scholarly journals Speech-perception training for older adults with hearing loss impacts word recognition and effort

2014 ◽  
Vol 51 (10) ◽  
pp. 1046-1057 ◽  
Author(s):  
Stefanie E. Kuchinsky ◽  
Jayne B. Ahlstrom ◽  
Stephanie L. Cute ◽  
Larry E. Humes ◽  
Judy R. Dubno ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Word Recognition ◽  
Perception Training

Hearing Loss, Aging, and Speech Perception in Reverberation and Noise

1990 ◽  
Vol 33 (1) ◽  
pp. 149-155 ◽  
Author(s):  
Karen S. Helfer ◽  
Laura A. Wilber
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Nonsense Syllable ◽  
Normal Hearing ◽  
Four Levels ◽  
Reverberant Speech ◽  
Pure Tone Threshold

The present investigation examined the effect of reverberation and noise on the perception of nonsense syllables by four groups of subjects: younger (≤35 years of age) and older (>60 years of age) listeners with mild-to-moderate sensorineural hearing loss; younger, normal-hearing individuals; and older adults with minimal peripheral hearing loss. Copies of the Nonsense Syllable Test (Resnick, Dubno, Huffnung, & Levitt, 1975) were re-recorded under four levels of reverberation (0.0, 0.6, 0.9, 1.3 s) in quiet and in cafeteria noise at + 10 dB S:N. Results suggest that both age and amount of pure-tone hearing loss contribute to senescent changes in the ability to understand noisy, reverberant speech: pure-tone threshold and age were correlated negatively with performance in reverberation plus noise, although age and pure-tone hearing loss were not correlated with each other. Further, many older adults with minimal amounts of peripheral hearing loss demonstrated difficulty understanding distorted consonants.

scholarly journals Task-Related Vigilance During Word Recognition in Noise for Older Adults with Hearing Loss

2015 ◽  
Vol 42 (1) ◽  
pp. 50-66 ◽  
Author(s):  
Stefanie E. Kuchinsky ◽  
Kenneth I. Vaden ◽  
Jayne B. Ahlstrom ◽  
Stephanie L. Cute ◽  
Larry E. Humes ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Word Recognition

scholarly journals Cingulo-Opercular Function During Word Recognition in Noise for Older Adults with Hearing Loss

2015 ◽  
Vol 42 (1) ◽  
pp. 67-82 ◽  
Author(s):  
Kenneth I. Vaden ◽  
Stefanie E. Kuchinsky ◽  
Jayne B. Ahlstrom ◽  
Susan E. Teubner-Rhodes ◽  
Judy R. Dubno ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Word Recognition

scholarly journals Study of Acute and Sub-Acute Effects of Auditory Training on the Central Auditory Processing in Older Adults with Hearing Loss—A Pilot Study

2020 ◽  
Vol 17 (14) ◽  
pp. 4944
Author(s):  
Carla Matos Silva ◽  
Carolina Fernandes ◽  
Clara Rocha ◽  
Telmo Pereira
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Auditory Processing ◽  
Test Group ◽  
Auditory Training ◽  
Central Auditory Processing ◽  
Speech In Noise ◽  
Noise Test ◽  
Group 1

Background: Impairment in speech perception is a common feature of older adults. This study aimed at evaluating the acute and sub-acute (after three months) effects of auditory training on central auditory processing in older people with hearing loss. Methods: A nonrandomized study was conducted enrolling 15 older adults with hearing loss and an average age of 78.6 ± 10.9 years. All participants underwent a baseline otoscopy, tympanogram, audiogram and speech-in-noise test with a signal-noise ratio (SNR) of 10 and 15 dB. Afterwards, auditory training intervention was implemented consisting of 10 training sessions over 5 weeks. Participants were divided into two groups: group 1 (G1) underwent auditory training based on a speech-in-noise test; group 2 (G2) underwent a filtered-speech test. Auditory processing was evaluated at baseline (T0) immediately after the intervention (T1) and 3 months after the intervention (T2). Results: Group 1 were quite efficient regardless of the SNR in the right ear with statistically significant differences from T0 to T1 (p = 0.003 and p = 0.006 for 10 dB and 15 dB, respectively) and T0 to T2 (p = 0.011 and 0.015 for 10 dB and 15 dB, respectively). As for the left ear, the increase of success was statistically significant for the SNR of 10 dB and 15 dB from T0 to T1 (p = 0.001 and p = 0.014, respectively) and from T0 to T2 (p = 0.016 and p = 0.003). In G2, there was a significant variation only from T0 for T1 in the left ear for an SNR of 10 dB (p = 0.001). Conclusion: Speech perception in noise significantly improved after auditory training in old adults.

Delaying Cochlear Implantation Impacts Postoperative Speech Perception of Nontraditional Pediatric Candidates

2020 ◽  
pp. 1-6
Author(s):  
Lisa R. Park ◽  
Elizabeth L. Perkins ◽  
Jennifer S. Woodard ◽  
Kevin D. Brown
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Word Recognition ◽  
Cochlear Implantation ◽  
Delay Time ◽  
Residual Hearing ◽  
Progressive Hearing Loss ◽  
Significant Difference ◽  
Significant Regression ◽  
The Impact

<b><i>Introduction:</i></b> As pediatric cochlear implant (CI) candidacy expands, children with greater degrees of residual hearing are receiving CIs. These nontraditional candidates have audiometric thresholds that meet adult manufacturer labeling but are better than current pediatric guidelines allow. The purpose of this study was to determine the impact of delayed cochlear implantation on speech perception in nontraditional pediatric CI recipients. <b><i>Methods:</i></b> Pediatric CI recipients with a history of progressive hearing loss and a preoperative 4-frequency pure-tone average of ≤75 dB HL at the time of implantation were considered for this retrospective study. Preoperative serial audiograms and word recognition scores were reviewed, and a method was created to establish a date when each individual ear 1st met nontraditional candidacy. The length of time between the date of candidacy and implantation was calculated and defined as the “delay time.” A multiple linear regression investigated delay time, age at surgery, surgery type (1st vs. 2nd side), and array type as predictive factors of maximum postoperative Consonant-Nucleus-Consonant (CNC) word scores. A one-way ANCOVA was performed comparing the postoperative CNC scores between subjects grouped by delay time. <b><i>Results:</i></b> A significant regression was found (<i>F</i>(4, 38) = 5.167, <i>p</i> = 0.002, <i>R</i><sup>2</sup> = 0.353). Both age at implantation (<i>p</i> = 0.023) and delay time (<i>p</i> = 0.002) predicted CNC word scores. Longer delay time was associated with poorer word recognition scores, while older age at implantation correlated with higher CNC word scores in this progressive hearing loss group. A significant difference was noted between subjects implanted with &#x3c;1 year of delay and those with 3 or more years of delay (<i>p</i> = 0.003). All ears implanted within a year of candidacy achieved word recognition abilities that are generally accepted as above average (<i>M</i> = 84.91). <b><i>Conclusion:</i></b> CI candidacy for adults has evolved to allow for greater degrees of residual hearing, while audiometric guidelines for children have not changed since 2000. Our findings suggest that delay of cochlear implantation, even for children with significant levels of residual hearing, leads to poorer outcomes. Modified candidacy guidelines for children should be established to expedite referral to multidisciplinary CI teams and minimize delays in this population.

scholarly journals Effects of Hearing and Aging on Sentence-Level Time-Gated Word Recognition

2015 ◽  
Vol 58 (2) ◽  
pp. 481-496 ◽  
Author(s):  
Michelle R. Molis ◽  
Sean D. Kampel ◽  
Garnett P. McMillan ◽  
Frederick J. Gallun ◽  
Serena M. Dann ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Word Recognition ◽  
Target Word ◽  
Task Performance ◽  
Segment Length ◽  
Correct Identification ◽  
Linear Regression Models ◽  
Sentence Level ◽  
Word Duration

Purpose Aging is known to influence temporal processing, but its relationship to speech perception has not been clearly defined. To examine listeners' use of contextual and phonetic information, the Revised Speech Perception in Noise test (R-SPIN) was used to develop a time-gated word (TGW) task. Method In Experiment 1, R-SPIN sentence lists were matched on context, target-word length, and median word segment length necessary for target recognition. In Experiment 2, TGW recognition was assessed in quiet and in noise among adults of various ages with normal hearing to moderate hearing loss. Linear regression models of the minimum word duration necessary for correct identification and identification failure rates were developed. Age and hearing thresholds were modeled as continuous predictors with corrections for correlations among multiple measurements of the same participants. Results While aging and hearing loss both had significant impacts on task performance in the most adverse listening condition (low context, in noise), for most conditions, performance was limited primarily by hearing loss. Conclusion Whereas hearing loss was strongly related to target-word recognition, the effect of aging was only weakly related to task performance. These results have implications for the design and evaluation of studies of hearing and aging.

Evidence-Based Recommendation for Bilateral Cochlear Implantation in Adults

2019 ◽  
Vol 28 (3S) ◽  
pp. 775-782 ◽  
Author(s):  
Agnes Au ◽  
Richard C. Dowell
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Word Recognition ◽  
Cochlear Implant ◽  
Developed Countries ◽  
Evidence Based ◽  
Residual Hearing ◽  
Speech Perception In Noise ◽  
Bilateral Group ◽  
Acquired Hearing Loss

Purpose Most adult cochlear implant (CI) users in developed countries benefit from the use of a hearing aid in conjunction with their implant device (bimodal hearing). Benefits have also been documented for the use of bilateral CIs for speech perception in quiet, localization, and speech perception in noise. This study attempted to quantify speech perception results for bimodal and bilateral CIs in adults and provide a guide for those considering a 2nd CI. Method Speech perception outcomes were reviewed for 1,394 adults with acquired hearing loss who received a CI at the Melbourne Cochlear Implant Clinic between 2000 and 2015. Results Bimodal and bilateral users significantly outperformed unilateral CI users on consonant–vowel–consonant word recognition in quiet. For the bilateral group, word recognition scores with the 1st CI were predictive of 2nd CI word scores. The analysis suggested that bimodal users who were gaining less than 19% benefit from the nonimplanted ear were likely to perform better with a 2nd implant. Conclusions CI users who score less than 19% on consonant–vowel–consonant words in the nonimplanted ear have a good chance of benefiting from a 2nd implant. Consideration of many other factors including age, hearing goals, medical factors, and the risk to residual hearing also needs to play a part in recommending a 2nd CI.

Effects of bilingualism, noise, and reverberation on speech perception by listeners with normal hearing

2006 ◽  
Vol 27 (3) ◽  
pp. 465-485 ◽  
Author(s):  
CATHERINE L. ROGERS ◽  
JENNIFER J. LISTER ◽  
DASHIELLE M. FEBO ◽  
JOAN M. BESING ◽  
HARVEY B. ABRAMS
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Word Recognition ◽  
American English ◽  
Foreign Accent ◽  
English Speakers ◽  
Monosyllabic Word ◽  
Listening Environments ◽  
Perceptual Abilities ◽  
American English Speakers

This study compared monosyllabic word recognition in quiet, noise, and noise with reverberation for 15 monolingual American English speakers and 12 Spanish–English bilinguals who had learned English prior to 6 years of age and spoke English without a noticeable foreign accent. Significantly poorer word recognition scores were obtained for the bilingual listeners than for the monolingual listeners under conditions of noise and noise with reverberation, but not in quiet. Although bilinguals with little or no foreign accent in their second language are often assumed by their peers, or their clinicians in the case of hearing loss, to be identical in perceptual abilities to monolinguals, the present data suggest that they may have greater difficulty in recognizing words in noisy or reverberant listening environments.

scholarly journals Central Presbycusis: A Review and Evaluation of the Evidence

2012 ◽  
Vol 23 (08) ◽  
pp. 635-666 ◽  
Author(s):  
Larry E. Humes ◽  
Judy R. Dubno ◽  
Sandra Gordon-Salant ◽  
Jennifer J. Lister ◽  
Anthony T. Cacace ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Auditory Processing ◽  
Temporal Discrimination ◽  
Speech Understanding ◽  
Negative Effects ◽  
Behavioral Measures ◽  
Compressed Speech ◽  
Competing Speech

Background: The authors reviewed the evidence regarding the existence of age-related declines in central auditory processes and the consequences of any such declines for everyday communication. Purpose: This report summarizes the review process and presents its findings. Data Collection and Analysis: The authors reviewed 165 articles germane to central presbycusis. Of the 165 articles, 132 articles with a focus on human behavioral measures for either speech or nonspeech stimuli were selected for further analysis. Results: For 76 smaller-scale studies of speech understanding in older adults reviewed, the following findings emerged: (1) the three most commonly studied behavioral measures were speech in competition, temporally distorted speech, and binaural speech perception (especially dichotic listening); (2) for speech in competition and temporally degraded speech, hearing loss proved to have a significant negative effect on performance in most of the laboratory studies; (3) significant negative effects of age, unconfounded by hearing loss, were observed in most of the studies of speech in competing speech, time-compressed speech, and binaural speech perception; and (4) the influence of cognitive processing on speech understanding has been examined much less frequently, but when included, significant positive associations with speech understanding were observed.For 36 smaller-scale studies of the perception of nonspeech stimuli by older adults reviewed, the following findings emerged: (1) the three most frequently studied behavioral measures were gap detection, temporal discrimination, and temporal-order discrimination or identification; (2) hearing loss was seldom a significant factor; and (3) negative effects of age were almost always observed.For 18 studies reviewed that made use of test batteries and medium-to-large sample sizes, the following findings emerged: (1) all studies included speech-based measures of auditory processing; (2) 4 of the 18 studies included nonspeech stimuli; (3) for the speech-based measures, monaural speech in a competing-speech background, dichotic speech, and monaural time-compressed speech were investigated most frequently; (4) the most frequently used tests were the Synthetic Sentence Identification (SSI) test with Ipsilateral Competing Message (ICM), the Dichotic Sentence Identification (DSI) test, and time-compressed speech; (5) many of these studies using speech-based measures reported significant effects of age, but most of these studies were confounded by declines in hearing, cognition, or both; (6) for nonspeech auditory-processing measures, the focus was on measures of temporal processing in all four studies; (7) effects of cognition on nonspeech measures of auditory processing have been studied less frequently, with mixed results, whereas the effects of hearing loss on performance were minimal due to judicious selection of stimuli; and (8) there is a paucity of observational studies using test batteries and longitudinal designs. Conclusions: Based on this review of the scientific literature, there is insufficient evidence to confirm the existence of central presbycusis as an isolated entity. On the other hand, recent evidence has been accumulating in support of the existence of central presbycusis as a multifactorial condition that involves age- and/or disease-related changes in the auditory system and in the brain. Moreover, there is a clear need for additional research in this area.

scholarly journals The Effect of Hearing Aid Use on Cognition in Older Adults: Can We Delay Decline or Even Improve Cognitive Function?

2020 ◽  
Vol 9 (1) ◽  
pp. 254 ◽  
Author(s):  
Julia Sarant ◽  
David Harris ◽  
Peter Busby ◽  
Paul Maruff ◽  
Adrian Schembri ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hearing Loss ◽  
Executive Function ◽  
Speech Perception ◽  
Cognitive Function ◽  
Hearing Aid ◽  
Visual Learning ◽  
Hearing Aid Use

Hearing loss is a modifiable risk factor for dementia in older adults. Whether hearing aid use can delay the onset of cognitive decline is unknown. Participants in this study (aged 62–82 years) were assessed before and 18 months after hearing aid fitting on hearing, cognitive function, speech perception, quality of life, physical activity, loneliness, isolation, mood, and medical health. At baseline, multiple linear regression showed hearing loss and age predicted significantly poorer executive function performance, while tertiary education predicted significantly higher executive function and visual learning performance. At 18 months after hearing aid fitting, speech perception in quiet, self-reported listening disability and quality of life had significantly improved. Group mean scores across the cognitive test battery showed no significant decline, and executive function significantly improved. Reliable Change Index scores also showed either clinically significant improvement or stability in executive function for 97.3% of participants, and for females for working memory, visual attention and visual learning. Relative stability and clinically and statistically significant improvement in cognition were seen in this participant group after 18 months of hearing aid use, suggesting that treatment of hearing loss with hearing aids may delay cognitive decline. Given the small sample size, further follow up is required.

Sign in / Sign up

Export Citation Format

Share Document