics of the participants. In the context of online-based auditory training, individualized programs, such as group training and professional-led programs, are essential. Further studies are required to determine whether training outcomes can be enhanced through experience-based content.

Effects of Auditory Training in Older Adults.

This study examines the effects of an auditory training program on the auditory and cognitive abilities of older adults. Auditory rehabilitation programs are generally designed for hearing aid users, and studies have demonstrated benefits for them. In this study, we seek to understand whether such a training program can also benefit older adults who do not wear hearing aids. We also examined if cognitive benefits can indeed be observed as a result of the training. Sixty-four older adults were recruited and assigned into three groups: the experimental group (n = 20), the active control group (n = 21), and the no-training control group (n = 23). The experimental group underwent an auditory training program (Listening and Communication Enhancement [LACE]) during the training phase. Meanwhile, the active control group listened to short audio clips and the no-training control group did not participate in any program. An auditory test (Quick Speech-in-Noise [QuickSIN]) and a battery of cognitive tests were conducted before and after the training to examine the participants' performance on auditory ability, short-term memory, and attention. The results showed improvements in auditory and cognitive abilities during the training period. When assessing the training effects by comparing the pre- and the posttraining performances, a significant improvement on the QuickSIN task was found in the training group but not in the other two groups. However, other cognitive tests did not show any significant improvement. That is, the LACE training did not benefit short-term memory and attention. The improved performance on short-term memory during the training was not maintained in the posttraining session. Overall, the study has extended the auditory benefit from the LACE training to the typical aging population in terms of improved communication ability, but the effect of training on auditory abilities did not transfer to gains in cognitive abilities.

가상현실(Virtual Reality) 기반 노인난청의 청능훈련프로그램 사례연구

Objectives In this study, a virtual reality (VR) auditory training program, which was created to provide experiences similar to reality through computer software and hardware with the development of technology according to the 4th industry, was conducted with auditory training for 6 weeks (1 session per week) for two elderly people with hearing loss, and the change in word recognition and sentence comprehension ability was investigated.&#x0D; Methods For this purpose, 6 sessions of auditory training programs using virtual reality contents (eating out, go on a trip, making phone calls, watching radio, talking in public transportation (subway), using public institutions (hospital)) were provided for 6 weeks (1 session per week). The effects of the auditory training program, word recognition and sentence comprehension tests were conducted before-and-after implementing the program.&#x0D; Results The results of the virtual reality-based auditory training program for two elderly people with hearing loss are as follows: First, presbycusis A and B showed improved scores in word recognition as auditory training sessions were repeated, and training was effective even under difficult hearing conditions with noise. Second, when the pre-test and post-test values were compared, there was no significant difference in the change in word and sentence recognition of the two presbycusis.&#x0D; Conclusions This study focused on improving listening ability by conducting a daily life-oriented virtual reality auditory training program for the elderly with hearing loss. In addition, it is meaningful in that it provides motivation for hearing ability through auditory training to the elderly who have worn hearing aids for a long time and the necessity of systematic auditory training.

Survey of Auditory Training Awareness for Hearing Professionals and Elderly Individuals Using Hearing Aids

Purpose: The purpose of this study was to identify the demand for auditory training provision and survey beneficiary experience.Methods: A total of 161 participants (80 hearing professionals and 81 elderly hearing aid users) were surveyed online or in-person. Both groups completed 26 questions related to their experience of providing or receiving auditory training, awareness of need, and preference.Results: The hearing professional group was strongly aware of the need to provide auditory training to improve communication problems in elderly individuals using hearing aids, and the absence of a systematic auditory training program was the biggest factor in not providing auditory training. The elderly hearing aid user group also recognized the need for auditory training to improve communication problems, but they responded that the hassle of visiting a clinic for training and lack of training time were factors that made participation in auditory training difficult.Conclusion: Hearing professionals should expand the scope of aural rehabilitation services to provide effective auditory training programs that fit the concept of rehabilitation, rather than simply providing hearing aid fitting management services to improve communication skills. Therefore, hearing professionals should conduct an intervention program after hearing aid fitting for elderly hearing aid users so that hearing rehabilitation can be comprehensively performed according to auditory and cognitive perceptual changes. In addition, efforts are required to solve limitations that make it difficult for elderly individuals who use hearing aids to participate in auditory training, such as the development of a web-based auditory training program.

The Exploratory Study on the Development of Online Based Auditory Training Contents: Based on the Analysis of the Application for Auditory-Training for the Elderly in their 70s and Older

Purpose: Due to the recent COVID-19 pandemic, the importance of teleservices such as telemedicine and digital treatment is increasing. Interest in teleservice is also growing in the filed of audiology. The increase in the demand for remote hearing services will likely lead to the need for online-based auditory training programs. This study aims to investigate and analyze the usage behaviors and functions, the satisfaction of the developed online-based auditory training program, and to suggest the implications of development directions for the online-based auditory training program.Methods: Individual in-depth interviews were conducted. Eleven participants, including five 70s~80s elderly hearing aids users, two program developers, three audiologists, and one professor of audiology, were recruited.Results: Three themes emerged from the interviews were; analysis contents in online-based auditory training, maximized ease of voluntary auditory training, and individualized contents required for the auditory training.Conclusion: The study results highlighted that online-based auditory training needs familiar, easy, short, technology strategy for elderly users with hearing loss. First, familiar topics greatly benefit elderly users because they do not want to learn new and diverse issues. Also, there was a need to provide contents that could attract individual interest using advanced technology. Second, short sentences must be quickly visualized to encourage participantation in the auditory training. Third, ease accessibility to the system for auditory training program is needed. Lastly, the elderly users were proud to use new technology for auditory training, so the professionals must encourage them to continue it. In addition, professionals pointed out that qualified professionals provide the auditory training service and need government support, such as voucher service, for the auditory training. These outcomes will contribute to refining the devleoped online-based auditory training program.

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Students Aged Between 8 and 12 years.

BACKGROUND Learning to read and write depends on the effective functioning of various sensory systems, including the auditory system. Auditory information processing involves behavioral and electrophysiological processes. Electrophysiological procedures are used to investigate activity in the auditory pathway in response to sound stimuli, and the associated cortical activity in discrimination, integration, and attention. The study evaluated electrophysiological testing for an auditory processing disorder and reading performance in 54 school students aged between 8 and 12 years. MATERIAL AND METHODS The study involved 54 public school students aged between 8 and 12 years, who were divided into a study group and control group. All children underwent basic audiological assessment, rating of reading and writing ability, non-verbal intelligence, auditory brainstem response, long-latency auditory-evoked potentials (LLAEP), frequency following responses (FFR), and auditory training (AT). RESULTS The basic audiological evaluation showed a statistically significant difference between groups only for the frequency of 6 kHz. The LLAEP response had a statistically significant difference between groups for N1 latency, P300 latency, and amplitude. Finally, there was a statistically significant difference between pre-AT and post-AT to LLAEP for latencies of P2, N2, and P300 and amplitudes of N2 and P300, and to FFR for latency of wave C. CONCLUSIONS This study showed that electrophysiological tests are sensitive tools for identifying deficits in the auditory pathway. Moreover, latency measures can detect improvements from an auditory training program. In this way, an auditory intervention program might help children with reading and writing difficulties.

Evaluating compliance on a gamified auditory training task in Veterans

Service members and Veterans are regularly exposed to environmental factors that have been shown to contribute to hearing deficits. These listening deficits may present as auditory processing complaints such as difficulty listening in background noise in the absence of a peripheral hearing loss. The public app, Listen: An Auditory Training Experience, developed by University of California Riverside Brain Game Center, aims to improve overall speech comprehension by targeting skills related to spectro-temporal modulations, spatialized sound cues, and auditory memory tasks. Ten Veterans participated in a two-week gamified auditory training program. Compliance on the auditory training tasks was assessed by monitoring the number of trials accomplished each day, accuracy above chance, reaction time, and improvements in performance over time. Improvements were also monitored for untrained auditory tasks, such as speech-in-noise performance and a battery of central auditory processing assessments.

Effect of an Auditory Temporal Training Program on Speech Fluency of Children with Developmental Stuttering.

The present study aims to investigate the effect of a temporal processing-based auditory training program on alleviating stuttering severity in children diagnosed with auditory temporal processing disorders. Thirty-one children with stuttering diagnosed with auditory temporal processing disorders participated in this study (intervention group: 17 participants between seven to 12 years old; control group: 14 participants between eight to 12 years old). The auditory temporal processing test and Stuttering Severity Instrument-3 (SSI-3) were examined before/after 12 sessions (nearly 540 minutes) of training and three months following the conclusion of the intervention. According to the results, auditory temporal processing improved significantly in the intervention group after temporal processing-based auditory training. Besides, the differences between the intervention and control groups were significant (P<0.05). The improvement of auditory temporal processing skills remained stable in the post-training evaluation after three months (P>0.05). Although the SSI-3 score was somewhat improved in the intervention group, no significant difference was found between the two groups (P=0.984). The findings revealed that auditory temporal processing training acted as a complementary therapy alleviating the stuttering severity of children who stutter with auditory temporal processing disorders to some extent.

Treinamento auditivo cognitivo em sujeitos após COVID-19: uma análise dos efeitos da intervenção em adultos

ABSTRACT Purpose To analyze the effectiveness of a therapeutic intervention plan through an existing cognitive auditory training program, adapted for adults, after one year of COVID-19 infection. Methods 13 subjects, between 18 and 59 years old, four males and nine females participated in the study. All underwent anamnesis, visual inspection of the external acoustic meatus, pure tone audiometry, speech audiometry and acoustic immitance measurements as selection procedures. For the research, the following procedures were carried out in the evaluation and reassessment: evaluation of central auditory processing, brief neuropsychological evaluation - NEUPSILIN, Speech, Spatial and Qualities of Hearing Scale and the Cognitive Potential - P300 with speech stimulus. Cognitive auditory training was carried out in six consecutive sessions, in an open field, lasting approximately 50 minutes. In all analyses, a significance level of 5% (p≤0.05) was considered. Results When comparing the variables between the periods, pre and post intervention, there was a statistically significant difference in the Dichotic Digit Test (p = 0.009), in the Frequency Pattern Test (p = 0.020) and in Speech, Spatial and Qualities of Hearing Scale (p = 0.001). And a tendency to significance (p &lt; 0.10) in the Gap in Noise test and Total Attention. Conclusion Cognitive auditory training proved to be an effective therapeutic strategy for the treatment of adults with speech comprehension and cognition complaints after COVID-19 infection.

Effectiveness of a kinaesthetic perception visual and auditory training program to improve the hockey performance

Effectiveness of a kinaesthetic perception visual and auditory training program to improve the hockey performance

Assessment of outcome measures after audiological computer-based auditory training in cochlear implant children

ObjectiveTo validate the clinical use of acoustic change complex (ACC) as an objective outcome measure of auditory training in Egyptian cochlear implant (CI) children and explore how far electrophysiological measures could be correlated to behavioral measures in assessing training outcome. Also to explore the efficacy of computer-based auditory training programs (CBATP) in the rehabilitation process of CI children. MethodsSixty Arabic speaking children participated in the present study. Forty children using monaural CI device served as study group (20 children in subgroup A and 20 children in subgroup B). Both subgroups received traditional speech therapy sessions, additionally subgroup (A) children received computer-based auditory training program (CBATP) at home for three months. Their age ranged from 8 to 17 years. 20 age and sex-matched normal hearing children served as control group as a standardization for the stimuli used to elicit ACC. The study group children were subjected to detailed history taking, parent reported questionnaire (MAIS, Arabic version), aided sound field evaluation, psychophysical evaluation using auditory fusion test (AFT), speech perception testing according to language age, ACC in response to gaps in 1000 Hz tones and language evaluation. This work-up was repeated after 3&6 months for both study subgroups. ResultsChildren of study subgroup (A) showed improvement of auditory fusion test (AFT) thresholds at 3 & 6 months post-training follow up. As regards acoustic change complex (ACC), it can be detected in 85% of subgroup (A) children, 85% of subgroup (B) children and 100% of control group children. Lower ACC gap detection thresholds were obtained only after 3 months in subgroup (A), while after 6 months in subgroup (B). There were statistically significant differences between initial assessment and 3 & 6 months follow up as regards ACC P1 and N2 latencies and amplitudes in both study subgroups, however in subgroup (A), ACC P1 amplitude at 6 months post-training was significantly larger than values of 3 months follow up. There was highly significant correlation between thresholds of AFT and ACC gap detection threshold. ConclusionsACC can be used as a reliable tool for evaluating auditory training outcome in CI children. ACC gap detection threshold can predict psychophysical temporal resolution after auditory training in difficult to test population. CBATP is an easy and accessible method which may be effective in improving CI outcome.

Effect of Serious Gaming on Speech-in-Noise Intelligibility in Adult Cochlear Implantees: A Randomized Controlled Study.

Listening in noise remains challenging for adults with cochlear implants (CI) even after prolonged experience. Personalized auditory training (AT) programs can be proposed to improve specific auditory skills in adults with CI. The objective of this study was to assess serious gaming as a rehabilitation tool to improve speech-in-noise intelligibility in adult CI users. Thirty subjects with bilateral profound hearing loss and at least 9 months of CI experience were randomized to participate in a 5-week serious game-based AT program (n = 15) or a control group (n = 15). All participants were tested at enrolment and at 5 weeks using the sentence recognition-in-noise matrix test to measure the signal-to-noise ratio (SNR) allowing 70% of speech-in-noise understanding (70% speech reception threshold, SRT70). Thirteen subjects completed the AT program and nine of them were re-tested 5 weeks later. The mean SRT70 improved from 15.5 dB to 11.5 dB SNR after 5 weeks of AT (p < 0.001). No significant change in SRT70 was observed in the control group. In the study group, the magnitude of SRT70 improvement was not correlated to the total number of AT hours. A large inter-patient variability was observed for speech-in-noise intelligibility measured once the AT program was completed and at re-test. The results suggest that serious game-based AT may improve speech-in-noise intelligibility in adult CI users. Potential sources of inter-patient variability are discussed. Serious gaming may be considered as a complementary training approach for improving CI outcomes in adults.

Entina HearSmart: a novel mobile based auditory training app for better adaptation of hearing aids

&lt;p class="abstract"&gt;&lt;strong&gt;Background: &lt;/strong&gt;The most common intervention prescribed for hearing impaired individuals is hearing aids. It has been noticed that in spite of using hearing aids, elderly individuals with hearing impairment, still struggle in hearing and understanding. Therefore, additional intervention is required for auditory rehabilitation to ease the adaptation of hearing aids. Evidence from studies published in the recent years suggests that, auditory training is likely a useful tool to improve speech perception and other cognitive skills in patients with hearing loss with and without the use of hearing aids. The aim of the study was to test the usefulness of our mobile app-based auditory training program to increase speech reception and communication and thereby improve hearing aid adaptability in patients with sensorineural hearing loss who have been fitted with a hearing aid.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods: &lt;/strong&gt;40 patients were selected for the study, they were divided into 2 groups: Group 1 consisted of 20 patients who received auditory training using Entina HearSmart Android App, Group 2 consisted of 20 patients who received no auditory training (Control group).&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results: &lt;/strong&gt;The results showed that performance on the vowel, consonant and sentence tests in noise was significantly increased in patients who used our app for auditory training compared with that of the Non-Training Group.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Entina HearSmart is a free, standardized and easy way to improve the outcome of hearing aids in adults and must be prescribed when a hearing aid has been fitted. When used sincerely after hearing aids have been fitted, using our app can significantly improve communication and thereby improve hearing aid adaptability.&lt;/p&gt;