Listening Effort in Quiet and Noisy Environments in the Daily Life of Adults With Hearing Aids: An Extended Version of the Effort Assessment Scale (EEAS)

This study was aimed at assessing listening effort (LE) in quiet and in noisy daily life situations, in 481 adults with hearing aids (HAs) and 62 adults with normal hearing, using an Extended version of the Effort Assessment Scale (EEAS). Participants were invited to self-assess their LE in daily life, on a visual analog scale graded from 0 (no effort) to 10. The EEAS's internal structure identified two separate constructs pertaining to LE in quiet and LE in noise, each with good consistency (Cronbach's α > 0.83). A three-factor model explained 12% of the variance of the EEAS scores, with HA experience the most important one, and better ear hearing threshold (averaged across 0.5–4 kHz) and ear asymmetry as the other two factors. The EEAS subscales differed in behavior, with the LE in noise being the most dependent on HA experience, whereas LE in quiet depended more on better ear hearing threshold. In a subgroup of people with 6 months to less than 24 months HA experience, a significant decrease in LE in noise was observed with increasing HA experience (0.26 points decrease per year of HA experience), whereas in a group of people with at least 24 months of HA experience, a small increase in LE in noise was observed. This effect was not mediated by age, nor hearing threshold. The extended Effort Assessment Scale is therefore offering an assessment of both LE in quiet and LE in noise, with different dependence on HA experience and hearing thresholds.

[1]  L. Tesio,et al.  Why Questionnaire Scores Are Not Measures , 2022, American journal of physical medicine & rehabilitation.

[2]  C. Micheyl,et al.  Comparing methods of analysis in pupillometry: application to the assessment of listening effort in hearing-impaired patients , 2022, Heliyon.

[3]  Oscar M. Cañete,et al.  Self-reported listening effort in adults with and without hearing loss: the Danish version of the Effort Assessment Scale (D-EAS) , 2022, Disability and rehabilitation.

[4]  S. Kramer,et al.  Questionnaires in otology: a systematic mapping review , 2021, Systematic Reviews.

[5]  Jack A. Holman,et al.  Hearing Aids Reduce Daily-Life Fatigue and Increase Social Activity: A Longitudinal Study , 2021, medRxiv.

[6]  Julia F. Strand,et al.  Understanding Speech Amid the Jingle and Jangle: Recommendations for Improving Measurement Practices in Listening Effort Research. , 2020, Auditory perception & cognition.

[7]  Vahid Aryadoust,et al.  A Scientometric Review of Rasch Measurement: The Rise and Progress of a Specialty , 2019, Front. Psychol..

[8]  Rebecca E. Millman,et al.  Measures of Listening Effort Are Multidimensional , 2019, Ear and hearing.

[9]  J. Opie,et al.  Introducing real-life listening features into the clinical test environment: Part I: Measuring the hearing performance and evaluating the listening effort of individuals with normal hearing , 2019, Cochlear implants international.

[10]  A. Büchner,et al.  Introducing real-life listening features into the clinical test environment: Part II: Measuring the hearing performance and evaluating the listening effort of individuals with a hearing implant , 2019, Cochlear implants international.

[11]  M. Pichora-Fuller,et al.  Functional Near-Infrared Spectroscopy as a Measure of Listening Effort in Older Adults Who Use Hearing Aids , 2019, Trends in hearing.

[12]  C. Micheyl,et al.  A New Speech, Spatial, and Qualities of Hearing Scale Short-Form: Factor, Cluster, and Comparative Analyses. , 2018, Ear and hearing.

[13]  Stefanie E. Kuchinsky,et al.  Best Practices and Advice for Using Pupillometry to Measure Listening Effort: An Introduction for Those Who Want to Get Started , 2018, Trends in hearing.

[14]  L. Hickson,et al.  Do Hearing Aids Address Real-World Hearing Difficulties for Adults With Mild Hearing Impairment? Results From a Pilot Study Using Ecological Momentary Assessment , 2018, Trends in hearing.

[15]  Julia F. Strand,et al.  Measuring Listening Effort: Convergent Validity, Sensitivity, and Links With Cognitive and Personality Measures. , 2018, Journal of speech, language, and hearing research : JSLHR.

[16]  Sera L. Young,et al.  Best Practices for Developing and Validating Scales for Health, Social, and Behavioral Research: A Primer , 2018, Front. Public Health.

[17]  Spoorthi Thammaiah,et al.  A good practice guide for translating and adapting hearing-related questionnaires for different languages and cultures , 2018, International journal of audiology.

[18]  P. Dawes,et al.  Hearing Handicap and Speech Recognition Correlate With Self-Reported Listening Effort and Fatigue , 2017, Ear and hearing.

[19]  U. Lemke,et al.  The impact of hearing aids and age-related hearing loss on auditory plasticity across three months – An electrical neuroimaging study , 2017, Hearing Research.

[20]  Ronny K. Ibrahim,et al.  Objective Assessment of Listening Effort: Coregistration of Pupillometry and EEG , 2017, Trends in hearing.

[21]  Thomas Lunner,et al.  Effects of Hearing Impairment and Hearing Aid Amplification on Listening Effort: A Systematic Review , 2017, Ear and hearing.

[22]  Daniel J. Strauss,et al.  Neurodynamic evaluation of hearing aid features using EEG correlates of listening effort , 2017, Cognitive Neurodynamics.

[23]  William J. Boone,et al.  Rasch Analysis for Instrument Development: Why, When, and How? , 2016, CBE life sciences education.

[24]  Jan Rennies,et al.  Perceived listening effort and speech intelligibility in reverberation and noise for hearing-impaired listeners , 2016, International journal of audiology.

[25]  A. Moulin,et al.  Validation of a French-Language Version of the Spatial Hearing Questionnaire, Cluster Analysis and Comparison with the Speech, Spatial, and Qualities of Hearing Scale , 2016, Ear and hearing.

[26]  M. Sommers,et al.  Listening Effort in Younger and Older Adults: A Comparison of Auditory-Only and Auditory-Visual Presentations , 2016, Ear and hearing.

[27]  A. Wingfield,et al.  Hearing Impairment and Cognitive Energy: The Framework for Understanding Effortful Listening (FUEL) , 2016, Ear and hearing.

[28]  I. Holube,et al.  Subjective Listening Effort and Electrodermal Activity in Listening Situations with Reverberation and Noise , 2015, Trends in hearing.

[29]  Hannah Keppler,et al.  The Effect of Age on Listening Effort. , 2015, Journal of speech, language, and hearing research : JSLHR.

[30]  A. Moulin,et al.  Validation of a French translation of the speech, spatial, and qualities of hearing scale (SSQ) and comparison with other language versions , 2015, International journal of audiology.

[31]  F. Guillemin,et al.  Cross-cultural adaptation of the Health Education Impact Questionnaire: experimental study showed expert committee, not back-translation, added value. , 2015, Journal of clinical epidemiology.

[32]  Carmen Cadarso-Suárez,et al.  OptimalCutpoints: An R Package for Selecting Optimal Cutpoints in Diagnostic Tests , 2014 .

[33]  B. Kollmeier,et al.  Listening effort and speech intelligibility in listening situations affected by noise and reverberation. , 2014, The Journal of the Acoustical Society of America.

[34]  Karen A. Doherty,et al.  The Effect of Hearing Aid Noise Reduction on Listening Effort in Hearing-Impaired Adults , 2014, Ear and hearing.

[35]  Andrew J. Stewart,et al.  Listening effort and fatigue: What exactly are we measuring? A British Society of Audiology Cognition in Hearing Special Interest Group ‘white paper’ , 2014, International journal of audiology.

[36]  A. Zekveld,et al.  Cognitive processing load across a wide range of listening conditions: insights from pupillometry. , 2014, Psychophysiology.

[37]  Michael A. Akeroyd,et al.  A factor analysis of the SSQ (Speech, Spatial, and Qualities of Hearing Scale) , 2013, International journal of audiology.

[38]  Erin M Picou,et al.  How Hearing Aids, Background Noise, and Visual Cues Influence Objective Listening Effort , 2013, Ear and hearing.

[39]  K. A. Doherty,et al.  Age-Related Changes in Listening Effort for Various Types of Masker Noises , 2013, Ear and hearing.

[40]  Paul Mitchell,et al.  Hearing handicap, rather than measured hearing impairment, predicts poorer quality of life over 10 years in older adults. , 2012, Maturitas.

[41]  A. Ghasemi,et al.  Normality Tests for Statistical Analysis: A Guide for Non-Statisticians , 2012, International journal of endocrinology and metabolism.

[42]  Jean-Pierre Gagné,et al.  Older adults expend more listening effort than young adults recognizing audiovisual speech in noise , 2011, International journal of audiology.

[43]  Sherri L Smith,et al.  Development of the Listening Self-Efficacy Questionnaire (LSEQ) , 2011, International journal of audiology.

[44]  Xavier Robin,et al.  pROC: an open-source package for R and S+ to analyze and compare ROC curves , 2011, BMC Bioinformatics.

[45]  A. Wingfield,et al.  Aging, hearing acuity, and the attentional costs of effortful listening. , 2009, Psychology and aging.

[46]  Christian Schindler,et al.  Survey on hearing aid use and satisfaction in Switzerland and their determinants , 2009, International journal of audiology.

[47]  Catherine Acquadro,et al.  Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. , 2008, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[48]  G. Soutar,et al.  Coefficient Beta and Hierarchical Item Clustering , 2006 .

[49]  Alan Tennant,et al.  Application of Rasch analysis in the development and application of quality of life instruments. , 2004, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[50]  W. Noble,et al.  The Speech, Spatial and Qualities of Hearing Scale (SSQ) , 2004, International journal of audiology.

[51]  H. Hosford-Dunn,et al.  Clinical application of the SADL scale in private practice II: predictive validity of fitting variables. Satisfaction with Amplification in Daily Life. , 2001, Journal of the American Academy of Audiology.

[52]  C. Bombardier,et al.  Guidelines for the process of cross-cultural adaptation of self-report measures. , 2000, Spine.

[53]  Duane T. Wegener,et al.  Evaluating the use of exploratory factor analysis in psychological research. , 1999 .

[54]  R M Cox,et al.  Measuring Satisfaction with Amplification in Daily Life: the SADL scale. , 1999, Ear and hearing.

[55]  H. Dillon,et al.  Client Oriented Scale of Improvement (COSI) and its relationship to several other measures of benefit and satisfaction provided by hearing aids. , 1997, Journal of the American Academy of Audiology.

[56]  Marshall Godwin,et al.  Health measurement scales , 1991 .

[57]  B. Wright,et al.  Observations are always ordinal; measurements, however, must be interval. , 1989, Archives of physical medicine and rehabilitation.

[58]  I M Ventry,et al.  Hearing impairment and social isolation in the elderly. , 1982, Journal of speech and hearing research.

[59]  Georg Rasch,et al.  Probabilistic Models for Some Intelligence and Attainment Tests , 1981, The SAGE Encyclopedia of Research Design.

[60]  J. H. Steiger.  Tests for comparing elements of a correlation matrix. , 1980 .

[61]  William Revelle,et al.  ICLUST: A cluster analytic approach to exploratory and confirmatory scale construction , 1978 .

[62]  H. Kaiser.  A second generation little jiffy , 1970 .

[63]  S. Shapiro,et al.  An Analysis of Variance Test for Normality (Complete Samples) , 1965 .

[64]  J. Horn.  A rationale and test for the number of factors in factor analysis , 1965, Psychometrika.

[65]  L. Cronbach.  Coefficient alpha and the internal structure of tests , 1951 .

[66]  Q. Mcnemar.  Note on the sampling error of the difference between correlated proportions or percentages , 1947, Psychometrika.

[67]  Supplemental Material for Development and Validation of the Vanderbilt Fatigue Scale for Adults (VFS-A) , 2021, Psychological Assessment.

[68]  P. Dawes,et al.  Self-Reported Listening-Related Effort and Fatigue in Hearing-Impaired Adults , 2017, Ear and hearing.

[69]  M. Eckert,et al.  Self-Assessed Hearing Handicap in Older Adults With Poorer-Than-Predicted Speech Recognition in Noise. , 2017, Journal of speech, language, and hearing research : JSLHR.

[70]  Ralf Dresner,et al.  Health Measurement Scales A Practical Guide To Their Development And Use , 2016 .

[71]  T. Brown.  Confirmatory factor analysis for applied research, 2nd ed. , 2015 .

[72]  Jeremy Miles,et al.  Discovering statistics using R, 1st Edition , 2012 .

[73]  Rana A. Alkhamra.  Cognitive effort and perception of speech by postlingually deafened adult user of cochlear implants , 2010 .

[74]  Sijtsma,et al.  The Construction of the Fatigue Assessment Scale (FAS) , 2004 .

[75]  Klaas Sijtsma,et al.  Examination of the Dimensionality of Fatigue , 2004 .

[76]  Mark Huisman,et al.  Item Nonresponse: Occurence, Causes, and Imputation of Missing Answers to Test Items , 1999 .

[77]  D. Andrich.  Rating Scale Analysis , 1999 .

[78]  Y. Benjamini,et al.  Controlling the false discovery rate: a practical and powerful approach to multiple testing , 1995 .

[79]  R. Hétu,et al.  The impact of acquired hearing impairment on intimate relationships: implications for rehabilitation. , 1993, Audiology : official organ of the International Society of Audiology.

[80]  Jacob Cohen.  QUANTITATIVE METHODS IN PSYCHOLOGY A Power Primer , 1992 .

[81]  W Revelle,et al.  Hierarchical Cluster Analysis And The Internal Structure Of Tests. , 1979, Multivariate behavioral research.