Learning to Listen Again: The Role of Compliance in Auditory Training for Adults With Hearing Loss

Theresa Hnath Chisolm, Gabrielle H. Saunders, Melissa T. Frederick, Rachel A. McArdle, Sherri L. Smith, Richard H. Wilson
2013 American Journal of Audiology  
Purpose: To examine the role of compliance on the outcomes of computer-based auditory training with the Listening and Communication Enhancement (LACE TM ) program in Veterans using hearing aids. Methods: Available LACE TM training data for five tasks (i.e., Speech-in-Babble, Time Compression, Competing Speaker, Auditory Memory, Missing Word) from 50 hearing aid users who participated in a larger, randomized controlled trial designed to examine the efficacy of LACE TM training were examined to
more » ... were examined to determine: (1) if there were changes in performance over 20 training sessions on trained tasks (i.e., on-task outcomes); and (2) if compliance, defined as completing all 20 sessions, vs. non-compliance, defined as completing less than 20 sessions, influenced performance on parallel untrained tasks (i.e., off-task outcomes). Results : The majority, 84% of participants completed 20 sessions, with maximum outcome occurring with at least 10 sessions of training for some tasks and up to 20 sessions of training for others. Comparison of Baseline to Post-Test performance revealed statistically significant improvements for four of seven off-task outcome measures for the Compliant group, with no statistically significant improvements observed for the Non-Compliant group. Conclusion: The high level of compliance in the present study may be attributable to use of systematized verbal and written instructions with telephone follow-up. Compliance, as expected, appears important for optimizing the outcomes of auditory training. Methods Chisolm et al LEARNING TO LISTEN AGAIN: ROLE OF COMPLIANCE 3 to improve compliance in clinical populations need to be developed and compliance data are important to report in future studies of auditory training.
doi:10.1044/1059-0889(2013/12-0081) pmid:24018575 fatcat:y5ptc5pqxnbjfdzvhtrcmb3xj4