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Co-Designing a Web-Based, Gamified, Auditory-Cognitive Dual-Task Training System for Older Adults with Hearing Loss.

Ivy Yan Zhao1,2,3, Tsz Wai Lau1, Chen Li4,5

  • 1School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.

Healthcare (Basel, Switzerland)
|November 27, 2025
PubMed
Summary

Co-designing an auditory-cognitive training system with older adults experiencing age-related hearing loss (ARHL) resulted in a user-friendly, gamified prototype. This approach ensures the system meets the specific needs and preferences of end-users.

Keywords:
age-related hearing lossassistive technologiesco-designcognitive functiongamified training system

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Area of Science:

  • Gerontology
  • Audiology
  • Human-Computer Interaction
  • Cognitive Science

Background:

  • Age-related hearing loss (ARHL) is a global concern linked to communication deficits, social isolation, cognitive decline, and increased dementia risk in older adults.
  • While combined auditory and cognitive training shows promise for ARHL, evidence remains limited, and current programs suffer from low adherence due to insufficient end-user input.
  • This study addresses the need for user-centered design in developing effective auditory-cognitive training interventions for older adults with ARHL.

Purpose of the Study:

  • To investigate the impact of co-design methodology on the development of an auditory-cognitive training system tailored for older adults with ARHL.
  • To incorporate end-user preferences and needs into the design of a functional and engaging training system.

Main Methods:

  • A co-design methodology was implemented, involving older adults with ARHL as 'co-researchers'.
  • Three co-design workshops were conducted until data saturation, with verbatim transcription of discussions.
  • Consultations with two key service providers were held, and reflexive thematic analysis was used to interpret the data.

Main Results:

  • Fifteen older adults with ARHL actively participated in the co-design process.
  • Key themes identified include preferences for user-friendly interfaces, clear and localized instructions, and diversified, gamified, dual-task training for sustained engagement.
  • A prototype of a web-based, gamified, adaptive auditory-cognitive dual-task training system was successfully co-designed.

Conclusions:

  • The study underscores the critical importance of end-user involvement in developing responsive and effective technology for older adults with ARHL.
  • The co-designed system prototype addresses identified user needs, suggesting a more engaging and potentially effective intervention.
  • Further research is recommended to evaluate the efficacy of this co-designed system in improving outcomes for individuals with ARHL.