{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:19:02Z","timestamp":1782137942100,"version":"3.54.5"},"reference-count":77,"publisher":"American Academy of Audiology","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2021,7,1]]},"abstract":"<jats:p><jats:bold>Abstract<\/jats:bold>  <jats:bold>Background<\/jats:bold>\u2003Self-reported hearing aid outcomes among older adults are variable and important to improve. The extent of the role of auditory processing in long-term hearing aid outcomes is not well understood. <jats:bold>Purpose<\/jats:bold>\u2003To determine how auditory\n processing abilities are related to self-reported hearing aid satisfaction and benefit along with either aided audibility alone or exploratory factors suggested by previous literature. <jats:bold>Research Design<\/jats:bold>\u2003Descriptive analyses and multiple regression analyses of cross-sectional\n self-reported outcomes. <jats:bold>Study Sample<\/jats:bold>\u2003Adult participants, &gt;60 years (<jats:italic>n<\/jats:italic>\u2009=\u200978), fitted with bilateral hearing aids to treat symmetric, mild to moderate sensorineural hearing loss. <jats:bold>Data Collection and Analysis<\/jats:bold>\u2003Participants were recruited\n from a single audiology clinic to complete a series of questionnaires, behavioral assessments, and obtain data from their hearing aids, including real ear measures and data logging of hearing aid use. Multiple linear regressions were used to determine the amount of variance explained by predictive\n factors in self-reported hearing aid satisfaction and benefit. The primary predictive factors included gap detection threshold, spatial advantage score, dichotic difference score, and aided audibility. Exploratory factors included personality, self-efficacy, self-report of disability, and\n hearing aid use. All interpretations of statistical significance used <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05. Effect sizes were determined using Cohen's <jats:italic>f<\/jats:italic> <jats:sup>2<\/jats:sup> with a medium effect suggesting clinical relevance. <jats:bold>Results<\/jats:bold>\u2003Gap detection threshold was a statistically significant\n predictor in both primary regression models with a medium effect size for satisfaction and a small effect size for benefit. When additional exploratory factors were included in the regression models with auditory processing abilities, gap detection and self-efficacy were both significant predictors\n of hearing aid satisfaction with medium effect sizes, explaining 10 and 17% of the variance, respectively. There were no medium effect sizes found for other predictor variables in either the primary or exploratory hearing aid benefit models. Additional factors were statistically significant\n in the models, explaining a small amount of variance, but did not meet the medium effect size criterion. <jats:bold>Conclusion<\/jats:bold>\u2003This study provides initial evidence supporting the incorporation of measures of gap detection ability and hearing aid self-efficacy into clinical practice for\n the interpretation of postfitting long-term hearing aid satisfaction.<\/jats:p>","DOI":"10.1055\/s-0041-1728771","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T23:44:58Z","timestamp":1638315898000},"page":"405-419","source":"Crossref","is-referenced-by-count":3,"title":["Investigating the Role of Auditory Processing Abilities in Long-Term Self-Reported Hearing Aid Outcomes among Adults Age 60+ Years"],"prefix":"10.3766","volume":"32","author":[{"given":"Alyssa","family":"Davidson","sequence":"first","affiliation":[{"name":"Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Musiek","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences, The University of Arizona, Tucson, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia M.","family":"Fisher","sequence":"additional","affiliation":[{"name":"Statistics Consulting Laboratory, BIO5 Institute, The University of Arizona, Tucson, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Marrone","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences, The University of Arizona, Tucson, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","reference":[{"key":"ref1","first-page":"CD012023","article-title":"Hearing aids for mild to moderate hearing loss in adults","volume":"9","author":"M A Ferguson","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1001\/archinternmed.2011.1408","article-title":"Prevalence of hearing aid use among older adults in the United States","volume":"172","author":"W Chien","year":"2012","journal-title":"Arch Intern Med"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1080\/14992027.2018.1490035","article-title":"The use of self-report measures to examine changes in perception in response to fittings using different signal processing parameters","volume":"57","author":"M Anderson","year":"2018","journal-title":"Int J Audiol"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1177\/1084713810385712","article-title":"Factors influencing help seeking, hearing aid uptake, hearing aid use and satisfaction with hearing aids: a review of the literature","volume":"14","author":"L V Knudsen","year":"2010","journal-title":"Trends Amplif"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/AUD.0b013e31803126a4","article-title":"Personality, hearing problems, and amplification characteristics: contributions to self-report hearing aid outcomes","volume":"28","author":"R M Cox","year":"2007","journal-title":"Ear Hear"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1097\/AUD.0000000000001051","article-title":"Predicting hearing aid satisfaction in adults: A systematic review of speech in noise tests and other behavioral measures","volume":"42","author":"A Davidson","year":"2021","journal-title":"Ear Hear"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1159\/000506666","article-title":"Assessment of hearing aid benefit using patient-reported outcomes and audiologic measures","volume":"25","author":"J R Dornhoffer","year":"2020","journal-title":"Audiol Neurotol"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1055\/s-0041-1741116","article-title":"Clinical application of the SADL scale in private practice II: predictive validity of fitting variables. 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