Perceptual Effects of Adjusting Hearing-Aid Gain by Means of a Machine-Learning Approach Based on Individual User Preference.
Niels Søgaard Jensen, Ole Hau, Jens Brehm Bagger Nielsen and 2 others
PMID 31104581WHAT IT FOUND
Machine-learning adjustment of hearing-aid gain significantly improved Basic Audio Quality ratings.
It helped Listening Comfort only in traffic noise without speech, and showed no benefit for Speech Clarity. Individual preferences varied widely, with some users experiencing disadvantages.
Key findings
01The self-adjustment procedure significantly improved Basic Audio Quality ratings compared to the standard setting, with a mean improvement of 6.5 scale points.
02No significant benefit was found for Listening Comfort overall, though a specific improvement occurred in the traffic-noise scenario without speech.
03There was no significant difference between settings for Speech Clarity, and individual gain adjustments did not consistently predict perceptual benefits.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The hearing aids were mounted on a manikin, so participants did not hear their own voice amplified, which likely influenced low-frequency gain preferences. The study only adjusted static gain in three bands; dynamic processing features like compression and noise reduction were fixed, limiting the potential for benefits in speech clarity or complex noise. The sample size was small (N=20) and consisted of experienced hearing-aid users who were familiar with listening tests, which may not generalize to new users. Individual variation was high, and some participants experienced disadvantages with the self-adjustment method, suggesting it may not be suitable for all users. The study design imposed specific listening intentions on participants, which may not have matched their actual real-world needs in those scenarios.
Declared interests
The study was conducted at SenseLab, FORCE Technology. The paper does not explicitly state the funding source or declare conflicts of interest in the provided text, but the experimental design was inspired by a prior study in Widex's own lab, and the commercial hearing aid (Widex EVOKE) and its feature (SoundSense Learn) were used.
The easy way to misread this
Do not assume that machine-learning self-adjustment will improve speech clarity or listening comfort in noisy environments with speech. The study found no significant benefit for these domains, and individual responses varied widely, with some users experiencing worse outcomes.