Hearing Aid Outcome Measures and Auditory Processing in Elderly Users of Binaural Amplification
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Abstract
Background and Aim: Generally, peripheral hearing loss in the elderly is associated with decreased auditory processing ability. Researchers have drawn attention to the role of auditory processing in the success of hearing amplification. The present study investigates the relationship between auditory processing and the benefit and satisfaction of binaural hearing aids in the elderly.
Methods: Forty-seven elderly users (aged 58–85 years) of binaural hearing aids, all of whom presented symmetrically mild to moderate sensory-neural hearing loss, completed the International Outcome Inventory-Hearing Aids (IOI-HA) and Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaires and the Persian version of Words-in-Noise (WIN), and two-pair Dichotic Digits (DD) tests.
Results: Signal-to-Noise Ratio-50% (SNR-50) and Non-Dominant Ear Score (NDES) collectively explained 16% of the binaural hearing aid benefit variance. NDES accounted for 14% of the variance observed in satisfaction.
Conclusion: Binaural hearing aid benefit and satisfaction in the elderly were not similarly related to auditory processing abilities. NDES alone is a weak but significant predictor of satisfaction and in combination with WIN SNR-50 is a moderate predictor of benefit.
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11. Davidson A, Musiek F, Fisher JM, Marrone N. Investigating the Role of Auditory Processing Abilities in Long-Term Self-Reported Hearing Aid Outcomes among Adults Age 60+ Years. J Am Acad Audiol. 2021;32(7):405-19. [DOI:10.1055/s-0041-1728771]
12. Dillon H. Hearing aids. 2nd ed. New York: Thieme; 2012.
13. Stach BA, Loiselle LH, Jerger JF. Special hearing aid considerations in elderly patients with auditory processing disorders. Ear Hear. 1991;12(6 Suppl):131S-8S. [DOI:10.1097/00003446-199112001-00007]
14. Gatehouse S. Components and determinants of hearing aid benefit. Ear Hear. 1994;15(1):30-49. [DOI:10.1097/00003446-199402000-00005]
15. Givens GD, Arnold T, Hume WG. Auditory processing skills and hearing aid satisfaction in a sample of older adults. Percept Mot Skills. 1998;86(3 Pt 1):795-801. [DOI:10.2466/pms.1998.86.3.795]
16. Davidson A, Marrone N, Wong B, Musiek F. Predicting Hearing Aid Satisfaction in Adults: A Systematic Review of Speech-in-noise Tests and Other Behavioral Measures. Ear Hear. 2021;42(6):1485-98. [DOI:10.1097/AUD.0000000000001051]
17. Gharavi A, Mobaraki H, Kamali M, Jafari Z. [Benefits of Hearing Aids on the Quality of Life in Adolescents with Hearing Loss]. J Rehab Med. 2018;6(4):142-50. Persian. [DOI:10.22037/JRM.2017.110476.1319]
18. Fathi Roshan M, Fatahi J, Geshani A, Jalaie S. Development, validity and reliability of Persian international outcome inventory for hearing aids questionnaire. Aud Vestib Res. 2017;26(4):240-6.
19. Mahdavi ME, Pourbakht A, Parand A, Jalaie S, Rezaeian M, Moradiju E. Auditory Recognition of Words and Digits in Multitalker Babble in Learning-Disabled Children with Dichotic Listening Deficit. Iran Red Crescent Med J. 2017;19(4):1-5. [DOI:10.5812/ircmj.42817]
20. Mahdavi ME, Pourbakht A, Parand A, Jalaie S. Test-Retest Reliability and Minimal Detectable Change of Randomized Dichotic Digits in Learning-Disabled Children: Implications for Dichotic Listening Training. J Am Acad Audiol. 2018;29(3):223-32. [DOI:10.3766/jaaa.16134]
21. Carter AS, Noe CM, Wilson RH. Listeners who prefer monaural to binaural hearing aids. J Am Acad Audiol. 2001;12(5):261-72.
22. Lotfi Y, Talebi H, Mehrkian S, Khodaei MR, Faghih Zadeh S. [Effect of Cognitive and Central Auditory Impairments on Satisfaction of Amplification in Hearing Impaired Older Adults]. Iranian Journal of Ageing. 2012;7(2):45-52. Persian.
23. Sameti A, Fatahi F, Tavanai E, Rouhbakhsh N, Jalaie S. Investigation of correlation between dichotic listening performance and speech in noise perception with hearing aid outcomes in the elderly. Hearing Balance Commun. 2023:21(3):201-9. [DOI:10.1080/21695717.2022.2142381]
24. Walden TC, Walden BE. Predicting success with hearing aids in everyday living. J Am Acad Audiol. 2004;15(5):342-52. [DOI:10.3766/jaaa.15.5.2]
25. Wilson RH, Burks CA, Weakley DG. Word recognition of digit triplets and monosyllabic words in multitalker babble by listeners with sensorineural hearing loss. J Am Acad Audiol. 2006;17(6):385-97. [DOI:10.3766/jaaa.17.6.2]
26. Nasiri E, Jalilvand H, Mahdavi ME, Koravand A. Auditory Recognition of Words-in-Noise in Normal Hearing and Mild-to-Severe Sensorineural Hearing Loss with Different Configurations. Aud Vestib Res. 2024;33(2): 110-7. [DOI:10.18502/avr.v33i2.14813]
27. Ferguson MA, Woolley A, Munro KJ. The impact of self-efficacy, expectations, and readiness on hearing aid outcomes. Int J Audiol. 2016;55 Suppl 3:S34-41. [DOI:10.1080/14992027.2016.1177214]
28. Cox RM, Alexander GC, Gray GA. Personality, hearing problems, and amplification characteristics: contributions to self-report hearing aid outcomes. Ear Hear. 2007;28(2):141-62. [DOI:10.1097/AUD.0b013e31803126a4]
29. Grunditz M, Magnusson L. Validation of a speech-in-noise test used for verification of hearing aid fitting. Hearing Balance Commun. 2013;11(2):64-71. [DOI:10.3109/21695717.2013.782135]
30. Humes LE, Humes LE. Factors Affecting Long-Term Hearing Aid Success. Semin Hear. 2004;25(1):63-72. [DOI:10.1055/s-2004-823048]
31. Jerger J, Silverman CA. Binaural Interference: a Guide for Audiologists. 1st ed. San Diego, CA: Plural Publishing; 2018.
2. Cruickshanks KJ, Wiley TL, Tweed TS, Klein BE, Klein R, Mares-Perlman JA, Nondahl DM. Prevalence of hearing loss in older adults in Beaver Dam, Wisconsin. The Epidemiology of Hearing Loss Study. Am J Epidemiol. 1998;148(9):879-86. [DOI:10.1093/oxfordjournals.aje.a009713]
3. Dawes P, Bishop D. Auditory processing disorder in relation to developmental disorders of language, communication and attention: a review and critique. Int J Lang Commun Disord. 2009;44(4):440-65. [DOI:10.1080/13682820902929073]
4. Sardone R, Battista P, Panza F, Lozupone M, Griseta C, Castellana F, et al. The Age-Related Central Auditory Processing Disorder: Silent Impairment of the Cognitive Ear. Front Neurosci. 2019;13:619. [DOI:10.3389/fnins.2019.00619]
5. Dillard LK, Fischer ME, Pinto A, Klein BEK, Paulsen AJ, Schubert CR, et al. Longitudinal Decline on the Dichotic Digits Test. Am J Audiol. 2020;29(4):862-72. [DOI:10.1044/2020_AJA-20-00098]
6. Martin JS, Jerger JF. Some effects of aging on central auditory processing. J Rehabil Res Dev. 2005;42(4 Suppl 2):25-44. [DOI:10.1682/jrrd.2004.12.0164]
7. Emami SF, Shariatpanahi E, Gohari N, Mehrabifard M. Aging and Speech-in-Noise Perception. Indian J Otolaryngol Head Neck Surg. 2023;75(3):1579-85. [DOI:10.1007/s12070-023-03689-2]
8. Anderson S, Parbery-Clark A, Yi HG, Kraus N. A neural basis of speech-in-noise perception in older adults. Ear Hear. 2011;32(6):750-7. [DOI:10.1097/AUD.0b013e31822229d3]
9. Pronk M, Deeg DJ, Festen JM, Twisk JW, Smits C, Comijs HC, et al. Decline in older persons' ability to recognize speech in noise: the influence of demographic, health-related, environmental, and cognitive factors. Ear Hear. 2013;34(6):722-32. [DOI:10.1097/AUD.0b013e3182994eee]
10. Stam M, Smits C, Twisk JW, Lemke U, Festen JM, Kramer SE. Deterioration of Speech Recognition Ability Over a Period of 5 Years in Adults Ages 18 to 70 Years: Results of the Dutch Online Speech-in-Noise Test. Ear Hear. 2015;36(3):e129-37. [DOI:10.1097/AUD.0000000000000134]
11. Davidson A, Musiek F, Fisher JM, Marrone N. Investigating the Role of Auditory Processing Abilities in Long-Term Self-Reported Hearing Aid Outcomes among Adults Age 60+ Years. J Am Acad Audiol. 2021;32(7):405-19. [DOI:10.1055/s-0041-1728771]
12. Dillon H. Hearing aids. 2nd ed. New York: Thieme; 2012.
13. Stach BA, Loiselle LH, Jerger JF. Special hearing aid considerations in elderly patients with auditory processing disorders. Ear Hear. 1991;12(6 Suppl):131S-8S. [DOI:10.1097/00003446-199112001-00007]
14. Gatehouse S. Components and determinants of hearing aid benefit. Ear Hear. 1994;15(1):30-49. [DOI:10.1097/00003446-199402000-00005]
15. Givens GD, Arnold T, Hume WG. Auditory processing skills and hearing aid satisfaction in a sample of older adults. Percept Mot Skills. 1998;86(3 Pt 1):795-801. [DOI:10.2466/pms.1998.86.3.795]
16. Davidson A, Marrone N, Wong B, Musiek F. Predicting Hearing Aid Satisfaction in Adults: A Systematic Review of Speech-in-noise Tests and Other Behavioral Measures. Ear Hear. 2021;42(6):1485-98. [DOI:10.1097/AUD.0000000000001051]
17. Gharavi A, Mobaraki H, Kamali M, Jafari Z. [Benefits of Hearing Aids on the Quality of Life in Adolescents with Hearing Loss]. J Rehab Med. 2018;6(4):142-50. Persian. [DOI:10.22037/JRM.2017.110476.1319]
18. Fathi Roshan M, Fatahi J, Geshani A, Jalaie S. Development, validity and reliability of Persian international outcome inventory for hearing aids questionnaire. Aud Vestib Res. 2017;26(4):240-6.
19. Mahdavi ME, Pourbakht A, Parand A, Jalaie S, Rezaeian M, Moradiju E. Auditory Recognition of Words and Digits in Multitalker Babble in Learning-Disabled Children with Dichotic Listening Deficit. Iran Red Crescent Med J. 2017;19(4):1-5. [DOI:10.5812/ircmj.42817]
20. Mahdavi ME, Pourbakht A, Parand A, Jalaie S. Test-Retest Reliability and Minimal Detectable Change of Randomized Dichotic Digits in Learning-Disabled Children: Implications for Dichotic Listening Training. J Am Acad Audiol. 2018;29(3):223-32. [DOI:10.3766/jaaa.16134]
21. Carter AS, Noe CM, Wilson RH. Listeners who prefer monaural to binaural hearing aids. J Am Acad Audiol. 2001;12(5):261-72.
22. Lotfi Y, Talebi H, Mehrkian S, Khodaei MR, Faghih Zadeh S. [Effect of Cognitive and Central Auditory Impairments on Satisfaction of Amplification in Hearing Impaired Older Adults]. Iranian Journal of Ageing. 2012;7(2):45-52. Persian.
23. Sameti A, Fatahi F, Tavanai E, Rouhbakhsh N, Jalaie S. Investigation of correlation between dichotic listening performance and speech in noise perception with hearing aid outcomes in the elderly. Hearing Balance Commun. 2023:21(3):201-9. [DOI:10.1080/21695717.2022.2142381]
24. Walden TC, Walden BE. Predicting success with hearing aids in everyday living. J Am Acad Audiol. 2004;15(5):342-52. [DOI:10.3766/jaaa.15.5.2]
25. Wilson RH, Burks CA, Weakley DG. Word recognition of digit triplets and monosyllabic words in multitalker babble by listeners with sensorineural hearing loss. J Am Acad Audiol. 2006;17(6):385-97. [DOI:10.3766/jaaa.17.6.2]
26. Nasiri E, Jalilvand H, Mahdavi ME, Koravand A. Auditory Recognition of Words-in-Noise in Normal Hearing and Mild-to-Severe Sensorineural Hearing Loss with Different Configurations. Aud Vestib Res. 2024;33(2): 110-7. [DOI:10.18502/avr.v33i2.14813]
27. Ferguson MA, Woolley A, Munro KJ. The impact of self-efficacy, expectations, and readiness on hearing aid outcomes. Int J Audiol. 2016;55 Suppl 3:S34-41. [DOI:10.1080/14992027.2016.1177214]
28. Cox RM, Alexander GC, Gray GA. Personality, hearing problems, and amplification characteristics: contributions to self-report hearing aid outcomes. Ear Hear. 2007;28(2):141-62. [DOI:10.1097/AUD.0b013e31803126a4]
29. Grunditz M, Magnusson L. Validation of a speech-in-noise test used for verification of hearing aid fitting. Hearing Balance Commun. 2013;11(2):64-71. [DOI:10.3109/21695717.2013.782135]
30. Humes LE, Humes LE. Factors Affecting Long-Term Hearing Aid Success. Semin Hear. 2004;25(1):63-72. [DOI:10.1055/s-2004-823048]
31. Jerger J, Silverman CA. Binaural Interference: a Guide for Audiologists. 1st ed. San Diego, CA: Plural Publishing; 2018.
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How to Cite
1.
Fatemi N, Mahdavi ME, Jalilvand H, Akbarzadeh Baghban A. Hearing Aid Outcome Measures and Auditory Processing in Elderly Users of Binaural Amplification. Aud Vestib Res. 2024;.
