| Literature DB >> 35077257 |
Peter J Carolan1,2, Antje Heinrich1,2, Kevin J Munro1,2, Rebecca E Millman1,2.
Abstract
Motivation influences the amount of listening effort (LE) exerted or experienced under challenging conditions, such as in high-noise environments. This systematic review and meta-analysis is the first to quantify the effects of motivation on LE. The review was pre-registered in PROSPERO, and performed in accordance with PRISMA guidelines. Eligible studies examined the influence of motivation or individual traits (related to motivation) on LE in adults. Motivational factors, coded as independent variables, included financial reward, evaluative threat, perceived competence, feedback, and individual traits. LE outcomes were categorized as subjective, behavioral, or physiological. The quality of evidence was assessed using an adaptation of the Cochrane Collaboration Risk of Bias Tool. Nested random-effects meta-analyses were performed to quantify and compare the influence of motivational factors across LE outcomes. After assessing 3,532 records, 48 studies met the inclusion criteria and 43 were included in the meta-analyses. Risk of bias was high, for example, many studies lacked sample size justification. Motivational factors had a small-to-medium effect (mean Cohen's d = 0.34, range: 0.11-0.72) on LE. When LE outcomes were considered collectively, an external manipulation of motivation (perceived competence) produced a larger mean effect size compared with individual traits. Some combinations of motivational factors and LE outcomes produced more robust effects than others, for example, evaluative threat and subjective LE outcomes. Although wide prediction intervals and high risk of bias mean that significant positive effects cannot be guaranteed, these findings provide useful guidance on the selection of motivational factors and LE outcomes for future research.Entities:
Keywords: effortful listening; evaluative threat; financial reward; individual traits; perceived competence
Mesh:
Year: 2022 PMID: 35077257 PMCID: PMC8793127 DOI: 10.1177/23312165211059982
Source DB: PubMed Journal: Trends Hear ISSN: 2331-2165 Impact factor: 3.293
PICOS Screening Inclusion and Exclusion Criteria for the Literature Search.
| Inclusion criteria | Exclusion criteria | |
|---|---|---|
| Population |
Age: 18 + or description as adults. Hearing: normal (either self-described or measured using pure-tone audiometry to appropriate British Society of Audiology standards) or hearing loss (with or without the use of hearing aids). |
Visual impairment Cognitive impairment Neurological or psychiatric disorders. |
| Intervention |
Independent variable that manipulated the participant's motivation to invest LE and/or increase their listening task performance level. This could include tangible rewards, feedback, evaluative threat or perceived competence enhancing interventions. Personality trait with relevance to effort measured using a validated questionnaire (e.g., extraversion measured using the Eysenck Personality Questionnaire). | Studies examining
emotional valence for example stimuli that elicit strong emotions mood or emotional state. |
| Comparator |
Comparisons between motivated/demotivated group and a control group. Comparisons between a strong versus weak manipulation of motivation (e.g., high vs. low levels of performance-based financial reward) or between a motivated and unmotivated condition (e.g., a condition in which a performance-based reward is offered vs. passive listening). Comparison between groups based on personality traits (e.g., comparison between introverts and extraverts). Correlations between questionnaire scores and LE outcomes. | |
| Outcome | Self-rated, behavioral or physiological measures of LE. | Subjective outcomes not directly related to LE (e.g., quality of life ratings). Ratings of tiredness/fatigue were excluded. |
| Study design | All study designs published in English in peer-reviewed or non-peer-reviewed journals, including original research data; conference papers/proceedings containing research data; book chapters; dissertations; and theses. Grey literature will also be included. The study may have been published at any date. | Exclusion criteria: Research not published in English. Case reports, systematic reviews will not be included in the analysis but may be used to source research. Interviews and clinical protocols will not be included. |
Meta-Analysis of the Effects of Motivational Factors on all LE Outcome Measurements.
| LE outcome | Subgroup | Number of outcomes (contributing studies) | Pooled sample size | Effect size (SMD) 95% CI |
| Prediction interval | |
|---|---|---|---|---|---|---|---|
| All | Financial reward | 44 (16) | 1,046 | 6.30 (<.001) | 67.2 [55.1, 76.0] | [−.29, 1.09] | |
| All | Evaluative threat | 23 (3) | 574 | 5.01 (<.001) | 47.3 [14.2, 67.6] | [−.18, 1.06] | |
| All | Perceived competence | 12 (5) | 769 | 5.22 (<.001) | 62.9 [30.9, 80.1] | [−.14, 1.48] | |
| All | Individual traits | 105 (18) | 5,431 | 7.09 (<.001) | 68.8 [61.9 74.4] | [−.29, 1.09] | |
Bold and *p < .05, **p < .001. Note that some studies contribute outcomes to multiple groups. Feedback is not included in this analysis because of insufficient number of outcomes in the included studies.
Subgroup Analyses Investigating the Influence of LE Outcome Measurement on the Relationship Between Motivational Factors and LE.
| LE outcome | Subgroup | Number of outcomes (contributing studies) | Pooled sample size | Effect size (SMD) 95% CI |
| Prediction interval | |
|---|---|---|---|---|---|---|---|
| Behavioral | – | 70 (30) | 3,756 | 5.94 (<.001) | 72.4 [65.0, 78.2] | [−.38, 0.97] | |
| Physiological | – | 99 (24) | 3,536 | 8.99 (<.001) | 63.7 [55.0, 70.7] | [−.26, 1.00] | |
| Subjective | – | 18 (6) | 600 | 3.78 (<.001) | 70.2 [51.8, 81.6] | [−.42, 1.27] | |
| Behavioral | Performance accuracy | 55 (28) | 2,969 | 5.03 (<.001) | 73.6 [65.7, 79.7] | [−.43, 1.01] | |
| Behavioral | RTs | 15 (10) | 787 | 3.41 (<.001) | 65.2 [39.7, 79.9] | [−.30, .91] | |
| Physiological | EEG | 70 (12) | 2,577 | 7.29 (<.001) | 61.6 [50.2, 70.3] | [−.27, .97] | |
| Physiological | Pupillometry | 21 (8) | 758 | 4.26 (<.001) | 55.5 [27.2, 72.7] | [−.21, .85] | |
Bold and *p < .05, ** p < .001. Note that some studies contribute outcomes to multiple groups.
Meta-Analysis of Effects of Combining Different Motivational Factors with Different Types of LE Outcome Measurements.
| LE outcome | Subgroup | Number of outcomes (contributing studies) | Pooled sample size | Effect size (SMD) 95% CI |
| Prediction interval | |
|---|---|---|---|---|---|---|---|
| Behavioral | Financial reward | 21 (12) | 460 | 3.66 (<.001) | 67.3 [48.5, 79.3] | [−.39, 1.06] | |
| Physiological | Financial reward | 17 (9) | 430 | 5.35 (<.001) | 72.5 [55.4, 83.1] | [−.24, 1.41] | |
| Subjective | Financial reward | 6 (3) | 156 | 1.05 (0.03) | 0 [0, 0] | [−.19, .41] | |
| Behavioral | Individual traits | 33 (11) | 2,420 | 2.46 (.014) | 71.1 [58.9, 79.6] | [−.44, .74] | |
| Physiological | Individual traits | 70 (13) | 2,789 | 7.05 (<.001) | 64.0 [53.5, 72.1] | [−.29, .98] | |
| Physiological | Evaluative threat | 10 (2) | 269 | 2.88 (.004) | 0 [0, 34.0] | [−.18, .65] | |
| Subjective | Evaluative threat | 10 (2) | 222 | 1.61 (<.001) | 55.2 [8.7, 78.0] | [−.15, 1.59] | |
Bold and *p < .05, **p < .001. Note that some studies contribute outcomes to multiple groups.
Figure 1.PRISMA flowchart showing the identification, screening, eligibility, and inclusion phases of the literature search.
Summary of Included Studies. This Summary Includes Sample Size, Demographic Information (Age, Hearing status). Where Available, Details of the Stimuli Used, Motivation Manipulation/Personality Trait Considered, Listening/Task Demand Manipulations, and Main Findings for Each LE Outcome. Effect Sizes (Cohen's d), and 95% Confidence Intervals are Included for Results Included in the Meta-Analysis.
| Author(s) | Sample Size | Age Mean (SD) unless stated | Hearing level | Stimuli | Listening / task demand manipulation | Motivation/personality variable | Outcome measure(s) | Finding(s) |
|---|---|---|---|---|---|---|---|---|
|
| 36 | Range: 20–30 years | NH | Syllables | None | Financial reward | 1. Left ear % correct | 1. For high incentive group, NS increase in left ear % correct when comparing neutral with positive |
|
| 40 | ? | ? | Digits | Single-task and dual-task conditions | Individual traits | 1. Improvement in performance (single compared to dual-task condition) | 1. Sig improvement in performance for extraverts |
|
| 180 | ? | ? | Lecture about computer music | Time compression (original 140 wpm, 210 wpm and 280 wpm) | Financial reward | 1.Comprehension test—20 items, multiple choice | 1. Sig greater comprehension in the incentive group. NS motivation/demand interaction. |
|
| 81 | 21.1 (2.4) | ? | Tones | None | Individual traits | 1. Performance (hits) | 1. Sig greater hits for introverts |
|
| 15 | 21 | ? | Digits | Recall either three or five digits | Financial reward | 1. MPD in retention period | 1. Sig greater MPD in the high compared to low reward condition |
|
| 23 | ? | ? | Tones | None | Individual traits | 1. P3 amplitude | 1. Sig larger P3 amplitude for introverts |
|
| 48 | 19.9 (2.2) | ? | Tones | Probability of target tones (20%, 40%, 60%, or 80%). | Individual traits | 1. P3 amplitude | 1. Sig personality* type*probability* gender interaction for P3 amplitude. |
|
| 24 | Median 23 (range: 19–33) | NH | Sentences | Vocoded cue sentence hard (2 band) or intermediate (3 band). Vocoded target sentence always 3 band. | Financial reward | 1. Performance (accuracy) | 1. NS demand*motivation interaction |
|
| 20 | 19 (1.37) | ? | Tones | None | Evaluative threat | ERPs at Pz for target stimuli: 1a. P3 amplitude, | 1a. Sig larger P3 amplitudes at Pz with motivation |
|
| 83 | Range: 60–89 | HA | None | None | Individual traits | 1. SR ease of communication. | 1. NS effects of personality and Locus of Control on SR ease of communication when 1a. aided or 1b. unaided. |
|
| 24 | 19 | ? | Tones | None | Individual traits | 1. Accuracy (rare tones) | 1. NS differences in accuracy between introverts/extraverts |
| 49 | ? | ? | Words | None | Perceived competence | 1. Performance | 1. High power group performed sig better than low power group | |
| 112 | ? | ? | Words | None | Perceived competence | 1. Performance | 1. High power group performed sig better than low power group | |
| 165 | ? | ? | Words | None | Perceived competence | 1. Performance | 1. Main effect of power: high power, depleted group performed worse than other groups | |
|
| 32 | 20.5 (2.2) | ? | Tones | None | Individual traits | 1. P3 amplitude | 1. Sig personality*trial block interaction showing P3 habituated in extraverts but remained consistent in introverts |
| 72 | 22.3 (2.8) | NH | Tones | None | Individual traits | 1. Early P3a | 1. NS group differences in early P3a | |
| 94 | 22 (4.3) | NH | Tones | None | Individual traits | 1. Early P3a | 1. NS main effect of NFCog on early P3a | |
|
| 35 | 37.14 (18–71) | NH | Spoken stories | Speech spoken by native English speaker masked by speech-shaped noise, non-native accented English speech | Individual traits | 1. NASA-TLX effort | 1. NS effects on NASA-TLX. |
|
| 160 | Range: 18–32 | ? | Digits | None | Individual traits | 1. Mean detection scores | 1. NS effects of extraversion on detection |
| 24 | Range: 19–22 | ? | Tones | Low conflict condition—25% impossible discriminations | Feedback | 1. RTs | 1. NS trend towards longer RTs in the negative cf. positive feedback conditions | |
| 31 | Range: 19–22 | ? | Tones | If correct, the discrimination task was made more difficult. If incorrect, the difficulty level remained constant. | Financial reward | Escape trials and the four trials preceding and following an escape | 1. Sig inverted U-shape trend for BPD (quadratic trend analysis) | |
|
| 18 | 37.8 (7.1) | NH | Tones | None | Individual traits | 1. P3 amplitude (all sites) | 1. Effect sizes when all sites are combined (significance unknown): negative correlation with neuroticism |
|
| 43 | 27.1 (9.2) | NH | Tones | None | Individual traits | 1. P3 amplitude (all sites) | 1. Effect sizes when all sites are combined (significance unknown): Negative correlation with neuroticism |
|
| 67 | 27.8 (10.1) | NH | Sentences | None | Perceived competence | 1. Mean SNR | 1. Participants in the “hard prime” group performed sig better (lower SNR) than those in the “easy prime” group |
|
| 15 | Range: 21–26 | NH | Tones | None | Financial reward | 1. | 1. Sig greater |
|
| 10 | ? | ? | Digits | None | Financial reward | 1. % correct | 1. Sig more high reward items correctly recalled than low |
| 11 | ? | ? | Digits | Short-term memory or digit transformation task (add 1 to digits heard) | Financial reward | 1. Performance | 1. NS effects on performance. | |
| 19 | Range: 18–26 | NH | Syllables | Auditory letter was paired with either a congruent or incongruent visual letter | Financial reward | 1. RTs for correct responses | 1. Smaller interference effect on RT in the reward condition compared to no reward for auditory targets | |
|
| 24 | 21 (median) | NH | Sentences | Presented with single-talker mask using an adaptive procedure to track 85% (easy) and 50% (hard) target intelligibility levels. | Financial reward | 1. SRT | 1. NS main effect of reward on SRT |
|
| 31 | Range: 18–21 | NH | Digits | Single-task or dual-task conditions | Individual traits | 1. Commissioning errors | 1. Sig correlation between commissioning errors and extraversion |
|
| 5 | Range: 20–28 | NH | Syllables | None | Perceived competence | 1. fMRI—contrasts assessing differential voxel activations under high vs. neutral motivation | 1. No effect seen in 2 participants, but 3 participants showed increased BOLD response in right BA 35 and in posterior cingulate (BA 23). Decreased BOLD response seen in right BA 46. |
| 36 | ? | NH | Tones | None | Perceived competence | 1. Improvement in performance across 8 trials | 1. Sig improvement for musicians compared to non-musicians in the gains condition | |
| 58 | ? | NH | Tones | None | Perceived competence Participants primed for promotion or prevention focus. | 1. % correct | 1. Promotion-focus participants performed sig better in the gain condition compared to the losses condition | |
|
| 31 (15—HI; 16 NH) | HI—74 | HA/NH | Audiobook | Omnidirectional (low SNR) or directional (high SNR) microphone hearing aid simulator | Financial reward | 1. % correct on comprehension task | 1. Sig effect of reward on % correct at low SNR (both groups) |
|
| 20 | 19 (both groups) | ? | Tones | None | Individual traits | 1. P3 amplitude | 1. Sig greater P3 amplitude in introverts |
|
| 100 | ? | ? | 20-min lecture on TV and radio speaking | None | Perceived competence | 1. Performance on multiple choice comprehension test | 1. Sig higher comprehension scores in the motivated group |
| 16 | 24.87 | NH | Sentences (audio only) | Background cafeteria noise presented at easy and hard SNRs (corresponding to approx. 50% and 80% correct in pilot testing) | Evaluative threat | 1a. SR effort | 1a. Sig effect on SR effort for hard SNR | |
| 16 | 23.44 | NH | Sentences (audio plus visuals) | Background cafeteria noise presented at two SNRs (hard SNR 50% and easy SNR 80%) | Evaluative threat | 1a. SR effort | 1a. Sig effect on SR effort for hard SNR | |
|
| 32 | 22.22 (3.03) | NH | Sentences | Six SNRs | Financial reward | 1. Performance | 1. NS reward*SNR interaction for performance |
|
| 54 | 19.4 (1.1) | ? | Tones | Target stimulus probability either .20, .50 or .80 | Individual traits | 1. P3 amplitude | 1. For the whole group, NS correlations between and P3 amplitude and personality variables (extraversion/introversion |
|
| 37 | Male 23.8 | ? | Tones | None | Individual traits | 1. P3 amplitude | 1. For males, sig correlation between Lie scale and P3 amplitude. |
|
| 28 | 25.7 (± 5.7 years) | ? | Tones | None | Individual traits | 1. Response errors | 1. NS differences in response errors between introverts and extraverts |
|
| 16 | 23.88 | ? | Tones | Sine waves presented in pairs differing by 20 Hz (easy condition) or 3 Hz (hard condition) | Financial reward | 1. Cardiac reactivity: | 1a. Sig effect of reward on PEP for hard condition |
|
| 74 (36 Introverts and 38 Extraverts) | 21.7 (2.4) | ? | Tones | None | Individual traits | 1. RT to targets | 1. NS main effect on RT |
|
| 120 | 19.7 | ? | Lecture (subject unknown) | None | Financial reward | 1. 20-item comprehension test | 1. Orientating instructions and financial incentive had NS effect on comprehension score. |
|
| 41 | 19.8 | ? | Audiobook | None | Financial reward | 1. Recall of words | Sign test showed sig more recall for sentences spoken by the target speaker |
| 36 | ? | ? | Digits | Digit transformation—add either 0, 1 or 3 to each digit | Financial reward (5 cents per trial). | 1. MPD | 1. NS effect of reward on MPD (effect size not reported). | |
|
| 111 | Range: 18–28 | NH | Words, digits, sentences | Speech presented at 65 dB, speech-shaped noise presented at 60 (easy)/67 dB (hard) depending upon condition) | Individual traits | 1. SR effort (NASA-TLX) | 1. NS associations between SR effort and extraversion |
|
| 40 | Old (Introverts 65.9, Extraverts 65.3) and young (Introverts 35.5, Extraverts 38.1) | ? | Digits | None | Individual traits | 1. Correlation between Heron score and | 1. NS positive Spearman's correlation between extraversion score and |
|
| 29 | 56 (median) | NH/HI | Digits | None | Individual traits | Correlations between personality subdomains and 1. Performance 2. EEG parameters: | 1. Performance: |
|
| 26 | 24 (2.0) | NH | Tones | None | Financial reward | 1. % correct | 1. NS effect of type of session (reward/punishment), NS effect of value, NS session/value interaction for % correct. |
|
| 63 (34 NH; 29 HI) | 52 | NH and HI | Sentences | Interfering speech masker—male speaker. SRT50% and SRT71% conditions. | Evaluative threat | 1. SRT50 | 1. NS effect of evaluative threat for SRT50: NH |
|
| 35 | 22.43 (2.39) | NH | Sentences | Speech rate (slow, normal, slightly fast, fast, extremely fast) | Financial reward | 1a. Correlation between effort efficiency and NFCog score | 1a. Sig negative correlation between effort efficiency and NFCog |
|
| 35 | 22.43 | NH | Sentences | Speech rate (slow, normal, slightly fast, fast, extremely fast) | Financial reward | 1. Accuracy | 1. Sig reward/speech rate interaction for task accuracy |
Notes:– not stated, 16PFQ = Sixteen Personality Factor Questionnaire, ALI = alpha lateralization index, AMI = attentional modulation index, BA = Brodmann area, BOLD response = blood oxygenation level dependent response, BPD = baseline pupil diameter, CSCT = Cognitive Spare Capacity Test, DBP = diastolic blood pressure, EEG = electroencephalogram, EMG = electromyography, EPQ = Eysenck Personality Questionnaire, ERPs = event related potentials, fMRI = functional magnetic resonance imaging, HA = participants with hearing aids, HI = participants with hearing impairment, HR = heart rate, ITPC = intertribal phase coherence, MBTI = Myers-Briggs Type Indicator, MPD = mean pupil diameter, N1 = negative ERP component (peak between 80 and 120 ms after stimulus onset), N2 = negative ERP component (peak between 200 and 300 ms after stimulus onset), NASA-TLX = NASA Task Load Index, NS = non-significant, NFCog = Need for Cognition, NH = normal hearing participants, P3 = positive ERP component (peak between 250 and 500 ms after stimulus onset), PEP = pre-ejection period, PPD = peak pupil diameter, Pz = midline parietal electrode, RT = reaction time, SBP = systolic blood pressure, Sig = significant, SNR = signal-to-noise ratio, SR = self-rated, SRT = Speech reception threshold, wpm = words per minute.
Figure 2.Summary of risk of bias scores for all included studies. Full details of the scoring questions and descriptions of the response categories are shown in Supplementary Table S1. Q1: Did the authors include a sample size justification? Q2: If any participant data is excluded from the analysis is a clear justification given? Q3: Were all the outcome measures in the methods included in the results? Q4: Were there any conflicts of interest? Overall percentage scores were calculated for each level of bias, with green indicating low bias, yellow some concerns, red high and white not-applicable.
Post Hoc Tests for Subgroup Analysis A, Averaged Over all Types of LE Outcome Measurements.
| LE outcome | Post hoc test | ||
|---|---|---|---|
| All | Financial reward/Evaluative threat | 0.14 | .711 |
| All | Financial reward/Perceived competence | 3.55 | .059 |
| All | Financial reward/Individual traits | 2.97 | .084 |
| All | Evaluative threat/Perceived competence | 2.18 | .140 |
| All | Evaluative threat/Individual traits | 3.07 | .080 |
| All | Perceived competence/Individual traits | 8.81 | . |
Bold and *p < .007 (adjusted alpha level for number of comparisons).
Figure 3.Effect sizes (Cohen's d) for the influence of specific motivational factors on listening effort. Error bars represent 95% confidence intervals for the effect size. Perceived competence had a significantly larger effect compared to individual traits (p = .003).
Post Hoc Tests for Subgroup Analysis E.
| Motivational factor | Post hoc test | ||
|---|---|---|---|
| Financial reward | Behavioral/Physiological | 2.98 | .084 |
| Financial reward | Behavioral/Subjective | 2.54 | .110 |
| Financial reward | Physiological/Subjective | 9.53 | . |
Bold and *p < .017 (adjusted alpha level for number of comparisons).
Figure 4.Effect sizes (Cohen's d) measured using different types of LE outcome measurements when motivation is operationalized as financial reward. Error bars represent 95% confidence intervals for the effect size. Physiological measures indexed significantly larger effects compared to subjective measures of LE (p = .002).