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Can a Remotely Delivered Auditory Training Program Improve Speech-in-Noise Understanding?

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    This study found that a remote, internet-based auditory training program did not significantly improve speech-in-noise understanding compared to hearing aids alone. Compliance challenges may impact the effectiveness of such auditory training interventions.

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    Area of Science:

    • Audiology
    • Hearing Science
    • Rehabilitation Technology

    Background:

    • Hearing aid users often struggle with understanding speech in noisy environments.
    • Internet-based auditory training (AT) offers a potentially accessible alternative to traditional clinic-based programs.

    Purpose of the Study:

    • To evaluate the efficacy of a remotely delivered, internet-based AT program for improving speech-in-noise understanding in new hearing aid users.
    • To determine if the duration of engagement with the AT program correlates with improvements in speech-in-noise understanding.

    Main Methods:

    • A randomized controlled trial involving 29 first-time hearing aid users.
    • Participants were assigned to either an AT group (hearing aids + 3-week online AT) or a control group (hearing aids alone).
    • Speech-in-noise tests were administered at baseline and post-intervention.

    Main Results:

    • Both groups showed improvements in speech-in-noise understanding, with no statistically significant difference between the AT and control groups.
    • Participant engagement with the AT program was lower than prescribed.
    • Time spent on the AT program positively influenced scores on the Words-in-Noise test but not the Hearing in Noise Test.

    Conclusions:

    • Remotely delivered, internet-based AT programs are appealing but face challenges in demonstrating consistent efficacy.
    • Low compliance with AT programs is a significant factor affecting their effectiveness.
    • Further research is needed to optimize compliance and efficacy of remote auditory interventions.