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The Study

Hearing Aid Amplification Schemes Adjusted to Tinnitus Pitch: A Randomized Controlled Trial

In simple terms

This study tested three different ways to adjust hearing aids for people with ringing in the ears, and found that none of the special settings worked better than the regular one. It’s like testing three different flavors of ice cream to see which one makes you feel better — and none of them did. So we can’t say one flavor causes improvement.

80%

Analysis score

80/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting40
Methodology77
Publication100
Statistical100
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

Scientists tested if hearing aids that boost or cut out the exact sound you hear ringing in your ears work better than regular ones.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
80

80 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1The improvement from new hearing aids was small and likely just from getting used to them—not from the special settings.
  2. 2The special settings didn't help more than regular ones.
  3. 3After using three types of hearing aids for four weeks each, the ringing didn't get significantly quieter with any special setting.
  4. 4But everyone felt a little better after two weeks of using new hearing aids, probably because they were excited about them.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Audiology Research

Year

2025

Authors

José L. Santacruz, E. de Kleine, P. van Dijk

Open Access
Analysis v5

Related Content

Claims (6)

Assertion

After two weeks of using standard hearing aids, people on average report a 6.9-point decrease in tinnitus-related disability, but this change may be due to the novelty of the device or psychological expectations rather than a direct biological effect.

Correlational
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Assertion

Hearing aids that only amplify sounds up to 8 kHz cannot help people whose tinnitus is higher in pitch, and there is no consistent pattern showing that matching the tinnitus pitch improves hearing aid effectiveness.

Descriptive
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Assertion

For adults with tinnitus and hearing loss, the choice of hearing aid amplification setting—notch, boost, or standard—is not determined by hearing test results or the pitch of the tinnitus; instead, preferences are evenly spread across all settings, showing that personal experience guides the choice more than objective measurements.

Descriptive
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Assertion

For adults with moderate hearing loss and chronic tonal tinnitus, hearing aids customized to the pitch of their tinnitus—either by amplifying that specific frequency or by removing it with a 60 dB notch filter—do not result in a meaningful improvement in tinnitus-related disability compared to standard hearing aid settings after four weeks of use.

Causal
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Assertion

For adults with tinnitus and hearing loss, different types of hearing aid settings—notch-filtered, boosted, or standard—produce the same level of benefit as measured by the APHAB test.

Descriptive
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Assertion

Hearing aids increase the volume of external sounds but do not lessen the ringing sensation associated with tinnitus.

Descriptive
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