Evidence map›Paper›PMID 29056453›Full record

Trial reportCurrent biology : CB2017

Audiomotor Perceptual Training Enhances Speech Intelligibility in Background Noise.

Jonathon P Whitton, Kenneth E Hancock, Jeffrey M Shannon, Daniel B Polley

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Current biology : CB, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Rate Discrimination Training May Partially Restore Temporal Processing Abilities from Age-Related Deficits.Journal of the Association for Research in Otolaryngology : JARO · 2022
    Trial
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  7. Cognitive Predictors of Perception and Adaption to Dysarthric Speech in Older Adults.Journal of speech, language, and hearing research : JSLHR · 2025
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  19. FORUM: Remote testing for psychological and physiological acoustics.The Journal of the Acoustical Society of America · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Jonathon P WhittonEaton-Peabody Laboratories, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA; Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, USA. Electronic address: jonathon_whitton@meei.harvard.edu.
Kenneth E HancockEaton-Peabody Laboratories, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA; Department of Otolaryngology, Harvard Medical School, Boston, MA 02114, USA.
Jeffrey M ShannonHudson Valley Audiology Center, Pomona, NY 10970, USA.
Daniel B PolleyEaton-Peabody Laboratories, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA; Department of Otolaryngology, Harvard Medical School, Boston, MA 02114, USA.
Harvard University · USMassachusetts Institute of Technology · USPomona Valley Hospital Medical Center · US

Funding

Synaptopathy, Neural Pathophysiology and Suprathreshold Processing in Gerbils with Normal or Elevated ThresholdsP50DC015857 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Sharon G Kujawa · 2017 to 2026
$28.1M
NIDCD NIH HHS P50 DC015857
6 · The paper itself

Abstract

Sensory and motor skills can be improved with training, but learning is often restricted to practice stimuli. As an exception, training on closed-loop (CL) sensorimotor interfaces, such as action video games and musical instruments, can impart a broad spectrum of perceptual benefits. Here we ask whether computerized CL auditory training can enhance speech understanding in levels of background noise that approximate a crowded restaurant. Elderly hearing-impaired subjects trained for 8 weeks on a CL game that, like a musical instrument, challenged them to monitor subtle deviations between predicted and actual auditory feedback as they moved their fingertip through a virtual soundscape. We performed our study as a randomized, double-blind, placebo-controlled trial by training other subjects in an auditory working-memory (WM) task. Subjects in both groups improved at their respective auditory tasks and reported comparable expectations for improved speech processing, thereby controlling for placebo effects. Whereas speech intelligibility was unchanged after WM training, subjects in the CL training group could correctly identify 25% more words in spoken sentences or digit sequences presented in high levels of background noise. Numerically, CL audiomotor training provided more than three times the benefit of our subjects' hearing aids for speech processing in noisy listening conditions. Gains in speech intelligibility could be predicted from gameplay accuracy and baseline inhibitory control. However, benefits did not persist in the absence of continuing practice. These studies employ stringent clinical standards to demonstrate that perceptual learning on a computerized audio game can transfer to "real-world" communication challenges.

Indexed as

Persons with Hearing DisabilitiesAcoustic StimulationAgedAuditory PerceptionDouble-Blind MethodFemaleHumansMalePerceptual MaskingSpeech IntelligibilitySpeech Perceptionaginghearing aidhearing losslearningplasticityspeechtrainingtransfervideo gameworking memory

Identifiers

PMID29056453
PMCPMC5997394
OpenAlexW2766951100

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.