Developing a temporal processing-based auditory training program for the senior users of hearing aids: a home PC-based program
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Abstract
Background and Aim: One of the consequences of aging is temporal processing impairment and reduced neural synchronization, which reduces speech comprehension in challenging situations such as noisy and reflective environments. This study aimed to develop a novel temporal processing-based auditory training program for the senior users of hearing aids.
Methods: The program was designed based on different aspects of temporal processing and consists of multiple duty including: 1) detect the number of stimuli, 2) detect the pitch of the stimuli, 3) detect the duration pattern, 4) detect the number of nonsense speech stimuli in noise, and 5) detect the gap in noise. The program consists of 36 sessions (1800 exercises) and one or more features of temporal processing are challenged in all sections.
Results: Content validity ratio, content validity index and impact score were used for validation. The results showed acceptable validity.
Conclusion: Since training exercises can improve the physiological representation of sounds by changing hearing maps and temporal decoding, and these changes lead to improved perception, therefore, the auditory rehabilitation program for the seniors with emphasis on the temporal features of speech, was designed and developed. So it is hoped that with the implementation of the rehabilitation program in the seniors with hearing loss, the effects of age related hearing loss, including depression and social isolation, will be reduced to some extent.
1. Fato M. Clinical approach to the geriatric patient. In: Calhoun KH, Eibling DE, editors. Geriatric otolaryngology. 1st ed. New York, NY: Taylor & Francis Group; 2006. p. 1-16.
2. Divenyi PL, Stark PB, Haupt KM. Decline of speech understanding and auditory thresholds in the elderly. J Acoust Soc Am. 2005;118(2):1089-100. doi: 10.1121/1.1953207
3. Fitzgibbons PJ, Gordon-Salant S. Age-related differences in discrimination of temporal intervals in accented tone sequences. Hear Res. 2010;264(1-2):41-7. doi: 10.1016/j.heares.2009.11.008
4. Huang Q, Tang J. Age-related hearing loss or presbycusis. Eur Arch Otorhinolaryngol. 2010;267(8):1179-91. doi: 10.1007/s00405-010-1270-7
5. Lu PH, Lee GJ, Raven EP, Tingus K, Khoo T, Thompson PM, et al. Age-related slowing in cognitive processing speed is associated with myelin integrity in a very healthy elderly sample. J Clin Exp Neuropsychol. 2011;33(10):1059-68. doi: 10.1080/13803395.2011.595397
6. Parthasarathy A, Bartlett EL. Age-related auditory deficits in temporal processing in F-344 rats. Neuroscience. 2011;192:619-30. doi: 10.1016/j.neuroscience.2011.06.042
7. Forstmann BU, Tittgemeyer M, Wagenmakers EJ, Derrfuss J, Imperati D, Brown S. The speed-accuracy tradeoff in the elderly brain: a structural model-based approach. J Neurosci. 2011;31(47):17242-9. doi: 10.1523/JNEUROSCI.0309-11.2011
8. Schneider BA, Pichora-Fuller MK. Age-related changes in temporal processing: Implications for speech perception. Semin Hear. 2001; 22(3):227-40. doi: 10.1055/s-2001-15628
9. Anderson S, White-Schwoch T, Parbery-Clark A, Kraus N. Reversal of age-related neural timing delays with training. Proc Natl Acad Sci U S A. 2013;110(11):4357-62. doi: 10.1073/pnas.1213555110
10. Tremblay KL. Hearing aids and the brain: What's the connection? Hear J. 2006;59(8):10. doi: 10.1097/01.HJ.0000286369.99925.79
11. Alain C, Snyder JS, He Y, Reinke KS. Changes in audi¬tory cortex parallel rapid perceptual learning. Cereb Cortex. 2007;17(5):1074-84. doi: 10.1093/cercor/bhl018
12. Pimentel JT, Inglebret E. Evidence-based practice and treatment efficacy. In: Chermak GD, Musiek FE, editors. Handbook of central auditory processing disorder. 2nd ed. San Diego: Plural Publishing; 2014. p. 39-64. (Comprehensive Intervention; vol 2).
13. Tremblay KL. Beyond the ear: physiological perspectives on auditory rehabilitation. Semin Hear. 2005;26(3):127-36. doi: 10.1055/s-2005-916374
14. Weihing J, Chermak GD, Musiek FE. Auditory training for central auditory processing disorder. Semin Hear. 2015;36(4):199-215. doi: 10.1055/s-0035-1564458
15. Musiek FE, Chermak GD, Weibing J. Auditory training. In: Chermak GD, Musiek FE, editors. Handbook of central auditory processing disorder. 2nd ed. San Diego: Plural Publishing; 2014. p. 157-200. (Comprehensive Intervention; vol 2).
16. Musiek FE, Baran JA, Pinheiro ML. Duration pattern recognition in normal subjects and patients with cerebral and cochlear lesions. Audiology.1990;29(6):304-13. doi: 10.3109/00206099009072861
17. Zera J, Green DM. Detecting temporal asynchrony with asynchronous standards. J Acoust Soc Am. 1993;93(3):1571-9. doi: 10.1121/1.406816
18. Neubauer H, Heil P. Towards a unifying basis of auditory thresholds: the effects of hearing loss on temporal integration reconsidered. J Assoc Res. Otolaryngol. 2004;5(4):436-58. doi: 10.1007/s10162-004-5031-4
19. Elliott LL. Backward and forward masking of probe tones of different frequencies. J Acoust Soc Am. 1962;34(8):1116-7. doi: https://doi.org/10.1121/1.1918254
20. Musiek FE, Shinn JB, Jirsa R, Bamiou D-E, Baran JA, Zaida E. GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear Hear. 2005;26(6):608-18. doi: 10.1097/01.aud.0000188069.80699.41
21. Alain C, McDonald KL, Ostroff JM, Schneider B. Aging: a switch from automatic to controlled processing of sounds? Psychol Aging. 2004;19(1):125-33. doi: 10.1037/0882-7974.19.1.125
22. Sattari K, Rahbar N, Ahadi M, Haghani H. The effects of a temporal processing-based auditory training program on the auditory skills of elderly users of hearing aids: a study protocol for a randomized clinical trial. F1000Res. 2020;9:425. doi: 10.12688/f1000research.22757.2
23. Frisina RD. Aging changes in the central auditory system. In: Rees A, Palmer AR, editors. The Oxford handbook of auditory science: the auditory brain. 1st ed. Oxford University Press; 2010. p. 417-40.
24. Loo JHY, Bamiou D-E, Campbell N, Luxon LM. Computer-based auditory training (CBAT): benefits for children with language and reading-related learning difficulties. Dev Med Child Neurol. 2010;52(8):708-17. doi: 10.1111/j.1469-8749.2010.03654.x
25. Humes LE, Kinney DL, Brown SE, Kiener AL, Quigley TM. The effects of dosage and duration of auditory training for older adults with hearing impairment. J Acoust Soc Am. 2014;136(3):EL224. doi: 10.1121/1.4890663
26. Weinstein BE. Geriatric audiology. 1st ed. New York: Thieme; 2000.
27. Medwetsky L, Riddle L, Katz J. Management of central auditory processing disordrs. In: Katz J, Medwetsky L, Burkard R, Hood LJ, editors. Handbook of clinical audiology. 6st ed. Baltimore: Lippincott Williams & Wilkins; 2009. p. 642-665.
28. Anderson S, Skoe E, Chandrasekaran B, Kraus N. Neural timing is linked to speech perception in noise. J Neurosci. 2010;30(14):4922-6. doi: 10.1523/JNEUROSCI.0107-10.2010
29. Kraus N, Disterhoft JF. Response plasticity of single neurons in rabbit auditory association cortex during tone-signalled learning. Brain Res. 1982;246(2):205-15. doi: 10.1016/0006-8993(82)91168-4
30. Talebi H, Moossavi A, Lotfi Y, Faghihzadeh S. Effects of vowel auditory training on concurrent speech segregation in hearing impaired children. Ann Otol Rhinol Laryngol. 2015;124(1):13-20. doi: 10.1177/0003489414540604
31. Pichora-Fuller MK, Levitt H. Speech comprehension training and auditory and cognitive processing in older adults. Am J Audiol. 2012;21(2):351-7. doi: 10.1044/1059-0889(2012/12-0025)
32. Arslantas D, Unsal A, Metintas S, Koc F, Arslantas A. Life quality and daily life activities of elderly people in rural areas, Eskişehir (Turkey). Arch Gerontol Geriatr. 2009;48(2):127-31. doi: 10.1016/j.archger.2007.11.005
33. Lee TW, Ko IS, Lee KJ. Health promotion behaviors and quality of life among community-dwelling elderly in Korea: a cross-sectional survey. Int J Nurs Stud. 2006;43(3):293-300. doi: 10.1016/j.ijnurstu.2005.06.009
2. Divenyi PL, Stark PB, Haupt KM. Decline of speech understanding and auditory thresholds in the elderly. J Acoust Soc Am. 2005;118(2):1089-100. doi: 10.1121/1.1953207
3. Fitzgibbons PJ, Gordon-Salant S. Age-related differences in discrimination of temporal intervals in accented tone sequences. Hear Res. 2010;264(1-2):41-7. doi: 10.1016/j.heares.2009.11.008
4. Huang Q, Tang J. Age-related hearing loss or presbycusis. Eur Arch Otorhinolaryngol. 2010;267(8):1179-91. doi: 10.1007/s00405-010-1270-7
5. Lu PH, Lee GJ, Raven EP, Tingus K, Khoo T, Thompson PM, et al. Age-related slowing in cognitive processing speed is associated with myelin integrity in a very healthy elderly sample. J Clin Exp Neuropsychol. 2011;33(10):1059-68. doi: 10.1080/13803395.2011.595397
6. Parthasarathy A, Bartlett EL. Age-related auditory deficits in temporal processing in F-344 rats. Neuroscience. 2011;192:619-30. doi: 10.1016/j.neuroscience.2011.06.042
7. Forstmann BU, Tittgemeyer M, Wagenmakers EJ, Derrfuss J, Imperati D, Brown S. The speed-accuracy tradeoff in the elderly brain: a structural model-based approach. J Neurosci. 2011;31(47):17242-9. doi: 10.1523/JNEUROSCI.0309-11.2011
8. Schneider BA, Pichora-Fuller MK. Age-related changes in temporal processing: Implications for speech perception. Semin Hear. 2001; 22(3):227-40. doi: 10.1055/s-2001-15628
9. Anderson S, White-Schwoch T, Parbery-Clark A, Kraus N. Reversal of age-related neural timing delays with training. Proc Natl Acad Sci U S A. 2013;110(11):4357-62. doi: 10.1073/pnas.1213555110
10. Tremblay KL. Hearing aids and the brain: What's the connection? Hear J. 2006;59(8):10. doi: 10.1097/01.HJ.0000286369.99925.79
11. Alain C, Snyder JS, He Y, Reinke KS. Changes in audi¬tory cortex parallel rapid perceptual learning. Cereb Cortex. 2007;17(5):1074-84. doi: 10.1093/cercor/bhl018
12. Pimentel JT, Inglebret E. Evidence-based practice and treatment efficacy. In: Chermak GD, Musiek FE, editors. Handbook of central auditory processing disorder. 2nd ed. San Diego: Plural Publishing; 2014. p. 39-64. (Comprehensive Intervention; vol 2).
13. Tremblay KL. Beyond the ear: physiological perspectives on auditory rehabilitation. Semin Hear. 2005;26(3):127-36. doi: 10.1055/s-2005-916374
14. Weihing J, Chermak GD, Musiek FE. Auditory training for central auditory processing disorder. Semin Hear. 2015;36(4):199-215. doi: 10.1055/s-0035-1564458
15. Musiek FE, Chermak GD, Weibing J. Auditory training. In: Chermak GD, Musiek FE, editors. Handbook of central auditory processing disorder. 2nd ed. San Diego: Plural Publishing; 2014. p. 157-200. (Comprehensive Intervention; vol 2).
16. Musiek FE, Baran JA, Pinheiro ML. Duration pattern recognition in normal subjects and patients with cerebral and cochlear lesions. Audiology.1990;29(6):304-13. doi: 10.3109/00206099009072861
17. Zera J, Green DM. Detecting temporal asynchrony with asynchronous standards. J Acoust Soc Am. 1993;93(3):1571-9. doi: 10.1121/1.406816
18. Neubauer H, Heil P. Towards a unifying basis of auditory thresholds: the effects of hearing loss on temporal integration reconsidered. J Assoc Res. Otolaryngol. 2004;5(4):436-58. doi: 10.1007/s10162-004-5031-4
19. Elliott LL. Backward and forward masking of probe tones of different frequencies. J Acoust Soc Am. 1962;34(8):1116-7. doi: https://doi.org/10.1121/1.1918254
20. Musiek FE, Shinn JB, Jirsa R, Bamiou D-E, Baran JA, Zaida E. GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear Hear. 2005;26(6):608-18. doi: 10.1097/01.aud.0000188069.80699.41
21. Alain C, McDonald KL, Ostroff JM, Schneider B. Aging: a switch from automatic to controlled processing of sounds? Psychol Aging. 2004;19(1):125-33. doi: 10.1037/0882-7974.19.1.125
22. Sattari K, Rahbar N, Ahadi M, Haghani H. The effects of a temporal processing-based auditory training program on the auditory skills of elderly users of hearing aids: a study protocol for a randomized clinical trial. F1000Res. 2020;9:425. doi: 10.12688/f1000research.22757.2
23. Frisina RD. Aging changes in the central auditory system. In: Rees A, Palmer AR, editors. The Oxford handbook of auditory science: the auditory brain. 1st ed. Oxford University Press; 2010. p. 417-40.
24. Loo JHY, Bamiou D-E, Campbell N, Luxon LM. Computer-based auditory training (CBAT): benefits for children with language and reading-related learning difficulties. Dev Med Child Neurol. 2010;52(8):708-17. doi: 10.1111/j.1469-8749.2010.03654.x
25. Humes LE, Kinney DL, Brown SE, Kiener AL, Quigley TM. The effects of dosage and duration of auditory training for older adults with hearing impairment. J Acoust Soc Am. 2014;136(3):EL224. doi: 10.1121/1.4890663
26. Weinstein BE. Geriatric audiology. 1st ed. New York: Thieme; 2000.
27. Medwetsky L, Riddle L, Katz J. Management of central auditory processing disordrs. In: Katz J, Medwetsky L, Burkard R, Hood LJ, editors. Handbook of clinical audiology. 6st ed. Baltimore: Lippincott Williams & Wilkins; 2009. p. 642-665.
28. Anderson S, Skoe E, Chandrasekaran B, Kraus N. Neural timing is linked to speech perception in noise. J Neurosci. 2010;30(14):4922-6. doi: 10.1523/JNEUROSCI.0107-10.2010
29. Kraus N, Disterhoft JF. Response plasticity of single neurons in rabbit auditory association cortex during tone-signalled learning. Brain Res. 1982;246(2):205-15. doi: 10.1016/0006-8993(82)91168-4
30. Talebi H, Moossavi A, Lotfi Y, Faghihzadeh S. Effects of vowel auditory training on concurrent speech segregation in hearing impaired children. Ann Otol Rhinol Laryngol. 2015;124(1):13-20. doi: 10.1177/0003489414540604
31. Pichora-Fuller MK, Levitt H. Speech comprehension training and auditory and cognitive processing in older adults. Am J Audiol. 2012;21(2):351-7. doi: 10.1044/1059-0889(2012/12-0025)
32. Arslantas D, Unsal A, Metintas S, Koc F, Arslantas A. Life quality and daily life activities of elderly people in rural areas, Eskişehir (Turkey). Arch Gerontol Geriatr. 2009;48(2):127-31. doi: 10.1016/j.archger.2007.11.005
33. Lee TW, Ko IS, Lee KJ. Health promotion behaviors and quality of life among community-dwelling elderly in Korea: a cross-sectional survey. Int J Nurs Stud. 2006;43(3):293-300. doi: 10.1016/j.ijnurstu.2005.06.009
| Files | ||
| Issue | Vol 30 No 1 (2021) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v30i1.5310 | |
| Keywords | ||
| Aging presbycusis temporal processing auditory training hearing loss | ||
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How to Cite
1.
Sattari K, Rahbar N, Ahadi M, Haghani H. Developing a temporal processing-based auditory training program for the senior users of hearing aids: a home PC-based program. Aud Vestib Res. 2021;30(1):42-49.
