Listening Effort in Quiet and Noisy Environments in the Daily Life of Adults With Hearing Aids: An Extended Version of the Effort Assessment Scale (EEAS).

Mediation analysis evidenced a highly significant direct effect of total HA experience on LE (with more than 1 point increase in EEAS per log(years in HA experience) (1.051 (SE = 0.227), z = 4.6, p = 3.5 × 10 −6 ), a significant but weaker indirect effect mediated by better ear hearing threshold (0.216, (SE = 0.072), z = 3, p = .003 ) that represented only 17% of the effect seen (total effect estimate: (1.267 (SE = 0.22), z = 5.73, p = 10 −8 ).

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The difference EEAS noise–quiet scores showed a weak but significant relationship with ear asymmetry (β = −0.11) and HA experience (β = 0.12), in a weakly significant model (F(3,433) = 3.3, p <.02 , r = 0.15).

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