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Effects of Hearing Impairment and Hearing Aid Amplification on Listening Effort: A Systematic Review
Vrije University of Amsterdam Medical Centre, Netherlands; Amsterdam Public Health Research Institute, Netherlands; Oticon AS, Denmark.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, The Swedish Institute for Disability Research. Linköping University, Faculty of Arts and Sciences. Vrije University of Amsterdam Medical Centre, Netherlands; Amsterdam Public Health Research Institute, Netherlands.
Vrije University of Amsterdam, Netherlands.
Vrije University of Amsterdam Medical Centre, Netherlands; Amsterdam Public Health Research Institute, Netherlands; Oticon AS, Denmark.
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2017 (English)In: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 38, no 3, 267-281 p.Article, review/survey (Refereed) Published
Abstract [en]

Objectives: To undertake a systematic review of available evidence on the effect of hearing impairment and hearing aid amplification on listening effort. Two research questions were addressed: Q1) does hearing impairment affect listening effort? and Q2) can hearing aid amplification affect listening effort during speech comprehension? Design: English language articles were identified through systematic searches in PubMed, EMBASE, Cinahl, the Cochrane Library, and PsyclNFO from inception to August 2014. References of eligible studies were checked. The Population, Intervention, Control, Outcomes, and Study design strategy was used to create inclusion criteria for relevance. It was not feasible to apply a meta-analysis of the results from comparable studies. For the articles identified as relevant, a quality rating, based on the 2011 Grading of Recommendations Assessment, Development, and Evaluation Working Group guidelines, was carried out to judge the reliability and confidence of the estimated effects. Results: The primary search produced 7017 unique hits using the keywords: hearing aids OR hearing impairment AND listening effort OR perceptual effort OR ease of listening. Of these, 41 articles fulfilled the Population, Intervention, Control, Outcomes, and Study design selection criteria of: experimental work on hearing impairment OR hearing aid technologies AND listening effort OR fatigue during speech perception. The methods applied in those articles were categorized into subjective, behavioral, and physiological assessment of listening effort. For each study, the statistical analysis addressing research question Q1 and/or Q2 was extracted. In seven articles more than one measure of listening effort was provided. Evidence relating to Q1 was provided by 21 articles that reported 41 relevant findings. Evidence relating to Q2 was provided by 27 articles that reported 56 relevant findings. The quality of evidence on both research questions (Q1 and Q2) was very low, according to the Grading of Recommendations Assessment, Development, and Evaluation Working Group guidelines. We tested the statistical evidence across studies with nonparametric tests. The testing revealed only one consistent effect across studies, namely that listening effort was higher for hearing-impaired listeners compared with normal-hearing listeners (Q1) as measured by electroencephalographic measures. For all other studies, the evidence across studies failed to reveal consistent effects on listening effort. Conclusion: In summary, we could only identify scientific evidence from physiological measurement methods, suggesting that hearing impairment increases listening effort during speech perception (Q1). There was no scientific, finding across studies indicating that hearing aid amplification decreases listening effort (Q2). In general, there were large differences in the study population, the control groups and conditions, and the outcome measures applied between the studies included in this review. The results of this review indicate that published listening effort studies lack consistency, lack standardization across studies, and have insufficient statistical power. The findings underline the need for a common conceptual framework for listening effort to address the current shortcomings.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2017. Vol. 38, no 3, 267-281 p.
Keyword [en]
Behavioral measures; Hearing aid amplification; Hearing impairment; Listening effort; Physiologic measures; Quality rating; Speech comprehension; Subjective ratings
National Category
Other Medical Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:liu:diva-139418DOI: 10.1097/AUD.0000000000000396ISI: 000404120700006PubMedID: 28234670Scopus ID: 2-s2.0-85013801436OAI: oai:DiVA.org:liu-139418DiVA: diva2:1129809
Note

Funding Agencies|European Commission [FP7-LISTEN607373]

Available from: 2017-08-07 Created: 2017-08-07 Last updated: 2017-09-08Bibliographically approved

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The full text will be freely available from 2018-06-15 12:58
Available from 2018-06-15 12:58

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Zekveld, Adriana

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Department of Behavioural Sciences and LearningThe Swedish Institute for Disability ResearchFaculty of Arts and SciencesDisability Research
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