Noise level moderates training-related SIN comprehension gains, with attenuated improvements under high- and low-noise conditions relative to no-noise trials¶

Claim · All claims
Evidence · 1 study · causal r2 · q3
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? A significant three-way interaction between session, group, and noise level showed that ACT-related improvements in SIN comprehension were attenuated under high-noise (OR = 0.77) and low-noise (OR = 0.84) conditions compared with no-noise trials. → 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 binomial GLMM of SIN comprehension accuracy in the RCT, with random intercepts for subjects and items nested in noise levels. The three-way session-by-group-by-noise interaction was significant, with smaller gains in low- and high-noise blocks than in the no-noise block; noise level itself had large main effects on accuracy (low-noise OR = 0.06, high-noise OR = 0.006 vs no-noise).

"a significant three-way interaction between session, group, andnoise level showed training-related improvements in the experimental group to be moderated by noise condition, with attenuated gains observed under high-noise (OR = 0.77, 95% CI [0.67, 0.89],p < 0.001) and low-noise conditions (OR = 0.84, 95% CI [0.73, 0.96], p = 0.009) compared to no-noise trials."

Discussion¶

Related Claims¶

• Gamified personalized auditory-cognitive training improves naturalistic speech-in-noise comprehension in older adults with hearing loss relative to an active control group — related
• ACT does not change speech-in-noise intelligibility, subjective hearing, or listening effort, dissociating low-level fidelity from higher-order comprehension — related
• Greater hearing loss predicts lower speech-in-noise comprehension accuracy, with the decline more pronounced at higher noise levels — related
• Speech-in-noise perception improves significantly after a short-term immersive auditory-cognitive training, but not after an audio-only training session — related
• Age, general cognition (MoCA), visual working memory, and hearing loss showed no significant association with the extent of training-induced change, and the three-way modality-by-AWM-by-hearing-loss interaction was not significant — related