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Neural and Behavioral Changes in Older Adults from Auditory-Cognitive Training.

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    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
    |December 3, 2025
    PubMed
    Summary

    Auditory-cognitive training improved speech perception in noise for older adults. This training also enhanced neural processing and listening effort, offering new insights into auditory plasticity.

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    Area of Science:

    • Neuroscience
    • Audiology
    • Cognitive Science

    Background:

    • Older adults with normal hearing often struggle with speech perception in noise.
    • Cognitive factors may contribute to this difficulty, suggesting auditory-cognitive training as a potential intervention.

    Purpose of the Study:

    • To investigate the effects of auditory-cognitive training on speech-in-noise perception in normal-hearing older adults.
    • To compare neural and behavioral outcomes between younger and older adults post-training.

    Main Methods:

    • Magnetoencephalography (MEG) and temporal response function (TRF) models were used to analyze neural responses during auditory tasks.
    • Behavioral assessments included working memory (RSPAN), speech perception in noise (SPIN), and auditory stream segregation (SFG).

    Main Results:

    • Auditory-cognitive training led to improvements in behavioral measures (RSPAN, SPIN, SFG) and reduced listening effort.
    • Neural measures indicated enhanced processing of attended versus unattended stimuli post-training.
    • Pre-training SFG performance predicted the degree of neuroplasticity observed.

    Conclusions:

    • Auditory-cognitive training offers significant perceptual and neural benefits for older adults experiencing difficulties with speech-in-noise.
    • The findings highlight the potential for targeted training to enhance auditory processing and cognitive function in aging populations.