{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T19:39:07Z","timestamp":1790365147205,"version":"4.1.0"},"reference-count":51,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3]]},"abstract":"\n Objective:<\/jats:title>\n It is widely recognized by hearing aid users and audiologists that a period of auditory acclimatization and adjustment is needed for new users to become accustomed to their devices. The aim of the present study was to test the idea that auditory acclimatization and adjustment to hearing aids involves a process of learning to \u201ctune out\u201d newly audible but undesirable sounds, which are described by new hearing aid users as annoying and distracting. It was hypothesized that (1) speech recognition thresholds in noise would improve over time for new hearing aid users, (2) distractibility to noise would reduce over time for new hearing aid users, (3) there would be a correlation between improved speech recognition in noise and reduced distractibility to background sounds, (4) improvements in speech recognition and distraction would be accompanied by self-report of reduced annoyance, and (5) improvements in speech recognition and distraction would be associated with higher general cognitive ability and more hearing aid use.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n New adult hearing aid users (n = 35) completed a test of aided speech recognition in noise (SIN) and a test of auditory distraction by background sound amplified by hearing aids on the day of fitting and 1, 7, 14, and 30 days post fitting. At day 30, participants completed self-ratings of the annoyance of amplified sounds. Daily hearing aid use was measured via hearing aid data logging, and cognitive ability was measured with the Wechsler Abbreviated Scale of Intelligence block design test. A control group of experienced hearing aid users (n = 20) completed the tests over a similar time frame.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n At day 30, there was no statistically significant improvement in SIN among new users versus experienced users. However, levels of hearing loss and hearing aid use varied widely among new users. A subset of new users with moderate hearing loss who wore their hearing aids at least 6\u2009hr\/day (n = 10) had significantly improved SIN (by ~3-dB signal to noise ratio), compared with a control group of experienced hearing aid users. Improvements in SIN were associated with more consistent HA use and more severe hearing loss. No improvements in the test of auditory distraction by background sound were observed. Improvements in SIN were associated with self-report of background sound being less distracting and greater self-reported hearing aid benefit. There was no association between improvements in SIN and cognitive ability or between SIN and auditory distraction.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Improvements in SIN were accompanied by self-report of background sounds being less intrusive, consistent with auditory acclimatization involving a process of learning to \u201ctune out\u201d newly audible unwanted sounds. More severe hearing loss may afford the room for improvement required to show better SIN performance with time. Consistent hearing aid use may facilitate acclimatization to hearing aids and better SIN performance.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/aud.0000000000000366","type":"journal-article","created":{"date-parts":[[2016,8,26]],"date-time":"2016-08-26T14:32:22Z","timestamp":1472221942000},"page":"174-183","source":"Crossref","is-referenced-by-count":32,"title":["Auditory Distraction and Acclimatization to Hearing Aids"],"prefix":"10.1097","volume":"38","author":[{"given":"Piers","family":"Dawes","sequence":"first","affiliation":[{"name":"Central Manchester University Hospitals National Health Service Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin J.","family":"Munro","sequence":"additional","affiliation":[{"name":"Central Manchester University Hospitals National Health Service Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"Suppl 2","key":"R1-20230726","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1080\/14992020802301142","article-title":"Are individual differences in speech reception related to individual differences in cognitive ability? A survey of twenty experimental studies with normal and hearing-impaired adults.","volume":"47","author":"Akeroyd","year":"2008","journal-title":"Int J Audiol"},{"key":"R2-20230726","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1556\/LP.1.2009.1.5","article-title":"Forward and reverse hierarchies in auditory perceptual learning.","volume":"1","author":"Amitay","year":"2009","journal-title":"Learn Percept"},{"key":"R3-20230726","doi-asserted-by":"crossref","first-page":"1446","DOI":"10.1038\/nn1787","article-title":"Discrimination learning induced by training with identical stimuli.","volume":"9","author":"Amitay","year":"2006","journal-title":"Nat Neurosci"},{"issue":"Suppl 3","key":"R5-20230726","doi-asserted-by":"crossref","first-page":"87S","DOI":"10.1097\/00003446-199617031-00009","article-title":"Report of the Eriksholm workshop on auditory deprivation and acclimatization.","volume":"17","author":"Arlinger","year":"1996","journal-title":"Ear Hear"},{"key":"R6-20230726","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1044\/jslhr.4103.549","article-title":"The effects of hearing loss and noise masking on the masking release for speech in temporally complex backgrounds.","volume":"41","author":"Bacon","year":"1998","journal-title":"J Speech Lang Hear Res"},{"key":"R7-20230726","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1044\/jshr.3604.820","article-title":"Longitudinal study of hearing aid effectiveness. I: Objective measures.","volume":"36","author":"Bentler","year":"1993a","journal-title":"J Speech Hear Res"},{"key":"R8-20230726","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1044\/jshr.3604.820","article-title":"Longitudinal study of hearing aid effectiveness. II: Subjective measures.","volume":"36","author":"Bentler","year":"1993b","journal-title":"J Speech Hear Res"},{"key":"R11-20230726","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1177\/0305735607076444","article-title":"The effect of background music and background noise on the task performance of introverts and extraverts.","volume":"35","author":"Cassidy","year":"2007","journal-title":"Psychol Music"},{"key":"R12-20230726","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1097\/00003446-199206000-00001","article-title":"Maturation of hearing aid benefit: Objective and subjective measurements.","volume":"13","author":"Cox","year":"1992","journal-title":"Ear Hear"},{"key":"R13-20230726","doi-asserted-by":"crossref","first-page":"30","DOI":"10.3109\/14992020209101309","article-title":"The International Outcome Inventory for Hearing Aids (IOI-HA): Psychometric properties of the English version.","volume":"41","author":"Cox","year":"2002","journal-title":"Int J Audiol"},{"key":"R14-20230726","first-page":"428","article-title":"Benefit acclimatization in elderly hearing aid users.","volume":"7","author":"Cox","year":"1996","journal-title":"J Am Acad Audiol"},{"key":"R16-20230726","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/WNR.0b013e32835f8b30","article-title":"Brainstem processing following unilateral and bilateral hearing-aid amplification.","volume":"24","author":"Dawes","year":"2013a","journal-title":"Neuroreport"},{"key":"R17-20230726","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1121\/1.4807783","article-title":"Unilateral and bilateral hearing aids, spatial release from masking and auditory acclimatization.","volume":"134","author":"Dawes","year":"2013b","journal-title":"J Acoust Soc Am"},{"key":"R18-20230726","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/AUD.0b013e3182a8eda4","article-title":"Acclimatization to hearing aids.","volume":"35","author":"Dawes","year":"2014a","journal-title":"Ear Hear"},{"key":"R19-20230726","doi-asserted-by":"crossref","first-page":"3560","DOI":"10.1121\/1.4874629","article-title":"Auditory acclimatization and hearing aids: Late auditory evoked potentials and speech recognition following unilateral and bilateral amplification.","volume":"135","author":"Dawes","year":"2014b","journal-title":"J Acoust Soc Am"},{"key":"R20-20230726","doi-asserted-by":"crossref","first-page":"861","DOI":"10.3109\/14992027.2014.938782","article-title":"). Getting used to hearing aids from the perspective of adult hearing aid users.","volume":"53","author":"Dawes","year":"2014c","journal-title":"Int J Audiol"},{"key":"R21-20230726","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1097\/AUD.0b013e3182251a0e","article-title":"The placebo effect and the influence of participant expectation on hearing aid trials.","volume":"32","author":"Dawes","year":"2011","journal-title":"Ear Hear"},{"key":"R22-20230726","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1038\/nrn2793","article-title":"The neuroscience of human intelligence differences.","volume":"11","author":"Deary","year":"2010","journal-title":"Nat Rev Neurosci"},{"key":"R23-20230726","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1121\/1.403921","article-title":"The time course and magnitude of perceptual acclimatization to frequency responses: Evidence from monaural fitting of hearing aids.","volume":"92","author":"Gatehouse","year":"1992","journal-title":"J Acoust Soc Am"},{"key":"R24-20230726","first-page":"296","article-title":"Role of perceptual acclimatization in the selection of frequency responses for hearing aids.","volume":"4","author":"Gatehouse","year":"1993","journal-title":"J Am Acad Audiol"},{"key":"R25-20230726","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/14992027.2015.1072773","article-title":"Background sounds and hearing-aid users: A scoping review.","volume":"55","author":"Gygi","year":"2016","journal-title":"Int J Audiol"},{"key":"R26-20230726","first-page":"14","article-title":"Reliability of three types of probe tube measurements.","volume":"42","author":"Hawkins","year":"1991","journal-title":"Hear Instrum"},{"key":"R27-20230726","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1097\/AUD.0b013e31815d638b","article-title":"Aging and speech-on-speech masking.","volume":"29","author":"Helfer","year":"2008","journal-title":"Ear Hear"},{"key":"R28-20230726","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00003446-199702000-00001","article-title":"The time course of hearing aid benefit.","volume":"18","author":"Horwitz","year":"1997","journal-title":"Ear Hear"},{"key":"R29-20230726","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1044\/1092-4388(2003\/011)","article-title":"An examination of changes in hearing-aid performance and benefit in the elderly over a 3-year period of hearing-aid use.","volume":"46","author":"Humes","year":"2003","journal-title":"J Speech Lang Hear Res"},{"key":"R30-20230726","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1044\/1092-4388(2002\/062)","article-title":"Changes in hearing-aid benefit following 1 or 2 years of hearing-aid use by older adults.","volume":"45","author":"Humes","year":"2002","journal-title":"J Speech Lang Hear Res"},{"key":"R31-20230726","doi-asserted-by":"crossref","first-page":"201","DOI":"10.4103\/1463-1741.70497","article-title":"Auditory distraction and serial memory: The avoidable and the ineluctable.","volume":"12","author":"Jones","year":"2010","journal-title":"Noise Health"},{"key":"R32-20230726","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3766\/jaaa.14.2.4","article-title":"Evidence of acclimatization in persons with severe-to-profound hearing loss.","volume":"14","author":"Kuk","year":"2003","journal-title":"J Am Acad Audiol"},{"key":"R33-20230726","doi-asserted-by":"crossref","first-page":"205","DOI":"10.3758\/BF03206743","article-title":"Informational masking and auditory attention.","volume":"50","author":"Leek","year":"1991","journal-title":"Percept Psychophys"},{"key":"R34-20230726","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1037\/a0017798","article-title":"Neural underpinnings of within-person variability in cognitive functioning.","volume":"24","author":"MacDonald","year":"2009","journal-title":"Psychol Aging"},{"key":"R35-20230726","first-page":"54","article-title":"Changes in self-assessment of hearing handicap over the first year of hearing aid use by older adults.","volume":"22","author":"Malinoff","year":"1989","journal-title":"J Acad Rehabil Audiol"},{"key":"R36-20230726","doi-asserted-by":"crossref","first-page":"360","DOI":"10.3109\/14992027.2013.769066","article-title":"Why do people fitted with hearing aids not wear them?","volume":"52","author":"McCormack","year":"2013","journal-title":"Int J Audiol"},{"key":"R37-20230726","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1055\/s-2001-14976","article-title":"Consideration of auditory acclimatization in the prescriptive fitting of hearing aids.","volume":"22","author":"Mueller","year":"2001","journal-title":"Semin Hear"},{"key":"R38-20230726","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1177\/1084713808323483","article-title":"Reorganization of the adult auditory system: Perceptual and physiological evidence from monaural fitting of hearing aids.","volume":"12","author":"Munro","year":"2008","journal-title":"Trends Amplif"},{"key":"R39-20230726","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1121\/1.1577556","article-title":"The effect of speech presentation level on measurement of auditory acclimatization to amplified speech.","volume":"114","author":"Munro","year":"2003","journal-title":"J Acoust Soc Am"},{"key":"R40-20230726","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1044\/jshr.3403.679","article-title":"Toleration of background noises: Relationship with patterns of hearing aid use by elderly persons.","volume":"34","author":"Nabelek","year":"1991","journal-title":"J Speech Hear Res"},{"key":"R41-20230726","doi-asserted-by":"crossref","first-page":"626","DOI":"10.3766\/jaaa.17.9.2","article-title":"Acceptable noise level as a predictor of hearing aid use.","volume":"17","author":"Nabelek","year":"2006","journal-title":"J Am Acad Audiol"},{"key":"R42-20230726","doi-asserted-by":"crossref","first-page":"2","DOI":"10.3109\/14992027.2013.839887","article-title":"Does the acceptable noise level (ANL) predict hearing-aid use?","volume":"53","author":"Olsen","year":"2014","journal-title":"Int J Audiol"},{"key":"R43-20230726","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1177\/1084713806289554","article-title":"Amplification with digital noise reduction and the perception of annoying and aversive sounds.","volume":"10","author":"Palmer","year":"2006","journal-title":"Trends Amplif"},{"key":"R44-20230726","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1121\/1.421050","article-title":"The functionally and physiologically plastic adult auditory system.","volume":"103","author":"Palmer","year":"1998","journal-title":"J Acoust Soc Am"},{"key":"R46-20230726","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/108471380601000103","article-title":"Effects of age on auditory and cognitive processing: Implications for hearing aid fitting and audiologic rehabilitation.","volume":"10","author":"Pichora-Fuller","year":"2006","journal-title":"Trends Amplif"},{"key":"R48-20230726","doi-asserted-by":"crossref","first-page":"219","DOI":"10.3109\/03005369109076594","article-title":"Long-term repeatability of the pure-tone hearing threshold and its relation to noise exposure.","volume":"25","author":"Robinson","year":"1991","journal-title":"Br J Audiol"},{"key":"R49-20230726","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1055\/s-0040-1715756","article-title":"The influence of listener\u2019s gender on the acceptance of background noise.","volume":"14","author":"Rogers","year":"2003","journal-title":"J Am Acad Audiol"},{"key":"R50-20230726","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1097\/00003446-199704000-00005","article-title":"Acclimatization to hearing aids.","volume":"18","author":"Saunders","year":"1997","journal-title":"Ear Hear"},{"key":"R51-20230726","doi-asserted-by":"crossref","first-page":"259","DOI":"10.3109\/14992027.2013.876108","article-title":"Sounds perceived as annoying by hearing-aid users in their daily soundscape.","volume":"53","author":"Skagerstrand","year":"2014","journal-title":"Int J Audiol"},{"key":"R52-20230726","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1097\/00003446-199312000-00003","article-title":"Self-perceived and audiometric evaluations of hearing aid benefit in the elderly.","volume":"14","author":"Taylor","year":"1993","journal-title":"Ear Hear"},{"key":"R53-20230726","doi-asserted-by":"crossref","first-page":"3673","DOI":"10.1121\/1.423949","article-title":"Does hearing aid benefit increase over time?","volume":"104","author":"Turner","year":"1998","journal-title":"J Acoust Soc Am"},{"key":"R54-20230726","doi-asserted-by":"crossref","first-page":"14S","DOI":"10.1097\/00003446-199617031-00003","article-title":"A review of past research on changes in hearing aid benefit over time.","volume":"17","author":"Turner","year":"1996","journal-title":"Ear & Hearing"},{"issue":"Suppl 3","key":"R55-20230726","doi-asserted-by":"crossref","first-page":"38S","DOI":"10.1097\/00003446-199617031-00005","article-title":"Cochlear implantation: Relationships with research on auditory deprivation and acclimatization.","volume":"17","author":"Tyler","year":"1996","journal-title":"Ear Hear"},{"key":"R58-20230726","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.neuropsychologia.2008.11.032","article-title":"Aging and cortical mechanisms of speech perception in noise.","volume":"47","author":"Wong","year":"2009","journal-title":"Neuropsychologia"},{"key":"R59-20230726","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1682\/JRRD.2005.06.0099","article-title":"Acclimatization in wide dynamic range multichannel compression and linear amplification hearing aids.","volume":"43","author":"Yund","year":"2006","journal-title":"J Rehabil Res Dev"}],"container-title":["Ear & Hearing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00003446-201703000-00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T08:32:40Z","timestamp":1690360360000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00003446-201703000-00006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":51,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/aud.0000000000000366","relation":{},"ISSN":["0196-0202"],"issn-type":[{"value":"0196-0202","type":"print"}],"subject":[],"published":{"date-parts":[[2017,3]]}}}