Auditory Training and Challenges Associated with Participation and Compliance

Sweetow, Robert W.; Sabes, Jennifer Henderson

doi:10.3766/jaaa.21.9.4

Cited by 66 publications

(56 citation statements)

References 35 publications

(45 reference statements)

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“…Therefore, assessment of benefit should include both subjective and objective measures (Sweetow & Henderson Sabes 2010). Our systematic review noted self-reported outcomes were used in only 3 of the 13 studies, with mixed results.…”

Section: Introductionmentioning

confidence: 99%

Benefits of Phoneme Discrimination Training in a Randomized Controlled Trial of 50- to 74-Year-Olds With Mild Hearing Loss

et al. 2014

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Objectives:The aims of this study were to (i) evaluate the efficacy of phoneme discrimination training for hearing and cognitive abilities of adults aged 50 to 74 years with mild sensorineural hearing loss who were not users of hearing aids, and to (ii) determine participant compliance with a self-administered, computer-delivered, home- and game-based auditory training program.Design:This study was a randomized controlled trial with repeated measures and crossover design. Participants were trained and tested over an 8- to 12-week period. One group (Immediate Training) trained during weeks 1 and 4. A second waitlist group (Delayed Training) did no training during weeks 1 and 4, but then trained during weeks 5 and 8. On-task (phoneme discrimination) and transferable outcome measures (speech perception, cognition, self-report of hearing disability) for both groups were obtained during weeks 0, 4, and 8, and for the Delayed Training group only at week 12.Results:Robust phoneme discrimination learning was found for both groups, with the largest improvements in threshold shown for those with the poorest initial thresholds. Between weeks 1 and 4, the Immediate Training group showed moderate, significant improvements on self-report of hearing disability, divided attention, and working memory, specifically for conditions or situations that were more complex and therefore more challenging. Training did not result in consistent improvements in speech perception in noise. There was no evidence of any test-retest effects between weeks 1 and 4 for the Delayed Training group. Retention of benefit at 4 weeks post-training was shown for phoneme discrimination, divided attention, working memory, and self-report of hearing disability. Improved divided attention and reduced self-reported hearing difficulties were highly correlated.Conclusions:It was observed that phoneme discrimination training benefits some but not all people with mild hearing loss. Evidence presented here, together with that of other studies that used different training stimuli, suggests that auditory training may facilitate cognitive skills that index executive function and the self-perception of hearing difficulty in challenging situations. The development of cognitive skills may be more important than the development of sensory skills for improving communication and speech perception in everyday life. However, improvements were modest. Outcome measures need to be appropriately challenging to be sensitive to the effects of the relatively small amount of training performed.

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Section: Introductionmentioning

confidence: 99%

Benefits of Phoneme Discrimination Training in a Randomized Controlled Trial of 50- to 74-Year-Olds With Mild Hearing Loss

et al. 2014

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“…We also know that many adults who enroll in a training regimen fail to comply with the procedures. Sweetow and Sabes (2010) recently reported that out of over 3,000 patients who enrolled in the Listening and Communication Enhancement (LACE) computerized-based auditory training program, less than 30% of them completed ten lessons or more.…”

Section: Introductionmentioning

confidence: 99%

Tailoring auditory training to patient needs with single and multiple talkers: Transfer-appropriate gains on a four-choice discrimination test

Barcroft

Sommers

Tye‐Murray

et al. 2011

International Journal of Audiology

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OBJECTIVE Our long-term objective is to develop an auditory training program that will enhance speech recognition in those situations where patients most want improvement. As a first step, the current investigation trained participants using either a single talker or multiple talkers to determine if auditory training leads to transfer-appropriate gains. DESIGN The experiment implemented a 2 × 2 × 2 mixed design, with training condition as a between-participants variable and testing interval and test version as repeated-measures variables. Participants completed a computerized six-week auditory training program wherein they heard either the speech of a single talker or the speech of six talkers. Training gains were assessed with single-talker and multi-talker versions of the Four-Choice Discrimination Test. Participants in both groups were tested on both versions. STUDY SAMPLE Sixty-nine adult hearing-aid users were randomly assigned to either single-talker or multi-talker auditory training. RESULTS Both groups showed significant gains on both test versions. Participants who trained with multiple talkers showed greater improvement on the multi-talker version whereas participants who trained with a single talker showed greater improvement on the single-talker version. CONCLUSION Transfer-appropriate gains occurred following auditory training, suggesting that auditory training can be designed to target specific patient needs.

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“…In addition, if the abovementioned argument was true, we believe that it is a merit for the use of audiovisual speech training over auditory speech training to improve participants’ motivation and compliance. Sweetow and Sabes (2010) showed that compliance with home-based auditory-only training programs in hearing-aid users was low, and most participants did not complete the training. The interaction between compliance and participation, the modality of speech training (auditory vs. audiovisually), and the amount of benefit provided by the training materials needs to be investigated in future studies.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Short-term Gated Audiovisual Speech Training for Improving Auditory Sentence Identification in Noise in Elderly Hearing Aid Users

et al. 2017

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This study aimed to examine the efficacy and maintenance of short-term (one-session) gated audiovisual speech training for improving auditory sentence identification in noise in experienced elderly hearing-aid users. Twenty-five hearing aid users (16 men and 9 women), with an average age of 70.8 years, were randomly divided into an experimental (audiovisual training, n = 14) and a control (auditory training, n = 11) group. Participants underwent gated speech identification tasks comprising Swedish consonants and words presented at 65 dB sound pressure level with a 0 dB signal-to-noise ratio (steady-state broadband noise), in audiovisual or auditory-only training conditions. The Hearing-in-Noise Test was employed to measure participants’ auditory sentence identification in noise before the training (pre-test), promptly after training (post-test), and 1 month after training (one-month follow-up). The results showed that audiovisual training improved auditory sentence identification in noise promptly after the training (post-test vs. pre-test scores); furthermore, this improvement was maintained 1 month after the training (one-month follow-up vs. pre-test scores). Such improvement was not observed in the control group, neither promptly after the training nor at the one-month follow-up. However, no significant between-groups difference nor an interaction between groups and session was observed. Conclusion: Audiovisual training may be considered in aural rehabilitation of hearing aid users to improve listening capabilities in noisy conditions. However, the lack of a significant between-groups effect (audiovisual vs. auditory) or an interaction between group and session calls for further research.

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Auditory Training and Challenges Associated with Participation and Compliance

Cited by 66 publications

References 35 publications

Benefits of Phoneme Discrimination Training in a Randomized Controlled Trial of 50- to 74-Year-Olds With Mild Hearing Loss

Benefits of Phoneme Discrimination Training in a Randomized Controlled Trial of 50- to 74-Year-Olds With Mild Hearing Loss

Tailoring auditory training to patient needs with single and multiple talkers: Transfer-appropriate gains on a four-choice discrimination test

The Efficacy of Short-term Gated Audiovisual Speech Training for Improving Auditory Sentence Identification in Noise in Elderly Hearing Aid Users

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