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Related Experiment Video

Updated: May 16, 2026

Development of an Audio-based Virtual Gaming Environment to Assist with Navigation Skills in the Blind
09:01

Development of an Audio-based Virtual Gaming Environment to Assist with Navigation Skills in the Blind

Published on: March 27, 2013

An Augmented Reality Audio-Motor Training Game for Improving Speech-in-Noise Perception: Single-Arm Pilot Feasibility

Pooseung Koh1, Inyong Choi2, Hyo-Jeong Lee3,4

  • 1Graduate School of Culture Technology, Korea Advanced Institute of Science and Technology, Yuseong-gu Daehakro 291, Daejeon, Daejeon, 34141, Republic of Korea, 82 01027537697.

JMIR Formative Research
|May 14, 2026
PubMed
Summary

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Linking Attentional Modulation to Auditory Attention Decoding: Using Colocated Stimuli With a Fixed Temporal Structure.

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This pilot study shows that ARIA, an augmented reality auditory training program, significantly improves speech-in-noise perception for adults with hearing difficulties. The engaging, gamified approach demonstrated feasibility and maintained gains post-training.

Area of Science:

  • Auditory Neuroscience
  • Human-Computer Interaction
  • Rehabilitation Technology

Background:

  • Hearing impairment significantly impacts speech understanding in noise, a challenge not fully resolved by traditional hearing aids.
  • Current digital auditory training programs suffer from low adherence and lack immersive, realistic spatial audio experiences.

Purpose of the Study:

  • To evaluate the feasibility, usability, and preliminary efficacy of ARIA (Augmented Reality Immersive Auditory training), a mobile-based auditory training intervention.
  • ARIA utilizes gamified, at-home training with spatial audio delivered via earbuds to middle-aged adults.

Main Methods:

  • A single-arm, pre-post-follow-up pilot study involving 11 adults with functional hearing.
  • Participants completed a 4-week at-home ARIA training program.
Keywords:
auditory trainingaugmented realitygamificationmHealthmobile healthselective auditory attention

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  • Speech-in-noise perception was measured using the Korean Matrix Sentence Test at baseline, 4 weeks, and 8 weeks across varying signal-to-noise ratios (SNRs).

    • Main Results:

    • 100% protocol completion confirmed technical feasibility.
    • Statistically significant improvements in speech-in-noise perception were observed across all tested SNRs post-training and maintained at 8-week follow-up.
    • While usability showed individual variability, 63% reported engagement with the core gameplay, despite setup challenges.

    Conclusions:

    • The pilot study confirms the feasibility of AR-based auditory training for home use and shows promising preliminary efficacy.
    • Findings highlight the need for usability refinements, particularly in AR setup, to enhance broader implementation.
    • Results guide platform optimization and the design of future randomized controlled trials.