Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis

This systematic review and meta-analysis examined the efficacy of auditory training and cognitive training to improve cognitive function in adults with hearing loss. A literature search of academic databases (e.g., MEDLINE, Scopus) and gray literature (e.g., OpenGrey) identified relevant articles pu...

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Main Authors: Lawrence, Blake J., Jayakody, Dona M. P., Henshaw, Helen, Ferguson, Melanie A., Eikelboom, Robert H., Loftus, Andrea M., Friedland, Peter L.
Format: Article
Language:English
Published: Sage 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/53704/
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author Lawrence, Blake J.
Jayakody, Dona M. P.
Henshaw, Helen
Ferguson, Melanie A.
Eikelboom, Robert H.
Loftus, Andrea M.
Friedland, Peter L.
author_facet Lawrence, Blake J.
Jayakody, Dona M. P.
Henshaw, Helen
Ferguson, Melanie A.
Eikelboom, Robert H.
Loftus, Andrea M.
Friedland, Peter L.
author_sort Lawrence, Blake J.
building Nottingham Research Data Repository
collection Online Access
description This systematic review and meta-analysis examined the efficacy of auditory training and cognitive training to improve cognitive function in adults with hearing loss. A literature search of academic databases (e.g., MEDLINE, Scopus) and gray literature (e.g., OpenGrey) identified relevant articles published up to January 25, 2018. Randomized controlled trials (RCTs) or repeated measures designs were included. Outcome effects were computed as Hedge’s g and pooled using random-effects meta-analysis (PROSPERO: CRD42017076680). Nine studies, five auditory training, and four cognitive training met the inclusion criteria. Following auditory training, the pooled effect was small and statistically significant for both working memory (g = 0.21; 95% CI [0.05, 0.36]) and overall cognition (g = 0.19; 95% CI [0.07, 0.31]). Following cognitive training, the pooled effect for working memory was small and statistically significant (g = 0.34; 95% CI [0.16, 0.53]), and the pooled effect for overall cognition was large and significant (g = 1.03; 95% CI [0.41, 1.66]). However, this was dependent on the classification of training approach. Sensitivity analyses revealed no statistical difference between the effectiveness of auditory and cognitive training for improving cognition upon removal of a study that used a combined auditory–cognitive approach, which showed a very large effect. Overall certainty in the estimation of effect was “low” for auditory training and “very low” for cognitive training. High-quality RCTs are needed to determine which training stimuli will provide optimal conditions to improve cognition in adults with hearing loss.
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spelling nottingham-537042018-09-19T13:24:34Z https://eprints.nottingham.ac.uk/53704/ Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis Lawrence, Blake J. Jayakody, Dona M. P. Henshaw, Helen Ferguson, Melanie A. Eikelboom, Robert H. Loftus, Andrea M. Friedland, Peter L. This systematic review and meta-analysis examined the efficacy of auditory training and cognitive training to improve cognitive function in adults with hearing loss. A literature search of academic databases (e.g., MEDLINE, Scopus) and gray literature (e.g., OpenGrey) identified relevant articles published up to January 25, 2018. Randomized controlled trials (RCTs) or repeated measures designs were included. Outcome effects were computed as Hedge’s g and pooled using random-effects meta-analysis (PROSPERO: CRD42017076680). Nine studies, five auditory training, and four cognitive training met the inclusion criteria. Following auditory training, the pooled effect was small and statistically significant for both working memory (g = 0.21; 95% CI [0.05, 0.36]) and overall cognition (g = 0.19; 95% CI [0.07, 0.31]). Following cognitive training, the pooled effect for working memory was small and statistically significant (g = 0.34; 95% CI [0.16, 0.53]), and the pooled effect for overall cognition was large and significant (g = 1.03; 95% CI [0.41, 1.66]). However, this was dependent on the classification of training approach. Sensitivity analyses revealed no statistical difference between the effectiveness of auditory and cognitive training for improving cognition upon removal of a study that used a combined auditory–cognitive approach, which showed a very large effect. Overall certainty in the estimation of effect was “low” for auditory training and “very low” for cognitive training. High-quality RCTs are needed to determine which training stimuli will provide optimal conditions to improve cognition in adults with hearing loss. Sage 2018-08-10 Article PeerReviewed application/pdf en cc_by_nc https://eprints.nottingham.ac.uk/53704/1/Hearing%20loss%202331216518792096.pdf Lawrence, Blake J., Jayakody, Dona M. P., Henshaw, Helen, Ferguson, Melanie A., Eikelboom, Robert H., Loftus, Andrea M. and Friedland, Peter L. (2018) Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis. Trends in Hearing, 22 . ISSN 2331-2165 Rehabilitation; Intervention; Working memory; Transfer of learning; Hearing aid http://journals.sagepub.com/doi/10.1177/2331216518792096 doi:10.1177/2331216518792096 doi:10.1177/2331216518792096
spellingShingle Rehabilitation; Intervention; Working memory; Transfer of learning; Hearing aid
Lawrence, Blake J.
Jayakody, Dona M. P.
Henshaw, Helen
Ferguson, Melanie A.
Eikelboom, Robert H.
Loftus, Andrea M.
Friedland, Peter L.
Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis
title Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis
title_full Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis
title_fullStr Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis
title_full_unstemmed Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis
title_short Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis
title_sort auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis
topic Rehabilitation; Intervention; Working memory; Transfer of learning; Hearing aid
url https://eprints.nottingham.ac.uk/53704/
https://eprints.nottingham.ac.uk/53704/
https://eprints.nottingham.ac.uk/53704/