The role of modulation characteristics on the interaction between hearing aid compression and signal-to-noise ratio

2016 ◽  
Vol 140 (4) ◽  
pp. 3438-3438
Author(s):  
Paul Reinhart ◽  
Pavel Zahorik ◽  
Pamela Souza
2002 ◽  
Vol 13 (01) ◽  
pp. 038-049 ◽  
Author(s):  
Gabrielle H. Saunders ◽  
Kathleen M. Cienkowski

Measurement of hearing aid outcome is particularly difficult because there are numerous dimensions to consider (e.g., performance, satisfaction, benefit). Often there are discrepancies between scores in these dimensions. It is difficult to reconcile these discrepancies because the materials and formats used to measure each dimension are so very different. We report data obtained with an outcome measure that examines both objective and subjective dimensions with the same test format and materials and gives results in the same unit of measurement (signal-to-noise ratio). Two variables are measured: a “performance” speech reception threshold and a “perceptual” speech reception threshold. The signal-to-noise ratio difference between these is computed to determine the perceptual-performance discrepancy (PPDIS). The results showed that, on average, 48 percent of the variance in subjective ratings of a hearing aid could be explained by a combination of the performance speech reception threshold and the PPDIS. These findings suggest that the measure is potentially a valuable clinical tool.


2020 ◽  
Vol 24 ◽  
pp. 233121652093339
Author(s):  
Els Walravens ◽  
Gitte Keidser ◽  
Louise Hickson

Trainable hearing aids let users fine-tune their hearing aid settings in their own listening environment: Based on consistent user-adjustments and information about the acoustic environment, the trainable aids will change environment-specific settings to the user’s preference. A requirement for effective fine-tuning is consistency of preference for similar settings in similar environments. The aim of this study was to evaluate consistency of preference for settings differing in intensity, gain-frequency slope, and directionality when listening in simulated real-world environments and to determine if participants with more consistent preferences could be identified based on profile measures. A total of 52 adults (63–88 years) with hearing varying from normal to a moderate sensorineural hearing loss selected their preferred setting from pairs differing in intensity (3 or 6 dB), gain-frequency slope (±1.3 or ± 2.7 dB/octave), or directionality (omnidirectional vs. cardioid) in four simulated real-world environments: traffic noise, a monologue in traffic noise at 5 dB signal-to-noise ratio, and a dialogue in café noise at 5 and at 0 dB signal-to-noise ratio. Forced-choice comparisons were made 10 times for each combination of pairs of settings and environment. Participants also completed nine psychoacoustic, cognitive, and personality measures. Consistency of preference, defined by a setting preferred at least 9 out of 10 times, varied across participants. More participants obtained consistent preferences for larger differences between settings and less difficult environments. The profile measures did not predict consistency of preference. Trainable aid users could benefit from counselling to ensure realistic expectations for particular adjustments and listening situations.


2019 ◽  
Vol 28 (1) ◽  
pp. 101-113 ◽  
Author(s):  
Jenna M. Browning ◽  
Emily Buss ◽  
Mary Flaherty ◽  
Tim Vallier ◽  
Lori J. Leibold

Purpose The purpose of this study was to evaluate speech-in-noise and speech-in-speech recognition associated with activation of a fully adaptive directional hearing aid algorithm in children with mild to severe bilateral sensory/neural hearing loss. Method Fourteen children (5–14 years old) who are hard of hearing participated in this study. Participants wore laboratory hearing aids. Open-set word recognition thresholds were measured adaptively for 2 hearing aid settings: (a) omnidirectional (OMNI) and (b) fully adaptive directionality. Each hearing aid setting was evaluated in 3 listening conditions. Fourteen children with normal hearing served as age-matched controls. Results Children who are hard of hearing required a more advantageous signal-to-noise ratio than children with normal hearing to achieve comparable performance in all 3 conditions. For children who are hard of hearing, the average improvement in signal-to-noise ratio when comparing fully adaptive directionality to OMNI was 4.0 dB in noise, regardless of target location. Children performed similarly with fully adaptive directionality and OMNI settings in the presence of the speech maskers. Conclusions Compared to OMNI, fully adaptive directionality improved speech recognition in steady noise for children who are hard of hearing, even when they were not facing the target source. This algorithm did not affect speech recognition when the background noise was speech. Although the use of hearing aids with fully adaptive directionality is not proposed as a substitute for remote microphone systems, it appears to offer several advantages over fixed directionality, because it does not depend on children facing the target talker and provides access to multiple talkers within the environment. Additional experiments are required to further evaluate children's performance under a variety of spatial configurations in the presence of both noise and speech maskers.


2014 ◽  
Vol 25 (10) ◽  
pp. 952-968 ◽  
Author(s):  
Stephen Julstrom ◽  
Linda Kozma-Spytek

Background: In order to better inform the development and revision of the American National Standards Institute C63.19 and American National Standards Institute/Telecommunications Industry Association-1083 hearing aid compatibility standards, a previous study examined the signal strength and signal (speech)-to-noise (interference) ratio needs of hearing aid users when using wireless and cordless phones in the telecoil coupling mode. This study expands that examination to cochlear implant (CI) users, in both telecoil and microphone modes of use. Purpose: The purpose of this study was to evaluate the magnetic and acoustic signal levels needed by CI users for comfortable telephone communication and the users’ tolerance relative to the speech levels of various interfering wireless communication–related noise types. Research Design: Design was a descriptive and correlational study. Simulated telephone speech and eight interfering noise types presented as continuous signals were linearly combined and were presented together either acoustically or magnetically to the participants’ CIs. The participants could adjust the loudness of the telephone speech and the interfering noises based on several assigned criteria. Study Sample: The 21 test participants ranged in age from 23–81 yr. All used wireless phones with their CIs, and 15 also used cordless phones at home. There were 12 participants who normally used the telecoil mode for telephone communication, whereas 9 used the implant’s microphone; all were tested accordingly. Data Collection and Analysis: A guided-intake questionnaire yielded general background information for each participant. A custom-built test control box fed by prepared speech-and-noise files enabled the tester or test participant, as appropriate, to switch between the various test signals and to precisely control the speech-and-noise levels independently. The tester, but not the test participant, could read and record the selected levels. Subsequent analysis revealed the preferred speech levels, speech (signal)-to-noise ratios, and the effect of possible noise-measurement weighting functions. Results: The participants' preferred telephone speech levels subjectively matched or were somewhat lower than the level that they heard from a 65 dB SPL wideband reference. The mean speech (signal)-to-noise ratio requirement for them to consider their telephone experience “acceptable for normal use” was 20 dB, very similar to the results for the hearing aid users of the previous study. Significant differences in the participants’ apparent levels of noise tolerance among the noise types when the noise level was determined using A-weighting were eliminated when a CI-specific noise-measurement weighting was applied. Conclusions: The results for the CI users in terms of both preferred levels for wireless and cordless phone communication and signal-to-noise requirements closely paralleled the corresponding results for hearing aid users from the previous study, and showed no significant differences between the microphone and telecoil modes of use. Signal-to-noise requirements were directly related to the participants’ noise audibility threshold and were independent of noise type when appropriate noise-measurement weighting was applied. Extending the investigation to include noncontinuous interfering noises and forms of radiofrequency interference other than additive audiofrequency noise could be areas of future study.


2013 ◽  
Vol 55 (10) ◽  
pp. 1003-1010 ◽  
Author(s):  
Sunhyun Yook ◽  
Kyoung Won Nam ◽  
Heepyung Kim ◽  
See Youn Kwon ◽  
Dongwook Kim ◽  
...  

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