Hearing intervention

Intervention

10 papers11 findings

  • 3 independent labs in 1 country
  • 1 finding against
  • Human trial8

Outcomes

7

Cognitive decline

downin humans4no changein humans1−48%

4 studies
  1. Hearing intervention decreases cognitive decline in humans (0.28 points (95% CI: 0.01-0.55)).

    “Three years post-randomization, MMSE scores declined less in the intervention group by 0.28 points (95% CI: 0.01-0.55).”

    Human trial3 yearsn = 977

    Preliminary Results on a Cost-Effectiveness Analysis of the ACHIEVE Hearing Intervention

    GSA 2025 abstract31 Dec 2025

  2. Hearing intervention decreases cognitive decline in humans (difference-in-means: 0.059; 95% CI: 0.018, 0.100).

    “Annualized change from baseline analyses among ARIC participants (Table 3) revealed intervention was associated with a slower rate of cognitive decline (difference‐in‐means:0.059;95%CI:0.018,0.100)”

    Human trialARIC participants with untreated hearing loss3 yearsn = 164

    Effects on blood neurodegeneration biomarkers of a randomized hearing rehabilitation intervention: ACHIEVE Clinical Trial update

    AAIC 2025 abstract23 Dec 2025

  3. Hearing intervention has no effect on cognitive decline in humans.

    “The hearing intervention slowed cognitive decline by 48% in ARIC participants, but not in healthy de novo volunteers.”

    Human trialin healthy de novo volunteers3-yearn = 739

    EFFECT OF HEARING INTERVENTION ON OLDER ADULTS AT RISK OF COGNITIVE DECLINE: ACHIEVE RANDOMIZED TRIAL

    GSA 2024 abstract31 Dec 2024

  4. Hearing intervention decreases cognitive decline in humans (-48%).

    “The hearing intervention slowed cognitive decline by 48% in ARIC participants, but not in healthy de novo volunteers.”

    Human trialin ARIC participants3-yearn = 238

    EFFECT OF HEARING INTERVENTION ON OLDER ADULTS AT RISK OF COGNITIVE DECLINE: ACHIEVE RANDOMIZED TRIAL

    GSA 2024 abstract31 Dec 2024

  5. Hearing intervention decreases cognitive decline in humans.

    “In eight articles, hearing interventions were found to reduce cognitive decline in cognitively healthy older adults with hearing loss and slow down the progression of cognitive decline.”

    Reviewcognitively healthy with hearing loss

    HEARING LOSS AND COGNITIVE DECLINE: POLICY RECOMMENDATIONS

    GSA 2024 abstract31 Dec 2024

NfL

downin humans1

1 study
  1. Hearing intervention decreases NfL in humans (mean: -0.349; 95% CI: -0.652, -0.046).

    “Among ARIC participants, intervention resulted in lower 3‐year GFAP (mean:‐0.415;95%CI:‐0.712,‐0.118) and NfL (mean:‐0.349;95%CI:‐0.652,‐0.046)”

    Human trialARIC participants with untreated hearing loss3 years

    Effects on blood neurodegeneration biomarkers of a randomized hearing rehabilitation intervention: ACHIEVE Clinical Trial update

    AAIC 2025 abstract23 Dec 2025

More on NfL

GFAP

downin humans1

1 study
  1. Hearing intervention decreases GFAP in humans (mean: -0.415; 95% CI: -0.712, -0.118).

    “Among ARIC participants, intervention resulted in lower 3‐year GFAP (mean:‐0.415;95%CI:‐0.712,‐0.118)”

    Human trialARIC participants with untreated hearing loss3 years

    Effects on blood neurodegeneration biomarkers of a randomized hearing rehabilitation intervention: ACHIEVE Clinical Trial update

    AAIC 2025 abstract23 Dec 2025

More on GFAP

Physical activity

no changein humans1

1 study
  1. Hearing intervention has no effect on physical activity in humans.

    “Results suggest the hearing intervention did not attenuate 3-year declines in physical activity in older adults with hearing loss.”

    Human trialolder adults with hearing loss3-years

    EFFECT OF HEARING LOSS TREATMENT ON ACCELEROMETRY-MEASURED DAILY PHYSICAL ACTIVITY

    GSA 2024 abstract31 Dec 2024

Mean diffusivity

no changein humans1

1 study
  1. Hearing intervention has no effect on mean diffusivity in humans.

    “No consistent associations were observed for FA and MD.”

    Human trialbrain3 yearsn = 303

    THE ACHIEVE TRIAL: EFFECT OF HEARING LOSS INTERVENTION ON WHITE MATTER INTEGRITY

    GSA 2024 abstract31 Dec 2024

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Fractional anisotropy

no changein humans1

1 study
  1. Hearing intervention has no effect on fractional anisotropy in humans.

    “No consistent associations were observed for FA and MD.”

    Human trialbrain3 yearsn = 303

    THE ACHIEVE TRIAL: EFFECT OF HEARING LOSS INTERVENTION ON WHITE MATTER INTEGRITY

    GSA 2024 abstract31 Dec 2024

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White matter hyperintensity volume

downin humans1

1 study
  1. Hearing intervention decreases white matter hyperintensity volume in humans (difference in 3-year change: -0.077 cm3, 95% CI: -0.152 to -0.002).

    “hearing treatment slowed rates of WMH volumetric change in whole brain (difference in 3-year change comparing intervention to control: -0.077 cm3, 95% confidence interval [CI]: -0.152, -0.002)”

    Human trialbrain3 yearsn = 303

    THE ACHIEVE TRIAL: EFFECT OF HEARING LOSS INTERVENTION ON WHITE MATTER INTEGRITY

    GSA 2024 abstract31 Dec 2024

More on White matter hyperintensity volume

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