{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T16:46:12Z","timestamp":1780764372386,"version":"3.54.1"},"reference-count":76,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Commission for Scientific and Technological Research","award":["SA18I0138"],"award-info":[{"award-number":["SA18I0138"]}]},{"name":"National Commission for Scientific and Technological Research","award":["SA20I0120"],"award-info":[{"award-number":["SA20I0120"]}]},{"name":"National Commission for Scientific and Technological Research","award":["FONDECYT N\u00b011201327"],"award-info":[{"award-number":["FONDECYT N\u00b011201327"]}]},{"name":"Fund for Encouraging Scientific and Technological Development","award":["SA18I0138"],"award-info":[{"award-number":["SA18I0138"]}]},{"name":"Fund for Encouraging Scientific and Technological Development","award":["SA20I0120"],"award-info":[{"award-number":["SA20I0120"]}]},{"name":"Fund for Encouraging Scientific and Technological Development","award":["FONDECYT N\u00b011201327"],"award-info":[{"award-number":["FONDECYT N\u00b011201327"]}]},{"name":"Government of Chile\u2019s Ministry of Health","award":["SA18I0138"],"award-info":[{"award-number":["SA18I0138"]}]},{"name":"Government of Chile\u2019s Ministry of Health","award":["SA20I0120"],"award-info":[{"award-number":["SA20I0120"]}]},{"name":"Government of Chile\u2019s Ministry of Health","award":["FONDECYT N\u00b011201327"],"award-info":[{"award-number":["FONDECYT N\u00b011201327"]}]},{"name":"National Research and Development Agency (ANID, Chile)","award":["SA18I0138"],"award-info":[{"award-number":["SA18I0138"]}]},{"name":"National Research and Development Agency (ANID, Chile)","award":["SA20I0120"],"award-info":[{"award-number":["SA20I0120"]}]},{"name":"National Research and Development Agency (ANID, Chile)","award":["FONDECYT N\u00b011201327"],"award-info":[{"award-number":["FONDECYT N\u00b011201327"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>Background\/Objectives: The conventional strategy for addressing age-related hearing loss is hearing aid (HA) use, yet many individuals underutilize their devices. Despite the positive effects of HA use, adherence remains low, highlighting the importance of studying associated variables. We hypothesize that better unaided speech perception in noise (SPiN) would be associated with greater perceived benefit from HAs, which, in turn, would be linked to increased HA use. Methods: A cross-sectional study design was used, including 114 older adults (\u226565 years) who were HA users. HA use and perceived benefit were assessed using questions 1 and 2 of the International Outcome Inventory for Hearing Aids (IOI-HAs), while unaided SPiN performance was measured monaurally with a speech-in-noise test. In the mediation analysis, SPiN performance was the predictor, perceived benefit the mediator, and HA use the outcome. Direct and indirect effects were evaluated using generalized structural equation modeling. Results: No significant total effect was found for the right ear. For the left ear, there was a significant indirect effect of SPiN performance on HA use through perceived benefit (OR = 1.26, 95% CI 1.06\u20131.57, p = 0.019) but no direct effect (p = 0.563). In addition, a significant total effect of left ear SPiN performance on HA use was observed (p = 0.041). Conclusions: The findings suggest that unaided SPiN performance\u2014particularly in the left ear\u2014may be indirectly associated with HA use through its effect on perceived benefit. These results underscore the potential value of including SPiN assessments in the HA fitting process and counseling strategies for older adults.<\/jats:p>","DOI":"10.3390\/audiolres15030050","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T07:44:58Z","timestamp":1746171898000},"page":"50","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Association Between Unaided Speech Perception in Noise and Hearing Aid Use Mediated by Perceived Benefit"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1674-6846","authenticated-orcid":false,"given":"Anthony","family":"Marcotti","sequence":"first","affiliation":[{"name":"Escuela de Fonoaudiolog\u00eda, Facultad de Ciencias de la Rehabilitaci\u00f3n y Calidad de Vida, Universidad San Sebasti\u00e1n, Santiago 7510157, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9421-6771","authenticated-orcid":false,"given":"Catherine","family":"Silva-Letelier","sequence":"additional","affiliation":[{"name":"Magister en Epidemiolog\u00eda, Escuela de Salud P\u00fablica, Facultad de Medicina, Pontificia Universidad Cat\u00f3lica de Chile, Santiago 8330023, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Galaz-Mella","sequence":"additional","affiliation":[{"name":"Faculty of Rehabilitation Sciences, School of Speech Therapy, Exercise and Rehabilitation Sciences Institute, Universidad Andres Bello, Santiago 7591538, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9116-3969","authenticated-orcid":false,"given":"Alejandro","family":"Ianiszewski","sequence":"additional","affiliation":[{"name":"Escuela de Fonoaudiolog\u00eda, Facultad de Ciencias de la Rehabilitaci\u00f3n y Calidad de Vida, Universidad San Sebasti\u00e1n, Santiago 7510157, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2764-9136","authenticated-orcid":false,"given":"Nicole B.","family":"Vargas","sequence":"additional","affiliation":[{"name":"Facultad de Salud y Ciencias Sociales, Universidad de Las Am\u00e9ricas, Vi\u00f1a del Mar 2531098, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0141-0226","authenticated-orcid":false,"given":"Eduardo","family":"Fuentes-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Departamento de Fonoaudiolog\u00eda, Escuela de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Cat\u00f3lica de Chile, Santiago 7820436, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,1]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2025, March 10). Deafness and Hearing Loss. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/deafness-and-hearing-loss."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1016\/S0140-6736(16)31460-X","article-title":"Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990\u20132015: A systematic analysis for the Global Burden of Disease Study 2015","volume":"388","author":"Kassebaum","year":"2016","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1177\/0194599820910377","article-title":"Hearing Loss, Loneliness, and Social Isolation: A Systematic Review","volume":"162","author":"Shukla","year":"2020","journal-title":"Otolaryngol. Head. Neck Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e137","DOI":"10.1093\/geront\/gnz009","article-title":"Hearing Loss and Depression in Older Adults: A Systematic Review and Meta-analysis","volume":"60","author":"Lawrence","year":"2020","journal-title":"Gerontologist"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2587","DOI":"10.1002\/lary.25927","article-title":"Hearing loss and falls: A systematic review and meta-analysis","volume":"126","author":"Jiam","year":"2016","journal-title":"Laryngoscope"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1001\/jamaoto.2017.2513","article-title":"Association of Age-Related Hearing Loss With Cognitive Function, Cognitive Impairment, and Dementia: A Systematic Review and Meta-analysis","volume":"144","author":"Loughrey","year":"2018","journal-title":"JAMA Otolaryngol. Head Neck Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1001\/jamaneurol.2022.4427","article-title":"Association of Hearing Aids and Cochlear Implants with Cognitive Decline and Dementia: A Systematic Review and Meta-analysis","volume":"80","author":"Yeo","year":"2023","journal-title":"JAMA Neurol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1093\/pubmed\/22.4.512","article-title":"Effective management of the elderly hearing impaired\u2014A review","volume":"22","author":"Hanratty","year":"2000","journal-title":"J. Public. Health Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1007\/s00405-010-1270-7","article-title":"Age-related hearing loss or presbycusis","volume":"267","author":"Huang","year":"2010","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Zheng, Q., Xu, Z., Li, N., Wang, Y., Zhang, T., and Jing, J. (2024). Age-related hearing loss in older adults: Etiology and rehabilitation strategies. Front. Neurosci., 18.","DOI":"10.3389\/fnins.2024.1428564"},{"key":"ref_11","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":"Dornhoffer","year":"2020","journal-title":"Audiol. Neurotol."},{"key":"ref_12","first-page":"CD012023","article-title":"Hearing aids for mild to moderate hearing loss in adults","volume":"9","author":"Ferguson","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/S0140-6736(23)01406-X","article-title":"Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): A multicentre, randomised controlled trial","volume":"402","author":"Lin","year":"2023","journal-title":"Lancet"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1080\/14992027.2020.1773550","article-title":"Adoption, use and non-use of hearing aids: A robust estimate based on Welsh national survey statistics","volume":"59","author":"Dillon","year":"2020","journal-title":"Int. J. Audiol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"152","DOI":"10.3109\/14992027.2014.967367","article-title":"Hearing aid use and its determinants in the UK National Health Service: A cross-sectional study at the Royal Surrey County Hospital","volume":"54","author":"Aazh","year":"2015","journal-title":"Int. J. Audiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"90","DOI":"10.3109\/14992020309074629","article-title":"Assessment of subjective outcome of hearing aid fitting: Getting the client\u2019s point of view","volume":"42","author":"Cox","year":"2003","journal-title":"Int. J. Audiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"87","DOI":"10.3766\/jaaa.18036","article-title":"Predictors of Hearing Aid Use in the Advanced Digital Era: An Investigation of Benefit, Satisfaction, and Self-Efficacy","volume":"31","author":"Jilla","year":"2020","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1080\/14992020400050050","article-title":"Outcomes of hearing aid fitting for older people with hearing impairment and their significant others","volume":"43","author":"Stark","year":"2004","journal-title":"Int. J. Audiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1097\/00003446-199206000-00001","article-title":"Amplification and Aural Rehabilitation Maturation of Hearing Aid Benefit: Objective and Subjective Measurements","volume":"13","author":"Cox","year":"1992","journal-title":"Ear Hear."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1080\/14992027.2021.1916632","article-title":"Prediction of successful hearing aid treatment in first-time and experienced hearing aid users: Using the International Outcome Inventory for Hearing Aids","volume":"61","author":"Wolff","year":"2022","journal-title":"Int. J. Audiol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3857","DOI":"10.1007\/s00405-021-07126-4","article-title":"Effects of demographic, audiologic, and hearing-aid-related variables on the outcomes of using hearing aids","volume":"279","author":"Wang","year":"2022","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Fuentes-L\u00f3pez, E., Fuente, A., Valdivia, G., and Luna-Monsalve, M. (2019). Effects of auditory and socio-demographic variables on discontinuation of hearing aid use among older adults with hearing loss fitted in the Chilean public health sector. BMC Geriatr., 19.","DOI":"10.1186\/s12877-019-1260-6"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Fuentes-L\u00f3pez, E., Galaz-Mella, J., Ayala, S., De la Fuente, C., Luna-Monsalve, M., Nieman, C., and Marcotti, A. (2024). Association be-tween the home-to-healthcare center distance and hearing aid abandonment among older adults. Front. Public. Health, 12.","DOI":"10.3389\/fpubh.2024.1364000"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1055\/s-0034-1384816","article-title":"Hearing aid use and adherence to treatment in a publicly-funded health service from the city of S\u00e3o Paulo, Brazil","volume":"19","author":"Jardim","year":"2015","journal-title":"Int. Arch. Otorhinolaryngol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1080\/14992027.2023.2272562","article-title":"Factors influencing hearing aid use, benefit and satisfaction in adults: A systematic review of the past decade","volume":"63","author":"Mothemela","year":"2024","journal-title":"Int. J. Audiol."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Hoppe, U., Hocke, T., and Iro, H. (2022). Age-Related Decline of Speech Perception. Front. Aging Neurosci., 14.","DOI":"10.3389\/fnagi.2022.891202"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"905","DOI":"10.3109\/00016489.2016.1170201","article-title":"Factors associated with self-reported outcome in adaptation of hearing aid","volume":"136","author":"Chang","year":"2016","journal-title":"Acta Otolaryngol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"485","DOI":"10.2147\/CIA.S190651","article-title":"Factors associated with the efficiency of hearing aids for patients with age-related hearing loss","volume":"14","author":"Wu","year":"2019","journal-title":"Clin. Interv. Aging"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1055\/s-0043-1770155","article-title":"Speech-in-Noise Testing: An Introduction for Audiologists","volume":"45","author":"Billings","year":"2024","journal-title":"Semin. Hear."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Weissgerber, T., M\u00fcller, C., St\u00f6ver, T., and Baumann, U. (2022). Age Differences in Speech Perception in Noise and Sound Localization in Individuals With Subjective Normal Hearing. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.845285"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1159\/000525580","article-title":"Speech in Noise: Implications of Age, Hearing Loss, and Cognition","volume":"74","author":"Kocabay","year":"2022","journal-title":"Folia Phoniatr. Logop."},{"key":"ref_32","first-page":"134","article-title":"Effects of age on speech-in-noise identification: Subjective ratings of hearing difficulties and encoding of fundamental frequency in older adults","volume":"22","author":"Heidari","year":"2018","journal-title":"J. Audiol. Otol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1515\/jbcpp-2014-0025","article-title":"How difficult is difficult? Speech perception in noise in the elderly hearing impaired","volume":"25","author":"Lavie","year":"2014","journal-title":"J. Basic. Clin. Physiol. Pharmacol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"342","DOI":"10.3766\/jaaa.15.5.2","article-title":"Predicting success with hearing aids in everyday living","volume":"15","author":"Walden","year":"2004","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"2395","DOI":"10.1121\/1.1784440","article-title":"Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearing-impaired listeners","volume":"116","author":"Killion","year":"2004","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1044\/1059-0889(2007\/016)","article-title":"Objective and Subjective Hearing Aid Assessment Outcomes","volume":"16","author":"Mendel","year":"2007","journal-title":"Am. J. Audiol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"590","DOI":"10.3766\/jaaa.23.7.9","article-title":"The revised speech perception in noise test (R-SPIN) in a multiple signal-to-noise ratio paradigm","volume":"23","author":"Wilson","year":"2012","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1121\/1.408469","article-title":"Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise","volume":"95","author":"Nilsson","year":"1994","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"370","author":"Altman","year":"2007","journal-title":"Lancet"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"467","DOI":"10.4067\/S0034-98872004000400009","article-title":"Validaci\u00f3n de un test de tamizaje para el diagn\u00f3stico de demencia asociada a edad, en Chile Validation of a screening test for age associated cognitive impairment, in Chile","volume":"132","author":"Quiroga","year":"2004","journal-title":"Rev. Med. Chil."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1080\/14992027.2017.1337937","article-title":"Prevalence and associated factors of hearing aid use among older adults in Chile","volume":"56","author":"Fuente","year":"2017","journal-title":"Int. J. Audiol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1080\/14992020600937238","article-title":"Auditory processing tests for Spanish-speaking adults: An initial study","volume":"45","author":"Fuente","year":"2006","journal-title":"Int. J. Audiol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1177\/216507999904700404","article-title":"Ambient Noise Levels in Mobile Audiometric Testing Facilities: Compliance with Industry Standards","volume":"47","author":"Lankford","year":"1999","journal-title":"AAOHN J."},{"key":"ref_44","unstructured":"British Society of Audiology (2025, March 03). Practice Guidance: The Acoustics of Sound Field Audiometry in Clinical Audiological Applications. Available online: www.thebsa.org.uk."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3109\/14992020209101307","article-title":"Translations of the International Outcome Inventory for Hearing Aids (IOI-HA): Traducciones del Inventario Internacional de Resultados para Auxiliares Auditivos (IOI-HA)","volume":"41","author":"Cox","year":"2002","journal-title":"Int. J. Audiol."},{"key":"ref_46","unstructured":"Servicio Nacional del Adulto Mayor (2025, March 15). Estudio Nacional de Dependencia en las Personas Mayores. Available online: https:\/\/www.senama.gob.cl\/storage\/docs\/Dependencia-Personas-Mayores-2009.pdf."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Fuentes-L\u00f3pez, E., Fuente, A., Valdivia, G., and Luna-Monsalve, M. (2019). Does educational level predict hearing aid self-efficacy in experienced older adult hearing aid users from Latin America? Validation process of the Spanish version of the MARS-HA questionnaire. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0226085"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Fuentes-L\u00f3pez, E., Luna-Monsalve, M., Silva-Letelier, C., and Marcotti, A. (2024). Interaction effect of self-efficacy and joint problems on hearing aid abandonment among older adults. Int. J. Audiol., 1\u201311.","DOI":"10.1080\/14992027.2024.2393882"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s41155-020-00146-9","article-title":"Multi-ethnic validation of 15-item Geriatric Depression Scale in Chile","volume":"33","author":"Forjaz","year":"2020","journal-title":"Psicol. Reflex. E Critica"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1001\/jama.2021.14075","article-title":"A Guideline for Reporting Mediation Analyses of Randomized Trials and Observational Studies: The AGReMA Statement","volume":"326","author":"Lee","year":"2021","journal-title":"JAMA"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"VanderWeele, T. (2015). Explanation in Causal Inference: Methods for Mediation and Interaction, Oxford University Press.","DOI":"10.1093\/ije\/dyw277"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v088.i08","article-title":"Plssem: A stata package for structural equation modeling with partial least squares","volume":"88","author":"Venturini","year":"2019","journal-title":"J. Stat. Softw."},{"key":"ref_53","unstructured":"Kenny, D.A. (2024, June 16). MedPower: An Interactive Tool for the Estimation of Power in Tests of Mediation. Available online: https:\/\/davidakenny.shinyapps.io\/MedPower\/."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"64","DOI":"10.3109\/21695717.2013.782135","article-title":"Validation of a speech-in-noise test used for verification of hearing aid fitting","volume":"11","author":"Grunditz","year":"2013","journal-title":"Hear. Balance Commun."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1097\/00003446-199408000-00002","article-title":"Effects of Age and Gender on Dichotic Sentence Identification","volume":"15","author":"Jerger","year":"1994","journal-title":"Ear Hear."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1044\/1092-4388(2010\/09-0230)","article-title":"Dichotic Word Recognition in Noise and the Right-Ear Advantage","volume":"54","author":"Roup","year":"2011","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"230","DOI":"10.3766\/jaaa.17.4.2","article-title":"Dichotic Word Recognition in Young and Older Adults","volume":"17","author":"Roup","year":"2006","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1097\/AUD.0000000000001039","article-title":"Association Between the Right Ear Advantage in Dichotic Listening and Interaural Differences in Sensory Processing at Lower Levels of the Auditory System in Older Adults","volume":"42","author":"Ianiszewski","year":"2021","journal-title":"Ear Hear."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"324","DOI":"10.3766\/jaaa.25.4.4","article-title":"The influence of aging on interaural asymmetries in middle latency response amplitude","volume":"25","author":"Weihing","year":"2014","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Ianiszewski, A., Fuente, A., and Gagn\u00e9, J.-P. (2021). Auditory brainstem response asymmetries in older adults: An exploratory study using click and speech stimuli. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0251287"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"115","DOI":"10.5152\/JIAO.2021.8343","article-title":"Right-ear advantage for unaided and aided speech perception in noise in older adults","volume":"17","author":"Behtani","year":"2021","journal-title":"J. Int. Adv. Otol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"112","DOI":"10.7874\/kja.2014.18.3.112","article-title":"Effects of ageing and hearing thresholds on speech perception in quiet and in noise perceived in different locations","volume":"18","author":"Mukari","year":"2014","journal-title":"Korean J. Audiol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1159\/000082307","article-title":"Loss of peripheral right-ear advantage in age-related hearing loss","volume":"10","author":"Tadros","year":"2005","journal-title":"Audiol. Neurootol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1055\/s-0041-1735176","article-title":"Binaural Signal Processing in Hearing Aids","volume":"42","author":"Derleth","year":"2021","journal-title":"Semin. Hear."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"266","DOI":"10.3766\/jaaa.28.4.1","article-title":"Binaural interference: Quo vadis?","volume":"28","author":"Jerger","year":"2017","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"171","DOI":"10.3766\/jaaa.23.3.4","article-title":"Are two ears not better than one?","volume":"23","author":"McArdle","year":"2012","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1080\/14992027.2021.2014073","article-title":"Plastic changes in speech perception in older adults with hearing impairment following hearing aid use: A systematic review","volume":"61","author":"Lavie","year":"2022","journal-title":"Int. J. Audiol."},{"key":"ref_68","unstructured":"Ministerio, S. (2013). Hipoacusia bilateral en personas de 65 a\u00f1os y m\u00e1s que requieren uso de aud\u00edfono. Ministerio de Salud, Gobierno de Chile."},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Fuentes-L\u00f3pez, E., Galaz-Mella, J., Nieman, C.L., Luna-Monsalve, M., and Marcotti, A. (2025). Effect of Attitudes Toward Hearing Loss and Hearing Aids on the Risk of Device Abandonment Among Older Adults With Hearing Loss Fitted in the Chilean Public Health Sector. Ear Hear.","DOI":"10.1097\/AUD.0000000000001669"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1121\/1.4976113","article-title":"The role of interaural differences on speech intelligibility in complex multitalker environments","volume":"141","author":"Ellinger","year":"2017","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/01.aud.0000194510.57677.03","article-title":"Development and Evaluation of the Listening in Spatialized Noise Test","volume":"27","author":"Cameron","year":"2006","journal-title":"Ear Hear."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1007\/s40520-019-01233-3","article-title":"Effects of aging on spatial hearing","volume":"32","author":"Ghahraman","year":"2020","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"1","DOI":"10.7874\/jao.2022.00283","article-title":"Training Programs for Improving Speech Perception in Noise: A Review","volume":"27","author":"Gohari","year":"2023","journal-title":"J. Audiol. Otol."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"187","DOI":"10.3766\/jaaa.25.2.7","article-title":"Patterns of hearing aid usage predict hearing aid use amount (data logged and self-reported) and overreport","volume":"25","author":"Nielsen","year":"2014","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1080\/14992027.2017.1303201","article-title":"Hearing aid use in the elderly as measured by datalogging and self-report","volume":"56","author":"Solheim","year":"2017","journal-title":"Int. J. Audiol."},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Perez, E., and Edmonds, B.A. (2012). A systematic review of studies measuring and reporting hearing aid usage in older adults since 1999: A descriptive summary of measurement tools. PLoS ONE, 7.","DOI":"10.1371\/journal.pone.0031831"}],"container-title":["Audiology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4349\/15\/3\/50\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:26:07Z","timestamp":1760030767000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4349\/15\/3\/50"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,1]]},"references-count":76,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["audiolres15030050"],"URL":"https:\/\/doi.org\/10.3390\/audiolres15030050","relation":{},"ISSN":["2039-4349"],"issn-type":[{"value":"2039-4349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,1]]}}}