Evidence map›Paper›PMID 41838150›Full record

Trial reportEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Efficacy of a structured auditory training module in older individuals with hearing loss: a randomized controlled trial.

Archana Gundmi, Krishna Yerraguntla, Bellur Rajashekhar, Vasudeva Guddattu

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. "Re: efficacy of a structured auditory training module in older individuals with hearing loss: a randomized control trail".European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Archana GundmiDepartment of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India. archana.maiya@manipal.edu.ORCID http://orcid.org/0000-0001-8088-5731
Krishna YerraguntlaSpeech and Hearing Unit, King Khalid University, Abha, Saudi Arabia.
Bellur RajashekharDepartment of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Vasudeva GuddattuDepartment of Statistics, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop and evaluate a culturally adapted auditory training module for Kannada-speaking older adults with hearing loss.

methodsThe initial phase focused on developing a structured Kannada auditory training module, followed by efficacy evaluation. Content was informed by the Listening and Communication Enhancement framework and refined through focused group discussions. Efficacy was assessed using a randomized controlled trial with a 2 × 2 factorial design. Eighty Kannada-speaking adults aged 45–65 years with bilateral mild-to-moderate sensorineural hearing loss were recruited. Participants were randomized using computer-generated permuted block allocation, stratified by hearing aid experience (< 1 year vs. >1 year), with blinded outcome assessment. The intervention group (n = 40) received 20 one-hour computer-based auditory training sessions over four weeks, while the control group (n = 40) underwent conventional aural rehabilitation. The primary outcome was improvement in speech perception under degraded listening conditions.

resultsThe intervention group showed significant improvements compared to controls. Quick Speech-in-Noise scores improved by 7–8 dB (F(1,76) = 142.10, p < 0.001), with 85% achieving clinically meaningful improvement (≥ 3 dB; NNT = 1.2). Compressed and filtered speech processing improved significantly (1.17–3.38-fold). Reaction time decreased for target word identification (4.95–5.45 s; F(1,76) = 93.46, p < 0.001) and missing word detection (F(1,76) = 77.88, p < 0.001). Self-reported hearing handicap reduced significantly (F(1,76) = 81.04, p < 0.001). No differences were observed between new and experienced hearing aid users.

conclusionsStructured auditory training significantly improves speech perception, cognitive processing speed, and self-reported outcomes in older adults with hearing loss, supporting its integration into aural rehabilitation for Kannada-speaking populations.

Indexed as

Correction of Hearing ImpairmentHearing Loss, SensorineuralSpeech PerceptionAgedAuditory AcuityFemaleHearing AidsHumansMaleMiddle AgedTreatment OutcomeAuditory trainingAural rehabilitationHearing lossOlder adultsRandomized controlled trialSpeech perception

Identifiers

PMID41838150
PMCPMC13249774

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Registered trials

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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.