J Audiol Otol.  2024 Oct;28(4):271-277. 10.7874/jao.2023.00619.

Does Cognitive Function Affect Performance and Listening Effort During Bilateral Wireless Streaming in Hearing Aid Users?

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Sanggye Paik Hospital, Inje University, College of Medicine, Seoul, Korea
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, International St. Mary’s Hospital, College of Medicine, Catholic Kwandong University, Incheon, Korea
  • 3Hearing Research Laboratory, Samsung Medical Center, Seoul, Korea
  • 4Soree Ear Clinics, Seoul, Korea
  • 5Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

Background and Objectives
Wireless streaming technology (WT), designed to transmit sounds directly from a mobile phone to hearing aids, was developed to enhance the signal-to-noise ratio. However, the advantages of WT during phone use and the specific demographic that can fully benefit from this technology has not been thoroughly evaluated. We aimed to investigate the benefits and identify predictive factors associated with bilateral wireless streaming among hearing aid users.
Subjects and Methods
Eighteen adults with symmetrical, bilateral hearing loss participated in the study. To assess the benefits of wireless streaming during phone use, researchers assessed sentence/word recognition and listening effort in two scenarios: a noisy background with WT turned “OFF” or “ON.” Listening effort was evaluated through self-reported measurements. Cognitive function was also assessed using the Montreal Cognitive Assessment (MoCA) score.
Results
Participant mean age was 57.3 years (range 27-70), and the mean MoCA score was 27.0 (23-30). The activation of WT demonstrated a significant improvement in the sentence/word recognition test and reduced listening effort. The MoCA score showed a significant correlation with WT (ρ=0.59, p=0.01), suggesting a positive association between cognitive function and the benefits of WT.
Conclusions
Bilateral wireless streaming may enhance sentence/word recognition and reduce listening effort during phone use in hearing aid users, with these benefits potentially linked to cognitive function.

Keyword

Hearing aids; Wireless technology; Cognition; Listening effort
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