Effectiveness of Speech Therapy for Lip-reading in Patients With Hearing Aids: SCED Study

• Speechreading training (Other): The patient will undergo 16 lip reading training sessions. By developing functional lip reading skills, they will be able to fill in the gaps in auditory information they miss, especially in loud or noisy settings

Primary outcomes

• Repetition score, in words (with and without labial doppelganger) of Lafon's cochlear lists presented on video support in visual-only modality [26 sessions (4,5 months)]
• Repetition score, in visemes (with and without labial doppelganger) of Lafon's cochlear lists presented on video support in visual-only modality [26 sessions (4,5 months)]

Secondary outcomes

• Repetition score of 10 non-words on recorded support with a Signal-to-Noise Ratio of 10 [26 sessions (4,5 months)]
• Repetition score of sentences on video support in audiovisual modality [26 sessions (4,5 months)]
• Identification score of two sequences of musical notes [26 sessions (4,5 months)]
• Impact of speech therapy rehabilitation on quality of life [26 sessions (4,5 months)]: AVS from 0 to 10

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Patient aged 18 or older
* Affiliated with a social security system
* Moderate to severe bilateral post-lingual hearing loss, fitted with hearing aids for more than 6 months
* Wearing hearing aids for a minimum of 8 hours/day on average over the past month
* Intelligibility in quiet > 80% correct responses at 60 dB (Lafon cochlear list)
* Difficulty in noisy environments rated > 6 on a 0-10 EVA scale
* French language comprehension level of at least B1 CEFR (Common European Framework of Reference for Languages)
* Willing to participate in speech therapy rehabilitation at a rate of 2 sessions per week

Exclusion Criteria:

* Patient who has already undergone speech therapy rehabilitation as part of their hearing loss treatment
* Diagnosis of neurodegenerative disease or history of brain injury (traumatic brain injury, stroke, tumor, meningitis, etc.)
* Uncorrected vision or visual impairment affecting lip reading (e.g. AMD, glaucoma, unoperated cataract, etc.)
* Presence of severe tinnitus (score > 56) on the Tinnitus Handicap Inventory (THI) questionnaire
* Significant cognitive impairment (CODEX C or D) or Montreal Cognitive Assessment (MOCA) score < 23