Examining the feasibility of integrating pupillometry measures of listening effort into clinical audiology assessments

Abstract

Pure-tone thresholds are often a poor predictor of hearing difficulties experienced by patients in audiology clinics. Approximately 25 million Americans may experience hearing difficulties despite having audiometric thresholds within normal limits. Pupil diameter increases with increasing listening effort and could provide an objective measure for determining the presence of such subclinical hearing problems. However, the cost and technical requirements of research-grade eye trackers have limited their use in audiology clinics. This study aims to determine the feasibility of using a commercially-available head mounted display (HMD) with integrated eye tracking to collect pupillometry measures during audiological testing. Pupillary data were collected for N = 46 younger normal-hearing adults while they completed clinically-relevant tests including pure tone audiometry, gaps-in-noise (GIN), dichotic digits, and speech-in-noise tests. Across tasks, task-evoked pupillary responses were generally sensitive to differences in listening demands. Results suggest audiologic testing with commercial HMD eye trackers is feasible and provides additional objective information related to listening effort that may help clinicians better understand and address patient needs. [The views expressed in this abstract are those of theauthors and do not reflect the official policy of the Department of Army/Navy/Air Force, Department of Defense, or U.S. Government.]