title: Benefits of auditory training for aided listening by older adults.
abstract: OBJECTIVE
  In this article, the authors provide an overview of auditory training programs for aided listening by older adults, review criteria for evaluating effectiveness, summarize results of published studies, report on 2 training programs currently undergoing assessment, and discuss directions and needs for future research.
  
  
  METHODS
  Experiments are ongoing to evaluate 2 individual, computer-based speech-perception training programs: Indiana University (IU) word-based training and the Speech Perception Assessment and Training System (SPATS). Training and control subjects are older adults with mild-to-severe hearing loss. Subjects train for about 30 hr with monaurally presented, spectrally shaped stimuli (IU) or through loudspeakers with their own hearing aids (SPATS). Displays and feedback use auditory and visual/orthographic cues. Outcome measures include objective measures of speech recognition in noise and other training benefits.
  
  
  RESULTS
  Significant improvements were observed in open-set recognition of trained sounds, words, phrases, and sentences. Large individual differences in training benefit were apparent. Generalization varied with the speech-perception task, competing noise, listening strategy, and pretraining scores.
  
  
  CONCLUSIONS
  High-level evidence is needed to support the effectiveness of auditory training for older adults as a supplement to aided listening. Studies are needed to predict who will benefit from specific types of training, to assess compliance and engagement, and to discover benefits beyond communication.
authors: Judy R
authors: JR
authors: Dubno
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D012048:Correction of Hearing Impairment / Q000379:methods*; D005260:Female; D034381:Hearing Loss / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013067:Speech Perception; D013813:Therapy, Computer-Assisted / Q000379:methods*
references: J Am Acad Audiol. 2003 Nov;14(9):453-70
references: 14708835
references: Ear Hear. 2009 Oct;30(5):613-27
references: 19633564
references: J Speech Lang Hear Res. 2008 Jun;51(3):759-71
references: 18506049
references: J Acoust Soc Am. 2004 Oct;116(4 Pt 1):2395-405
references: 15532670
references: J Am Acad Audiol. 2005 Jul-Aug;16(7):494-504
references: 16295236
references: J Speech Lang Hear Res. 2007 Feb;50(1):25-40
references: 17344546
references: Clin Neurophysiol. 2009 Jan;120(1):128-35
references: 19028139
references: Ear Hear. 2006 Jun;27(3):263-78
references: 16672795
references: Am J Audiol. 2012 Dec;21(2):351-7
references: 23233521
references: Ear Hear. 1987 Oct;8(5 Suppl):119S-126S
references: 3678650
references: J Am Acad Audiol. 1996 Aug;7(4):219-29
references: 8827916
references: J Speech Hear Res. 1981 Jun;24(2):207-16
references: 7265936
references: Ear Hear. 1989 Feb;10(1):29-32
references: 2470629
references: J Rehabil Res Dev. 2006 Jul-Aug;43(4):537-52
references: 17123192
references: J Am Acad Audiol. 2001 Nov-Dec;12(10):514-22
references: 11791938
references: J Am Acad Audiol. 2010 Oct;21(9):601-11
references: 21241648
references: Ear Hear. 1984 Jan-Feb;5(1):30-6
references: 6706024
references: J Am Acad Audiol. 2006 Sep;17(8):538-58
references: 16999250
references: J Am Acad Audiol. 2012 Sep;23(8):623-34
references: 22967737