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Updated: Jun 12, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Self-reported conversation success in groups involving adults with normal and impaired hearing
Raluca Nicoras1, Rosa-Linde Fischer2, Graham Naylor1,3
1Hearing Sciences - Scottish Section, School of Medicine, University of Nottingham, Nottingham, UK.
Objective:
This study aimed to compare self-reported conversation success during and after group conversations as well as the impacts of background noise, hearing aids, and hearing ability on conversation success.
Design:
Older adults engaged in group conversations and rated conversation success during and after. We used a 3x2x2 design, manipulating background noise levels (low, medium, high) and hearing aid use in participants with impaired hearing (aided with own devices vs. unaided). Participants were grouped by hearing status: normal (PwNH) vs. impaired (PwIH).
Study Sample:
Eighteen quartettes (N = 72), each with two PwNH and two PwIH.
Results:
A strong correlation was found between in-the-moment and post-conversation ratings. Conversation success ratings were significantly lower in the highest noise (72 dBA) compared to medium (54 dBA) and low (30 dBA) noise levels. Hearing aids improved success for PwIH in low and medium noise, aligning their ratings with PwNH. However, all participants rated conversations similarly unsuccessful in the highest noise.
Conclusions:
Higher noise levels are associated with reduced conversation success. Hearing aids increase success for PwIH in quieter environments but not in loud settings. Within the constraints of this experiment, self-reported conversation success is similar for PwNH and aided PwIH, regardless of the noise level.
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