Examination of Individual Differences in Outcomes From a Randomized Controlled Clinical Trial Comparing Formal and Informal Individual Auditory Training Programs.

Journal Article (Journal Article;Multicenter Study)

PURPOSE: The purpose of this study was to determine if patient characteristics or clinical variables could predict who benefits from individual auditory training. METHOD: A retrospective series of analyses were performed using a data set from a large, multisite, randomized controlled clinical trial that compared the treatment effects of at-home auditory training programs in bilateral hearing aid users. The treatment arms were (a) use of the 20-day computerized Listening and Communication Enhancement program, (b) use of the 10-day digital versatile disc Listening and Communication Enhancement program, (c) use of a placebo "books-on-tape" training, and (d) educational counseling (active control). Multiple linear regression models using data from 263 participants were conducted to determine if patient and clinical variables predicted short-term improvement on word-recognition-in-noise abilities, self-reported hearing handicap, and self-reported hearing problems. RESULTS: Baseline performance significantly predicted performance on each variable, explaining 11%-17% of the variance in improvement. The treatment arm failed to emerge as a significant predictor with other clinical variables explaining less than 9% of the variance. CONCLUSION: These results suggest that hearing aid users who have poorer aided word-recognition-in-noise scores and greater residual activity limitations and participation restrictions will show the largest improvement in these areas.

Full Text

Duke Authors

Cited Authors

  • Smith, SL; Saunders, GH; Chisolm, TH; Frederick, M; Bailey, BA

Published Date

  • August 1, 2016

Published In

Volume / Issue

  • 59 / 4

Start / End Page

  • 876 - 886

PubMed ID

  • 27567017

Electronic International Standard Serial Number (EISSN)

  • 1558-9102

Digital Object Identifier (DOI)

  • 10.1044/2016_JSLHR-H-15-0162


  • eng

Conference Location

  • United States