Scene-Specific Self-Tuning of Hearing Aids Enhances Perceived Speech Quality.

Purpose: Individual older adults with hearing loss often have unique communication needs that vary across different listening conditions. The current study examined whether user-directed fine-tuning of hearing aid programs specifically for different sound scenes would improve perceived speech qualit...

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Publicado en:American Journal of Audiology Vol. 34; no. 4; pp. 966 - 980
Autores principales: Kurşun, Bertan, Chessik, Brianna, Cunio, Isabella Eileen, Shen, Yi
Formato: pictorial research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 34
      iid: 4
      pid: 42
      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        190286338
        190286338
        190286338
        10.1044/2025_AJA-25-00077
        190286338
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        atl: Scene-Specific Self-Tuning of Hearing Aids Enhances Perceived Speech Quality.
      aug:
        au:
          Kurşun, Bertan
          Chessik, Brianna
          Cunio, Isabella Eileen
          Shen, Yi
        affil: Department of Speech & Hearing Sciences, University of Washington, Seattle
      sug:
        subj:
          Hearing Disorders Therapy
          Hearing Aids
          Speech Perception Evaluation
          Speech Intelligibility Evaluation
          Hearing Aid Fitting
          Self Care Evaluation
          Hearing Aid Care
          Human
          Funding Source
          Male
          Female
          Middle Age
          Aged
          Self Report
          Audiometry, Pure-Tone
          Noise
          Sound
          Auditory Perception
          Double-Blind Studies
          Listening Effort Evaluation
          Patient Preference Evaluation
          Experimental Studies
          Friedman Test
          Wilcoxon Signed Rank Test
          Post Hoc Analysis
          Clinical Assessment Tools
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Individual older adults with hearing loss often have unique communication needs that vary across different listening conditions. The current study examined whether user-directed fine-tuning of hearing aid programs specifically for different sound scenes would improve perceived speech quality. Method: Thirty older adult participants were recruited based on self-reported hearing challenges or pure-tone audiometry indicating a hearing loss. Participants self-tuned the hearing aid frequency-gain characteristics while listening to continuous speech embedded in background noise, presented as simulated real-world sound scenes. The self-tuning procedure was conducted in two sound scenes, "Noisy Indoor" and "Noisy Outdoor," with an average speech level at 60 dB(A) and signal-to-noise ratios of +5 dB and +10 dB, respectively. Speech quality ratings were collected for each scene using an interface inspired by the Multiple Stimuli with Hidden Reference and Anchor method. In each sound scene, participants rated four programs: two self-tuned, one standard prescription based, and one poor-quality anchor. The order of presentation was randomized and blinded. Results: Results showed that participants rated their self-tuned programs tailored to specific scenes significantly higher compared to both the prescription-based program and their self-tuned program for the other scene. Conclusion: User-driven self-tuning procedures can be useful to capture scene-specific preferences for hearing aid settings and improve the perceived speech quality.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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