J Am Acad Audiol 2006; 17(08): 538-558
DOI: 10.3766/jaaa.17.8.2
American Academy of Audiology. All rights reserved. (2006) American Academy of Audiology

The Need for and Development of an Adaptive Listening and Communication Enhancement (LACE™) Program

Robert W. Sweetow
Jennifer Henderson Sabes
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Publication Date:
07 August 2020 (online)

Auditory training has long been advocated to enhance communication but has never been time or cost-effective. This article describes the concepts underlying the development of a home-based, interactive adaptive computer program designed to engage the adult hearing-impaired listener in the hearing-aid-fitting process, provide listening strategies, build confidence, and address cognitive changes characteristic of the aging process. An investigation using a between-group, within-subject design with pre- and post-test objective and subjective measures was conducted at five clinical sites. Sixty-five subjects were randomly placed into two groups, one receiving LACE™ (Listening and Communication Enhancement) immediately following baseline testing and one serving as a control for one month and then receiving training as a crossover group. Results showed statistically significant improvements for the trained subjects on all but one of the outcome measures. Barriers facing the widespread implementation of home-based aural rehabilitation are discussed.