Acceptability and Implementation Considerations for 40 Hz Auditory Stimulation Using Nature-Based Soundscapes for Cognitive Health Applications: A Qualitative Exploratory Study

In a single-session evaluation among adults aged ≥ 40 years, embedding a 40 Hz sine wave within nature-based soundscapes was generally acceptable, with acceptability sensitive to perceptual integration and usage context. This qualitative study does not assess clinical or cognitive efficacy. These findings inform implementation considerations for cognitive health-oriented delivery, including space-oriented playback options, simplified automation, conservative acoustic safeguards, and coherence-supportive user guidance without overclaiming.