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Related Experiment Video

Updated: Jun 18, 2026

Working Memory Training for Older Participants: A Control Group Training Regimen and Initial Intellectual Functioning Assessment
07:01

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Published on: September 20, 2020

Web-Based Gamified Auditory-Cognitive Dual-Task Training for Older Adults With Age-Related Hearing Loss: Pilot

Ivy Yan Zhao1,2,3, Angela Yee Man Leung1,2,3, Chen Li4

  • 1School of Nursing, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Hong Kong, China (Hong Kong), 852 27664550.

JMIR Aging
|June 16, 2026
PubMed
Summary

Culturally adapted auditory-cognitive dual-task training (ACDT) is feasible and acceptable for older Chinese adults with age-related hearing loss (ARHL). The intervention improved attention, cognition, and hearing handicap, suggesting benefits for auditory and cognitive health.

Keywords:
age-related hearing lossauditory trainingcognitive trainingdual-task traininggamifiedrandomized controlled trial

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Area of Science:

  • Gerontology
  • Neuroscience
  • Audiology

Background:

  • Age-related hearing loss (ARHL) impacts well-being, increasing risks of social isolation, cognitive decline, and dementia.
  • Combined auditory and cognitive interventions may surpass single-modality approaches.
  • Culturally adapted, web-based, gamified auditory-cognitive dual-task training (ACDT) for Chinese older adults with ARHL is understudied.

Purpose of the Study:

  • Assess feasibility and acceptability of home-based ACDT in older Chinese adults with ARHL.
  • Examine preliminary effects of ACDT on cognition, hearing, social engagement, and loneliness.
  • Hypothesize greater improvements in the ACDT group compared to a control group.

Main Methods:

  • Pilot randomized controlled trial with 60 older adults with mild-to-moderate ARHL.
  • Participants randomized 1:1 to ACDT or waitlist control.
  • Data collected at baseline, 6, and 12 weeks; post-intervention interviews for qualitative feedback.

Main Results:

  • ACDT demonstrated high feasibility and acceptability.
  • Significant improvements in focused and divided attention, naming, and visual cognition in the ACDT group.
  • ACDT group showed greater reduction in emotional hearing handicap and a moderate effect on delayed recall; significant improvement in left-ear hearing thresholds.

Conclusions:

  • Home-based ACDT is a feasible and acceptable intervention for older Chinese adults with ARHL.
  • ACDT shows promise for improving auditory and cognitive functions.
  • Future research should include AI personalization and large-scale trials with active controls.