Speech Perception in Noise and Listening Effort of Older Adults with Non-Linear Frequency Compression Hearing Aids

Abstract

Previous research regarding the utility of non-linear frequency compression in hearing aids has revealed conflicting results for speech recognition, marked by high individual variability. The aims of the study were to determine the effect of non-linear frequency compression on aided speech recognition in noise and listening effort using a dual-task test paradigm and to determine if listener variables of hearing loss slope, working memory capacity, and age predicted performance with non-linear frequency compression. 17 older adults with symmetrical sensorineural hearing loss were tested in the sound field using hearing aids. Speech recognition in noise and listening effort were measured by adapting the Revised Speech in Noise Test into recognition/recall dual-task paradigm. On average, speech recognition in noise performance significantly improved with the use of non-linear frequency compression. Individuals with steeply sloping hearing loss received more recognition benefit. Recall performance also significantly improved at the group level with non-linear frequency compression revealing reduced listening effort. Older participants within the study cohort received less recall benefit than the younger participants. Evidence supports individualized selection of non-linear frequency compression, with results suggesting benefits in speech recognition for individuals with steeply sloping hearing losses and in listening effort for younger individuals.