Evaluation of adjustment behaviour in a semi-supervised self-adjustment fine-tuning procedure for hearing aids.

OBJECTIVE: This study investigated the adjustment behaviour of hearing aid (HA) users participating in a semi-supervised self-adjustment fine-tuning procedure for HAs. The aim was to link behaviour with the reproducibility and duration of the adjustments. DESIGN: Participants used a two-dimensional user interface to identify their HA gain preferences while listening to realistic sound scenes presented in a laboratory environment. The interface allowed participants to adjust amplitude (vertical axis) and spectral slope (horizontal axis) simultaneously. Participants were clustered according to their interaction with the user interface, and their search directions were analysed. STUDY SAMPLE: Twenty older experienced HA users were invited to participate in this study. RESULTS: We identified four different archetypes of adjustment behaviour (curious, cautious, semi-browsing, and full-on browsing) by analysing the trace points of all measurements for each participant. Furthermore, participants used predominantly horizontal or vertical paths when searching for their preference. Neither the archetype, nor the search directions, nor the participants' technology commitment was predictive of the reproducibility or the adjustment duration. CONCLUSIONS: The findings suggest that enforcement of a specific adjustment behaviour or search direction is not necessary to obtain fast, reliable self-adjustments. Furthermore, no strict requirements with respect to technology commitment are necessary.

Effect of Directional Microphone Technology in Hearing Aids on Neural Correlates of Listening and Memory Effort: An Electroencephalographic Study.

The aim of the study was to compare the effect of different spatial noise-processing algorithms in hearing aids on listening effort and memory effort on a subjective, behavioral, and neurophysiological level using electroencephalography (EEG). Two types of directional microphone (DM) technologies for spatial noise processing were chosen: one with a wide directionality (wide DM) and another with a narrower directionality (narrow DM) to accentuate the speech source. Participants with a severe hearing loss were fitted with hearing aids and participated in two EEG experiments. In the first one, participants listened to sentences in cafeteria noise and were asked to rate the experienced listening effort. The second EEG experiment was a listening span task during which participants had to repeat sentence material and then recall the final words of the last four sentences. Subjective listening effort was lower with narrow than wide DM and EEG alpha power was reduced for the narrow DM. The results of the listening span task indicated a reduction in experienced memory effort and better memory performance. During the memory retention phase, EEG alpha level for the narrow relative to the wide DM was reduced. This effect was more pronounced during linguistically difficult sentences. This study extends previous findings, as it reveals a benefit for narrow DM in terms of cognitive performance and memory effort also on a neural level, and when speech intelligibility is almost 100%. Together, this indicates that a narrow and focused DM allows for a more efficient neurocognitive processing than a wide DM.

Moderate Cardiovascular Exercise Speeds Up Neural Markers of Stimulus Evaluation During Attentional Control Processes.

Moderate intensity cardiovascular exercise appears to provide a low-cost "intervention" on neurocognitive processes such as attentional control, yet the effects vary depending, for example, on cognitive task, time of testing, or exercise intensity. However, while a number of studies show that brief bouts of acute exercise can modulate behavioral indices of cognitive control, relatively few studies have attempted to identify the brain activity associated with these changes immediately following exercise. Here, we tested 11 young adults in a crossover design with a Flanker task at rest and immediately (within 2-3 minutes) following 20 minutes of acute exercise at 60% of the individual VO2max. In order to prevent delayed exercise effects that might confound or dilute immediate effects, a short version of the Flanker task (8 minutes) was chosen and an EEG was recorded simultaneously. The N2 and P3 ERP components were analyzed in addition to accuracy and response time. The N2 reflects conflict resolution, and the P3 has been linked to stimulus evaluation processes. No effect of exercise was found for behavioral data but P3 peak latencies were shorter following exercise as compared to rest. The N2 amplitude data suggest that exercise seems to prevent a decline in resources of attentional control over time. These data indicate that acute exercise, at a moderate intensity level, speeds up neural processing of attentional control by modulating stimulus evaluation processes immediately following exercise and that exercise helps maintain a steady level of neurocognitive resources.

Don't Lose Your Brain at Work - The Role of Recurrent Novelty at Work in Cognitive and Brain Aging.

Cognitive and brain aging is strongly influenced by everyday settings such as work demands. Long-term exposure to low job complexity, for instance, has detrimental effects on cognitive functioning and regional gray matter (GM) volume. Brain and cognition, however, are also characterized by plasticity. We postulate that the experience of novelty (at work) is one important trigger of plasticity. We investigated the cumulative effect of recurrent exposure to work-task changes (WTC) at low levels of job complexity on GM volume and cognitive functioning of middle-aged production workers across a time window of 17 years. In a case-control study, we found that amount of WTC was associated with better processing speed and working memory as well as with more GM volume in brain regions that have been associated with learning and that show pronounced age-related decline. Recurrent novelty at work may serve as an 'in vivo' intervention that helps counteracting debilitating long-term effects of low job complexity.

Extensive occupational finger use delays age effects in tactile perception-an ERP study.

Tactile expertise, resulting from extensive use of hands, has previously been shown to improve tactile perception in blind people and musicians and to be associated with changes in the central processing of tactile information. This study investigated whether expertise, due to precise and deliberate use of the fingers at work, relates to improved tactile perception and whether this expertise interacts with age. A tactile pattern and a frequency discrimination task were conducted while ERPs were measured in experts and nonexperts of two age groups within middle adulthood. Independently of age, accuracy was better in experts than in nonexperts in both tasks. Somatosensory N70 amplitudes were larger with increasing age and for experts than for nonexperts. P100 amplitudes were smaller in experts than in nonexperts in the frequency discrimination task. In the pattern discrimination task, P300 difference wave amplitude was reduced in experts and late middle-aged adults. In the frequency discrimination task, P300 was more equally distributed in late middle-aged adults. We conclude that extensive, dexterous manual work leads to acquisition of tactile expertise and that this expertise might delay, but not counteract, age effects on tactile perception. Comparable neurophysiological changes induced by age and expertise presumably have different underlying mechanisms. Enlarged somatosensory N70 amplitudes might result from reduced inhibition in older adults but from enhanced, specific excitability of the somatosensory cortex in experts. Regarding P300, smaller amplitudes might indicate fewer available resources in older adults and, by contrast, a reduced need to engage as much cognitive effort to the task in experts.

A parietal-to-frontal shift in the P300 is associated with compensation of tactile discrimination deficits in late middle-aged adults.

Tactile perception declines with age on both behavioral and neurophysiological levels. Less well understood is how neurophysiological changes relate to tactile discrimination performance in middle adulthood. A tactile discrimination task was conducted while ERPs were measured in three groups of healthy adults aged 20 to 66 years. Accuracy was lowest in late middle adulthood (56-66 years) while somatosensory ERP components (P50, N70, P100, N140) were comparable across age groups. The cognitive P300 revealed age-related differences in scalp distribution typical for older adults to already be present in late middle adulthood. Increased recruitment of frontal cognitive processes was positively related to performance in later middle adulthood. Our results further the understanding of age-related differences in tactile perception during middle adulthood and the importance of cognitive processes to compensate for age-related decline.

ERP evidence that auditory-visual speech facilitates working memory in younger and older adults.

Auditory-visual (AV) speech enhances speech perception and facilitates auditory processing, as measured by event-related brain potentials (ERPs). Considering a perspective of shared resources between perceptual and cognitive processes, facilitated speech perception may render more resources available for higher-order functions. This study examined whether AV speech facilitation leads to better working memory (WM) performance in 23 younger and 20 older adults. Participants completed an n-back task (0- to 3-back) under visual-only (V-only), auditory-only (A-only), and AV conditions. The results showed faster responses across all memory loads and improved accuracy in the most demanding conditions (2- and 3-back) during AV compared with unisensory conditions. Older adults benefited from the AV presentation to the same extent as younger adults. WM performance of older adults during the AV presentation did not differ from that of younger adults in the A-only condition, suggesting that an AV presentation can help to counteract some of the age-related WM decline. The ERPs showed a decrease in the auditory N1 amplitude during the AV compared with A-only presentation in older adults, suggesting that the facilitation of perceptual processing becomes especially beneficial with aging. Additionally, the N1 occurred earlier in the AV than in the A-only condition for both age groups. These AV-induced modulations of auditory processing correlated with improvement in certain behavioral and ERP measures of WM. These results support an integrated model between perception and cognition, and suggest that processing speech under AV conditions enhances WM performance of both younger and older adults.

Does audiovisual speech offer a fountain of youth for old ears? An event-related brain potential study of age differences in audiovisual speech perception.

The current study addressed the question whether audiovisual (AV) speech can improve speech perception in older and younger adults in a noisy environment. Event-related potentials (ERPs) were recorded to investigate age-related differences in the processes underlying AV speech perception. Participants performed an object categorization task in three conditions, namely auditory-only (A), visual-only (V), and AVspeech. Both age groups revealed an equivalent behavioral AVspeech benefit over unisensory trials. ERP analyses revealed an amplitude reduction of the auditory P1 and N1 on AVspeech trials relative to the summed unisensory (A + V) response in both age groups. These amplitude reductions are interpreted as an indication of multisensory efficiency as fewer neural resources were recruited to achieve better performance. Of interest, the observed P1 amplitude reduction was larger in older adults. Younger and older adults also showed an earlier auditory N1 in AVspeech relative to A and A + V trials, an effect that was again greater in the older adults. The degree of multisensory latency shift was predicted by basic auditory functioning (i.e., higher hearing thresholds were associated with larger latency shifts) in both age groups. Together, the results show that AV speech processing is not only intact in older adults, but that the facilitation of neural responses occurs earlier in and to a greater extent than in younger adults. Thus, older adults appear to benefit more from additional visual speech cues than younger adults, possibly to compensate for more impoverished unisensory inputs because of sensory aging.