The Effect of Deep Neural Network Implementation on Speech Recognition, Listening Effort, and Sound Quality in Older Adults With Mild to Moderately Severe Hearing Loss

Trends Hear. 2026 Jan-Dec:30:23312165261449983. doi: 10.1177/23312165261449983. Epub 2026 May 13.

Abstract

Deep neural network (DNN)-based noise reduction has emerged as a promising advancement in hearing aid signal processing as a means to improve speech intelligibility in noisy environments for hearing aid wearers. The aim of this study was to investigate the impact of the DNN on speech intelligibility in speech-shaped noise (SSN) and multitalker babble (MTB) when the target speech was coming from the front and from the side. Subjective ratings of clarity, total impression, listening effort, and background noise awareness were also collected. Twenty adult participants with mild to moderately severe sensorineural hearing loss were fitted with hearing aids from a single manufacturer, programmed with four different settings that varied across combinations of microphone directionality (omnidirectional and directional beamforming) and noise reduction (off, traditional, DNN). Results showed that DNN, when combined with beamforming, consistently outperformed the other programs across all metrics. Outcomes were influenced by both noise type and spatial configuration. DNN was more effective in SSN than MTB. Beamforming was especially beneficial when the target speech came from the front. Listening in programs that included both DNN and beamforming together resulted in additional benefits shown in the outcome measures, most likely due to the beamforming improving the signal-to-noise ratio and providing a cleaner signal for the DNN to work with.

Keywords: deep neural networks; denoising; listening effort; machine learning; sound quality; speech-in-noise.

MeSH terms

  • Acoustic Stimulation
  • Aged
  • Aged, 80 and over
  • Correction of Hearing Impairment* / instrumentation
  • Deep Learning*
  • Female
  • Hearing Aids*
  • Hearing Loss, Sensorineural* / diagnosis
  • Hearing Loss, Sensorineural* / physiopathology
  • Hearing Loss, Sensorineural* / psychology
  • Hearing Loss, Sensorineural* / rehabilitation
  • Humans
  • Male
  • Middle Aged
  • Neural Networks, Computer*
  • Noise / adverse effects
  • Perceptual Masking
  • Severity of Illness Index
  • Signal Processing, Computer-Assisted
  • Speech Intelligibility*
  • Speech Perception*