On- and Off-Domain Cognitive Performance of Experienced Hearing Aid Users in Background Noise.

Purpose: Hearing aid use in older adults has been suggested to reduce cognitive load, thereby improving performance on auditory-based cognitive tasks. However, there is limited research regarding how hearing aids impact performance during cognitively demanding auditory and visual tasks. The purpose...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 69; no. 5; pp. 2287 - 2303
Autores principales: Lander, Devan M., Baxter, Jodi, Roup, Christina M.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association May2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
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      pub: American Speech-Language-Hearing Association
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        10.1044/2026_JSLHR-25-00572
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        atl: On- and Off-Domain Cognitive Performance of Experienced Hearing Aid Users in Background Noise.
      aug:
        au:
          Lander, Devan M.
          Baxter, Jodi
          Roup, Christina M.
        affil: The Ohio State University, Columbus.
      su:
        Ohio
        United States
        Cross-sectional method
        Executive function
        Cognition
        Social classes
        Educational attainment
        Old age
        Noise
        Research funding
        Hearing aids
        Audiometry
        Presbycusis
        Auditory perception
        Visual perception
        Short-term memory
      sug:
        subj:
          Cross-sectional method
          Executive function
          Cognition
          Social classes
          Educational attainment
          Old age
          Ohio
          United States
          Electromedical and Electrotherapeutic Apparatus Manufacturing
          Professional machinery, equipment and supplies merchant wholesalers
          Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
          All Other Health and Personal Care Stores
          Noise
          Research funding
          Hearing aids
          Audiometry
          Presbycusis
          Auditory perception
          Visual perception
          Short-term memory
      ab: Purpose: Hearing aid use in older adults has been suggested to reduce cognitive load, thereby improving performance on auditory-based cognitive tasks. However, there is limited research regarding how hearing aids impact performance during cognitively demanding auditory and visual tasks. The purpose of this study was to investigate the impact of advanced-level hearing aid use during auditory (on-domain) and visual (off-domain) cognitive tasks in background noise. Method: Thirty-one older adults aged 60–87 years participated in the study. All participants were experienced and satisfied hearing aid users. Participants were fitted with a study hearing aid to ensure consistent signal processing characteristics. A series of six cognitive tasks were completed in quiet and background noise with and without hearing aids. The visual tasks included the Trail Making Test, Stroop Color Word Test, and Size Comparison Span Test. The auditory tasks were the Oral Trail Making Test, Auditory Stroop Task, and Word Auditory Recognition and Recall Measure. Results: Results indicated that, for measures of inhibition, executive function, and attention, there was no significant benefit to the use of hearing aids. In contrast, hearing aid use resulted in better performance on working memory tasks. Conclusions: Results indicated that the benefit from hearing aids for auditory (on-domain) and visual (off-domain) cognitive task performance was mixed. Older adults performed better in quiet than in noise with and without hearing aids. Furthermore, hearing aids were beneficial in quiet environments when the working memory task was auditory (on-domain). The findings from the current study support that the use of hearing aids improves access to working memory in both quiet and noisy conditions, which may ultimately improve speech understanding.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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