Hearing Loss, Functional
Conditions
Brief summary
The investigators will examine the effectiveness of selected over-the-counter personal sound amplifiers in addressing functional hearing problems in middle-aged listeners with mild hearing loss. Many people are unlikely to pay several thousand dollars for hearing aids but they likely would be more willing to try a possible solution that is less expensive. When faced with counseling these individuals, audiologists are at a loss regarding whether or not to suggest that they try this type of technology, since there is virtually no research available to verify that these devices actually are helpful, particularly for individuals with mild hearing loss. The hypothesis being tested is that personal sound amplifiers can improve functional hearing and decrease cognitive load in complex auditory environments.
Detailed description
The field trials in this project will require you to use OTC hearing devices for a specified period of time in both ears simultaneously, and in just one ear, with periodic lab-based re-evaluation. Each field trial will continue until asymptotic performance is identified (up to a maximum of 12 weeks). You will return to the lab for assessment every 2 weeks. During each visit, speech perception and subjective listening effort will be assessed. Depending upon the specific field trial, the investigators also will complete measures of cognitive load (via dual-task paradigms), spatial release from masking, and localization ability during each lab visit.
Interventions
DEVICEover-the-counter hearing device
Individuals will use commercially-available over-the-counter hearing devices for specified periods of time.
Sponsors
University of Massachusetts, Amherst
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 64 Years
Healthy volunteers
Yes
Inclusion criteria
* Age 40-64 years * Mild to moderate high frequency hearing loss * Learned English as a first language
Exclusion criteria
* Previous use of hearing aids * Hearing loss/problems attributed to factors other than aging * History of: neurologic disorder, middle-ear disease * Score of \< 26 on the Montreal Cognitive Assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Speech Perception | every two weeks until asymptotic performance is noted (up to 12 weeks) | The change in the ability to understand sentences presented in background noise |
| Cognitive Load | every two weeks until asymptotic performance is noted (up to 12 weeks) | The change in the ability to remember speech that has previously been presented in background noise |
| Localization Ability | every two weeks until asymptotic performance is noted (up to 12 weeks) | The change in the ability to indicate where a sound is coming from when presented in background noise |
| Self-Perceived Listening Effort | every two weeks until asymptotic performance is noted (up to 12 weeks) | Changes in how difficult it is to understand speech in background noise |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-perceived hearing device benefit | daily during field trial (up to 12 weeks) | The situations in which participants find the hearing aids to be beneficial |
| Overall perceived benefit from hearing device | every two weeks until asymptotic performance is noted (up to 12 weeks) | The extent to which participants believe the hearing devices help them |
Countries
United States
Outcome results
None listed