A growing body of evidence suggests that hearing loss is a significant and potentially modifiable risk factor for cognitive impairment. Although the mechanisms underlying the associations between cognitive decline and hearing loss are unclear, listening effort has been posited as one of the mechanisms involved with cognitive decline in older age. To date, there has been a lack of research investigating this association, particularly among adults with mild cognitive impairment (MCI).
15-25 cognitively healthy participants and 15-25 patients with MCI (age 40-85 years) will be recruited to participate in an exploratory study investigating the association between cognitive functioning and listening effort. Both behavioural and objective measures of listening effort will be investigated. The sentence-final word identification and recall (SWIR) test will be administered with single talker non-intelligible speech background noise while monitoring pupil dilation. Evaluation of cognitive function will be carried out in a clinical setting using a battery of neuropsychological tests. This study is considered exploratory and proof of concept, with information taken to help decide the validity of larger-scale trials.
Written approval exemption was obtained by the Scientific Ethics Committee in the central region of Denmark (De Videnskabsetiske Komiteer i Region Hovedstaden), reference 19042404, and the project is registered pre-results at clinicaltrials.gov, reference NCT04593290, Protocol ID 19042404. Study results will be disseminated in peer-reviewed journals and conferences.

OBJECTIVE: The purpose of this project was to examine the effect of changing motivation on subjective ratings of listening effort and on the likelihood that a listener chooses either a controlling or an avoidance coping strategy.
METHODS: Two experiments were conducted, one with auditory-only (AO) and one with auditory-visual (AV) stimuli, both using the same speech recognition in noise materials. Four signal-to-noise ratios (SNRs) were used, two in each experiment. The two SNRs targeted 80% and 50% correct performance. Motivation was manipulated by either having participants listen carefully to the speech (low motivation), or listen carefully to the speech and then answer quiz questions about the speech (high motivation).
METHODS: Sixteen participants with normal hearing participated in each experiment. Eight randomly selected participants participated in both.
RESULTS: Using AO and AV stimuli, motivation generally increased subjective ratings of listening effort and tiredness. In addition, using auditory-visual stimuli, motivation generally increased listeners\' willingness to do something to improve the situation, and decreased their willingness to avoid the situation.
CONCLUSIONS: These results suggest a listener\'s mental state may influence listening effort and choice of coping strategy.