Immersive auditory-cognitive training improves speech-in-noise perception in older adults with varying hearing and working memory

Abstract Ageing is associated with elevated pure-tone thresholds, accompanied by increased difficulties in understanding speech-in-noise. While amplification provides important, but insufficient support, auditory-cognitive training (ACT) might propose a solution. However, generalized effects have be...

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Main Authors: Vanessa Frei, Nathalie Giroud
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:npj Science of Learning
Online Access:https://doi.org/10.1038/s41539-025-00306-5
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author Vanessa Frei
Nathalie Giroud
author_facet Vanessa Frei
Nathalie Giroud
author_sort Vanessa Frei
collection DOAJ
description Abstract Ageing is associated with elevated pure-tone thresholds, accompanied by increased difficulties in understanding speech-in-noise. While amplification provides important, but insufficient support, auditory-cognitive training (ACT) might propose a solution. However, generalized effects have been scarce, highlighting the necessity of training designs targeting naturalistic listening situations. We addressed this issue by designing a short-term ACT in a purely auditory- and a virtual multisensory environment, targeting both, sensory and cognitive processing of natural speech. 40 healthy older participants with varying hearing- and cognitive capacities were exposed to both trainings (cross-over design), while speech-in-noise perception was measured before and after each session. Immersive ACT exposure resulted in increased speech-in-noise perception, particularly for individuals with more pronounced hearing loss or reduced auditory working memory capacity. These results demonstrate that combining sensory and cognitive training elements, particularly in a multisensory environment, has the potential to improve speech in noise perception.
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spelling doaj-art-8350a10085da4d579100b300166b7ff92025-08-20T03:05:56ZengNature Portfolionpj Science of Learning2056-79362025-03-0110111210.1038/s41539-025-00306-5Immersive auditory-cognitive training improves speech-in-noise perception in older adults with varying hearing and working memoryVanessa Frei0Nathalie Giroud1Department of Computational Linguistics, Computational Neuroscience of Speech and Hearing, University of ZurichDepartment of Computational Linguistics, Computational Neuroscience of Speech and Hearing, University of ZurichAbstract Ageing is associated with elevated pure-tone thresholds, accompanied by increased difficulties in understanding speech-in-noise. While amplification provides important, but insufficient support, auditory-cognitive training (ACT) might propose a solution. However, generalized effects have been scarce, highlighting the necessity of training designs targeting naturalistic listening situations. We addressed this issue by designing a short-term ACT in a purely auditory- and a virtual multisensory environment, targeting both, sensory and cognitive processing of natural speech. 40 healthy older participants with varying hearing- and cognitive capacities were exposed to both trainings (cross-over design), while speech-in-noise perception was measured before and after each session. Immersive ACT exposure resulted in increased speech-in-noise perception, particularly for individuals with more pronounced hearing loss or reduced auditory working memory capacity. These results demonstrate that combining sensory and cognitive training elements, particularly in a multisensory environment, has the potential to improve speech in noise perception.https://doi.org/10.1038/s41539-025-00306-5
spellingShingle Vanessa Frei
Nathalie Giroud
Immersive auditory-cognitive training improves speech-in-noise perception in older adults with varying hearing and working memory
npj Science of Learning
title Immersive auditory-cognitive training improves speech-in-noise perception in older adults with varying hearing and working memory
title_full Immersive auditory-cognitive training improves speech-in-noise perception in older adults with varying hearing and working memory
title_fullStr Immersive auditory-cognitive training improves speech-in-noise perception in older adults with varying hearing and working memory
title_full_unstemmed Immersive auditory-cognitive training improves speech-in-noise perception in older adults with varying hearing and working memory
title_short Immersive auditory-cognitive training improves speech-in-noise perception in older adults with varying hearing and working memory
title_sort immersive auditory cognitive training improves speech in noise perception in older adults with varying hearing and working memory
url https://doi.org/10.1038/s41539-025-00306-5
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