Randomised Study of Web-Based Auditory Training With Varying Perceptual and Cognitive Demands on Training Gains and Generalised Speech, Cognitive, and Communication Outcomes
PLUS-Optimal for Adults With Listening Difficulties: Investigating the Roles of Listening and Thinking Skills in Online Training Across Different Groups
University of Nottingham
120 participants
Mar 13, 2026
INTERVENTIONAL
Conditions
Summary
WP1: PLUS-Auditory Training The goal of this experimental study is to better understand how task difficulty affects on-task learning thresholds and generalised benefits in two PLUS auditory training tasks involving perceptual and cognitive learning in adults aged 18+ (no upper age limit) with listening difficulties. The main question it aims to answer is: * Does adjusting task difficulty in PLUS, by manipulating the perceptual and cognitive demands of the phonemic discrimination and competing speech tasks, affect on-task learning thresholds and off-task performance in adults with listening difficulties? Researchers will compare the two experimental arms (easy/hard) to see whether adjusting task difficulty influences on-task learning thresholds and off-task performance. Participants will: * Be randomly assigned to one of two training programs (phonemic discrimination or competing speech) within the two experimental arms (easy/hard); * Perform training for a minimum of 30 minutes per day, 5 days per week, for two weeks (total 10 training sessions, 5 hours of training); * Complete pre- and post- training assessments to measure on-task learning performance and change in performance for untrained measures of speech perception, cognition and self-reported outcomes. WP2: Post-Training Focus Groups The goal of this observational study is to gain in-depth qualitative insights into participants' motivations, experiences of task difficulty, and perceived benefits across the PLUS-AT training groups in adults aged 18+ (no upper age limit) with listening difficulties. The main question it aims to answer is: * How do participants describe their experiences and perceptions of PLUS-AT, particularly regarding task difficulty and self-perceived changes in listening, hearing, thinking, and quality of life? Researchers will explore participant experiences across the two experimental arms (easy/hard) to determine whether motivations for seeking auditory training, knowledge and beliefs about auditory training, attitudes toward PLUS-AT difficulty, and self-perceived changes in listening, hearing, thinking, and quality of life differ. A subset of participants (n = 20) will: * Be invited from WP1 to join one of four online focus groups (60-90 minutes via Microsoft Teams); * Attend the focus group corresponding to their assigned training program (phonemic discrimination or competing-speech) within the two experimental arms (easy/hard); * Share their experiences of completing PLUS-AT.
Eligibility
Inclusion Criteria9
- Adults (aged 18+ years, no upper age limit);
- Poorer performance on the DTT (SRT of -5.5 dB SNR or higher, as defined by Dawes, 2013) completed without hearing aid(s) for those who typically use them;
- Non-hearing device users or hearing aid(s) owner;
- Ability to read and understand English;
- Ability to provide informed consent;
- Access to the internet;
- Access to functional built-in speakers, external speakers, or headphones.
- Having previous auditory training experience;
- Cochlear implant users.
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
PLUS is a web-based auditory training platform with two adaptive auditory-cognitive training tasks designed to improve listening and communication. Phonemic Discrimination: Phonemes are sounds (e.g. /ba/ vs /da/) that make words different (e.g. "bad" vs "dad"). Participants hear three sounds (e.g., /ba/, /ba/, /da/) from sound pairs (e.g. /ba/ and /da/), and must identify the sound that's different (/da/). Competing Speech: Two talkers produce similar sentences that differ by keywords. Participants are asked to focus on one talker (cued by a target visible on screen) while ignoring a second talker and report two keywords from a list of all possible options.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07506408