Asunto(s)
Implantación Coclear , Implantes Cocleares , Percepción del Habla , Percepción Auditiva , Comprensión , HumanosRESUMEN
OBJECTIVES: Residual acoustic hearing in electric-acoustic stimulation (EAS) can benefit cochlear implant (CI) users in increased sound quality, speech intelligibility, and improved tolerance to noise. The goal of this study was to investigate whether the low-pass-filtered acoustic speech in simulated EAS can provide the additional benefit of reducing listening effort for the spectrotemporally degraded signal of noise-band-vocoded speech. DESIGN: Listening effort was investigated using a dual-task paradigm as a behavioral measure, and the NASA Task Load indeX as a subjective self-report measure. The primary task of the dual-task paradigm was identification of sentences presented in three experiments at three fixed intelligibility levels: at near-ceiling, 50%, and 79% intelligibility, achieved by manipulating the presence and level of speech-shaped noise in the background. Listening effort for the primary intelligibility task was reflected in the performance on the secondary, visual response time task. Experimental speech processing conditions included monaural or binaural vocoder, with added low-pass-filtered speech (to simulate EAS) or without (to simulate CI). RESULTS: In Experiment 1, in quiet with intelligibility near-ceiling, additional low-pass-filtered speech reduced listening effort compared with binaural vocoder, in line with our expectations, although not compared with monaural vocoder. In Experiments 2 and 3, for speech in noise, added low-pass-filtered speech allowed the desired intelligibility levels to be reached at less favorable speech-to-noise ratios, as expected. It is interesting that this came without the cost of increased listening effort usually associated with poor speech-to-noise ratios; at 50% intelligibility, even a reduction in listening effort on top of the increased tolerance to noise was observed. The NASA Task Load indeX did not capture these differences. CONCLUSIONS: The dual-task results provide partial evidence for a potential decrease in listening effort as a result of adding low-frequency acoustic speech to noise-band-vocoded speech. Whether these findings translate to CI users with residual acoustic hearing will need to be addressed in future research because the quality and frequency range of low-frequency acoustic sound available to listeners with hearing loss may differ from our idealized simulations, and additional factors, such as advanced age and varying etiology, may also play a role.
Asunto(s)
Estimulación Acústica/métodos , Estimulación Eléctrica/métodos , Ruido , Percepción del Habla/fisiología , Adolescente , Implantación Coclear , Implantes Cocleares , Femenino , Voluntarios Sanos , Pérdida Auditiva/fisiopatología , Pérdida Auditiva/rehabilitación , Humanos , Masculino , Análisis y Desempeño de Tareas , Adulto JovenRESUMEN
Speech perception is formed based on both the acoustic signal and listeners' knowledge of the world and semantic context. Access to semantic information can facilitate interpretation of degraded speech, such as speech in background noise or the speech signal transmitted via cochlear implants (CIs). This paper focuses on the latter, and investigates the time course of understanding words, and how sentential context reduces listeners' dependency on the acoustic signal for natural and degraded speech via an acoustic CI simulation.In an eye-tracking experiment we combined recordings of listeners' gaze fixations with pupillometry, to capture effects of semantic information on both the time course and effort of speech processing. Normal-hearing listeners were presented with sentences with or without a semantically constraining verb (e.g., crawl) preceding the target (baby), and their ocular responses were recorded to four pictures, including the target, a phonological (bay) competitor and a semantic (worm) and an unrelated distractor.The results show that in natural speech, listeners' gazes reflect their uptake of acoustic information, and integration of preceding semantic context. Degradation of the signal leads to a later disambiguation of phonologically similar words, and to a delay in integration of semantic information. Complementary to this, the pupil dilation data show that early semantic integration reduces the effort in disambiguating phonologically similar words. Processing degraded speech comes with increased effort due to the impoverished nature of the signal. Delayed integration of semantic information further constrains listeners' ability to compensate for inaudible signals.
Asunto(s)
Implantes Cocleares , Semántica , Percepción del Habla/fisiología , Adulto , Humanos , Fonética , Pupila/fisiologíaRESUMEN
This study compares two response-time measures of listening effort that can be combined with a clinical speech test for a more comprehensive evaluation of total listening experience; verbal response times to auditory stimuli (RT(aud)) and response times to a visual task (RTs(vis)) in a dual-task paradigm. The listening task was presented in five masker conditions; no noise, and two types of noise at two fixed intelligibility levels. Both the RTs(aud) and RTs(vis) showed effects of noise. However, only RTs(aud) showed an effect of intelligibility. Because of its simplicity in implementation, RTs(aud) may be a useful effort measure for clinical applications.
Asunto(s)
Audiometría del Habla/métodos , Tiempo de Reacción , Inteligibilidad del Habla , Percepción del Habla , Conducta Verbal , Estimulación Acústica , Adolescente , Adulto , Humanos , Ruido/efectos adversos , Enmascaramiento Perceptual , Estimulación Luminosa , Valor Predictivo de las Pruebas , Reproducibilidad de los Resultados , Factores de Tiempo , Percepción Visual , Adulto JovenRESUMEN
PURPOSE: Fitting a cochlear implant (CI) for optimal speech perception does not necessarily optimize listening effort. This study aimed to show that listening effort may change between CI processing conditions for which speech intelligibility remains constant. METHOD: Nineteen normal-hearing participants listened to CI simulations with varying numbers of spectral channels. A dual-task paradigm combining an intelligibility task with either a linguistic or nonlinguistic visual response-time (RT) task measured intelligibility and listening effort. The simultaneously performed tasks compete for limited cognitive resources; changes in effort associated with the intelligibility task are reflected in changes in RT on the visual task. A separate self-report scale provided a subjective measure of listening effort. RESULTS: All measures showed significant improvements with increasing spectral resolution up to 6 channels. However, only the RT measure of listening effort continued improving up to 8 channels. The effects were stronger for RTs recorded during listening than for RTs recorded between listening. CONCLUSION: The results suggest that listening effort decreases with increased spectral resolution. Moreover, these improvements are best reflected in objective measures of listening effort, such as RTs on a secondary task, rather than intelligibility scores or subjective effort measures.