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Background <p>Pure-tone and speech audiometry have long served as the foundation of audiological assessments; however, they do not address the perceived listening effort (LE) that the patient faces. Listening effort assessment tools represent a relatively new dimension in evaluating the hearing-impaired population. These tools include subjective self-report questionnaires, behavioral tools, and objective physiological tools. This study was designed to assess and quantify LE in adult hearing aid (HA) users and investigate whether they still suffer even after being fitted with hearing aids.</p> Methods <p>The study was conducted on 111 adult individuals divided into two groups: normal hearing group (60 normal subjects) and study group (51 HA users with bilateral symmetrical sensorineural hearing loss of variable degrees). LE was measured by a subjective tool (Arabic version of Speech, Spatial, and Qualities of Hearing scale) and an objective tool (pupillometry).</p> Results <p>The hearing aid users group revealed statistically significant increased LE for both subjective and objective methods referenced to the age-matched normal hearing group.</p> Conclusion <p>The LE test battery is clinically feasible in audiological practice and could help understand the challenges the hearing-impaired individuals face. Hearing aids algorithms have not resolved LE for the majority of HA users. It is important to collaborate with HA industry in order to advance in the development of solutions for the perceived LE and improve the quality of life for these patients.</p>

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Assessment of listening effort experience in normal and hearing-impaired adult population

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月4日

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  • Nadia Kamal,
  • Wafaa El Kholy,
  • Rasha ElKabarity,
  • Sarah Mohamed Salah

摘要

Background

Pure-tone and speech audiometry have long served as the foundation of audiological assessments; however, they do not address the perceived listening effort (LE) that the patient faces. Listening effort assessment tools represent a relatively new dimension in evaluating the hearing-impaired population. These tools include subjective self-report questionnaires, behavioral tools, and objective physiological tools. This study was designed to assess and quantify LE in adult hearing aid (HA) users and investigate whether they still suffer even after being fitted with hearing aids.

Methods

The study was conducted on 111 adult individuals divided into two groups: normal hearing group (60 normal subjects) and study group (51 HA users with bilateral symmetrical sensorineural hearing loss of variable degrees). LE was measured by a subjective tool (Arabic version of Speech, Spatial, and Qualities of Hearing scale) and an objective tool (pupillometry).

Results

The hearing aid users group revealed statistically significant increased LE for both subjective and objective methods referenced to the age-matched normal hearing group.

Conclusion

The LE test battery is clinically feasible in audiological practice and could help understand the challenges the hearing-impaired individuals face. Hearing aids algorithms have not resolved LE for the majority of HA users. It is important to collaborate with HA industry in order to advance in the development of solutions for the perceived LE and improve the quality of life for these patients.