Greater hearing loss predicts lower speech-in-noise comprehension accuracy, with the decline more pronounced at higher noise levels¶

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? Higher pure-tone averages significantly predicted reduced comprehension accuracy (OR = 0.65), and a post hoc PTA-by-noise model confirmed greater hearing loss was associated with reduced accuracy overall (OR = 0.62), with steeper declines under higher noise. → 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

Post hoc GLMM adding a PTA-by-noise-level interaction to the SIN comprehension model of the RCT. Comprehension declined alongside increasing PTA with the effect more pronounced under higher noise (as shown in Fig. 5); the session-by-group interaction remained significant (OR = 2.10, p = 0.002), and age remained a significant predictor (OR = 0.83, p = 0.040).

"Results confirmed a robust main effect of PTA, indicating that greater hearing loss was associated with reduced comprehension accuracy overall (OR = 0.62, 95% CI [0.43, 0.90],p =0 . 0 1 1 )."

Discussion¶

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
• Higher pure-tone average (greater hearing loss) is associated with higher self-perceived listening effort and lower self-perceived hearing qualities in daily life — related
• Demographic and audiologic factors (age, duration of hearing loss, age at onset, residual hearing) were not significantly correlated with speech recognition in CI users — related