Poor performance on fast-rate and rapidly alternating speech perception tests is associated with hearing-aid dissatisfaction in older adults

Background Hearing-aid (HA) satisfaction influences sustained use in older adults, and performance on auditory-processing tests may be associated with HA satisfaction.Aims/objectives To determine whether audiometric and auditory-processing measures are associated with HA satisfaction in individuals with presbycusis and preserved cognition.Materials and methods Retrospective review at a tertiary centre. Twenty-two adults (63–88 years) underwent pure-tone audiometry, monosyllabic word recognition, fast-rate speech test (FST) and rapidly alternating speech perception test (RASPT), presented 40 dB SL at a comfortable hearing level. Self-reported questionnaires evaluated HA satisfaction (0–100%), hearing-related distress (100-mm visual analogue scale) and self-perceived hearing handicap (0–50 points). Groups: thresholds ≤55 vs. >55 dB HL; word recognition ≥80% vs.