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Updated: Jul 11, 2025

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Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
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Relationship between self-reported listening and communication difficulties and executive function: a protocol for a
Jemaine E Stacey1, Henrik Danielsson2, Antje Heinrich3
1Psychology, Nottingham Trent University, Nottingham, UK.
BMJ Open
|November 8, 2023
Summary
This study examines how executive function relates to self-reported listening difficulties in adults with hearing loss. Findings clarify the link between cognitive abilities and perceived communication challenges.
Area of Science:
- Audiology
- Cognitive Science
- Psychology
Background:
- Listening and communication difficulties impact quality of life and participation.
- Self-report and behavioral measures of listening difficulties yield different results.
- Behavioral, but not always self-report, measures link to executive function deficits.
Purpose of the Study:
- To systematically review and meta-analyze the relationship between executive function and self-reported listening difficulties in adults with hearing loss.
- To explore age and audiometric thresholds as potential covariates.
- To understand the nuances between behavioral and self-reported listening measures.
Main Methods:
- Systematic review and meta-analysis of studies using self-report listening measures and behavioral executive function measures.
- Comprehensive literature search across eight major academic databases.
- Critical appraisal of included studies using the JBI tool and synthesis via meta-analysis or narrative review.
Main Results:
- The association between behavioral and self-reported listening difficulties is weaker than for hearing.
- Behavioral measures of listening difficulties correlate with poorer executive function.
- Self-report measures may capture different aspects of listening challenges.
Conclusions:
- Self-reported listening difficulties in adults with hearing loss may not directly reflect executive function deficits.
- Further research is needed to understand the distinct contributions of behavioral and self-report measures.
- Clarifying these relationships can inform interventions for hearing loss management.
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