Restoring Perceived Loudness for Listeners With Hearing Loss.

OBJECTIVES: Normalizing perceived loudness is an important rationale for gain adjustments in hearing aids. It has been demonstrated that gains required for restoring normal loudness perception for monaural narrowband signals can lead to higher-than-normal loudness in listeners with hearing loss, particularly for binaural broadband presentation. The present study presents a binaural bandwidth-adaptive dynamic compressor (BBDC) that can apply different gains for narrow- and broadband signals. It was hypothesized that normal perceived loudness for a broad variety of signals could be restored for listeners with mild to moderate high-frequency hearing loss by applying individual signal-dependent gain corrections. DESIGN: Gains to normalize perceived loudness for narrowband stimuli were assessed in 15 listeners with mild to moderate high-frequency hearing loss using categorical loudness scaling. Gains for narrowband loudness compensation were calculated and applied in a standard compressor. Aided loudness functions for signals with different bandwidths were assessed. The deviation from the average normal-hearing loudness functions was used for gain correction in the BBDC. Aided loudness functions for narrow- and broadband signals with BBDC were then assessed. Gains for a 65 dB SPL speech-shaped noise of BBDC were compared with gains based on National Acoustic Laboratories' nonlinear fitting procedure version 2 (NAL-NL2). The perceived loudness for 20 real signals was compared to the average normal-hearing rating. RESULTS: The suggested BBDC showed close-to-normal loudness functions for binaural narrow- and broadband signals for the listeners with hearing loss. Normal loudness ratings were observed for the real-world test signals. The proposed gain reduction method resulted on average in similar gains as prescribed by NAL-NL2. However, substantial gain variations compared to NAL-NL2 were observed in the data for individual listeners. Gain corrections after narrowband loudness compensation showed large interindividual differences for binaural broadband signals. Some listeners required no further gain reduction for broadband signals; for others, gains in decibels were more than halved for binaural broadband signals. CONCLUSION: The interindividual differences of the binaural broadband gain corrections indicate that relevant information for normalizing perceived loudness of binaural broadband signals cannot be inferred from monaural narrowband loudness functions. Over-amplification can be avoided if binaural broadband measurements are included in the fitting procedure. For listeners with a high binaural broadband gain correction factor, loudness compensation for narrowband and broadband stimuli cannot be achieved by compression algorithms that disregard the bandwidth of the input signals. The suggested BBDC includes individual binaural broadband corrections in a more appropriate way than threshold-based procedures.

Spectral and binaural loudness summation for hearing-impaired listeners.

Sensorineural hearing loss typically results in a steepened loudness function and a reduced dynamic range from elevated thresholds to uncomfortably loud levels for narrowband and broadband signals. Restoring narrowband loudness perception for hearing-impaired (HI) listeners can lead to overly loud perception of broadband signals and it is unclear how binaural presentation affects loudness perception in this case. Here, loudness perception quantified by categorical loudness scaling for nine normal-hearing (NH) and ten HI listeners was compared for signals with different bandwidth and different spectral shape in monaural and in binaural conditions. For the HI listeners, frequency- and level-dependent amplification was used to match the narrowband monaural loudness functions of the NH listeners. The average loudness functions for NH and HI listeners showed good agreement for monaural broadband signals. However, HI listeners showed substantially greater loudness for binaural broadband signals than NH listeners: on average a 14.1 dB lower level was required to reach "very loud" (range 30.8 to -3.7 dB). Overall, with narrowband loudness compensation, a given binaural loudness for broadband signals above "medium loud" was reached at systematically lower levels for HI than for NH listeners. Such increased binaural loudness summation was not found for loudness categories below "medium loud" or for narrowband signals. Large individual variations in the increased loudness summation were observed and could not be explained by the audiogram or the narrowband loudness functions.

Information and communication technologies for promoting and sustaining quality of life, health and self-sufficiency in ageing societies--outcomes of the Lower Saxony Research Network Design of Environments for Ageing (GAL).

Many societies across the world are confronted with demographic changes, usually related to increased life expectancy and, often, relatively low birth rates. Information and communication technologies (ICT) may contribute to adequately support senior citizens in aging societies with respect to quality of life and quality and efficiency of health care processes. For investigating and for providing answers on whether new information and communication technologies can contribute to keeping, or even improving quality of life, health and self-sufficiency in ageing societies through new ways of living and new forms of care, the Lower Saxony Research Network Design of Environments for Ageing (GAL) had been established as a five years research project, running from 2008 to 2013. Ambient-assisted living (AAL) technologies in personal and home environments were especially important. In this article we report on the GAL project, and present some of its major outcomes after five years of research. We report on major challenges and lessons learned in running and organizing such a large, inter- and multidisciplinary project and discuss GAL in the context of related research projects. With respect to research outcomes, we have, for example, learned new knowledge about multimodal and speech-based human-machine-interaction mechanisms for persons with functional restrictions, and identified new methods and developed new algorithms for identifying activities of daily life and detecting acute events, particularly falls. A total of 79 apartments of senior citizens had been equipped with specific "GAL technology", providing new insights into the use of sensor data for smart homes. Major challenges we had to face were to deal constructively with GAL's highly inter- and multidisciplinary aspects, with respect to research into GAL's application scenarios, shifting from theory and lab experimentation to field tests, and the complexity of organizing and, in our view, successfully managing such a large project. Overall it can be stated that, from our point of view, the GAL research network has been run successfully and has achieved its major research objectives. Since we now know much more on how and where to use AAL technologies for new environments of living and new forms of care, a future focus for research can now be outlined for systematically planned studies, scientifically exploring the benefits of AAL technologies for senior citizens, in particular with respect to quality of life and the quality and efficiency of health care.

Relation between loudness in categorical units and loudness in phons and sones.

Data are presented on the relation between loudness measured in categorical units (CUs) using a standardized loudness scaling method (ISO 16832, 2006) and loudness expressed as the classical standardized measures phon and sone. Based on loudness scaling of narrowband noise signals by 31 normal-hearing subjects, sound pressure levels eliciting the same categorical loudness were derived for various center frequencies. The results were comparable to the standardized equal-loudness level contours. A comparison between the loudness function in CUs at 1000 Hz and the standardized loudness function in sones indicates a cubic relation between the two loudness measures.

The Lower Saxony research network design of environments for ageing: towards interdisciplinary research on information and communication technologies in ageing societies.

Worldwide, ageing societies are bringing challenges for independent living and healthcare. Health-enabling technologies for pervasive healthcare and sensor-enhanced health information systems offer new opportunities for care. In order to identify, implement and assess such new information and communication technologies (ICT) the 'Lower Saxony Research Network Design of Environments for Ageing' (GAL) has been launched in 2008 as interdisciplinary research project. In this publication, we inform about the goals and structure of GAL, including first outcomes, as well as to discuss the potentials and possible barriers of such highly interdisciplinary research projects in the field of health-enabling technologies for pervasive healthcare. Although GAL's high interdisciplinarity at the beginning slowed down the speed of research progress, we can now work on problems, which can hardly be solved by one or few disciplines alone. Interdisciplinary research projects on ICT in ageing societies are needed and recommended.

Acoustic user interfaces for ambient-assisted living technologies.

This contribution discusses technologies for acoustic user interaction in ambient-assisted living (AAL) scenarios. Acoustic user interfaces allow for a natural and convenient way to interact with technical systems e.g. via sound or speech presentation or via speech input by means of automatic speech recognition (ASR) as well as by detection and classification of acoustic events. Older persons targeted by AAL technologies especially need more easy-to-use methods to interact with inherently complex supporting technology. As an example we designed and evaluated an application for acoustic user interaction with a multi-media reminder and calendar system. For this purpose, mainly older participants were involved in user studies to continuously evaluate and support the development strictly following a user-centred design process. The results suggest a wide acceptance of acoustic user interfaces by older users either for controlling inherently complex AAL systems by using robust ASR technologies or as a natural and ambient way of presenting information to the user. However, further research is needed to increase the robustness of ASR systems when using hands-free equipment, i.e. to provide a real ambient way of interaction, and to introduce personalised speech and sound presentation schemes accounting for the individual hearing capabilities and sound preferences.