Relationship between Auditory Processing Abilities and Hearing Aid Benefit in Elderly Individuals with Hearing Impairment
Abstract
Background and Aim: Cognitive and auditory processing deficits are seen in older individuals with normal hearing sensitivity. Studies on older individuals with hearing impairment have assessed the cognitive function and correlated with hearing devices benefit. Since auditory processing can also affect speech perception abilities, and there is a possible relationship between cognition and some of the auditory processing abilities, it is essential to assess the relationship between auditory processing abilities and hearing aid benefit in naïve and experienced hearing aid users in older adults.
Methods: Fifty individuals in the age range of 51 to 70 years with mild to moderate hearing loss participated in the study. There were 30 participants without any hearing aid experience and 20 participants with hearing aid experience for at least six weeks. Their auditory processing abilities were tested using gap detection test, duration pattern test, speech perception in noise, dichotic consonant-vowel test, masking level difference, forward and backward span tests. The hearing aid benefit was assessed using aided speech perception in noise measures and International Outcome Inventory-Hearing Aids questionnaire in Kannada.
Results: Spearman’s correlation showed only correlation between auditory closure ability and binaural integration abilities with hearing aid benefit in experienced users. There was no correlation between any other auditory processing abilities and hearing aid benefit.
Conclusion: There is a correlation between a few auditory processes and hearing aid use in elderly individuals with mild to moderate hearing loss.
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[5] Humes LE, Burk MH, Coughlin MP, Busey TA, Strauser LE. Auditory Speech Recognition and Visual Text Recognition in Younger and Older Adults: Similarities and Differences Between Modalities and the Effects of Presentation Rate. J Speech Lang Hear Res. 2007;50(2):283-303. [DOI:10.1044/1092-4388(2007/021)]
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[7] Murphy CFB, Rabelo CM, Silagi ML, Mansur LL, Bamiou DE, Schochat E. Auditory Processing Performance of the Middle-Aged and Elderly: Auditory or Cognitive Decline? J Am Acad Audiol. 2018;29(1):5-14. [DOI:10.3766/jaaa.15098]
[8] Hester RL, Kinsella GJ, Ong B. Effect of age on forward and backward span tasks. J Int Neuropsychol Soc. 2004;10(4):475-81. [DOI:10.1017/S1355617704104037]
[9] Pichora-Fuller MK, Souza PE. Effects of aging on auditory processing of speech. Int J Audiol. 2003;42 Suppl 2:2S11-6. [DOI:10.3109/14992020309074638]
[10] Willott JF. Aging and the auditory system: anatomy, physiology, and psychophysics. 1st ed. San Diego: Singular Pub Group; 1991.
[11] Marshall L. Auditory Processing in Aging Listeners. J Speech Hear Disord. 1981;46(3):226-40. [DOI:10.1044/jshd.4603.226]
[12] Roeser RJ, Johns DF, Price LL. Dichotic listening in adults with sensorineural hearing loss. J Am Audiol Soc. 1976;2(1):19-25.
[13] Cañete OM, Almasio V, Torrente MC, Purdy SC. Performance of older adults with hearing loss on the staggered spondaic word test - Spanish version (SSW-SV). Hear Balance Commun. 2020;18(1):66-74. [DOI:10.1080/21695717.2019.1630976]
[14] Fitzgibbons PJ, Wightman FL. Gap detection in normal and hearing-impaired listeners. J Acoust Soc Am. 1982;72(3):761-5. [DOI:10.1121/1.388256]
[15] John AB, Hall 3rd JW, Kreisman BM. Effects of Advancing Age and Hearing Loss on Gaps-in-Noise Test Performance. Am J Audiol. 2012;21(2):242-50. [DOI:10.1044/1059-0889(2012/11-0023)]
[16] Kelly-Ballweber D, Dobie RA. Binaural Interaction Measured Behaviorally and Electrophysiologically in Young and Old Adults. Audiology. 1984;23(2):181-94. [DOI:10.3109/00206098409072833]
[17] Humes LE, Busey TA, Craig J, Kewley-Port D. Are agerelated changes in cognitive function driven by age-related changes in sensory processing? Atten Percept Psychophys. 2013;75(3):508-24. [DOI:10.3758/s13414-012-0406-9]
[18] Sanchez ML, Nunes FB, Barros F, Ganança MM, Caovilla HH. Auditory Processing Assessment in older people with no report of hearing disability. Braz J Otorhinolaryngol. 2008;74(6):896-902. [DOI:10.1016/S1808-8694(15)30151-8]
[19] Sandeep M, Yathiraj A. Central Auditory processing skills in older adults. [Dissertation]. Mysore: Univeristy of Mysore.
[20] Füllgrabe C, Moore BCJ, Stone MA. Age-group differences in speech identification despite matched audiometrically normal hearing: contributions from auditory temporal processing and cognition. Front Aging Neurosci. 2015;6:347. [DOI:10.3389/fnagi.2014.00347]
[21] Moore DR, Edmondson-Jones M, Dawes P, Fortnum H, McCormack A, Pierzycki RH, et al. Relation between Speechin-Noise Threshold, Hearing Loss and Cognition from 40-69 Years of Age. PLoS One. 2014;9(9):e107720. [DOI:10.1371/journal.pone.0107720]
[22] Elwood RW. The Wechsler Memory Scale-Revised: Psychometric characteristics and clinical application. Neuropsychol Rev. 1991;2(2):179-201. [DOI:10.1007/BF01109053]
[23] Lunner T. Cognitive function in relation to hearing aid use. Int J Audiol. 2003;42 Suppl 1:S49-58. [DOI:10.3109/14992020309074624]
[24] Folstein MF, Folstein SE, McHugh PR. “Mini-mental state” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. [DOI:10.1016/0022-3956(75)90026-6]
[25] Dick JP, Guiloff RJ, Stewart A, Blackstock J, Bielawska C, Paul EA, et al. Mini-mental state examination in neurological patients. J Neurol Neurosurg Psychiatry. 1984;47(5):496-9. [DOI:10.1136/jnnp.47.5.496]
[26] Taylor, B. Changes in hearing aid benefit over time: An evidence-based review. Available from http://www.audiologyonline.com/articles/changes-in-hearing-aid-benefit-939. September 17, 2007.
[27] Manjula P, Antony J, Kumar KSS, Geetha C. Assessment of clinical utility of phonemically balanced word lists for adult speakers of Kannada. J Hear Sci. 2018;8(3):40-5. [DOI:10.17430/1002965]
[28] Yathiraj A. The dichotic CV test. Material Developed at the Department of Audiology, All India Institute of Speech and Hearing, Mysore, India; 1999.
[29] Harris KC, Eckert MA, Ahlstrom JB, Dubno JR. Age-related differences in gap detection: Effects of task difficulty and cognitive ability. Hear Res. 2010;264(1-2):21-9. [DOI:10.1016/j.heares.2009.09.017]
[30] Kumar UA, Sandeep M. Development and test trail of computer based auditory-cognitive training module for individuals with cochlear hearing loss. Unpublished Departmental Project. Mysuru: AIISH; n.d.
[31] Geetha C, Kumar KSS, Manjula P, Pavan M. Development and standardisation of the sentence identification test in the Kannada language. J Hear Sci. 2014;4(1),):18-26. [DOI:10.17430/890267]
[32] Finney DJ. Bioassay and the Practice of Statistical Inference. Int Stat Rev. 1979;47(1):1-12. [DOI:10.2307/1403201]
[33] Thammaiah S, Manchaiah V, Easwar V, Krishna R. Translation and adaptation of five English language self-report health measures to South Indian Kannada language. Audiol Res. 2016;6(1):153. [DOI:10.4081/audiores.2016.153]
[34] Lessa AH, Costa MJ. The influence of cognition on the auditory skills of the elderly: pre-and post-hearing aid fittings. Audiol Commun Res. 2016;21:1-7. [DOI:10.1590/2317-6431-2016-1686]
[35] Souza PE. Older Listeners’ Use of Temporal Cues Altered by Compression Amplification. J Speech Lang Hear Res. 2000;43(3):661-74. [DOI:10.1044/jslhr.4303.661]
[36] Lavie L, Banai K, Karni A, Attias J. Hearing Aid-Induced Plasticity in the Auditory System of Older Adults: Evidence From Speech Perception. J Speech Lang Hear Res. 2015;58(5):1601-10. [DOI:10.1044/2015_JSLHR-H-14-0225]
[37] Scheffler K, Bilecen D, Schmid N, Tschopp K, Seelig J. Auditory cortical responses in hearing subjects and unilateral deaf patients as detected by functional magnetic resonance imaging. Cereb Cortex. 1998;8(2):156-63. [DOI:10.1093/cercor/8.2.156]
[38] Munro KJ, Pisareva NY, Parker DJ, Purdy SC. Asymmetry in the auditory brainstem response following experience of monaural amplification. Neuroreport. 2007;18(17):1871-4. [DOI:10.1097/WNR.0b013e3282f1b003]
[39] Keidser G, Rohrseitz K, Dillon H, Hamacher V, Carter L, Rass U, et al. The effect of multi-channel wide dynamic range compression, noise reduction, and the directional microphone on horizontal localization performance in hearing aid wearers. Int J Audiol. 2006;45(10):563-79. [DOI:10.1080/14992020600920804]
[40] van Hooren SAH, Anteunis LJC, Valentijn SAM, Bosma H, Ponds RWHM, Jolles J, et al. Does cognitive function in older adults with hearing impairment improve by hearing aid use? Int J Audiol. 2005;44(5):265-71. [DOI:10.1080/14992020500060370]
[41] Ng EHN, Rudner M, Lunner T, Pedersen MS, Rönnberg J. Effects of noise and working memory capacity on memory processing of speech for hearing-aid users. Int J Audiol. 2013;52(7):433-41. [DOI:10.3109/14992027.2013.776181]
[2] Lichtenstein MJ, Bess FH, Logan SA. Diagnostic Performance of the Hearing Handicap Inventory for the Elderly (Screening Version) Against Differing Definitions of Hearing Loss. Ear Hear. 1988;9(4):208-11. [DOI:10.1097/00003446-198808000-00006]
[3] Mościcki EK, Elkins EF, Baum HM, McNamara PM. Hearing loss in the elderly: an epidemiologic study of the Framingham Heart Study Cohort. Ear Hear. 1985;6(4):184-90. [DOI:10.1097/00003446-198507000-00003]
[4] Jerger J, Alford B, Lew H, Rivera V, Chmiel R. Dichotic Listening, Event-Related Potentials, and Interhemispheric Transfer in the Elderly. Ear Hear. 1995;16(5):482-98. [DOI:10.1097/00003446-199510000-00005]
[5] Humes LE, Burk MH, Coughlin MP, Busey TA, Strauser LE. Auditory Speech Recognition and Visual Text Recognition in Younger and Older Adults: Similarities and Differences Between Modalities and the Effects of Presentation Rate. J Speech Lang Hear Res. 2007;50(2):283-303. [DOI:10.1044/1092-4388(2007/021)]
[6] Hällgren M, Larsby B, Lyxell B, Arlinger S. Cognitive Effects in Dichotic Speech Testing in Elderly Persons. Ear Hear. 2001;22(2):120-9. [DOI:10.1097/00003446-200104000-00005]
[7] Murphy CFB, Rabelo CM, Silagi ML, Mansur LL, Bamiou DE, Schochat E. Auditory Processing Performance of the Middle-Aged and Elderly: Auditory or Cognitive Decline? J Am Acad Audiol. 2018;29(1):5-14. [DOI:10.3766/jaaa.15098]
[8] Hester RL, Kinsella GJ, Ong B. Effect of age on forward and backward span tasks. J Int Neuropsychol Soc. 2004;10(4):475-81. [DOI:10.1017/S1355617704104037]
[9] Pichora-Fuller MK, Souza PE. Effects of aging on auditory processing of speech. Int J Audiol. 2003;42 Suppl 2:2S11-6. [DOI:10.3109/14992020309074638]
[10] Willott JF. Aging and the auditory system: anatomy, physiology, and psychophysics. 1st ed. San Diego: Singular Pub Group; 1991.
[11] Marshall L. Auditory Processing in Aging Listeners. J Speech Hear Disord. 1981;46(3):226-40. [DOI:10.1044/jshd.4603.226]
[12] Roeser RJ, Johns DF, Price LL. Dichotic listening in adults with sensorineural hearing loss. J Am Audiol Soc. 1976;2(1):19-25.
[13] Cañete OM, Almasio V, Torrente MC, Purdy SC. Performance of older adults with hearing loss on the staggered spondaic word test - Spanish version (SSW-SV). Hear Balance Commun. 2020;18(1):66-74. [DOI:10.1080/21695717.2019.1630976]
[14] Fitzgibbons PJ, Wightman FL. Gap detection in normal and hearing-impaired listeners. J Acoust Soc Am. 1982;72(3):761-5. [DOI:10.1121/1.388256]
[15] John AB, Hall 3rd JW, Kreisman BM. Effects of Advancing Age and Hearing Loss on Gaps-in-Noise Test Performance. Am J Audiol. 2012;21(2):242-50. [DOI:10.1044/1059-0889(2012/11-0023)]
[16] Kelly-Ballweber D, Dobie RA. Binaural Interaction Measured Behaviorally and Electrophysiologically in Young and Old Adults. Audiology. 1984;23(2):181-94. [DOI:10.3109/00206098409072833]
[17] Humes LE, Busey TA, Craig J, Kewley-Port D. Are agerelated changes in cognitive function driven by age-related changes in sensory processing? Atten Percept Psychophys. 2013;75(3):508-24. [DOI:10.3758/s13414-012-0406-9]
[18] Sanchez ML, Nunes FB, Barros F, Ganança MM, Caovilla HH. Auditory Processing Assessment in older people with no report of hearing disability. Braz J Otorhinolaryngol. 2008;74(6):896-902. [DOI:10.1016/S1808-8694(15)30151-8]
[19] Sandeep M, Yathiraj A. Central Auditory processing skills in older adults. [Dissertation]. Mysore: Univeristy of Mysore.
[20] Füllgrabe C, Moore BCJ, Stone MA. Age-group differences in speech identification despite matched audiometrically normal hearing: contributions from auditory temporal processing and cognition. Front Aging Neurosci. 2015;6:347. [DOI:10.3389/fnagi.2014.00347]
[21] Moore DR, Edmondson-Jones M, Dawes P, Fortnum H, McCormack A, Pierzycki RH, et al. Relation between Speechin-Noise Threshold, Hearing Loss and Cognition from 40-69 Years of Age. PLoS One. 2014;9(9):e107720. [DOI:10.1371/journal.pone.0107720]
[22] Elwood RW. The Wechsler Memory Scale-Revised: Psychometric characteristics and clinical application. Neuropsychol Rev. 1991;2(2):179-201. [DOI:10.1007/BF01109053]
[23] Lunner T. Cognitive function in relation to hearing aid use. Int J Audiol. 2003;42 Suppl 1:S49-58. [DOI:10.3109/14992020309074624]
[24] Folstein MF, Folstein SE, McHugh PR. “Mini-mental state” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. [DOI:10.1016/0022-3956(75)90026-6]
[25] Dick JP, Guiloff RJ, Stewart A, Blackstock J, Bielawska C, Paul EA, et al. Mini-mental state examination in neurological patients. J Neurol Neurosurg Psychiatry. 1984;47(5):496-9. [DOI:10.1136/jnnp.47.5.496]
[26] Taylor, B. Changes in hearing aid benefit over time: An evidence-based review. Available from http://www.audiologyonline.com/articles/changes-in-hearing-aid-benefit-939. September 17, 2007.
[27] Manjula P, Antony J, Kumar KSS, Geetha C. Assessment of clinical utility of phonemically balanced word lists for adult speakers of Kannada. J Hear Sci. 2018;8(3):40-5. [DOI:10.17430/1002965]
[28] Yathiraj A. The dichotic CV test. Material Developed at the Department of Audiology, All India Institute of Speech and Hearing, Mysore, India; 1999.
[29] Harris KC, Eckert MA, Ahlstrom JB, Dubno JR. Age-related differences in gap detection: Effects of task difficulty and cognitive ability. Hear Res. 2010;264(1-2):21-9. [DOI:10.1016/j.heares.2009.09.017]
[30] Kumar UA, Sandeep M. Development and test trail of computer based auditory-cognitive training module for individuals with cochlear hearing loss. Unpublished Departmental Project. Mysuru: AIISH; n.d.
[31] Geetha C, Kumar KSS, Manjula P, Pavan M. Development and standardisation of the sentence identification test in the Kannada language. J Hear Sci. 2014;4(1),):18-26. [DOI:10.17430/890267]
[32] Finney DJ. Bioassay and the Practice of Statistical Inference. Int Stat Rev. 1979;47(1):1-12. [DOI:10.2307/1403201]
[33] Thammaiah S, Manchaiah V, Easwar V, Krishna R. Translation and adaptation of five English language self-report health measures to South Indian Kannada language. Audiol Res. 2016;6(1):153. [DOI:10.4081/audiores.2016.153]
[34] Lessa AH, Costa MJ. The influence of cognition on the auditory skills of the elderly: pre-and post-hearing aid fittings. Audiol Commun Res. 2016;21:1-7. [DOI:10.1590/2317-6431-2016-1686]
[35] Souza PE. Older Listeners’ Use of Temporal Cues Altered by Compression Amplification. J Speech Lang Hear Res. 2000;43(3):661-74. [DOI:10.1044/jslhr.4303.661]
[36] Lavie L, Banai K, Karni A, Attias J. Hearing Aid-Induced Plasticity in the Auditory System of Older Adults: Evidence From Speech Perception. J Speech Lang Hear Res. 2015;58(5):1601-10. [DOI:10.1044/2015_JSLHR-H-14-0225]
[37] Scheffler K, Bilecen D, Schmid N, Tschopp K, Seelig J. Auditory cortical responses in hearing subjects and unilateral deaf patients as detected by functional magnetic resonance imaging. Cereb Cortex. 1998;8(2):156-63. [DOI:10.1093/cercor/8.2.156]
[38] Munro KJ, Pisareva NY, Parker DJ, Purdy SC. Asymmetry in the auditory brainstem response following experience of monaural amplification. Neuroreport. 2007;18(17):1871-4. [DOI:10.1097/WNR.0b013e3282f1b003]
[39] Keidser G, Rohrseitz K, Dillon H, Hamacher V, Carter L, Rass U, et al. The effect of multi-channel wide dynamic range compression, noise reduction, and the directional microphone on horizontal localization performance in hearing aid wearers. Int J Audiol. 2006;45(10):563-79. [DOI:10.1080/14992020600920804]
[40] van Hooren SAH, Anteunis LJC, Valentijn SAM, Bosma H, Ponds RWHM, Jolles J, et al. Does cognitive function in older adults with hearing impairment improve by hearing aid use? Int J Audiol. 2005;44(5):265-71. [DOI:10.1080/14992020500060370]
[41] Ng EHN, Rudner M, Lunner T, Pedersen MS, Rönnberg J. Effects of noise and working memory capacity on memory processing of speech for hearing-aid users. Int J Audiol. 2013;52(7):433-41. [DOI:10.3109/14992027.2013.776181]
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| Issue | Vol 31 No 3 (2022) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v31i3.9870 | |
| Keywords | ||
| Auditory processing abilities hearing aid benefit hearing aid users working memory | ||
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How to Cite
1.
Chinnaraj G, Parmeshwara KS, Jain C. Relationship between Auditory Processing Abilities and Hearing Aid Benefit in Elderly Individuals with Hearing Impairment. Aud Vestib Res. 2022;31(3):196-207.
