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1.
Ear Hear ; 45(3): 760-774, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38254265

RESUMO

OBJECTIVES: Hearing aid processing in realistic listening environments is difficult to study effectively. Often the environment is unpredictable or unknown, such as in wearable aid trials with subjective report by the wearer. Some laboratory experiments create listening environments to exert tight experimental control, but those environments are often limited by physical space, a small number of sound sources, or room absorptive properties. Simulation techniques bridge this gap by providing greater experimental control over listening environments, effectively bringing aspects of the real-world into the laboratory. This project used simulation to study the effects of wide-dynamic range compression (WDRC) and digital noise reduction (DNR) on speech intelligibility in a reverberant environment with six spatialized competing talkers. The primary objective of this study was to determine the efficacy of WDRC and DNR in a complex listening environment using virtual auditory space techniques. DESIGN: Participants of greatest interest were listeners with hearing impairment. A group of listeners with clinically normal hearing was included to assess the effects of the simulation absent the complex effects of hearing loss. Virtual auditory space techniques were used to simulate a small restaurant listening environment with two different reverberation times (0.8 and 1.8 sec) in a range of signal to noise ratios (SNRs) (-8.5 to 11.5 dB SNR). Six spatialized competing talkers were included to further enhance realism. A hearing aid simulation was used to examine the degree to which speech intelligibility was affected by slow and fast WDRC in conjunction with the presence or absence of DNR. The WDRC and DNR settings were chosen to be reasonable estimates of hearing aids currently available to consumers. RESULTS: A WDRC × DNR × Hearing Status interaction was observed, such that DNR was beneficial for speech intelligibility when combined with fast WDRC speeds, but DNR was detrimental to speech intelligibility when WDRC speeds were slow. The pattern of the WDRC × DNR interaction was observed for both listener groups. Significant main effects of reverberation time and SNR were observed, indicating better performance with lower reverberation times and more positive SNR. CONCLUSIONS: DNR reduced low-amplitude noise before WDRC-amplified the low-intensity portions of the signal, negating one potential downside of fast WDRC and leading to an improvement in speech intelligibility in this simulation. These data suggest that, in some real-world environments that include both reverberation and noise, older listeners with hearing impairment may find speech to be more intelligible if DNR is activated when the hearing aid has fast compression time constants. Additional research is needed to determine the appropriate DNR strength and to confirm results in wearable hearing aids and a wider range of listening environments.


Assuntos
Auxiliares de Audição , Perda Auditiva Neurossensorial , Percepção da Fala , Humanos , Perda Auditiva Neurossensorial/reabilitação , Razão Sinal-Ruído , Restaurantes , Ruído
2.
Int J Audiol ; 62(11): 1067-1075, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-36285707

RESUMO

OBJECTIVE: Working memory refers to a cognitive system that holds a limited amount of information in a temporarily heightened state of availability, for use in ongoing cognitive tasks. Research suggests a link between working memory and speech recognition. In this study, we investigated this relationship using two working memory tests that differed in regard to the operationalisation of the link between working memory and attention: the auditory visual divided attention test (AVDAT) and the widely used reading span test. DESIGN: The relationship between speech-in-noise recognition and working memory was examined for two different working memory tests that varied in methodological and theoretical aspects, using a within-subject design. STUDY SAMPLE: Nineteen hearing-impaired older listeners participated. RESULTS: We found a strong link between the reading span test and speech-in-noise recognition and a less robust link between the AVDAT and speech-in-noise recognition. There was evidence for the role of selective attention in speech-in-noise recognition, shown via the new AVDAT measure. CONCLUSION: Our findings suggest that the strength of the relationship between speech-in-noise recognition and working memory may be influenced by the match between the demands and the stimuli of the speech-in-noise task and those of the working memory test.


Assuntos
Perda Auditiva , Percepção da Fala , Humanos , Memória de Curto Prazo , Fala , Ruído/efeitos adversos , Perda Auditiva/diagnóstico , Audição
3.
Front Psychol ; 13: 1059192, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36571056

RESUMO

When speech is clear, speech understanding is a relatively simple and automatic process. However, when the acoustic signal is degraded, top-down cognitive and linguistic abilities, such as working memory capacity, lexical knowledge (i.e., vocabulary), inhibitory control, and processing speed can often support speech understanding. This study examined whether listeners aged 22-63 (mean age 42 years) with better cognitive and linguistic abilities would be better able to perceptually restore missing speech information than those with poorer scores. Additionally, the role of context and everyday speech was investigated using high-context, low-context, and realistic speech corpi to explore these effects. Sixty-three adult participants with self-reported normal hearing completed a short cognitive and linguistic battery before listening to sentences interrupted by silent gaps or noise bursts. Results indicated that working memory was the most reliable predictor of perceptual restoration ability, followed by lexical knowledge, and inhibitory control and processing speed. Generally, silent gap conditions were related to and predicted by a broader range of cognitive abilities, whereas noise burst conditions were related to working memory capacity and inhibitory control. These findings suggest that higher-order cognitive and linguistic abilities facilitate the top-down restoration of missing speech information and contribute to individual variability in perceptual restoration.

4.
Int J Audiol ; 61(1): 46-58, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33913795

RESUMO

OBJECTIVE: This study characterised the relationship between speech intelligibility and quality in listeners with hearing loss for a range of hearing-aid processing settings and acoustic conditions. DESIGN: Binaural speech intelligibility scores and quality ratings were measured for sentences presented in babble noise and processed through a hearing-aid simulation. The intelligibility-quality relationship was investigated by (1) assessing the effects of experimental conditions on each task; (2) directly comparing intelligibility scores and quality ratings for each participant across the range of conditions; and (3) comparing the association between signal envelope fidelity (represented by a cepstral correlation metric) and intelligibility and quality. STUDY SAMPLE: Participants were 15 adults (7 females; age range 59-81 years) with mild to moderately severe sensorineural hearing loss. RESULTS: Intelligibility and quality showed a positive association both with each other and with changes to signal fidelity introduced by the entire acoustic and signal-processing system including the additive noise and the hearing-aid output. As signal fidelity decreased, quality ratings changed at a slower rate than intelligibility scores. Individual psychometric functions were more variable for quality compared to intelligibility. CONCLUSIONS: Variability in the intelligibility-quality relationship reinforces the importance of measuring both intelligibility and quality in clinical hearing-aid fittings.


Assuntos
Surdez , Auxiliares de Audição , Perda Auditiva Neurossensorial , Perda Auditiva , Percepção da Fala , Idoso , Idoso de 80 Anos ou mais , Feminino , Audição , Perda Auditiva Neurossensorial/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Inteligibilidade da Fala
5.
Front Digit Health ; 3: 723533, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34713189

RESUMO

Even before the COVID-19 pandemic, there was mounting interest in remote testing solutions for audiology. The ultimate goal of such work was to improve access to hearing healthcare for individuals that might be unable or reluctant to seek audiological help in a clinic. In 2015, Diane Van Tasell patented a method for measuring an audiogram when the precise signal level was unknown (patent US 8,968,209 B2). In this method, the slope between pure-tone thresholds measured at 2 and 4 kHz is calculated and combined with questionnaire information in order to reconstruct the most likely audiograms from a database of options. An approach like the Van Tasell method is desirable because it is quick and feasible to do in a patient's home where exact stimulus levels are unknown. The goal of the present study was to use machine learning to assess the effectiveness of such audiogram-estimation methods. The National Health and Nutrition Examination Survey (NHANES), a database of audiologic and demographic information, was used to train and test several machine learning algorithms. Overall, 9,256 cases were analyzed. Audiometric data were classified using the Wisconsin Age-Related Hearing Impairment Classification Scale (WARHICS), a method that places hearing loss into one of eight categories. Of the algorithms tested, a random forest machine learning algorithm provided the best fit with only a few variables: the slope between 2 and 4 kHz; gender; age; military experience; and self-reported hearing ability. Using this method, 54.79% of the individuals were correctly classified, 34.40% were predicted to have a milder loss than measured, and 10.82% were predicted to have a more severe loss than measured. Although accuracy was low, it is unlikely audibility would be severely affected if classifications were used to apply gains. Based on audibility calculations, underamplification still provided sufficient gain to achieve ~95% correct (Speech Intelligibility Index ≥ 0.45) for sentence materials for 88% of individuals. Fewer than 1% of individuals were overamplified by 10 dB for any audiometric frequency. Given these results, this method presents a promising direction toward remote assessment; however, further refinement is needed before use in clinical fittings.

6.
J Speech Lang Hear Res ; 64(6): 2053-2069, 2021 06 04.
Artigo em Inglês | MEDLINE | ID: mdl-34019777

RESUMO

Purpose A broad area of interest to our group is to understand the consequences of the "cue profile" (a measure of how well a listener can utilize audible temporal and/or spectral cues for listening scenarios in which a subset of cues is distorted. The study goal was to determine if listeners whose cue profile indicated that they primarily used temporal cues for recognition would respond differently to speech-envelope distortion than listeners who utilized both spectral and temporal cues. Method Twenty-five adults with sensorineural hearing loss participated in the study. The listener's cue profile was measured by analyzing identification patterns for a set of synthetic syllables in which envelope rise time and formant transitions were varied. A linear discriminant analysis quantified the relative contributions of spectral and temporal cues to identification patterns. Low-context sentences in noise were processed with time compression, wide-dynamic range compression, or a combination of time compression and wide-dynamic range compression to create a range of speech-envelope distortions. An acoustic metric, a modified version of the Spectral Correlation Index, was calculated to quantify envelope distortion. Results A binomial generalized linear mixed-effects model indicated that envelope distortion, the cue profile, the interaction between envelope distortion and the cue profile, and the pure-tone average were significant predictors of sentence recognition. Conclusions The listeners with good perception of spectro-temporal contrasts were more resilient to the detrimental effects of envelope compression than listeners who used temporal cues to a greater extent. The cue profile may provide information about individual listening that can direct choice of hearing aid parameters, especially those parameters that affect the speech envelope.


Assuntos
Auxiliares de Audição , Perda Auditiva Neurossensorial , Percepção da Fala , Adulto , Sinais (Psicologia) , Humanos , Fala
7.
Int J Audiol ; 60(2): 140-150, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32972283

RESUMO

OBJECTIVE: The goal of this study was to assess recognition of foreign-accented speech of varying intelligibility and linguistic complexity in older adults. It is important to understand the factors that influence the recognition of this commonly encountered type of speech, in a population that remains understudied in this regard. DESIGN: A repeated measures design was used. Listeners repeated back linguistically simple and complex sentences heard in noise. The sentences were produced by three talkers of varying intelligibility: one native American English, one foreign-accented talker of high intelligibility and one foreign-accented talker of low intelligibility. Percentage word recognition in sentences was measured. STUDY SAMPLE: Twenty-five older listeners with a range of hearing thresholds participated. RESULTS: We found a robust interaction between talker intelligibility and linguistic complexity. Recognition accuracy was higher for simple versus complex sentences, but only for the native and high intelligibility foreign-accented talkers. This pattern was present after effects of working memory capacity and hearing acuity were taken into consideration. CONCLUSION: Older listeners exhibit qualitatively different speech processing strategies for low versus high intelligibility foreign-accented talkers. Differences in recognition accuracy for words presented in simple versus in complex sentence contexts only emerged for speech over a threshold of intelligibility.


Assuntos
Perda Auditiva , Percepção da Fala , Idoso , Humanos , Linguística , Ruído/efeitos adversos , Fala , Inteligibilidade da Fala
8.
J Am Acad Audiol ; 31(9): 690-698, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33032338

RESUMO

BACKGROUND: Clinics are increasingly turning toward using virtual environments to demonstrate and validate hearing aid fittings in "realistic" listening situations before the patient leaves the clinic. One of the most cost-effective and straightforward ways to create such an environment is through the use of a small speaker array and amplitude panning. Amplitude panning is a signal playback method used to change the perceived location of a source by changing the level of two or more loudspeakers. The perceptual consequences (i.e., perceived source width and location) of amplitude panning have been well-documented for listeners with normal hearing but not for listeners with hearing impairment. PURPOSE: The purpose of this study was to examine the perceptual consequences of amplitude panning for listeners with hearing statuses from normal hearing through moderate sensorineural hearing losses. RESEARCH DESIGN: Listeners performed a localization task. Sound sources were broadband 4 Hz amplitude-modulated white noise bursts. Thirty-nine sources (14 physical) were produced by either physical loudspeakers or via amplitude panning. Listeners completed a training block of 39 trials (one for each source) before completing three test blocks of 39 trials each. Source production method was randomized within block. STUDY SAMPLE: Twenty-seven adult listeners (mean age 52.79, standard deviation 27.36, 10 males, 17 females) with hearing ranging from within normal limits to moderate bilateral sensorineural hearing loss participated in the study. Listeners were recruited from a laboratory database of listeners that consented to being informed about available studies. DATA COLLECTION AND ANALYSIS: Listeners indicated the perceived source location via touch screen. Outcome variables were azimuth error, elevation error, and total angular error (Euclidean distance in degrees between perceived and correct location). Listeners' pure-tone averages (PTAs) were calculated and used in mixed-effects models along with source type and the interaction between source type and PTA as predictors. Subject was included as a random variable. RESULTS: Significant interactions between PTA and source production method were observed for total and elevation errors. Listeners with higher PTAs (i.e., worse hearing) did not localize physical and panned sources differently whereas listeners with lower PTAs (i.e., better hearing) did. No interaction was observed for azimuth errors; however, there was a significant main effect of PTA. CONCLUSION: As hearing impairment becomes more severe, listeners localize physical and panned sources with similar errors. Because physical and panned sources are not localized differently by adults with hearing loss, amplitude panning could be an appropriate method for constructing virtual environments for these listeners.


Assuntos
Surdez , Auxiliares de Audição , Perda Auditiva Neurossensorial , Perda Auditiva , Localização de Som , Percepção da Fala , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Perda Auditiva Bilateral , Humanos , Masculino , Pessoa de Meia-Idade , Ruído
9.
J Acoust Soc Am ; 147(6): 3765, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32611135

RESUMO

Foreign-accented speech recognition is typically tested with linguistically simple materials, which offer a limited window into realistic speech processing. The present study examined the relationship between linguistic structure and talker intelligibility in several sentence-in-noise recognition experiments. Listeners transcribed simple/short and more complex/longer sentences embedded in noise. The sentences were spoken by three talkers of varying intelligibility: one native, one high-, and one low-intelligibility non-native English speakers. The effect of linguistic structure on sentence recognition accuracy was modulated by talker intelligibility. Accuracy was disadvantaged by increasing complexity only for the native and high intelligibility foreign-accented talkers, whereas no such effect was found for the low intelligibility foreign-accented talker. This pattern emerged across conditions: low and high signal-to-noise ratios, mixed and blocked stimulus presentation, and in the absence of a major cue to prosodic structure, the natural pitch contour of the sentences. Moreover, the pattern generalized to a different set of three talkers that matched the intelligibility of the original talkers. Taken together, the results in this study suggest that listeners employ qualitatively different speech processing strategies for low- versus high-intelligibility foreign-accented talkers, with sentence-related linguistic factors only emerging for speech over a threshold of intelligibility. Findings are discussed in the context of alternative accounts.


Assuntos
Percepção da Fala , Fala , Linguística , Ruído/efeitos adversos , Reconhecimento Psicológico , Inteligibilidade da Fala
10.
J Acoust Soc Am ; 147(1): 273, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-32006979

RESUMO

Masked sentence perception by hearing-aid users is strongly correlated with three variables: (1) the ability to hear phonetic details as estimated by the identification of syllable constituents in quiet or in noise; (2) the ability to use situational context that is extrinsic to the speech signal; and (3) the ability to use inherent context provided by the speech signal itself. This approach is called "the syllable-constituent, contextual theory of speech perception" and is supported by the performance of 57 hearing-aid users in the identification of 109 syllable constituents presented in a background of 12-talker babble and the identification of words in naturally spoken sentences presented in the same babble. A simple mathematical model, inspired in large part by Boothroyd and Nittrouer [(1988). J. Acoust. Soc. Am. 84, 101-114] and Fletcher [Allen (1996) J. Acoust. Soc. Am. 99, 1825-1834], predicts sentence perception from listeners' abilities to recognize isolated syllable constituents and to benefit from context. When the identification accuracy of syllable constituents is greater than about 55%, individual differences in context utilization play a minor role in determining the sentence scores. As syllable-constituent scores fall below 55%, individual differences in context utilization play an increasingly greater role in determining sentence scores. Implications for hearing-aid design goals and fitting procedures are discussed.


Assuntos
Ruído , Pessoas com Deficiência Auditiva/psicologia , Fonética , Percepção da Fala , Estimulação Acústica , Idoso , Idoso de 80 Anos ou mais , Feminino , Auxiliares de Audição , Humanos , Masculino , Pessoa de Meia-Idade , Mascaramento Perceptivo , Reconhecimento Psicológico
11.
Gerontology ; 66(1): 24-32, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31242497

RESUMO

In light of the high prevalence of hearing loss and cognitive impairment in the aging population, it is important to know how cognitive tests should be administered for older adults with hearing loss. The purpose of the present study is to examine this question with a cognitive screening test and a working memory test. Specifically, we asked the following questions in 2 experiments. First, does a controlled amplification method affect cognitive test scores? Second, does test modality (visual vs. auditory) impact cognitive test scores? Three test administration conditions were created for both Montreal Cognitive Assessment (MoCA) and working memory test (a word recognition and recall test): auditory amplified, auditory unamplified, and visual. The auditory administration was implemented through a computer program to control for presentation level while the visual condition was implemented through timed computer slides. Data were collected from older individuals with mild-to-moderate sensorineural hearing loss. We did not find any effect of amplification or test modality on the total score of the cognitive screening test (i.e., MoCA). Amplification improved working memory performance as measured by word recall performance, but test modality (auditory vs. visual) did not. These results are consistent with literature in demonstrating a downstream effect of audibility on working memory performance. From a clinical perspective, these findings are informative for developing clinical administration protocols of these tests for older individuals with hearing loss.


Assuntos
Disfunção Cognitiva/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Chicago , Disfunção Cognitiva/complicações , Feminino , Auxiliares de Audição , Perda Auditiva Neurossensorial/complicações , Humanos , Masculino , Testes de Estado Mental e Demência
12.
J Acoust Soc Am ; 146(3): EL232, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31590538

RESUMO

While dynamic pitch is helpful for speech perception in temporally-modulated noise, the ability to benefit from this cue varies substantially among older listeners. To examine the perceptual factors that contribute to this variability, this study aimed to characterize individuals' ability to perceive dynamic pitch in temporally-modulated noise using dynamic pitch segments extracted from real speech and embedded in temporally modulated noise. Data from younger and older listeners showed stronger pitch contours were more easily perceived than weaker pitch contours. The metric significantly predicted speech-in-noise ability in older listeners. Potential implications of this work are discussed.


Assuntos
Envelhecimento/psicologia , Percepção da Altura Sonora , Estimulação Acústica , Adolescente , Adulto , Idoso , Sinais (Psicologia) , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ruído , Discriminação da Altura Tonal , Adulto Jovem
13.
Front Psychol ; 9: 1967, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30405476

RESUMO

Previous work demonstrated that dynamic pitch (i.e., pitch variation in speech) aids speech recognition in various types of noises. While this finding suggests dynamic pitch enhancement in target speech can benefit speech recognition in noise, it is of importance to know what noise characteristics affect dynamic pitch benefit, and who will benefit from enhanced dynamic pitch cues. Following our recent finding that temporal modulation in noise influences dynamic pitch benefit, we examined the effect of speech masker characteristics on dynamic pitch benefit. Specifically, the first goal of the study was to test the hypothesis that dynamic pitch benefit varies depending on the availability of pitch cues in the masker and the intelligibility of masker. The second goal of this study was to investigate whether older listeners as a group can benefit from dynamic pitch for speech recognition in speech maskers. In addition, individual factors of hearing loss and working memory capacity were examined for their impact on older listeners' dynamic pitch benefit. Twenty-three younger listeners with normal hearing and 37 older listeners with varying levels of hearing sensitivity participated the study, in which speech reception thresholds were measured with sentences in speech maskers. While we did not find an effect of masker characteristics on dynamic pitch benefit, the results showed older listeners can benefit from dynamic pitch for recognizing speech in speech maskers. The data also suggest that among those older listeners with hearing loss, dynamic pitch benefit is stronger for individuals with higher working memory capacity. This can be attributed to their ability to exploit facilitated lexical access in processing of degraded speech signal.

14.
J Am Acad Audiol ; 29(2): 118-124, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29401059

RESUMO

BACKGROUND: Current guidelines for adult hearing aid fittings recommend the use of a prescriptive fitting rationale with real-ear verification that considers the audiogram for the determination of frequency-specific gain and ratios for wide dynamic range compression. However, the guidelines lack recommendations for how other common signal-processing features (e.g., noise reduction, frequency lowering, directional microphones) should be considered during the provision of hearing aid fittings and fine-tunings for adult patients. PURPOSE: The purpose of this survey was to identify how audiologists make clinical decisions regarding common signal-processing features for hearing aid provision in adults. RESEARCH DESIGN: An online survey was sent to audiologists across the United States. The 22 survey questions addressed four primary topics including demographics of the responding audiologists, factors affecting selection of hearing aid devices, the approaches used in the fitting of signal-processing features, and the strategies used in the fine-tuning of these features. STUDY SAMPLE: A total of 251 audiologists who provide hearing aid fittings to adults completed the electronically distributed survey. The respondents worked in a variety of settings including private practice, physician offices, university clinics, and hospitals/medical centers. DATA COLLECTION AND ANALYSIS: Data analysis was based on a qualitative analysis of the question responses. The survey results for each of the four topic areas (demographics, device selection, hearing aid fitting, and hearing aid fine-tuning) are summarized descriptively. RESULTS: Survey responses indicate that audiologists vary in the procedures they use in fitting and fine-tuning based on the specific feature, such that the approaches used for the fitting of frequency-specific gain differ from other types of features (i.e., compression time constants, frequency lowering parameters, noise reduction strength, directional microphones, feedback management). Audiologists commonly rely on prescriptive fitting formulas and probe microphone measures for the fitting of frequency-specific gain and rely on manufacturers' default settings and recommendations for both the initial fitting and the fine-tuning of signal-processing features other than frequency-specific gain. CONCLUSIONS: The survey results are consistent with a lack of published protocols and guidelines for fitting and adjusting signal-processing features beyond frequency-specific gain. To streamline current practice, a transparent evidence-based tool that enables clinicians to prescribe the setting of other features from individual patient characteristics would be desirable.


Assuntos
Auxiliares de Audição , Perda Auditiva/terapia , Padrões de Prática Médica , Ajuste de Prótese , Processamento de Sinais Assistido por Computador , Adulto , Perda Auditiva/diagnóstico , Perda Auditiva/fisiopatologia , Humanos , Inquéritos e Questionários
15.
J Am Acad Audiol ; 29(1): 73-82, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29309025

RESUMO

BACKGROUND: Reverberation is a source of acoustic degradation, present to varying extents in many everyday listening environments. The presence of reverberation decreases speech intelligibility, especially for listeners with hearing impairment. There is substantial variability in how susceptible individuals with hearing impairment are to the effects of reverberation (i.e., how intelligible reverberant speech is to a listener). Relatively little is known about the listener factors which drive that susceptibility. PURPOSE: To identify listener factors that are associated with an individual's susceptibility to reverberation. Another purpose was to investigate how these listener factors are associated with reverberant susceptibility in relation to the amount of reverberation. The listener factors investigated were degree of hearing loss, age, temporal envelope sensitivity, and working memory capacity. RESEARCH DESIGN: This study used a correlational design to investigate the association between different listener factors and speech intelligibility with varying amounts of reverberation. STUDY SAMPLE: Thirty-three older adults with sensorineural hearing loss participated in the study. DATA COLLECTION AND ANALYSIS: Listener temporal envelope sensitivity was measured using a gap detection threshold task. Listener working memory capacity was measured using the Reading Span Test. Intelligibility of reverberant speech was measured using a set of low-context sentence materials presented at 70 dB SPL without individual frequency shaping. Sentences were presented at a range of realistic reverberation times, including no reverberation (0.0 sec), moderate reverberation (1.0 sec), and severe reverberation (4.0 sec). Stepwise linear regression analyses were conducted to model speech intelligibility using individual degree of hearing loss, age, temporal envelope sensitivity, and working memory capacity. A separate stepwise linear regression model was conducted to model listener speech intelligibility at each of the three levels of reverberation. RESULTS: As the amount of reverberation increased, listener speech intelligibility decreased and variability in scores among individuals increased. Temporal envelope sensitivity was most closely associated with speech intelligibility in the no reverberation condition. Both listener age and degree of hearing loss were significantly associated with speech intelligibility in the moderate reverberation condition. Both listener working memory capacity and age were significantly associated with speech intelligibility in the severe reverberation condition. CONCLUSIONS: The results suggest that suprathreshold listener factors can be used to best predict speech intelligibility across a range of reverberant conditions. However, which listener factor(s) to consider when predicting a listener's susceptibility to reverberation depends on the amount of reverberation in an environment. Clinicians may be able to use different listener factors to identify individuals who are more susceptible to reverberation and would be more likely to have difficulty communicating in reverberant environments.


Assuntos
Percepção Auditiva/fisiologia , Perda Auditiva Neurossensorial/diagnóstico , Memória de Curto Prazo/fisiologia , Som , Inteligibilidade da Fala , Percepção da Fala/fisiologia , Idoso , Idoso de 80 Anos ou mais , Audiometria/métodos , Limiar Auditivo/fisiologia , Feminino , Avaliação Geriátrica/métodos , Perda Auditiva Neurossensorial/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Medição de Risco
16.
Trends Hear ; 22: 2331216517750706, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29320944

RESUMO

Reverberation enhances music perception and is one of the most important acoustic factors in auditorium design. However, previous research on reverberant music perception has focused on young normal-hearing (YNH) listeners. Old hearing-impaired (OHI) listeners have degraded spatial auditory processing; therefore, they may perceive reverberant music differently. Two experiments were conducted examining the effects of varying reverberation on music perception for YNH and OHI listeners. Experiment 1 examined whether YNH listeners and OHI listeners prefer different amounts of reverberation for classical music listening. Symphonic excerpts were processed at a range of reverberation times using a point-source simulation. Listeners performed a paired-comparisons task in which they heard two excerpts with different reverberation times, and they indicated which they preferred. The YNH group preferred a reverberation time of 2.5 s; however, the OHI group did not demonstrate any significant preference. Experiment 2 examined whether OHI listeners are less sensitive to (e, less able to discriminate) differences in reverberation time than YNH listeners. YNH and OHI participants listened to pairs of music excerpts and indicated whether they perceived the same or different amount of reverberation. Results indicated that the ability of both groups to detect differences in reverberation time improved with increasing reverberation time difference. However, discrimination was poorer for the OHI group than for the YNH group. This suggests that OHI listeners are less sensitive to differences in reverberation when listening to music than YNH listeners, which might explain the lack of group reverberation time preferences of the OHI group.


Assuntos
Percepção Auditiva , Perda Auditiva , Música , Estimulação Acústica , Adulto , Idoso , Feminino , Audição , Humanos , Masculino , Pessoa de Meia-Idade , Percepção da Fala , Adulto Jovem
17.
Proc Meet Acoust ; 33(1)2018 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-30627315

RESUMO

The current state of consumer-grade electronics means that researchers, clinicians, students, and members of the general public across the globe can create high-quality auditory stimuli using tablet computers, built-in sound hardware, and calibrated consumer-grade headphones. Our laboratories have created a free application that supports this work: PART (Portable Automated Rapid Testing). PART has implemented a range of psychoacoustical tasks including: spatial release from speech-on-speech masking, binaural sensitivity, gap discrimination, temporal modulation, spectral modulation, and spectrotemporal modulation (STM). Here, data from the spatial release and STM tasks are presented. Data were collected across the globe on tablet computers using applications available for free download, built-in sound hardware, and calibrated consumer-grade headphones. Spatial release results were as good or better than those obtained with standard laboratory methods. Spectrotemporal modulation thresholds were obtained rapidly and, for younger normal hearing listeners, were also as good or better than those in the literature. For older hearing impaired listeners, rapid testing resulted in similar thresholds to those reported in the literature. Listeners at five different testing sites produced very similar STM thresholds, despite a variety of testing conditions and calibration routines. Download Spatial Release, PART, and Listen: An Auditory Training Experience for free at https://bgc.ucr.edu/games/.

18.
Am J Audiol ; 26(3S): 462-466, 2017 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-29049629

RESUMO

PURPOSE: Dynamic pitch, the variation in the fundamental frequency of speech, aids older listeners' speech perception in noise. It is unclear, however, whether some older listeners with hearing loss benefit from strengthened dynamic pitch cues for recognizing speech in certain noise scenarios and how this relative benefit may be associated with individual factors. We first examined older individuals' relative benefit between natural and strong dynamic pitches for better speech recognition in noise. Further, we reported the individual factors of the 2 groups of listeners who benefit differently from natural and strong dynamic pitches. METHOD: Speech reception thresholds of 13 older listeners with mild-moderate hearing loss were measured using target speech with 3 levels of dynamic pitch strength. Individuals' ability to benefit from dynamic pitch was defined as the speech reception threshold difference between speeches with and without dynamic pitch cues. RESULTS: The relative benefit of natural versus strong dynamic pitch varied across individuals. However, this relative benefit remained consistent for the same individuals across those background noises with temporal modulation. Those listeners who benefited more from strong dynamic pitch reported better subjective speech perception abilities. CONCLUSION: Strong dynamic pitch may be more beneficial than natural dynamic pitch for some older listeners to recognize speech better in noise, particularly when the noise has temporal modulation.


Assuntos
Sinais (Psicologia) , Perda Auditiva Neurossensorial/fisiopatologia , Ruído , Percepção da Altura Sonora , Percepção da Fala , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Teste do Limiar de Recepção da Fala
19.
J Acoust Soc Am ; 142(1): EL130, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-28764441

RESUMO

Wide dynamic range compression (WDRC) processing in hearing aids alters the signal-to-noise ratio (SNR) of a speech-in-noise signal. This effect depends on the modulations of the speech and noise, input SNR, and WDRC speed. The purpose of the present experiment was to examine the change in output SNR caused by the interaction between modulation characteristics and WDRC speed. Two modulation manipulations were examined: (1) reverberation and (2) variation in background talker number. Results indicated that fast-acting WDRC altered SNR more than slow-acting WDRC; however, reverberation reduced this difference. Additionally, less modulated maskers led to poorer output SNRs than modulated maskers.


Assuntos
Correção de Deficiência Auditiva/instrumentação , Auxiliares de Audição , Ruído/efeitos adversos , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/reabilitação , Percepção da Fala , Estimulação Acústica , Audiometria da Fala , Humanos , Movimento (Física) , Pessoas com Deficiência Auditiva/psicologia , Processamento de Sinais Assistido por Computador , Razão Sinal-Ruído , Som , Fatores de Tempo , Vibração
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