scholarly journals Comparison of Speech Recognition and Subjective Hearing Handicap in Elderly Listeners as a Function of Degree of Hearing Loss

2020 ◽  
Vol 16 (2) ◽  
pp. 115-123
Author(s):  
KyooSang Kim ◽  
Subong Kim ◽  
Jae Hee Lee
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Hearing Impairment ◽  
The Elderly ◽  
Normal Hearing ◽  
Individual Variability ◽  
Psychological Aspects ◽  
World Health ◽  
Large Individual ◽  
Hearing Handicap

Purpose: This study aimed to compare objective speech recognition and subjective hearing handicap outcomes as a function of a degree of hearing loss. Methods: 120 elderly listeners participated, ranging in age from 60-83 years. Listeners’ degrees of hearing loss were derived corresponding to a newly proposed World Health Organization hearing impairment grading system. As objective outcomes, word and sentence recognition scores (WRS, SRS) in quiet were measured at an individually determined most comfortable level. The SRS in noise were obtained at 0 dB signal-to-noise ratio. The Korean Evaluation Scale for Hearing Handicap questionnaire for non-hearing aid users was used to evaluate the effects of hearing status on social and psychological aspects. Results: Within the same grading of hearing impairment, listeners tended to show a large individual variability in speech-in-noise recognition and subjective hearing handicaps. Listeners with even mild impairment had more reductions in SRS in noise and more handicaps in an interpersonal relationship compared to normal-hearing listeners. Among the listeners with no impairment or mild hearing impairment, listeners who had poorer sentence-in-noise scores actually showed greater hearing handicaps. The sentence-in-noise scores plus WRS explained the subjective hearing handicap by about 40%. Conclusion: The elderly with normal hearing or mild hearing loss can have reduced communication abilities in background noise, resulting in a negative effect on their social and psychological aspects. It is recommended to conduct the sentence-in-noise intelligibility test and the subjective hearing handicap survey as a standard audiometric measures to confirm the functional communication problems for the elderly.

Speech-Recognition Difficulties of the Hearing-Impaired Elderly

1990 ◽  
Vol 33 (4) ◽  
pp. 726-735 ◽  
Author(s):  
Larry E. Humes ◽  
Lisa Roberts
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Sensorineural Hearing Loss ◽  
Recognition Performance ◽  
The Elderly ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Sensorineural Hearing ◽  
Elderly Subjects ◽  
Threshold Elevation

The role that sensorineural hearing loss plays in the speech-recognition difficulties of the hearing-impaired elderly is examined. One approach to this issue was to make between-group comparisons of performance for three groups of subjects: (a) young normal-hearing adults; (b) elderly hearing-impaired adults; and (c) young normal-hearing adults with simulated sensorineural hearing loss equivalent to that of the elderly subjects produced by a spectrally shaped masking noise. Another approach to this issue employed correlational analyses to examine the relation between audibility and speech recognition within the group of elderly hearing-impaired subjects. An additional approach was pursued in which an acoustical index incorporating adjustments for threshold elevation was used to examine the role audibility played in the speech-recognition performance of the hearing-impaired elderly. A wide range of listening conditions was sampled in this experiment. The conclusion was that the primary determiner of speech-recognition performance in the elderly hearing-impaired subjects was their threshold elevation.

Masking Level Differences for Tones and Speech in Elderly Listeners With Relatively Normal Audiograms

1994 ◽  
Vol 37 (2) ◽  
pp. 422-428 ◽  
Author(s):  
John H. Grose ◽  
Elizabeth A. Poth ◽  
Robert W. Peters
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Word Recognition ◽  
The Elderly ◽  
Normal Hearing ◽  
The Other ◽  
Control Group ◽  
Central Effects ◽  
Masking Level Difference ◽  
Tone Detection

This study measured the masking level difference (MLD) for both 500-Hz tone detection and spondee word recognition in two groups of listeners. One group consisted of 9 elderly listeners with normal audiometric sensitivity bilaterally, up to at least 2000 Hz. The other group was a control group of 10 young listeners with normal hearing. The intent was to determine whether the elderly listeners exhibited a reduction in binaural performance that might contribute to the difficulties many such listeners have in understanding speech in noisy situations. By measuring MLDs in elderly listeners in the absence of marked peripheral hearing loss, it was hoped that any observed changes in MLD could be more strongly attributed to central effects. For both tone detection and speech recognition, it was found that the elderly performed more poorly than the young listeners, primarily on the NoSπ condition.

Quality of life in patients with untreated age-related hearing loss

2010 ◽  
Vol 124 (8) ◽  
pp. 835-841 ◽  
Author(s):  
H S Chew ◽  
S Yeak
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Hearing Impairment ◽  
Health Survey ◽  
Short Form ◽  
The Elderly ◽  
Short Form 36 ◽  
Age Related ◽  
Hearing Handicap

AbstractBackground:Hearing loss commonly affects quality of life in the elderly, yet is often neglected.Objectives:To investigate the impact of untreated age-related hearing loss on the quality of life of elderly individuals, and to assess the usefulness of quality of life questionnaires as screening tools for significant hearing loss.Methods:We recruited 80 patients aged 50 years or more with untreated hearing impairment. The Short Form 36 Health Survey and the Hearing Handicap Inventory for the Elderly Screening Version questionnaire were administered.Results:There was no significant association between severity of hearing impairment and Short Form 36 Health Survey scores. However, dose-graded correlation was observed between severity of hearing loss and Hearing Handicap Inventory for the Elderly Screening Version questionnaire scores (p < 0.001). A score for the latter questionnaire of more than 8 was 72.8 per cent sensitive and 71.4 per cent specific in detecting clinically significant hearing loss of at least 40 dB (receiver operating characteristic = 0.83).Conclusion:The Short Form 36 Health Survey, a generic measure, lacked specificity and sensitivity in detecting clinically significant hearing loss. However, significant hearing impairment was reflected in the Hearing Handicap Inventory for the Elderly Screening Version questionnaire scores, suggesting that this is a good, disease-specific screening tool. A combination of functional (i.e. the Hearing Handicap Inventory for the Elderly Screening Version questionnaire) and physiological (i.e. audiometric) assessment is recommended to investigate hearing loss in elderly individuals.

scholarly journals Linking audiovisual integration to audiovisual speech recognition in noise

2020 ◽  
Author(s):  
Anja Gieseler ◽  
Stephanie Rosemann ◽  
Maike Tahden ◽  
Kirsten C Wagener ◽  
Christiane Thiel ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Hearing Impairment ◽  
Visual Information ◽  
Speech Intelligibility ◽  
Individual Variability ◽  
Audiovisual Integration ◽  
Audiovisual Speech ◽  
Specific Test ◽  
Speech In Noise

Especially in challenging listening conditions, listeners can benefit from the audiovisual nature of speech by using visual information. Yet there exists great inter-individual variability, not only in understanding speech in noise, but also in the benefit obtained from additional visual cues. First empirical evidence suggests that the ability to integrate auditory and visual input, i.e. audiovisual integration, is altered in hearing impairment and is, at the same time, relevant for audiovisual speech intelligibility. The distinct role of mild hearing loss on audiovisual integration and the significance of these changes for speech intelligibility, however, need further scrutiny. Thus, here we investigated differences in audiovisual integration capacities between elderly, normal-hearing and hearing-impaired individuals using two tests of audiovisual integration (sound-induced flash illusion, McGurk task). To explore whether potential differences in audiovisual integration are meaningful for natural speech intelligibility, we then linked audiovisual integration capacities to speech-in-noise recognition using an audiovisual speech-reception threshold test, expecting this to reflect a more realistic listening scenario. Our results indicate that audiovisual integration abilities are already altered in mild hearing impairment, while the magnitude and direction of the effect depend on the specific test used. At the same time, audiovisual integration capacities seem relevant for predicting audiovisual speech intelligibility in noise, especially in those individuals with a hearing loss. We conclude that audiovisual integration abilities should therefore be considered for future predictions of speech recognition outcomes, which – in turn – should be assessed audiovisually, to account for the multisensory nature of speech and communication.

scholarly journals Implicações do uso do Aparelho de Amplificação Sonora Individual na qualidade de vida de idosos

CoDAS ◽  
2017 ◽  
Vol 29 (5) ◽  
Author(s):  
Camila Zorzetto Carniel ◽  
Juliana Cristina Ferreira de Sousa ◽  
Carla Dias da Silva ◽  
Carla Aparecida de Urzedo Fortunato-Queiroz ◽  
Miguel Ângelo Hyppolito ◽  
...  
Keyword(s):  
Quality Of Life ◽  
World Health Organization ◽  
The Elderly ◽  
World Health ◽  
World Health Organization Quality ◽  
Hearing Handicap ◽  
Organization Quality ◽  
Health Organization ◽  
Post Hoc

RESUMO Objetivo Avaliar, por meio de questionários padronizados, a qualidade de vida de idosos com deficiência auditiva diagnosticada que utilizam ou não a prótese auditiva (AASI) e de idosos sem queixa auditiva. Método Trata-se de um estudo transversal, com amostra não probabilística, distribuída em três grupos divididos da seguinte forma: 30 idosos com perda auditiva diagnosticada e com indicação para uso do aparelho de amplificação sonora individual (AASI), mas que ainda não faziam uso da prótese; 30 idosos com deficiência auditiva que usavam o AASI; e 30 idosos sem queixa auditiva. Os participantes completaram um questionário que investigava dados sociodemográficos e familiares, o Hearing Handicap Inventory for the Elderly Screening Version (HHIE-S) e o World Health Organization Quality of Life - versão breve (WHOQOL-Breve). Além das análises descritivas dos dados, foram realizados testes para comparação dos três grupos, aplicando-se a análise de variância (ANOVA) e o teste post hoc de Bonferroni. Resultados Os três grupos se diferenciaram significativamente em todos os domínios de qualidade de vida. O grupo de idosos com perda auditiva diagnosticada e com indicação para uso do AASI apresentou menores escores que o grupo de idosos com deficiência auditiva que usavam o AASI e que o grupo de referência. O grupo com AASI apresentou os melhores resultados de qualidade de vida. Conclusão A perda auditiva afeta a qualidade de vida do idoso. O uso efetivo da prótese auditiva é benéfico a esta população, melhorando suas condições de vida e saúde.

scholarly journals Survey of hearing disorders in an urban population in Rondonia, Northern Brazil

2013 ◽  
Vol 47 (2) ◽  
pp. 309-315 ◽  
Author(s):  
Maria Cecilia Bevilacqua ◽  
Marcos Roberto Banhara ◽  
Ariadnes Nobrega de Oliveira ◽  
Adriane Lima Mortari Moret ◽  
Katia de Freitas Alvarenga ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Urban Area ◽  
Pure Tone Audiometry ◽  
Household Survey ◽  
World Health ◽  
Hearing Disorders ◽  
Cross Sectional ◽  
Northern Brazil ◽  
Health Organization

OBJECTIVE: To identify the prevalence of hearing loss for the population in the urban area. METHODS: A cross-sectional household survey based on the World Health Organization Ear and Hearing Disorders Survey Protocol was conducted in 298 households in the urban area of Monte Negro, Rondonia, Northern Brazil, from 2005 to 2007. Ear examinations, behavioral audiometry and pure tone audiometry were conducted on 577 individuals. RESULTS: The results showed that 3.8% (95%CI 2.17;5.45) of population were classified in the disabling hearing impairment category. The prevalence of moderate hearing impairment was 3.4%; severe impairment was 0.4%; and profound hearing impairment was not found. CONCLUSIONS: The impairing hearing loss prevalence found in this study is within of the international prevalence for this level of hearing loss and smaller than observed in a previous study in the South region of Brazil.

scholarly journals A Utilização do Questionário HHIE-S Associado à Avaliação Audiológica e Vocal num Grupo de Idosos

2007 ◽  
Vol 12 ◽  
Author(s):  
Mauriceia Cassol ◽  
Maria Inês Dornelles da Costa Ferreira ◽  
Deise Maria De Azevedo Poglia
Keyword(s):  
Hearing Loss ◽  
Early Identification ◽  
Voice Quality ◽  
The Elderly ◽  
Use Of Self ◽  
Elderly Individuals ◽  
Self Evaluation ◽  
Hearing Handicap ◽  
Keywords Hearing Loss ◽  
Aging Health

Resumo: Este estudo objetiva identificar a importância do questionário Hearing Handicap Inventory for the Elderly — Screening Version (HHIE-S) como indicador da necessidade de avaliação audiológica em um grupo de idosos, relacionando as perdas auditivas às possíveis alterações vocais. Fizeram parte deste estudo cinco indivíduos idosos do gênero feminino, na faixa etária de 57 a 75 anos. Primeiramente, foi aplicado o questionário HHIE-S seguido da avaliação audiológica básica e da avaliação perceptivo-auditiva da voz. Nos resultados, os cinco indivíduos idosos apresentaram alteração em um ou mais aspectos vocais. As alterações das características vocais puderam ser correlacionadas às perdas auditivas em três dos cinco casos. Salienta-se a importância da avaliação vocal e da utilização de escalas de auto-avaliação, como o questionário HHIE-S, como indicadores da identificação precoce da deficiência auditiva. Palavras-chave: Perda Auditiva. Presbiacusia. Saúde do Idoso. Qualidade Vocal. Abstract: This study aimed at identifying the importance of the Hearing Handicap Inventory for the Elderly —Screening Version (HHIE-S) questionnaire as an indicator of the need for an audiological evaluation in a group of elderly, and verifying the relation between hearing loss and possible vocal change in 5 elderly females with ages ranging from 57 to 75 years.The HHIE-S questionnaire was applied, followed by a basic audiological evaluation and auditory-perceptive vocal evaluation. In the results, 5 elderly individuals presented changes in one or more vocal aspects. The changes in vocal characteristics may be correlated to hearing loss in 3 of the 5 cases. The importance of vocal evaluation and use of self-evaluation scales as the HHIE-S questionnaire as indicators for early identification of hearing impairment is highlighted. Keywords: Hearing Loss. Presbycusis. Aging. Health. Voice Quality.

scholarly journals Тhe effects of auditory amplification on subjective assessments of hearing impairment and anxiety in people with presbycusis

2019 ◽  
Vol 147 (7-8) ◽  
pp. 461-467
Author(s):  
Ivana Maletic-Sekulic ◽  
Stasa Petkovic ◽  
Ninoslava Dragutinovic ◽  
Ivana Veselinovic ◽  
Ljiljana Jelicic
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Statistical Significance ◽  
Later Life ◽  
The Elderly ◽  
Favorable Effect ◽  
Hearing Disability ◽  
Study Results ◽  
Auditory Amplification ◽  
The Impact

Introduction/Objective. Presbycusis, elderly hearing loss, is a progressive, bilateral sensoryneural hearing loss characterized by reduced sensitivity of hearing and understanding speech in a noisy environment, thereby impairing communication and inducing anxiety. The objective was to examine the impact of hearing amplification on subjective hearing disability assessment and anxiety in people with presbycusis. Method. Sample consisted of 120 respondents aged 47?85 with presbycusis, 60 subjects with and 60 subjects with no auditory amplification. The standardized Hearing Handicap Inventory for the Elderly and the Spielberger State Trait Anxiety Inventory were used in the study. Results. In subjects with hearing amplification, test/retest has no statistical significance in the STAI and HHIE scales and subscales, except the HHIE-S (p = 0.004) with a lower score on the retest. Respondents in whom hearing amplification was performed during the year was statistically significant in HHIE (p = 0.016), HHIE-S (p = 0.004) and STAI-S (p = 0.029) which speaks of favorable effect of hearing amplification. In the group with no hearing amplification, statistical significance was observed in relation to the HHIE scores (p = 0.002), HHIE-E (p = 0.000), STAI (p = 0.000), STAI-S (p = 0.001) and STAI-T (p = 0.001) and it was noticed that anxiety, loss of emotional contacts, and more pronounced degree of hearing impairment were the result of unassisted hearing rehabilitation. Conclusion. Audiological practice should include tests for assessment of hearing disability and anxiety in order to preserve health in later life.

scholarly journals Predicting Speech Recognition Using the Speech Intelligibility Index and Other Variables for Cochlear Implant Users

2019 ◽  
Vol 62 (5) ◽  
pp. 1517-1531 ◽  
Author(s):  
Sungmin Lee ◽  
Lisa Lucks Mendel ◽  
Gavin M. Bidelman
Keyword(s):  
Speech Recognition ◽  
Speech Perception ◽  
Predictive Factors ◽  
Cognitive Skills ◽  
Speech Intelligibility ◽  
Digit Span ◽  
Individual Variability ◽  
Large Individual ◽  
Speech Intelligibility Index ◽  
Speech Performance

Purpose Although the speech intelligibility index (SII) has been widely applied in the field of audiology and other related areas, application of this metric to cochlear implants (CIs) has yet to be investigated. In this study, SIIs for CI users were calculated to investigate whether the SII could be an effective tool for predicting speech perception performance in a population with CI. Method Fifteen pre- and postlingually deafened adults with CI participated. Speech recognition scores were measured using the AzBio sentence lists. CI users also completed questionnaires and performed psychoacoustic (spectral and temporal resolution) and cognitive function (digit span) tests. Obtained SIIs were compared with predicted SIIs using a transfer function curve. Correlation and regression analyses were conducted on perceptual and demographic predictor variables to investigate the association between these factors and speech perception performance. Result Because of the considerably poor hearing and large individual variability in performance, the SII did not predict speech performance for this CI group using the traditional calculation. However, new SII models were developed incorporating predictive factors, which improved the accuracy of SII predictions in listeners with CI. Conclusion Conventional SII models are not appropriate for predicting speech perception scores for CI users. Demographic variables (aided audibility and duration of deafness) and perceptual–cognitive skills (gap detection and auditory digit span outcomes) are needed to improve the use of the SII for listeners with CI. Future studies are needed to improve our CI-corrected SII model by considering additional predictive factors. Supplemental Material https://doi.org/10.23641/asha.8057003

Effect of Age on Prediction of Hearing Loss with the Bivariate-Plotting Procedure

1984 ◽  
Vol 27 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Shlomo Silman ◽  
Carol Ann Silverman ◽  
Theresa Showers ◽  
Stanley A. Gelfand
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Predictive Accuracy ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Sensorineural Hearing ◽  
Line Segments ◽  
Bivariate Plot ◽  
Accuracy Of Prediction ◽  
Effect Of Age

The effect of age on accuracy of prediction of hearing impairment with the bivariate-plotting procedure was investigated in 72 normal-hearing subjects aged 20–69 years and in 86 sensorineural hearing-impaired subjects aged 20–83 years. The predictive accuracy with the bivariate-plotting procedure improved markedly when the data from subjects over 44 years of age were excluded from the bivariate plot. The predictive accuracy improved further when the construction of the line segments in the traditional bivariate plot was modified.

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