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

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