Assessing the benefits of auditory training to real-world listening: identifying appropriate and sensitive outcomes

Authors

  • Helen Henshaw NIHR Nottingham Hearing Biomedical Research Unit, School of Medicine, University of Nottingham, UK
  • Melanie Ferguson NIHR Nottingham Hearing Biomedical Research Unit, Nottingham University Hospitals NHS Trust, UK

Abstract

Auditory training is an intervention that aims to improve auditory performance and help alleviate the difficulties associated with hearing loss. To be an effective intervention, any task-specific learning needs to transfer to functional benefits in real-world listening. The present study aimed to identify optimal outcome measures to assess the benefits of auditory training for people with hearing loss. Thirty existing hearing-aid users with mild-moderate sensorineural hearing loss trained on a phoneme discrimination in noise task. Complex measures of listening and cognition were assessed pre- and post-training. Functional benefits to everyday listening were examined using a dual-task of listening and memory and an adaptive two-competing talker task. There was significant on-task learning for the trained task (p < .001), and significant transfer of learning to improvements in competing speech (p < .05) and dual-task performance    (p < .01). For the dual-task, improvements were shown for a challenging listening condition (0 dB SNR), with no improvements where the task was either too easy (in quiet) or too difficult (-4 dB SNR). Findings suggest that for listening abilities, the development of complex cognitive skills may be more important than the refinement of sensory processing. Outcome measures should be sensitive to the functional benefits of auditory training and set at an appropriately challenging level.

References

Bolia, R.S., Nelson, W.T., Ericson, M.A., and Simpson, B.D. (2000). “A speech corpus for multitalker communications research,” J. Acoust. Soc. Am., 107, 1065-1066.

Boothroyd, A. (1968). “Developments in speech audiometry,” Brit. J. Audiol, 2, 3-10.

Ferguson, M.A., Henshaw, H., Clark, D.P.A., and Moore, D.R. (in press). “Benefits of phoneme discrimination training in a randomized controlled trial of 50-74 year olds with mild hearing loss,” Ear Hearing.

Hazan, V., Messaoud-Galusi, S., Rosen, S., Nouwens, S., and Shakespeare, B. (2009). “Speech perception abilities of adults with dyslexia: is there any evidence for a true defecit?” J. Sp. Lang. Hear. Res., 52, 1510-1529.

Henshaw, H., and Ferguson, M.A. (2013). “Efficacy of individual computer-based auditory training for people with hearing loss: A systematic review of the evidence,” PLoS ONE, 8, e62836.

Howard, C.S., Munro, K.J., and Plack, C.J. (2010). “Listening effort at signal-to-noise ratios that are typical of the school classroom,” Int. J. Audiol., 49, 928-932.

Kiessling, J., Pichora-Fuller, M.K., Gatehouse, S., Stephens, D., Arlinger, S., Chisolm, T.H., Davis, A.C., Erber, N.P., Hickson, L., and Holmes, A.E. (2003). “Candidature for and delivery of audiological services: special needs of older people,” Int. J. Audiol., 42, S92-S101.

Moore, D.R., Cowan, J.A., Riley, A., Edmondson-Jones, A.M., and Ferguson, M.A. (2011). “Development of auditory processing in 6- to 11-yr-old children,” Ear Hear, 32, 269-285.

Pichora-Fuller, M.K., Schneider, B.A., Daneman, M. (1995). “How young and old adults listen to and remember speech in noise,” J. Acoust. Soc. Am., 97, 593-608.

Wechsler, D. (1997). Wechsler Adult Intelligence Scale-3rd Edition (WAIS-3®) (San Antonio, TX: Harcourt Assessment).

Downloads

Published

2013-12-15

How to Cite

Henshaw, H., & Ferguson, M. (2013). Assessing the benefits of auditory training to real-world listening: identifying appropriate and sensitive outcomes. Proceedings of the International Symposium on Auditory and Audiological Research, 4, 45–52. Retrieved from https://proceedings.isaar.eu/index.php/isaarproc/article/view/2013-05

Issue

Section

2013/1. Basic perceptual studies of training, learning, and generalization