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Related Experiment Video

Updated: Jan 17, 2026

Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
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Hearing Aid Use is Associated with Faster Visual Lexical Decision.

Ruijing Ning1, Carine Signoret1, Emil Holmer1

  • 1Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.

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Summary

Hearing aid (HA) use improves visual word recognition in individuals with hearing loss. Long-term HA users demonstrated faster visual lexical decision (LD) performance, suggesting cognitive benefits beyond auditory processing.

Keywords:
hearing aid usehearing impairedhearing losslanguage skillphonological processingword recognition

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Area of Science:

  • Cognitive science
  • Audiology
  • Neuroscience

Background:

  • Hearing loss can impact cognitive functions.
  • Hearing aids (HA) are primarily used to improve auditory perception.
  • The cognitive effects of long-term HA use are not fully understood.

Purpose of the Study:

  • To investigate the impact of hearing aid (HA) use on visual lexical decision (LD) performance.
  • To determine if HA use enhances phonological processing and visual word recognition.
  • To compare visual LD performance between short-term HA users, long-term HA users, and nonusers.

Main Methods:

  • Visual lexical decision (LD) task administered to three groups: short-term HA users (n=92), long-term HA users (n=98), and nonusers (n=55).
  • Statistical analysis controlled for hearing level, age, and years of education.
  • Reaction times and accuracy in visual LD were measured.

Main Results:

  • HA users exhibited significantly faster reaction times in visual LD compared to non-HA users.
  • Long-term HA use was associated with a smaller difference in reaction time between pseudowords and nonwords.
  • No significant difference in accuracy was reported, but trends suggested faster processing for HA users.

Conclusions:

  • Hearing aid (HA) use is associated with faster visual word recognition.
  • Long-term HA use may indicate enhanced cognitive functions, including phonological processing.
  • Findings suggest potential cognitive advantages linked to sustained hearing aid use.