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Clinical Trials/NCT07287774
NCT07287774RecruitingNot Applicable

Evaluating a Deep Neural Noise-Reduction Algorithm for Hearing Aids in Varying Signal-to-Noise Conditions

Purdue University1 site in 1 country50 target enrollmentStarted: October 16, 2025Last updated:

Trial Snapshot

Phase
Not Applicable
Status
Recruiting
Enrollment
50
Locations
1
Primary Endpoint
Immediate Speech Recall

Study Overview

Brief Summary

This study is designed to understand how different hearing-aid noise-reduction technologies affect a listener's ability to hear speech in noisy environments. Participants will listen to speech at several background-noise levels while trying different processing settings. By comparing performance across these conditions, the study aims to identify which types of noise reduction improve speech intelligibility the most. We expect that some noise-reduction strategies will help listeners understand speech better than others, especially in more difficult listening situations.

Detailed Description

*** STUDY DESCRIPTION ***

Hearing in noisy environments is one of the most common challenges faced by individuals with hearing loss, and even people with normal hearing often struggle to understand speech in situations such as restaurants, classrooms, and busy public spaces. Modern hearing aids use advanced digital signal-processing strategies, especially deep neural network (DNN)-based noise reduction, to improve speech intelligibility in these difficult listening situations. However, these technologies vary widely in how well they work, and their benefits can depend on factors such as noise level, background type, and an individual's degree of hearing loss. This study examines how different noise-reduction strategies affect a listener's ability to understand speech across a range of real-world listening conditions. A monaural, omnidirectional configuration is to isolate single-microphone noise-reduction strategies without the benefit of directional hearing-aid processing. The research compares several processing modes, each representing a distinct noise-reduction algorithm or signal-processing approach. These modes include stronger and weaker forms of noise reduction as well as "off" conditions with no noise-reduction processing applied. Participants will complete listening tasks at several input signal-to-noise ratios (SNRs), representing easier and more difficult levels of background noise. All participants experience each condition in a controlled, fully counterbalanced order to reduce learning effects and bias.

*** OVERVIEW OF THE LISTENING TASKS ***

During the study, listeners complete speech-understanding tasks using the dual-sentence paradigm, a testing method developed to better reflect the real-world cognitive load of listening in noise. Traditional speech tests typically ask a listener to repeat a single sentence at a time. While useful, these single-sentence tasks often underestimate the difficulty of everyday listening, which requires people to monitor, remember, and respond to multiple pieces of information at once. The dual-sentence paradigm addresses this gap by presenting two sentences back-to-back within the same trial. The participant hears Sentence A, followed immediately by Sentence B, spoken by different talkers. The participant is asked to immediately repeat the first sentence and then type the second sentence.

This structure increases cognitive demand by requiring the listener to hold more spoken information in working memory while simultaneously dealing with background noise. The approach provides a more sensitive measure of how signal-processing strategies affect not only audibility but also real-world listening effort, memory load, and speech comprehension.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • A hearing aid candidate with mild-to-moderate cochlear hearing loss, based on audiometric profile (at least 20 dB of hearing loss at 2000 Hz, with progressively worse hearing levels at higher frequencies).

Exclusion Criteria

  • Normal hearing
  • Severe or profound hearing loss
  • Conductive hearing loss
  • Neural hearing loss

Outcomes

Primary Outcomes

Immediate Speech Recall

Time Frame: During a single study visit (approximately 1-2 hours), assessed immediately following presentation of each dual-sentence trial.

Accuracy of immediate verbal repetition of the first sentence in each dual-sentence trial. Participants hear Sentence A followed by Sentence B; they immediately repeat Sentence A aloud. Performance is scored as the number of keywords correctly recalled per sentence. This measure assesses speech intelligibility under different noise-reduction processing conditions and signal-to-noise ratios.

Delayed Speech Recall (Cognitive Demand)

Time Frame: During a single study visit (approximately 1-2 hours), assessed immediately following presentation of each dual-sentence trial.

Accuracy of delayed recall of the second sentence in each dual-sentence trial. Participants hear Sentence A followed by Sentence B, repeat the first sentence immediately, and then type the second sentence from memory. Performance is scored as the number of keywords correctly recalled per sentence. This measure reflects the combined effects of speech intelligibility, working-memory load, and cognitive demand under each noise-reduction processing condition and signal-to-noise ratio.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Joshua M. Alexander, PhD

Associate Professor

Purdue University

Study Sites (1)

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