Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165241236041
Aysha Motala, Ingrid S Johnsrude, Björn Herrmann
{"title":"A Longitudinal Framework to Describe the Relation Between Age-Related Hearing Loss and Social Isolation.","authors":"Aysha Motala, Ingrid S Johnsrude, Björn Herrmann","doi":"10.1177/23312165241236041","DOIUrl":"10.1177/23312165241236041","url":null,"abstract":"<p><p>Many older adults live with some form of hearing loss and have difficulty understanding speech in the presence of background sound. Experiences resulting from such difficulties include increased listening effort and fatigue. Social interactions may become less appealing in the context of such experiences, and age-related hearing loss is associated with an increased risk of social isolation and associated negative psychosocial health outcomes. However, the precise relationship between age-related hearing loss and social isolation is not well described. Here, we review the literature and synthesize existing work from different domains to propose a framework with three conceptual anchor stages to describe the relation between hearing loss and social isolation: within-situation disengagement from listening, social withdrawal, and social isolation. We describe the distinct characteristics of each stage and suggest potential interventions to mitigate negative impacts of hearing loss on social lives and health. We close by outlining potential implications for researchers and clinicians.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241236041"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165241227815
Varsha Pendyala, William Sethares, Vijayalakshmi Easwar
{"title":"Assessing Speech Audibility via Syllabic-Rate Neural Responses in Adults and Children With and Without Hearing Loss.","authors":"Varsha Pendyala, William Sethares, Vijayalakshmi Easwar","doi":"10.1177/23312165241227815","DOIUrl":"10.1177/23312165241227815","url":null,"abstract":"<p><p>An objective method for assessing speech audibility is essential to evaluate hearing aid benefit in children who are unable to participate in hearing tests. With consonant-vowel syllables, brainstem-dominant responses elicited at the voice fundamental frequency have proven successful for assessing audibility. This study aimed to harness the neural activity elicited by the slow envelope of the same repetitive consonant-vowel syllables to assess audibility. In adults and children with normal hearing and children with hearing loss wearing hearing aids, neural activity elicited by the stimulus /su∫i/ or /sa∫i/ presented at 55-75 dB SPL was analyzed using the temporal response function approach. No-stimulus runs or very low stimulus level (15 dB SPL) were used to simulate inaudible conditions in adults and children with normal hearing. Both groups of children demonstrated higher response amplitudes relative to adults. Detectability (sensitivity; true positive rate) ranged between 80.1 and 100%, and did not vary by group or stimulus level but varied by stimulus, with /sa∫i/ achieving 100% detectability at 65 dB SPL. The average minimum time needed to detect a response ranged between 3.7 and 6.4 min across stimuli and listener groups, with the shortest times recorded for stimulus /sa∫i/ and in children with hearing loss. Specificity was >94.9%. Responses to the slow envelope of non-meaningful consonant-vowel syllables can be used to ascertain audible vs. inaudible speech with sufficient accuracy within clinically feasible test times. Such responses can increase the clinical usefulness of existing objective approaches to evaluate hearing aid benefit.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241227815"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165241240353
Brian C J Moore, Graham Cox
{"title":"Sensitivity of Methods for Diagnosing Noise-Induced Hearing Loss in Cases of Exposures Including Intense Low-Frequency Noise.","authors":"Brian C J Moore, Graham Cox","doi":"10.1177/23312165241240353","DOIUrl":"10.1177/23312165241240353","url":null,"abstract":"<p><p>Exposure to intense low-frequency sounds, for example inside tanks and armoured vehicles, can lead to noise-induced hearing loss (NIHL) with a variable audiometric pattern, including low- and mid-frequency hearing loss. It is not known how well existing methods for diagnosing NIHL apply in such cases. Here, the audiograms of 68 military personnel (mostly veterans) who had been exposed to intense low-frequency noise (together with other types of noise) and who had low-frequency hearing loss (defined as a pure-tone average loss at 0.25, 0.5 and 1 kHz ≥20 dB) were used to assess the sensitivity of three diagnostic methods: the method of Coles, Lutman and Buffin, denoted CLB, which depends on the identification of a notch or bulge in the audiogram near 4 kHz, and two methods specifically intended for diagnosing NIHL sustained during military service, the rM-NIHL method, which depends on the identification of a notch or bulge in the audiogram near 4 kHz and/or a hearing loss at high frequencies greater than expected from age alone, and the MLP(18) method based on a multi-layer perceptron. The proportion of individuals receiving a positive diagnosis for either or both ears, which provides an approximate measure of sensitivity, was 0.40 for the CLB method, 0.79 for the rM-NIHL method and 1.0 for the MLP(18) method. It is concluded that the MLP(18) method is suitable for diagnosing NIHL sustained during military service whether or not the exposure includes intense low-frequency sounds.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241240353"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165231222098
Christopher Slugocki, Francis Kuk, Petri Korhonen
{"title":"Alpha-Band Dynamics of Hearing Aid Wearers Performing the Repeat-Recall Test (RRT).","authors":"Christopher Slugocki, Francis Kuk, Petri Korhonen","doi":"10.1177/23312165231222098","DOIUrl":"10.1177/23312165231222098","url":null,"abstract":"<p><p>This study measured electroencephalographic activity in the alpha band, often associated with task difficulty, to physiologically validate self-reported effort ratings from older hearing-impaired listeners performing the Repeat-Recall Test (RRT)-an integrative multipart assessment of speech-in-noise performance, context use, and auditory working memory. Following a single-blind within-subjects design, 16 older listeners (mean age = 71 years, SD = 13, 9 female) with a moderate-to-severe degree of bilateral sensorineural hearing loss performed the RRT while wearing hearing aids at four fixed signal-to-noise ratios (SNRs) of -5, 0, 5, and 10 dB. Performance and subjective ratings of listening effort were assessed for complementary versions of the RRT materials with high/low availability of semantic context. Listeners were also tested with a version of the RRT that omitted the memory (i.e., recall) component. As expected, results showed alpha power to decrease significantly with increasing SNR from 0 through 10 dB. When tested with high context sentences, alpha was significantly higher in conditions where listeners had to recall the sentence materials compared to conditions where the recall requirement was omitted. When tested with low context sentences, alpha power was relatively high irrespective of the memory component. Within-subjects, alpha power was related to listening effort ratings collected across the different RRT conditions. Overall, these results suggest that the multipart demands of the RRT modulate both neural and behavioral measures of listening effort in directions consistent with the expected/designed difficulty of the RRT conditions.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165231222098"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10981257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165231225545
Chiara Casolani, Ali Borhan-Azad, Rikke Skovhøj Sørensen, Josef Schlittenlacher, Bastian Epp
{"title":"Evaluation of a Fast Method to Measure High-Frequency Audiometry Based on Bayesian Learning.","authors":"Chiara Casolani, Ali Borhan-Azad, Rikke Skovhøj Sørensen, Josef Schlittenlacher, Bastian Epp","doi":"10.1177/23312165231225545","DOIUrl":"10.1177/23312165231225545","url":null,"abstract":"<p><p>This study aimed to assess the validity of a high-frequency audiometry tool based on Bayesian learning to provide a reliable, repeatable, automatic, and fast test to clinics. The study involved 85 people (138 ears) who had their high-frequency thresholds measured with three tests: standard audiometry (SA), alternative forced choice (AFC)-based algorithm, and Bayesian active (BA) learning-based algorithm. The results showed median differences within ±5 dB up to 10 kHz when comparing the BA with the other two tests, and median differences within ±10 dB at higher frequencies. The variability increased from lower to higher frequencies. The BA showed lower thresholds compared to the SA at the majority of the frequencies. The results of the different tests were consistent across groups (age, hearing loss, and tinnitus). The data for the BA showed high test-retest reliability (>90%). The time required for the BA was shorter than for the AFC (4 min vs. 13 min). The data suggest that the BA test for high-frequency audiometry could be a good candidate for clinical screening. It would add reliable and significant information without adding too much time to the visit.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165231225545"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10777778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165241253653
Shangqiguo Wang, Lena L N Wong
{"title":"An Exploration of the Memory Performance in Older Adult Hearing Aid Users on the Integrated Digit-in-Noise Test.","authors":"Shangqiguo Wang, Lena L N Wong","doi":"10.1177/23312165241253653","DOIUrl":"10.1177/23312165241253653","url":null,"abstract":"<p><p>This study aimed to preliminarily investigate the associations between performance on the integrated Digit-in-Noise Test (iDIN) and performance on measures of general cognition and working memory (WM). The study recruited 81 older adult hearing aid users between 60 and 95 years of age with bilateral moderate to severe hearing loss. The Chinese version of the Montreal Cognitive Assessment Basic (MoCA-BC) was used to screen older adults for mild cognitive impairment. Speech reception thresholds (SRTs) were measured using 2- to 5-digit sequences of the Mandarin iDIN. The differences in SRT between five-digit and two-digit sequences (SRT<sub>5-2</sub>), and between five-digit and three-digit sequences (SRT<sub>5-3</sub>), were used as indicators of memory performance. The results were compared to those from the Digit Span Test and Corsi Blocks Tapping Test, which evaluate WM and attention capacity. SRT<sub>5-2</sub> and SRT<sub>5-3</sub> demonstrated significant correlations with the three cognitive function tests (<i>r</i>s ranging from -.705 to -.528). Furthermore, SRT<sub>5-2</sub> and SRT<sub>5-3</sub> were significantly higher in participants who failed the MoCA-BC screening compared to those who passed. The findings show associations between performance on the iDIN and performance on memory tests. However, further validation and exploration are needed to fully establish its effectiveness and efficacy.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241253653"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165241298613
Borgný Súsonnudóttir, Borys Kowalewski, Georg Stiefenhofer, Tobias Neher
{"title":"Individual Differences Underlying Preference for Processing Delay in Open-Fit Hearing Aids.","authors":"Borgný Súsonnudóttir, Borys Kowalewski, Georg Stiefenhofer, Tobias Neher","doi":"10.1177/23312165241298613","DOIUrl":"10.1177/23312165241298613","url":null,"abstract":"<p><p>In open-fit digital hearing aids (HAs), the processing delay influences comb-filter effects that arise from the interaction of the processed HA sound with the unprocessed direct sound. The current study investigated potential relations between preferred processing delay, spectral and temporal processing abilities, and self-reported listening habits. Ten listeners with normal hearing and 20 listeners with mild-to-moderate sensorineural hearing impairments participated. Using a HA simulator, delay preference was assessed with a paired-comparison task, three types of stimuli, and five processing delays (0, 0.5, 2, 5, and 10 ms). Spectral processing was assessed with a spectral ripple discrimination (SRD) task. Temporal processing was assessed with a gap detection task. Self-reported listening habits were assessed using a shortened version of the 'sound preference and hearing habits' questionnaire. A linear mixed-effects model showed a strong effect of processing delay on preference scores (<i>p</i> < .001, <i>η</i><sup>2 </sup>= 0.30). Post-hoc comparisons revealed no differences between either the two shortest delays or the three longer delays (all <i>p</i> > .05) but a clear difference between the two sets of delays (<i>p</i> < .001). A multiple linear regression analysis showed SRD to be a significant predictor of delay preference (<i>p</i> < .01, <i>η</i><sup>2 </sup>= 0.29), with good spectral processing abilities being associated with a preference for short processing delay. Overall, these results indicate that assessing spectral processing abilities can guide the prescription of open-fit HAs.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241298613"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165241296909
{"title":"Corrigendum to \"Diagnosing Noise-Induced Hearing Loss Sustained During Military Service Using Deep Neural Networks\".","authors":"","doi":"10.1177/23312165241296909","DOIUrl":"10.1177/23312165241296909","url":null,"abstract":"","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241296909"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Hearing Aids on Language Outcomes in Preschool Children With Mild Bilateral Hearing Loss.","authors":"Yu-Chen Hung, Pei-Hsuan Ho, Pei-Hua Chen, Yi-Shin Tsai, Yi-Jui Li, Hung-Ching Lin","doi":"10.1177/23312165241256721","DOIUrl":"10.1177/23312165241256721","url":null,"abstract":"<p><p>This study aimed to investigate the role of hearing aid (HA) usage in language outcomes among preschool children aged 3-5 years with mild bilateral hearing loss (MBHL). The data were retrieved from a total of 52 children with MBHL and 30 children with normal hearing (NH). The association between demographical, audiological factors and language outcomes was examined. Analyses of variance were conducted to compare the language abilities of HA users, non-HA users, and their NH peers. Furthermore, regression analyses were performed to identify significant predictors of language outcomes. Aided better ear pure-tone average (BEPTA) was significantly correlated with language comprehension scores. Among children with MBHL, those who used HA outperformed the ones who did not use HA across all linguistic domains. The language skills of children with MBHL were comparable to those of their peers with NH. The degree of improvement in audibility in terms of aided BEPTA was a significant predictor of language comprehension. It is noteworthy that 50% of the parents expressed reluctance regarding HA use for their children with MBHL. The findings highlight the positive impact of HA usage on language development in this population. Professionals may therefore consider HAs as a viable treatment option for children with MBHL, especially when there is a potential risk of language delay due to hearing loss. It was observed that 25% of the children with MBHL had late-onset hearing loss. Consequently, the implementation of preschool screening or a listening performance checklist is recommended to facilitate early detection.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241256721"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11113073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trends in HearingPub Date : 2024-01-01DOI: 10.1177/23312165241260041
Larry E Humes, David A Zapala
{"title":"Easy as 1-2-3: Development and Evaluation of a Simple yet Valid Audiogram-Classification System.","authors":"Larry E Humes, David A Zapala","doi":"10.1177/23312165241260041","DOIUrl":"10.1177/23312165241260041","url":null,"abstract":"<p><p>Almost since the inception of the modern-day electroacoustic audiometer a century ago the results of pure-tone audiometry have been characterized by an audiogram. For almost as many years, clinicians and researchers have sought ways to distill the volume and complexity of information on the audiogram. Commonly used approaches have made use of pure-tone averages (PTAs) for various frequency ranges with the PTA for 500, 1000, 2000 and 4000 Hz (PTA4) being the most widely used for the categorization of hearing loss severity. Here, a three-digit triad is proposed as a single-number summary of not only the severity, but also the configuration and bilateral symmetry of the hearing loss. Each digit in the triad ranges from 0 to 9, increasing as the level of the pure-tone hearing threshold level (HTL) increases from a range of optimal hearing (< 10 dB Hearing Level; HL) to complete hearing loss (≥ 90 dB HL). Each digit also represents a different frequency region of the audiogram proceeding from left to right as: (Low, L) PTA for 500, 1000, and 2000 Hz; (Center, C) PTA for 3000, 4000 and 6000 Hz; and (High, H) HTL at 8000 Hz. This LCH Triad audiogram-classification system is evaluated using a large United States (U.S.) national dataset (N = 8,795) from adults 20 to 80 + years of age and two large clinical datasets totaling 8,254 adults covering a similar age range. Its ability to capture variations in hearing function was found to be superior to that of the widely used PTA4.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241260041"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11179497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}