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Related Experiment Video

Updated: Jan 27, 2026

Making Sense of Listening: The IMAP Test Battery
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Listener Factors Explain Little Variability in Self-Adjusted Hearing Aid Gain.

Trevor T Perry1,2, Peggy B Nelson1,2, Dianne J Van Tasell1

  • 11 Department of Speech-Language-Hearing Sciences, University of Minnesota, Minneapolis, MN, USA.

Trends in Hearing
|March 19, 2019
PubMed
Summary

Individual hearing aid gain preferences vary significantly. Self-adjustment technology allows users to customize settings quickly, but listener characteristics explain little of the observed gain variability from standard fitting procedures.

Keywords:
acclimatizationamplificationbackground noisehearing aid fittinghearing loss

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Area of Science:

  • Audiology
  • Hearing Science
  • Bioacoustics

Background:

  • Understanding individual hearing aid gain preferences is crucial for effective amplification.
  • Current prescriptive fitting methods, like the National Acoustics Laboratories' non-linear fitting procedure (NAL-NL2), do not fully capture user-specific needs.
  • Self-adjustment offers a potential avenue to explore personalized hearing aid settings.

Purpose of the Study:

  • To investigate listener variability in self-adjusting hearing aid gain and compression parameters.
  • To identify listener characteristics and software engagement as predictors of gain adjustments.
  • To assess the feasibility and time commitment of hearing aid self-adjustment.

Main Methods:

  • Listeners with mild-to-moderate hearing loss used a touch screen device for real-time self-adjustment of hearing aid gain and compression.
  • Settings were adjusted while listening in quiet and noisy environments.
  • Listener characteristics (age, gender, hearing thresholds, experience, etc.) and software engagement were recorded.

Main Results:

  • Significant between-subject variability was observed in self-adjusted gain compared to NAL-NL2 prescription.
  • Listener characteristics and time spent adjusting gain were not robust predictors of deviations from NAL-NL2.
  • Listeners with less experience and better hearing thresholds tended to select less gain than experienced users with poorer thresholds.
  • Listener factors explained only up to 10% of the variance in gain deviation.

Conclusions:

  • Prescriptive fitting formulas are unlikely to fully match user-customized hearing aid settings based on the examined factors.
  • Self-adjustment is a rapid process, typically taking under 3 minutes, making it a practical option for users.
  • Further research is needed to understand the drivers of individual gain preferences in hearing aid users.