Hearing Aid Users Research Articles

Research Progress on Embryonic Development, Genetic Regulation and Clinical Management of Congenital Middle Ear Malformations

ABSTRACTCongenital middle ear malformations are a common hearing defect in newborns, primarily characterised by abnormal middle ear structures, particularly underdeveloped or malformed ossicular chains, resulting in conductive hearing loss. This article provides a comprehensive review of the embryonic development process of the middle ear and the genetic regulatory mechanisms, with a focus on the Tbx1 gene, which is closely related to middle ear development. Studies have shown that the Tbx1 gene plays a crucial role in the migration of neural crest cells and the formation of middle ear structures, and its mutation or abnormal expression can lead to developmental defects of the middle ear structure. These gene mutations affect downstream signalling pathways (such as FGF8, FGF10 and BMP4), which are essential in the formation of the ossicles, ear canal and middle ear cavity. Additionally, this article discusses the aetiology of congenital middle ear malformations, associated syndromes, clinical manifestations, classification, diagnosis and treatment strategies. Diagnostic methods for middle ear malformations include audiological examinations, imaging studies and genetic testing. Early diagnosis and intervention, such as surgical correction and the use of hearing aids, can help improve the hearing and quality of life of patients. This article aims to provide a reference and basis for further etiological research and precise treatment by elucidating the mechanisms and clinical features of middle ear malformations.

A hypothetical intervention on the use of hearing aids for the risk of dementia in people with hearing loss in UK Biobank.

Observational studies have reported that hearing aid (HA) use is associated with a reduced risk of dementia diagnosis, suggesting a possible protective effect. However, extant observational studies do not explicitly model causal effects, while randomised controlled trials on the effect of HA on dementia exhibit short follow-up. Here we used self-report, hearing tests, and healthcare records in UK Biobank to design a hypothetical intervention for the effect of HA use on the risk of dementia diagnosis in people with incident hearing loss (HL). HA users exhibited a higher risk of dementia diagnosis than non-users (RR=1.43, 95%CI=1.08-1.88). Associations between HA use and dementia diagnosis were robust across sensitivity analyses (RRs: 1.34-1.59) but adjustment for primary healthcare utilisation (0.77, 0.44-1.33) or primary and secondary care utilisation (0.68, 0.39-1.18) substantially decreased the observed effect. The decrease in effect estimates upon adjustment for primary (1.30, 0.95-1.78) and primary and secondary healthcare utilisation (1.30, 0.94-1.78) was smaller when participants with relatively early diagnoses of HL were included in the sample compared to when they were not. While the findings are not conclusive, they suggest residual confounding by healthcare utilisation and dating of HL diagnosis in participants without primary care data in UK Biobank.

Speech recognition and real-ear-measured amplification in hearing-aid users with various grades of hearing loss

Objective The relationship between aided speech recognition and hearing-aid (HA) amplification was investigated in a retrospective study. Design and study sample Pure-tone thresholds, aided and unaided speech recognition and real-ear measurements of 635 ears in 374 HA users were reviewed. Ears were classified according to pure-tone average (PTA) and real-ear aided response (REAR) in relation to the targets of NAL-NL2 and DSL v5.0. Results For DSL v5.0, compared with NAL-NL2, higher amplification was calculated almost consistently for input levels of 65 and 80 dB SPL. Speech-recognition scores were best when the REAR reached ±5 dB or exceeded 5 dB the DSL v5.0 target and were lowest when the REAR fell more than 5 dB below the NAL-NL2 target. Conclusions The greatest impact of the REAR on speech recognition was observed at hearing losses between 50 and 80 dB HL. It was found that to optimise speech recognition and audibility for patients in this range HA fittings should target DSL v5.0 prescription values. For hearing losses below 50 dB HL, both NAL-NL2 and DSL v5.0 may be considered for HA fitting. However, for hearing losses above 80 dB HL, aided speech recognition is insufficient in most cases.

Device Use Among Spanish-English Bilingual and English Monolingual Children Who Are Deaf and Hard of Hearing.

This report compares device use in a cohort of Spanish-English bilingual and English monolingual children who are deaf and hard of hearing, including children fitted with traditional hearing aids, cochlear implants (CIs), and/or bone-conduction hearing devices. Participants were 84 Spanish-English bilingual children and 85 English monolingual children from clinical sites across the United States. The data represent a subset obtained in a larger clinical trial. Device use obtained via data logging was modeled as a function of language group, device type, child age, sex, and parental education. Among children with traditional hearing aids, bilingual children wore their devices significantly fewer hours per day than monolingual children, but this group difference was not observed for children with CIs or bone-conduction hearing devices. In the monolingual group, older children wore their devices significantly more hours than younger children, but this effect of age was not present in the bilingual group. Parent report was consistent with data logging for bilingual and monolingual children. Spanish-English bilingual hearing aid users wore their devices less than their English monolingual peers, particularly among older children. This group effect was not observed for children with CIs or bone-conduction hearing devices. Additional studies are needed to identify factors that contribute to device use among bilingual children with hearing aids.

Evaluation of Communication Outcomes With Over-the-Counter Hearing Aids.

Over-the-counter (OTC) hearing aids are a treatment option for adults with mild-to-moderate hearing loss. Previous investigations demonstrated the benefits of OTC hearing aids, primarily self-fit OTCs (i.e., self-adjustable with a smartphone or tablet), on self-reported hearing aid benefit and speech recognition using standardized measures. However, less is known regarding whether OTC hearing aids effectively improve aspects of everyday communication, particularly with preprogrammed OTCs (i.e., OTCs with manufacturer-defined programs). The goal of this study was to evaluate the benefits of preprogrammed OTC hearing aids for two important aspects of communication: (1) conversation efficiency, or the time taken during conversations with a familiar communication partner (e.g., one's spouse) and (2) auditory recall following speech recognition, a critical aspect of participation during conversations. This study used a within-subject design with thirty adults with mild-to-moderate hearing loss and their familiar communication partners. Participants were fitted with preprogrammed OTC hearing aids using the default program with the best match to target for each listener. The primary outcome measures were conversation efficiency and auditory recall. Speech recognition-in-noise served as a secondary measure. Conversation efficiency was evaluated using the DiapixUK task, a "spot-the-difference" conversation task in quiet, and measured as the sum of time taken to correctly identify differences between two similar pictures. Within-subject comparisons were made for hearing aid condition (without and with OTC hearing aids in the default setting). Auditory recall was assessed with the Repeat and Recall Test following speech recognition-in-noise with low- and high-context sentence presentations at 5- and 10-dB signal to noise ratios. In addition to the mentioned hearing aid conditions, an additional comparison was made with the OTC hearing aid noise-reduction program. Linear mixed-effects models were used to evaluate the effect of OTC hearing aid use on primary measures of efficiency and recall. Friedman signed-rank test was used to evaluate speech recognition scores. We did not find a significant improvement in conversation efficiency with OTC hearing aid use compared with the unaided condition. For auditory recall, we observed the poorest median recall scores with the default program and the best median scores with the noise-reduction program, although neither observation was statistically significant. Sentence recognition scores were near ceiling in the unaided condition and were poorest with use of the OTC hearing aids in the default program across most signal to noise ratio and context test conditions. Our findings did not show improvements in communication outcomes with OTC hearing aid use. Small to medium effect sizes for our data may be indicative of the limitations of the OTC hearing aids to improve communication outcomes for our sampled population and communication scenarios. The results of this study provide insights into the effects of OTC hearing aids on communication abilities at first fitting. We identified features of preprogrammed OTC hearing aids that may be limiting potential communication benefits among listeners with mild-to-moderate hearing loss. Future investigations that compare communication outcomes across various types of OTC hearing aids may provide valuable insights for identifying the most suitable recipients for specific OTC hearing aid models.

Association Between Limited English Proficiency and Hearing Healthcare Use in the United States.

To determine whether limited English proficiency (LEP) is associated with likelihood of prior audiogram and hearing aid use among US adults with hearing loss. This cross-sectional study of four merged National Health and Nutrition Examination Survey (NHANES) cycles included 12,636 adults with subjective (self-reported) or objective (audiometric) hearing loss. Subjects were classified as LEP if they completed the NHANES survey in a language other than English, or with the help of an interpreter. Likelihood of audiogram among participants with subjective and objective hearing loss, and likelihood of hearing aid use among participants with objective hearing loss were assessed using unadjusted and adjusted logistic regression. Individuals with LEP were less likely to have undergone audiogram among subjects with subjective (odds ratio [OR] 0.72, 95% confidence interval [CI] 0.67-0.77), and objective (OR 0.70, 95% CI 0.65-0.74) hearing loss. The association persisted for those with subjective hearing loss (OR 0.79, 95% CI 0.72-0.86), and objective hearing loss (OR 0.81, 95% CI 0.73-0.89) after adjusting for relevant covariates. Individuals with LEP were less likely to use hearing aids (OR 0.88, 95% CI 0.84-0.93). This association disappeared (OR 0.99, 95% CI 0.95-1.04) after adjustment. LEP is associated with lower utilization of hearing healthcare services. This may be due to the complex interplay of socioeconomic and language disparities, which may act as barriers to hearing healthcare utilization. Individuals with LEP should be prioritized when designing interventions to improve accessibility to hearing healthcare. 3 Laryngoscope, 134:5122-5130, 2024.

Development of the First Patient-Reported Experience Measure (PREM) for Hearing Loss in Audiology Care-My Hearing PREM.

Patient-reported experience measures (PREMs) provide important insights into the challenges experienced when living with a chronic condition. Although patient-reported outcome measures (PROMs) exist in audiology, there are no validated PREMs to help clinicians understand patient perspectives and identify areas where patients may need additional support or interventions. The aim of this study was to develop and evaluate content for the new 'My Hearing PREM', which captures lived experiences of hearing loss from patients' perspectives. My Hearing PREM was developed and tested in two key phases. Phase 1 involved generating the PREM prototype in accordance with our conceptual model of the lived experience of hearing loss. In Phase 2, cognitive interviews were conducted with adults with hearing loss to appraise the content of the PREM (relevance, clarity, acceptability and comprehensiveness) and assess its respondent burden. Key stakeholders (e.g., adults with hearing loss, patient and public representatives, clinicians and researchers) were consulted throughout Phases 1 and 2 to review and refine the PREM. Interview data were analysed using thematic analysis. Sixteen participants (aged 16 years and over) with hearing loss took part in cognitive interviews, recruited from UK audiology departments and non-clinical settings (e.g., lip-reading classes, national charity links and social media). Most PREM items were found to be relevant, clear, acceptable and comprehensive. Several problems were identified, including items not working well with the response scale options, irrelevant questions and a lack of clarity about terms (e.g., healthcare professionals) and whether questions should be answered based on the use of hearing aids (or not). The PREM was amended accordingly. Currently, no hearing loss-specific PREMs exist in audiology. Involving multiple stakeholders in the development of the PREM helped to ensure that the items were relevant, clear, acceptable and comprehensive. The PREM is undergoing further evaluation and refinement in preparation for investigating the feasibility of implementing it into clinical practice. Ongoing Patient and Public Involvement and Engagement (PPIE) with key groups (South Asian Women's groups, young people's groups, learning disability networks and student populations) was integral to the study. PPIE members reviewed patient information sheets and consent forms, advised on recruitment, reviewed the interview schedule and checked coding and analysis procedures. PPIE members provided feedback on the PREM's comprehensibility. Members of the public, including adults attending lip-reading classes and hearing aid users from the South Asian community, provided feedback on iterative PREM drafts.

Comparison of hearing-aid effectiveness based on user-operated versus traditional audiometry: a randomised clinical trial

Objective To investigate whether hearing-aid fitting based on user-operated audiometry is non-inferior to hearing-aid fitting based on traditional audiometry. Design This non-inferiority randomised clinical trial, took place at Odense University Hospital, Odense, Denmark. In a first visit, participants were tested with traditional audiometry as well as user-operated audiometry and filled in the Speech, Spatial and Qualities of Hearing Scale (SSQ12) at baseline. Next, they were randomly divided to receive hearing aids fitted based on either the user-operated (UAud group) or the traditional audiometry (control group) hearing thresholds. After three months of hearing-aid use, participants underwent an aided hearing-in-noise test and completed the SSQ12 again, as well as an additional battery of outcome measures. Study sample A total of 215 adults with sensorineural hearing impairment referred for bilateral hearing-aid fitting. Results The before-after change in SSQ12 total scores was not different between the groups as the interaction between test times and groups was −0.06 (95% CI −0.56 to 0.44, p = 0.811). Conclusions The findings suggest that the HA effectiveness in the UAud group was non-inferior to those observed in the control group. This implies that integrating user-operated audiometry into the clinical system is feasible, offering potential personnel time savings without compromising patient outcomes. Trial Registration The trial was registered at ClinicalTrials.gov (NCT05043207).

Measuring Hearing Aid Satisfaction in Everyday Listening Situations: Retrospective and In Situ Assessments Complement Each Other.

Recently, we developed a hearing-related lifestyle questionnaire (HEARLI-Q), which asks respondents to rate their hearing aid (HA) satisfaction in 23 everyday listening situations. It is unknown how HA satisfaction on the retrospective HEARLI-Q scale compares with HA satisfaction measured on the same scale implemented in Ecological Momentary Assessment (EMA). To learn how retrospective (HEARLI-Q) and in situ (EMA) assessments can complement each other. An observational study. Twenty-one experienced HA users. The participants first filled out the HEARLI-Q questionnaire, followed by a 1-week EMA trial using their own HAs. HA satisfaction ratings were compared between the two questionnaires and the underlying drivers of discrepancies in HA satisfaction ratings were evaluated. HA satisfaction ratings were significantly higher in EMA for speech communication with one or several people. Hearing difficulty in these situations was rated higher in HEARLI-Q than in EMA, but occurrence of those difficult listening situations was also rated to be lower. When comparing only the situations that occur on daily or weekly basis, the two questionnaires had similar HA satisfaction ratings. Lower occurrence of difficult listening situations seems to be the key driver of discrepancies in HA satisfaction ratings between EMA and HEARLI-Q. The advantage of EMA is that it provides insight into an individual's day-to-day life and is not prone to memory bias. HEARLI-Q, on the other hand, can capture situations that occur infrequently or are inconvenient to report in the moment. Administering HEARLI-Q and EMA in combination could give a more holistic view of HA satisfaction.

Willingness of Hearing Help–Seekers With Low Incomes to Pay for Hearing Aids, Services, and Over-the-Counter Devices

Purpose: Our aims were to assess associations between patient-related variables and willingness to pay (WTP) for advanced digital technology (ADT) hearing aids, services, and over-the-counter (OTC) devices. Method: A cross-sectional postal survey was sent to 106 individuals presenting to a low-income community hearing aid bank eliciting patient-related variables (age, monthly income, gender, race, educational level, employment status, number in household, self-reported hearing difficulty without amplification [quiet and noise], hours/day hearing aid use, and satisfaction with services) and their WTP for ADT hearing aids, services, and OTC devices. Logistic regression was used to assess associations between WTP and patient-related variables. Results: Forty-eight surveys were returned for a response rate of 51.1% (48/[106–12 return to sender]). Only monthly income ( Mdn = $1,283) was associated with WTP for one ADT hearing aid ( Mdn WTP = $250). Age was the only variable significantly associated with WTP for services ( Mdn WTP = $100). None of the variables were associated with WTP for OTC devices, and 61.7% (29 of 47) of participants would not be willing to pay any amount for one. Conclusions: Participants' WTP for one ADT hearing aid and services were low and was likely due to a lack of financial resources. Most would not be willing to pay anything for an OTC device.

Initiation of Hearing Aids Use and Incident Dementia Among Mid-to-late Life Adults: The Health and Retirement Study 2010-2018.

Hearing aids may reduce the risk of dementia among individuals with hearing loss. However, no evidence is available from randomized controlled trials (RCTs) on the effectiveness of hearing aids use in reducing incident dementia. Using target trial emulation, we leveraged an existing longitudinal cohort study to estimate the association between hearing aids initiation and risk of dementia. The Health and Retirement Study was used to emulate target trials among non-institutionalized participants aged ≥50 years with self-reported hearing loss, without dementia at baseline, and without use of hearing aids in the previous 2 years. Intention-to-treat analysis was conducted to estimate the risk of dementia associated with hearing aids initiation vs controls who did not initiate hearing aids. Pooled logistic regression models with inverse-probability of treatment and censoring weights were applied to estimate risk ratios, and 95% confidence intervals were calculated using 1000 sets of bootstrapping. Among 2314 participants (328 in the intervention group and 1986 in the control group; average age: 72.3 ± 9.7 years, 49% women, and 81% White), after 8 years of follow-up, risk of dementia was significantly lower among individuals who initiated hearing aids (risk difference (RD): -0.05, 95% confidence interval (CI): -0.08, -0.01). A lower risk was observed particularly among adults aged 50-74 years, men, and individuals with cardiovascular disease. Hearing aids use was associated with a significant reduction of incident dementia. Future interventional studies are needed to further assess the effectiveness of hearing aids in preventing dementia.

Realistic dual-task listening-while-balancing in older adults with normal hearing and hearing loss with and without hearing aids

Age-related hearing loss is a risk factor for mobility problems and falls, possibly due to poor access to spatial sounds or the higher allocation of attention required to listen, thereby reducing cognitive resources to support mobility. Introducing stabilizing spatial sounds or reducing cognitive load through hearing aids could possibly improve balance performance; however, evidence is mixed. Few studies have evaluated the effects of hearing aids and spatial sounds on balance during realistic, multisensory, dual-tasking conditions. This study used virtual reality to simulate a listening-while-balancing task in 22 older adults with normal hearing and 22 hearing aid users, tested with their aids on versus off. Participants performed a competing digits listening task (two, four digits) and a standing postural task, alone and in combination (dual task) under different visual, postural, and acoustical loads. Listening accuracy and postural outcomes (centre of pressure mean velocity, anterior–posterior standard deviation, medial–lateral standard deviation) were collected. With respect to listening accuracy, as expected, normal hearing adults had higher listening accuracy than those with hearing loss (aided better than unaided) and both groups performed better with eyes closed (vs. open) and under lower postural loads (firm vs. compliant). With respect to postural performance, hearing aids did not remarkably improve balance overall, with no effects on dual-task costs to posture. Other factors related to the complexity of the conditions (i.e., listening, visual, postural demands) differently influenced dual-task costs to posture in individuals with and without hearing loss. Overall, these results contribute to our understanding of how age-related hearing loss and hearing aids affect balance-related outcomes under realistic, complex, multisensory, multitasking conditions.

Social-Emotional Functioning of Children With Different Hearing Status and Diverse Cultural Background.

The study investigated the social-emotional functioning of children with typical hearing and deaf and hard of hearing (D/HH) children from diverse cultural backgrounds in Israel through parental reports. A total of 242 parents from both Arabic and Jewish communities participated: 130 were parents of D/HH children and 112 were parents of children with typical hearing. The Strengths and Difficulties Questionnaire and a background questionnaire were used. Results revealed increased total difficulties, emotional symptoms, and peer problems as reported by parents of D/HH children. Jewish parents of D/HH children reported greater total difficulties, conduct problems, and peer problems than Arab parents. Significant gender differences were found, with parents of boys reporting higher levels of hyperactivity/inattention and lower prosocial behavior. Among D/HH children, Arab parents reported higher peer problems among hearing aid users compared to cochlear implant users, whereas Jewish parents reported the opposite trend. These findings highlight the significant social-emotional challenges faced by D/HH children, particularly in peer interactions, and underscore the need for tailored interventions that consider cultural differences.

Impaired noise adaptation contributes to speech intelligibility problems in people with hearing loss

Understanding speech in noisy settings is harder for hearing-impaired (HI) people than for normal-hearing (NH) people, even when speech is audible. This is often attributed to hearing loss altering the neural encoding of temporal and/or spectral speech cues. Here, we investigated whether this difference may also be due to an impaired ability to adapt to background noise. For 25 adult hearing-aid users with sensorineural hearing loss, speech reception thresholds (SRTs) were measured for natural and tone-vocoded words embedded in speech-shaped noise (SSN). The stimuli were preceded or not by a 1-second adapting SSN precursor. Adaptation was calculated as the difference in SRT between the two precursor conditions. Corresponding data for 28 NH listeners were taken from a previously published study. SRTs were worse for HI listeners, confirming that hearing loss diminishes access to speech acoustic cues. Furthermore, noise adaptation was negatively correlated with the age-controlled hearing loss both for natural (rho=-0.56, N = 52, p < 0.001) and vocoded (rho=-0.45, N = 39, p = 0.002) words. Impaired adaptation contributed up to 10% of the SRT loss in HI listeners. We conclude that HI listeners suffer from poorer speech in noise recognition not only because of impaired access to speech acoustic cues but also because they are less able to adapt to background noise.

PTSD Is Associated with Self-Perceived Hearing Handicap: An Evaluation of Comorbidities in Veterans Without Measured Hearing Loss.

Cases of self-reported hearing difficulty despite no traditionally measured hearing loss (pure tone audiometric thresholds ≤ 25 dB HL from 250 Hz through 8000 Hz) have risen with the return of Veterans from recent conflicts in Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn. Auditory outcomes improved despite low compliance among those receiving treatment. Medical chart data appeared more comprehensive for Veterans with, rather than without, auditory complaints. One possibility is that self-reported hearing problems are associated with a subset of these comorbidities, the treatment of which improved auditory outcomes. This study examined the relationships between Veterans' self-reported auditory problems and other diagnosed medical conditions. A retrospective chart review was used. Participants were 286 Veterans, aged 21 to 52 years with pure-tone audiometric thresholds ≤ 25 dB HL at all measured frequencies in both ears. Veterans were dichotomized into a group with either self-reported hearing complaints (n = 143) or an age-matched control group with no auditory complaints (n = 143). A query of the Computerized Patient Record System was performed with the date range restricted to 2009 to 2018. Metrics of self-perceived hearing handicap, auditory processing disorder testing, and hearing aid use were collected. All diagnoses and related symptoms were recorded. A best subsets regression with principled model selection was performed to investigate the role of these comorbidities on self-perceived hearing loss. The self-report group had 16 comorbidities that were classified as prevalent, having occurred in ≥33.3% of the group, compared with the age-matched control group, which had 2 comorbidities. The number of diagnosed medical conditions was associated with self-perceived hearing impairment. Specifically, posttraumatic stress disorder (PTSD) and related symptom clusters constituted the largest group of comorbidities that were significantly associated with self-reported hearing problems. The significant association between PTSD and self-perceived hearing impairment warrants investigations on whether treatment of PTSD would reduce perceived hearing handicap severity. Further, PTSD assessments could be useful for audiologists to identify potential candidates for auditory complaints without measured hearing loss.

The Effect of Different Adaptation Formulas on Mid-Latency Auditory Evoked Potentials in Adults with Hearing Aids.

We were conducting this study to evaluate the effects of different hearing aid adaptation formulas on middle latency responses (MLR) in adult hearing aid users. The study included 72 participants: those with moderate hearing loss using hearing aids with two different formulas for the last year, those with moderate hearing loss not using hearing aids, and those without hearing loss. Sixteen participants using NAL-NL1 and NAL-RP formulas were Group 1; twenty using NAL-NL2 and DSL formulas were Group 2; fifteen with hearing loss not using devices were Group 3; and twenty-one without hearing loss were Group 4. We obtained and compared MLR responses, including Na latency, Pa latency, and Na-Pa amplitude. Group 1 mean Na-Pa amplitude value was found to be higher than Group 2 (p = 0.001). No significant difference was observed between Group 1 and Group 2 in terms of Na latency and Pa latency values (p = 0.001; p = 0.035). It was observed that the mean Na-Pa amplitude values in Group 1 and Group 2 were higher than Group 3 (p = 0.001), but this elevation reached the level of statistical significance only in Group 1. No difference was observed between Group 1, Group 2, and Group 3 in terms of Na latency and Pa latency values (p = 0.001; p = 0.035). Compared with those without hearing loss (Group 4), participants with hearing loss (Group 1, Group 2, and Group 3) had longer Na latency and Pa latency values (p = 0.001; p = 0.035), and Na-Pa amplitudes were lower (p = 0.001). The effect of current (tested) hearing aid usage time on Na latency, Pa latency, and Na-Pa amplitude values of Group 1 and Group 2 was not observed. In all groups, there was a positive correlation between audiometric airway/bone conduction pure tone averages and speech acquisition threshold values, Na latency and Pa latency values, and a negative correlation between Na-Pa amplitude values. In all groups, there was a negative correlation between speech discrimination scores and Na and Pa latency values, as well as a positive correlation between Na and Pa amplitude values. There was a positive correlation between age and Pa latency values in all groups, as well as a negative correlation between Na and Pa amplitude values. Middle latency responses are affected by the presence of hearing loss, the use of hearing aids, and different hearing aid adaptation formulas. MLR measurements with a hearing aid can be used as an objective test to evaluate the benefit of hearing aid use.

Sounds of Nature and Hearing Loss: A Call to Action.

The ability to monitor surrounding natural sounds and scenes is important for performing many activities in daily life and for overall well-being. Yet, unlike speech, perception of natural sounds and scenes is relatively understudied in relation to hearing loss, despite the documented restorative health effects. We present data from first-time hearing aid users describing "rediscovered" natural sounds they could now perceive with clarity. These data suggest that hearing loss not only diminishes recognition of natural sounds, but also limits people's awareness of the richness of their environment, thus limiting their connection to it. Little is presently known about the extent hearing aids can restore the perception of abundance, clarity, or intensity of natural sounds. Our call to action outlines specific steps to improve the experience of natural sounds and scenes for people with hearing loss-an overlooked aspect of their quality of life.

The Role of Hearing Aids in Improving Dual-Task Gait Performance in Older Adults With Presbycusis: A Cognitive and Motor Analysis.

Cognitive decline is a common challenge faced by older individuals with presbycusis; their performance on dual-task (DT) activities is generally lower compared to those without hearing loss. However, the influence of hearing aids on nonauditory cognitive decline in this population remains unclear. This study aims to investigate the effect of hearing aids on nonauditory DT performance in older adults with presbycusis. This study included older people with presbycusis who used hearing aids (P&HA group), those with presbycusis who did not use hearing aids (PoHA group), and a control group of healthy adults. Forward and backward digit span tests and timed up and go test (TUG) were administered to all individuals. TUG and motor and cognitive (forward and backward digit span) tasks were applied simultaneously to evaluate the participants' DT performance. The study comprised 60 individuals with presbycusis (19 females, 41 males; mean age: 73.23±6.49years) and 30 healthy adults (15 females, 15 males; mean age: 35.93±8.57years). Healthy adults performed better than the P&HA and PoHA groups in all the administered tests (p<0.05). There was a moderate negative relationship between the severity of hearing loss and the forward and backward digit span test performances (p<0.05). The P&HA group performed better than the PoHA group on the DT cognitive forward and backward digit span tests. The use of hearing aids and their proper fitting are important not only for improving communication skills and reducing listening effort but also for supporting nonauditory cognitive functions, minimizing the risk of falls during DT activities, and enhancing the overall quality of life.

Real and Virtual Lecture Rooms: Validation of a Virtual Reality System for the Perceptual Assessment of Room Acoustical Quality

Enhancing the acoustical quality in learning environments is necessary, especially for hearing aid (HA) users. When in-field evaluations cannot be performed, virtual reality (VR) can be adopted for acoustical quality assessments of existing and new buildings, contributing to the acquisition of subjective impressions in lab settings. To ensure an accurate spatial reproduction of the sound field in VR for HA users, multi-speaker-based systems can be employed to auralize a given environment. However, most systems require a lot of effort due to cost, size, and construction. This work deals with the validation of a VR-system based on a 16-speaker-array synced with a VR headset, arranged to be easily replicated in small non-anechoic spaces and suitable for HA users. Both objective and subjective validations are performed against a real university lecture room of 800 m3 and with 2.3 s of reverberation time at mid-frequencies. Comparisons of binaural and monoaural room acoustic parameters are performed between measurements in the real lecture room and its lab reproduction. To validate the audiovisual experience, 32 normal-hearing subjects were administered the Igroup Presence Questionnaire (IPQ) on the overall sense of perceived presence. The outcomes confirm that the system is a promising and feasible tool to predict the perceived acoustical quality of a room.

Adaptation of the International Outcome Inventory for Hearing Aids (IOI-HA) in Hindi

PurposeThe specific objectives of this study were as follows: (1) to translate and adapt the English version of the International Outcome Inventory for Hearing Aids (IOI-HA) into Hindi, (2) to present data obtained from the hearing aid users, (3) and to investigate the effect of different factors on effective hearing aid use using the Hindi version of the IOI-HA.MethodThe English version of IOI-HA was translated to Hindi by three native Hindi speakers who were proficient in both Hindi and English and had Hindi as their first language. The Hindi version of IOI-HA along with a demographic questionnaire was given to 100 experienced hearing aid users who were literate and more than 18 years of age.ResultsThe findings indicated 53% of individuals utilize their hearing aids for over 8 h daily, while 46% use them for 4 to 8 h a day. A greater number of participants experienced benefits from wearing their hearing aids, suggesting their overall effectiveness for users. Also, 64% of people said their HA was fulfilling their expectations. Sixty-seven percent of participants said life has become quite a lot better with HA usage. The results revealed that age, gender, and type of hearing loss showed no significant association with any test item.ConclusionThe Hindi version of the IOI-HA has proven to be a valuable self-assessment tool for hearing aid users. It aids clinicians and audiological practitioners in comprehending the challenges faced by users and can offer guidance for counseling and assessing the benefits derived from hearing aids.