Comparing Scores on the Peabody Picture Vocabulary Test and Receptive One-Word Picture Vocabulary Test in Preschoolers With and Without Hearing Loss.

PURPOSE: We sought to compare raw scores, standard scores, and age equivalences on two commonly used vocabulary tests, the Peabody Picture Vocabulary Test (PPVT) and the Receptive One-Word Picture Vocabulary Test (ROWPVT). METHOD: Sixty-two children, 31 with hearing loss (HL) and 31 with normal hearing (NH), were given both the PPVT and ROWPVT as part of an ongoing longitudinal study of emergent literacy development in preschoolers with and without HL. All children were between 3 and 4 years old at administration, and the two tests were administered within 3 weeks of each other. Both tests were given again 6 months later. Standard scores and age equivalencies were calculated for both tests using published guidelines. RESULTS: There was no significant effect of test for any of our analyses. However, there was a main effect of time, with both standard scores and age equivalencies being significantly higher at the second test. Children with NH had significantly higher standard scores and age equivalencies than children with NH, but there was no interaction between hearing status and time, suggesting that the two groups were growing at the same rate. CONCLUSIONS: Clinicians can be comfortable administering both the PPVT and ROWPVT to estimate children's vocabulary levels, but there may be practice effects when administering the tests twice within a calendar year. These data also indicate that children with HL continue to lag behind their peers with NH on vocabulary development. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.23232848.

Rethinking Emergent Literacy in Children With Hearing Loss.

Long-term literacy outcomes for children with hearing loss, particularly those with severe-to-profound deafness who are fitted with cochlear implants (CIs) lag behind those of children with normal hearing (NH). The causes for these long-term deficits are not fully clear, though differences in auditory access between children who use CIs and those with NH may be a partial cause. This paper briefly reviews the emergent literacy model as proposed by Whitehurst and Lonigan (1998). We then examine the development of each of Whitehurst and Lonigan's identified factors in children who use CIs and how the extant knowledge of language and literacy development in children who use CIs may bear on the emergent literacy model. We then propose to modify the model for children who use CIs based on their unique developmental trajectories, influenced at least in part by their unique auditory access. We conclude with future directions for further development of an evidence-based emergent literacy model for children who use CIs and how this model could be used to inform intervention.

The effect of the menstrual cycle on dichotic listening.

The purpose of this study was to determine the effect of the menstrual cycle on responses to a dichotic listening task. It was hypothesized that participants would exhibit a stronger right ear advantage during the menstrual cycle days when estrogen levels are at their peak. It was also hypothesized that the women not taking oral contraceptives would exhibit greater variations in ear advantage over the course of their menstrual cycle than those taking oral contraceptives. Finally, it was hypothesized that the error response rates would remain similar across different listening conditions and over the menstrual cycle. The participants were 30 women who took oral contraceptives and 15 who did not. They completed nine listening sessions comprised of three dichotic listening tasks: forced-left, forced-right, and open. The data were analyzed using a mixed effects models. The participants exhibited a reduction in right ear responses on the days that corresponded to when the level of estrogen would begin to increase. This response was different from what had been hypothesized. The analysis also indicated no response differences between the two groups of women. In addition, the women exhibited fewer errors over the course of the sessions, implying that they adapted to the task. The results indicate that the women's hormone fluctuation across the menstrual cycle affected their responses to the forced-left, cognitive control, task only.

Effects of Familiarization on Intelligibility of Dysarthric Speech in Older Adults With and Without Hearing Loss.

Purpose: Familiarization tasks offer a promising platform for listener-targeted remediation of intelligibility disorders associated with dysarthria. To date, the body of work demonstrating improved understanding of dysarthric speech following a familiarization experience has been carried out on younger adults. The primary purpose of the present study was to examine the intelligibility effects of familiarization in older adults. Method: Nineteen older adults, with and without hearing loss, completed a familiarization protocol consisting of three phases: pretest, familiarization, and posttest. The older adults' initial intelligibility and intelligibility improvement scores were compared with previously reported data collected from 50 younger adults (Borrie, Lansford, & Barrett, 2017a). Results: Relative to younger adults, initial intelligibility scores were significantly lower for older adults, although additional analysis revealed that the difference was limited to older adults with hearing loss. Key, however, is that irrespective of hearing status, the older and younger adults achieved comparable intelligibility improvement following familiarization (gain of roughly 20 percentage points). Conclusion: This study extends previous findings of improved intelligibility of dysarthria following familiarization to a group of listeners who are critical to consider in listener-targeted remediation, namely, aging caregivers and/or spouses of individuals with dysarthria.

Neural preservation underlies speech improvement from auditory deprivation in young cochlear implant recipients.

Although cochlear implantation enables some children to attain age-appropriate speech and language development, communicative delays persist in others, and outcomes are quite variable and difficult to predict, even for children implanted early in life. To understand the neurobiological basis of this variability, we used presurgical neural morphological data obtained from MRI of individual pediatric cochlear implant (CI) candidates implanted younger than 3.5 years to predict variability of their speech-perception improvement after surgery. We first compared neuroanatomical density and spatial pattern similarity of CI candidates to that of age-matched children with normal hearing, which allowed us to detail neuroanatomical networks that were either affected or unaffected by auditory deprivation. This information enables us to build machine-learning models to predict the individual children's speech development following CI. We found that regions of the brain that were unaffected by auditory deprivation, in particular the auditory association and cognitive brain regions, produced the highest accuracy, specificity, and sensitivity in patient classification and the most precise prediction results. These findings suggest that brain areas unaffected by auditory deprivation are critical to developing closer to typical speech outcomes. Moreover, the findings suggest that determination of the type of neural reorganization caused by auditory deprivation before implantation is valuable for predicting post-CI language outcomes for young children.

Receptive Vocabulary, Cognitive Flexibility, and Inhibitory Control Differentially Predict Older and Younger Adults' Success Perceiving Speech by Talkers With Dysarthria.

Purpose: Previous research has demonstrated equivocal findings related to the effect of listener age on intelligibility ratings of dysarthric speech. The aim of the present study was to investigate the mechanisms that support younger and older adults' perception of speech by talkers with dysarthria. Method: Younger and older adults identified words in phrases produced by talkers with dysarthria. Listeners also completed assessments on peripheral hearing, receptive vocabulary, and executive control functions. Results: Older and younger adults did not differ in their ability to perceive speech by talkers with dysarthria. Younger adults' success in identifying words produced by talkers with dysarthria was associated only with their hearing acuity. In contrast, older adults showed effects of working memory and cognitive flexibility and interactions between hearing acuity and receptive vocabulary and between hearing acuity and inhibitory control. Conclusions: Although older and younger adults had equivalent performance identifying words produced by talkers with dysarthria, older adults appear to utilize more cognitive support to identify those words.

Cognitive factors as predictors of accented speech perception for younger and older adults.

Though some studies suggest that older adults are not differentially impacted by foreign-accented speech relative to younger adults, other studies indicate that older adults are poorer at perceiving foreign-accented speech than younger adults. The present study sought, first, to clarify the extent to which older and younger adults differed in their perception of foreign-accented speech. The secondary aim was to elucidate the extent to which the cognitive mechanisms supporting accented speech perception differ for older and younger adults. The data indicated that older adults were poorer at perceiving accented speech than younger adults. Older adults' speech perception accuracy was associated with a significant main effect of working memory as well as significant interactions between hearing acuity and cognitive flexibility and between hearing acuity and inhibitory control. Younger adults' speech perception accuracy, in contrast, was associated with a significant interaction between hearing acuity and processing speed. It therefore appears that the differences in performance between younger and older adults observed here may be attributable to differences in the cognitive mechanisms that support accented speech perception.

Listeners' attitudes toward accented talkers uniquely predicts accented speech perception.

Listeners' sensitivity to indexical information influences their ability to perceive and remember speech, but it is less clear if listeners' subjective ratings of talker characteristics also impact speech perception ability. The present experiment tested the increase in variance accounted for by listeners' ratings of foreign accented talkers' manner of speaking and of the talkers themselves beyond the variance already accounted for by listeners' age, executive function, and hearing thresholds. Adding listeners' ratings significantly improved model fit, indicating that listeners' subjective experience of talker impacts speech perception accuracy along with objective listener characteristics such as hearing thresholds or executive function.

Non-native Speech Learning in Older Adults.

Though there is an extensive literature investigating the ability of younger adults to learn non-native phonology, including investigations into individual differences in younger adults' lexical tone learning, very little is known about older adults' ability to learn non-native phonology, including lexical tone. There are several reasons to suspect that older adults would use different learning mechanisms when learning lexical tone than younger adults, including poorer perception of dynamic pitch, greater reliance on working memory capacity in second language learning, and poorer category learning in older adulthood. The present study examined the relationships among older adults' baseline sensitivity for pitch patterns, working memory capacity, and declarative memory capacity with their ability to learn to associate tone with lexical meaning. In older adults, baseline pitch pattern sensitivity was not associated with generalization performance. Rather, older adults' learning performance was best predicted by declarative memory capacity. These data suggest that training paradigms will need to be modified to optimize older adults' non-native speech sound learning success.

Working memory training to improve speech perception in noise across languages.

Working memory capacity has been linked to performance on many higher cognitive tasks, including the ability to perceive speech in noise. Current efforts to train working memory have demonstrated that working memory performance can be improved, suggesting that working memory training may lead to improved speech perception in noise. A further advantage of working memory training to improve speech perception in noise is that working memory training materials are often simple, such as letters or digits, making them easily translatable across languages. The current effort tested the hypothesis that working memory training would be associated with improved speech perception in noise and that materials would easily translate across languages. Native Mandarin Chinese and native English speakers completed ten days of reversed digit span training. Reading span and speech perception in noise both significantly improved following training, whereas untrained controls showed no gains. These data suggest that working memory training may be used to improve listeners' speech perception in noise and that the materials may be quickly adapted to a wide variety of listeners.

Auditory-cognitive training improves language performance in prelingually deafened cochlear implant recipients.

OBJECTIVES: Phonological and working memory skills have been shown to be important for the development of spoken language. Children who use a cochlear implant (CI) show performance deficits relative to normal hearing (NH) children on all constructs: phonological skills, working memory, and spoken language. Given that phonological skills and working memory have been shown to be important for spoken language development in NH children, we hypothesized that training these foundational skills would result in improved spoken language performance in CI-using children. DESIGN: Nineteen prelingually deafened CI-using children aged 4- to 7-years-old participated. All children had been using their implants for at least one year and were matched on pre-implant hearing thresholds, hearing thresholds at study enrollment, and non-verbal IQ. Children were assessed on expressive vocabulary, listening language, spoken language, and composite language. Ten children received four weeks of training on phonological skills including rhyme, sound blending, and sound discrimination and auditory working memory. The remaining nine children continued with their normal classroom activities for four weeks. Language assessments were repeated following the training/control period. RESULTS: Children who received combined phonological-working memory training showed significant gains on expressive and composite language scores. Children who did not receive training showed no significant improvements at post-test. On average, trained children had gain scores of 6.35 points on expressive language and gain scores of 6.15 points whereas the untrained children had test-retest gain scores of 2.89 points for expressive language and 2.56 for composite language. CONCLUSION: Our results suggest that training to improve the phonological and working memory skills in CI-using children may lead to improved language performance.

Training to improve language outcomes in cochlear implant recipients.

Cochlear implants (CI) have brought with them hearing ability for many prelingually deafened children. Advances in CI technology have brought not only hearing ability but speech perception to these same children. Concurrent with the development of speech perception has come spoken language development, and one goal now is that prelingually deafened CI recipient children will develop spoken language capabilities on par with those of normal hearing (NH) children. This goal has not been met purely on the basis of the technology, and many CI recipient children lag behind their NH peers with large variability in outcomes, requiring further behavioral intervention. It is likely that CI recipient children struggle to develop spoken language at NH-like levels because they have deficits in both auditory and cognitive skills that underlie the development of language. Fortunately, both the auditory and cognitive training literature indicate an improvement of auditory and cognitive functioning following training. It therefore stands to reason that if training improves the auditory and cognitive skills that support language learning, language development itself should also improve. In the present manuscript we will review the auditory and cognitive training and their potential impact on speech outcomes with an emphasis on the speech perception literature.

Poorer phonetic perceivers show greater benefit in phonetic-phonological speech learning.

PURPOSE: Previous research has demonstrated that native English speakers can learn lexical tones in word context (pitch-to-word learning), to an extent. However, learning success depends on learners' pre-training sensitivity to pitch patterns. The aim of this study was to determine whether lexical pitch-pattern training given before lexical training could improve learning and whether or not the extent of improvement depends on pre-training pitch-pattern sensitivity. METHOD: Learners with high and low pitch-pattern sensitivity were given training on lexical pitch patterns before lexical training. RESULTS: It was found that such training resulted in better learning than lexical training alone, primarily in learners with low pre-training pitch-pattern sensitivity. CONCLUSION: These data support the importance of considering individual aptitudes when developing training and also the notion of phonetic-phonological-lexical continuity in word learning.

The effects of short-term computerized speech-in-noise training on postlingually deafened adult cochlear implant recipients.

PURPOSE: To determine if short-term computerized speech-in-noise training can produce significant improvements in speech-in-noise perception by cochlear implant (CI) recipients on standardized audiologic testing measures. METHOD: Five adult postlingually deafened CI recipients participated in 4 speech-in-noise training sessions using the Seeing and Hearing Speech program (Sensimetrics; Malden, MA). Each participant completed lessons concentrating on consonant and vowel recognition at word, phrase, and sentence levels. Speech-in-noise abilities were assessed using the QuickSIN (Killion, Niquette, Gudmundsen, Revit, & Banerjee, 2004) and the Hearing in Noise Test (HINT ( Nilsson, Soli & Sullivan, 1994)). RESULTS: All listeners significantly improved key word identification on the HINT after training, albeit only at the most favorable signal-to-noise ratio (SNR). Listeners also showed a significant reduction in the degree of SNR loss on the QuickSIN after training. CONCLUSION: Short-term speech-in-noise training may improve speech-in-noise perception in postlingually deafened adult CI recipients.

Can native Japanese listeners learn to differentiate/r-l/on the basis of F3 onset frequency?

Many attempts have been made to teach native Japanese listeners to perceptually differentiate English/r-l/(e.g. rock-lock). Though improvement is evident, in no case is final performance native English-like. We focused our training on the third formant onset frequency, shown to be the most reliable indicator of/r-l/category membership. We first presented listeners with instances of synthetic/r-l/stimuli varying only in F3 onset frequency, in a forced-choice identification training task with feedback. Evidence of learning was limited. The second experiment utilized an adaptive paradigm beginning with non-speech stimuli consisting only of/r/and/l/F3 frequency trajectories progressing to synthetic speech instances of/ra-la/; half of the trainees received feedback. Improvement was shown by some listeners, suggesting some enhancement of/r-l/identification is possible following training with only F3 onset frequency. However, only a subset of these listeners showed signs of generalization of the training effect beyond the trained synthetic context.

Predicting Native English-Like Performance by Native Japanese Speakers.

This study tested the predictions of the Speech Learning Model (SLM, Flege, 1988) on the case of native Japanese (NJ) speakers' perception and production of English /ɹ / and /l/. NJ speakers' degree of foreign accent, intelligibility of /ɹ -l/ productions, and ability to perceive natural speech /ɹ -l/ were assessed as a function of length of residency in North America, age of arrival in North America, years of student status in an English environment, and percentage of Japanese usage. Additionally, the extent to which NJ speakers' utilized the F3 onset cue when differentiating /ɹ -l/ in perception and production was assessed, this cue having previously been shown to be the most reliable indicator of category membership. As predicted, longer residencies predicted more native English-like accents, more intelligible productions, and more accurate natural speech identifications; however, no changes were observed in F3 reliance, indicating that though performance improves it does so through reliance on other cues.

A strong test of the dual-mode hypothesis.

One account of facial cognition, the dual-mode hypothesis, maintains that there are two sources of information in a human face, featural and configural, and that these sources are processed simultaneously and independently of one another. According to the hypothesis, the processing and identification of upright faces relies primarily on configural information, and this information is disrupted to such an extent upon inversion as to result in a reliance on featural information for identifying inverted faces (e.g., Searcy & Bartlett, 1996). When considered in terms of the general characteristics of human information processing, the foundational assumptions of the dual-mode hypothesis are as follows: Facial information processing is accomplished by a parallel self-terminating architecture with unlimited capacity to supercapacity and a preservation of independence between the rates of processing of featural and configural information. Although a number of studies have provided evidence consistent with the dual-mode hypothesis, until now there have been no direct tests of the foundational assumptions of the hypothesis. The present study provides that direct test, providing strong support for three of the assumptions (parallel self-terminating processing with unlimited capacity to supercapacity) while contradicting a fourth (independence in rates).

Preserving informational separability and violating decisional separability in facial perception and recognition.

The holistic encoding hypothesis (M. J. Farah, K. D. Wilson, M. Drain, & J. N. Tanaka, 1998) proposes that faces are encoded and used in perception and cognition as relatively undifferentiated wholes. A previous study (M. J. Wenger & E. M. Ingvalson, 2002) found very little support for the strong version of this hypothesis and instead found evidence that shifts in decisional criteria may be important. This study provides a replication and stronger test of those findings, demonstrating consistent violations of decisional separability and preservation of informational separability in both immediate perception and delayed recognition.

A decisional component of holistic encoding.

It has been proposed (see, specifically, M. J. Farah, K. D. Wilson, M. Drain, & J. N. Tanaka, 1998) that human faces are used in cognition as undifferentiated wholes. General recognition theory (GRT; F. G. Ashby & J. T. Townsend, 1986) is used to represent hypotheses regarding the possible sources for the behavioral evidence supporting holistic representation. Specifically, it is suggested that holism can be understood in terms of violations of informational independence, informational separability, or decisional separability, as these constructs are defined in GRT. Stimuli were presented upright, inverted, and in an encoding task that emphasized the meaningful nature of the stimuli. Patterns of performance (recognition hit rates) were consistent with prior studies. However, there were only a handful of violations of informational separability. Instead, consistent violations of decisional separability suggested a decisional basis for holistic effects.