Gamified personalized auditory-cognitive training improves naturalistic speech-in-noise comprehension in older adults with hearing loss relative to an active control group¶
Claim · All claims
Evidence · 1 study · causalr2·q3
Currency · newest study 2025 · checked against its sources 2026-10-26 (automated, 1 of 1 entry) · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? In a randomized controlled trial, older adults with hearing loss completing four weeks of ACT showed significantly greater pre-to-post improvements in naturalistic speech-in-noise comprehension accuracy than an active control group. → Ockelmann 2025
Evidence¶
Ockelmann 2025¶
Ockelmann, J., Scherpiet, S., Stropahl, M. & Giroud, N. (2025). Personalized and gamified auditory-cognitive training improves naturalistic speech-in-noise comprehension in older adults with hearing loss. npj Science of Learning. https://doi.org/10.1038/s41539-025-00369-4
q3 · i? · causal · r2
Item-level GLMM analysis of the RCT's naturalistic SIN comprehension task (conversational sentences in cafeteria noise, 54 analyzed participants). The session-by-group interaction was significant ("OR = 1.47, 95% CI [1.25, 1.72],p < 0.001"), with the experimental group improving more than controls; the main effect of session alone was not significant (OR = 1.02).
"we identified a significant interaction effect between training session and group (OR = 1.47, 95% CI [1.25, 1.72],p < 0.001), demonstrating differential improvements in speech-in-noise (SIN) comprehension from pre- to post-training across groups."
Discussion¶
Learner Variables¶
- Auditory Processing — outcome: instruction changes it
Related Claims¶
- Noise level moderates training-related SIN comprehension gains, with attenuated improvements under high- and low-noise conditions relative to no-noise trials — related
- Off-training cognitive transfer shows gains in working memory and focused attention for the ACT group only, with no significant group-by-session interactions — related
- ACT does not change speech-in-noise intelligibility, subjective hearing, or listening effort, dissociating low-level fidelity from higher-order comprehension — related
- Baseline cognitive abilities do not significantly predict the size of ACT-related speech-in-noise improvement — related
- On-training cognitive performance improves across all four trained domains after ACT, with large effect sizes — related
Page metadata
| Field | Value |
|---|---|
type |
claim |
id |
act-improves-naturalistic-sin-comprehension-older-adults |
title |
Gamified personalized auditory-cognitive training improves naturalistic speech-in-noise comprehension in older adults with hearing loss relative to an active control group |
description |
Gamified personalized auditory-cognitive training improves naturalistic speech-in-noise comprehension in older adults with hearing loss relative to an active control group |
status |
review |
evidence_strength |
moderate |
newest_evidence |
2025 |
source_checked |
2026-10-26 |
generated |
by process:wiki-ingest on 2026-10-26 |
trust |
unverified — no one has confirmed this page's content |
sources |
1 — ockelmann-2025 |
Frontmatter is the page's machine-readable record — see the Schema & Guide.