Association Between Unaided Speech Perception in Noise and Hearing Aid Use Mediated by Perceived Benefit

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dc.article.number50
dc.catalogadorpva
dc.contributor.authorMarcotti, Anthony
dc.contributor.authorSilva Letelier, Catherine Paola
dc.contributor.authorGalaz-Mella, Javier
dc.contributor.authorIaniszewski, Alejandro
dc.contributor.authorVargas, Nicole B.
dc.contributor.authorFuentes López, Eduardo
dc.date.accessioned2025-05-12T20:34:06Z
dc.date.available2025-05-12T20:34:06Z
dc.date.issued2025
dc.description.abstractBackground/Objectives: The conventional strategy for addressing age-related hearing loss is hearing aid (HA) use, yet many individuals underutilize their devices. Despite the positive effects of HA use, adherence remains low, highlighting the importance of studying associated variables. We hypothesize that better unaided speech perception in noise (SPiN) would be associated with greater perceived benefit from HAs, which, in turn, would be linked to increased HA use. Methods: A cross-sectional study design was used, including 114 older adults (≥65 years) who were HA users. HA use and perceived benefit were assessed using questions 1 and 2 of the International Outcome Inventory for Hearing Aids (IOI-HAs), while unaided SPiN performance was measured monaurally with a speech-in-noise test. In the mediation analysis, SPiN performance was the predictor, perceived benefit the mediator, and HA use the outcome. Direct and indirect effects were evaluated using generalized structural equation modeling. Results: No significant total effect was found for the right ear. For the left ear, there was a significant indirect effect of SPiN performance on HA use through perceived benefit (OR = 1.26, 95% CI 1.06–1.57, p = 0.019) but no direct effect (p = 0.563). In addition, a significant total effect of left ear SPiN performance on HA use was observed (p = 0.041). Conclusions: The findings suggest that unaided SPiN performance—particularly in the left ear—may be indirectly associated with HA use through its effect on perceived benefit. These results underscore the potential value of including SPiN assessments in the HA fitting process and counseling strategies for older adults.
dc.fechaingreso.objetodigital2025-05-12
dc.format.extent21 páginas
dc.fuente.origenORCID
dc.identifier.doi10.3390/audiolres15030050
dc.identifier.urihttps://doi.org/10.3390/audiolres15030050
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/104167
dc.information.autorucDepartamento de Ciencias de la Salud; Silva Letelier, Catherine Paola; S/I; 1028248
dc.information.autorucDepartamento de Ciencias de la Salud; Fuentes López, Eduardo; 0000-0002-0141-0226; 1013849
dc.issue.numero3
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaAudiology Research
dc.rightsacceso abierto
dc.rights.licenseAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHearing aids
dc.subjectSpeech perception in noise
dc.subjectPerceived benefit
dc.subjectOlder adults
dc.subjectAuditory rehabilitation
dc.subjectMediation analysis
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAssociation Between Unaided Speech Perception in Noise and Hearing Aid Use Mediated by Perceived Benefit
dc.typeartículo
dc.volumen15
sipa.codpersvinculados1028248
sipa.codpersvinculados1013849
sipa.trazabilidadORCID;2025-05-07
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