title: Effect of age on directional microphone hearing aid benefit and preference.
abstract: BACKGROUND
  Despite the recognition that the directional microphone hearing aid (DMHA) is an important intervention aimed at helping older hearing-impaired adults understand speech in noisy environments, there is little evidence that older listeners can actually benefit from directional processing.
  
  
  OBJECTIVE
  The objective of this study was to determine if older and younger adults can obtain and perceive comparable benefit afforded by DMHAs.
  
  
  METHODS
  Twenty-four hearing-impaired adults aged 36 through 79 yr were fit with switchable-microphone hearing aids and tested in the laboratory and the field.
  
  
  METHODS
  In the laboratory, the listeners' directional benefit and preferences for microphone modes (directional vs. omnidirectional) were assessed using various speech-recognition-in-noise tests. In the four-week field trial, a paired-comparison technique and paper-and-pencil journals were used to determine the benefit provided by directional processing. The effects of age on directional benefit/preference were analyzed using generalized linear models with controlling for the effect of hearing loss.
  
  
  RESULTS
  The results revealed that age did not have a significant effect on directional benefit and preference as measured in the laboratory. However, the field data showed that older age was significantly associated with a lower preference for the directional mode.
  
  
  CONCLUSIONS
  These results indicate that although listeners of different ages may obtain and perceive comparable benefit from DMHAs in laboratory testing, older users tend to perceive less benefit than do younger users in the real world. The implications of these findings are discussed.
authors.affiliation: Department of Communication Sciences and Disorders, University of Iowa, Iowa City, IA 52242, USA. yu-hsiang-wu@uiowa.edu
authors.forename: Yu-Hsiang
authors.initials: YH
authors.lastname: Wu
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001309:Auditory Threshold; D005260:Female; D006310:Hearing Aids; D006316:Hearing Loss, High-Frequency / Q000175:diagnosis / Q000534:rehabilitation*; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000534:rehabilitation*; D006801:Humans; D016014:Linear Models; D008085:Lipreading; D008297:Male; D008875:Middle Aged; D057240:Patient Preference; D011474:Prosthesis Design; D012815:Signal Processing, Computer-Assisted; D012931:Social Environment; D012984:Software; D013017:Sound Localization; D013069:Speech Reception Threshold Test