Objectives
In the personalisation of hearing aid fittings, gain is often clinically adjusted to patient preferences using live speech. When using brief sentences as stimuli, the minimum gain adjustments necessary to elicit preferences ('preference thresholds') were previously found to be much greater than typical adjustments in current practice. The current study examined the role of duration on preference thresholds.
Design
Participants heard 2, 4 and 6-s segments of a continuous monologue presented in pairs. Participants judged whether the second stimulus of each pair, with a ±0-12 dB gain adjustment in one of three frequency bands, was "better", "worse" or "no different" from the first at their individual real-ear or prescribed gain.
Study Sample
Twenty-nine adults, all with hearing-aid experience.
Results
The minimum gain adjustments to elicit "better" or "worse" judgments decreased with increasing duration for most adjustments. Inter-participant agreement and intra-participant reliability increased with increasing duration. The effect of duration, however, decreased with increasing duration, with no increase in agreement or reliability for 6-s vs. 4-s segments.
Conclusions
Providing longer stimuli improves the likelihood of patients providing reliable judgments of hearing-aid gain adjustments, but the effect is limited, and alternative fitting methods may be more viable for effective hearing-aid personalisation.