Associations between aided speech audiometry and subjective assessment of hearing aid outcomes

Int J Audiol. 2023 Oct;62(10):955-963. doi: 10.1080/14992027.2022.2106451. Epub 2022 Sep 15.

Abstract

Objective: This study aimed to analyse outcomes with hearing aid (HA) use and to determine whether common audiological tests, including pure-tone audiometry or word recognition test, correlate with HA wearers' subjective benefit.

Design: A retrospective chart review.

Study sample: A total of 129 patients who adopted new HAs between January 2011 and December 2018 were enrolled. Outcome measures including pure tone thresholds, word recognition score (WRS), and self-reported questionnaires were obtained 1, 4, and 12 months post fit.

Results: The mean aided threshold and WRS at each post-fit visit significantly improved from the unaided condition. Self-reported outcomes confirmed by the Hearing Handicap Inventory for the Elderly (HHIE) scores significantly improved compared to the unaided condition at 1- and 4-month follow-up. Results of the regression analysis indicated that the aided WRS score is a significant factor at all post-fit visits that explains less than 10% of the variance in HHIE scores.

Conclusions: Aided WRS is the factor most associated with subjectively reported HA outcomes, both in the short- and long term. Therefore, aided WRS should be considered as a useful tool for evaluating HA benefits, even after the prolonged use of HAs.

Keywords: Hearing aids; ageing; hearing aid satisfaction; speech perception.

MeSH terms

  • Aged
  • Audiometry, Pure-Tone
  • Audiometry, Speech
  • Hearing
  • Hearing Aids*
  • Hearing Loss, Sensorineural* / rehabilitation
  • Humans
  • Retrospective Studies
  • Speech Perception*