The Effects of Hearing-Aid Amplification and Noise on Conversational Dynamics Between Normal-Hearing and Hearing-Impaired Talkers.
Ontology highlight
ABSTRACT:
SUBMITTER: Petersen EB
PROVIDER: S-EPMC9310272 | biostudies-literature |
REPOSITORIES: biostudies-literature
Similar Datasets
Project description:Weak consonants (e.g., stops) are more susceptible to noise than vowels, owing partially to their lower intensity. This raises the question whether hearing-impaired (HI) listeners are able to perceive (and utilize effectively) the high-frequency cues present in consonants. To answer this question, HI listeners were presented with clean (noise absent) weak consonants in otherwise noise-corrupted sentences. Results indicated that HI listeners received significant benefit in intelligibility (4 dB decrease in speech reception threshold) when they had access to clean consonant information. At extremely low signal-to-noise ratio (SNR) levels, however, HI listeners received only 64% of the benefit obtained by normal-hearing listeners. This lack of equitable benefit was investigated in Experiment 2 by testing the hypothesis that the high-frequency cues present in consonants were not audible to HI listeners. This was tested by selectively amplifying the noisy consonants while leaving the noisy sonorant sounds (e.g., vowels) unaltered. Listening tests indicated small (∼10%), but statistically significant, improvements in intelligibility at low SNR conditions when the consonants were amplified in the high-frequency region. Selective consonant amplification provided reliable low-frequency acoustic landmarks that in turn facilitated a better lexical segmentation of the speech stream and contributed to the small improvement in intelligibility.
| S-EPMC3248061 | biostudies-other
Project description:OBJECTIVES:Two main digital signal processing technologies inside the modern hearing aid to provide the best conditions for hearing aid users are directionality (DIR) and digital noise reduction (DNR) algorithms. There are various possible settings for these algorithms. The present study evaluates the effects of various DIR and DNR conditions (both separately and in combination) on listening comfort among hearing aid users. METHODS:In 18 participants who received hearing aid fitting services from the Rehabilitation School of Shahid Beheshti University of Medical Sciences regularly, we applied acceptable noise level (ANL) as our subjective measure of listening comfort. We evaluated both of these under six different hearing aid conditions: omnidirectional-baseline, omnidirectional-broadband DNR, omnidirectional-multichannel DNR, directional, directional-broadband DNR, and directional-multichannel DNR. RESULTS:The ANL results ranged from -3 dB to 14 dB in all conditions. The results show, among all conditions, both the omnidirectional-baseline condition and the omnidirectional-broadband DNR condition are the worst conditions for listening in noise. The DIR always reduces the amount of noise that patients received during testing. The DNR algorithm does not improve listening in noise significantly when compared with the DIR algorithms. Although both DNR and DIR algorithms yielded a lower ANL, the DIR algorithm was more effective than the DNR. CONCLUSION:The DIR and DNR technologies provide listening comfort in the presence of noise. Thus, user benefit depends on how the digital signal processing settings inside the hearing aid are adjusted.
| S-EPMC6222189 | biostudies-literature
Project description:This study provides a framework for measuring conversational dynamics between conversational partners (interlocutors). Conversations from 20 pairs of young, normal-hearing, native-Danish talkers were recorded when speaking in both quiet and noise (70 dBA sound pressure level [SPL]) and in Danish and English. Previous studies investigating the intervals from when one talker stops talking to when the next one starts, termed floor-transfer offsets (FTOs), suggest that typical turn-taking requires interlocutors to predict when the current talker will finish their turn. We hypothesized that adding noise and/or speaking in a second language (L2) would increase the communication difficulty and result in longer and more variable FTOs. The median and interquartile range of FTOs increased slightly in noise, and in L2, there was a small increase in interquartile range but a small decrease in the median of FTO durations. It took the participants longer to complete the task in both L2 and noise, indicating increased communication difficulty. The average duration of interpausal units, that is, units of connected speech surrounded by silences of 180 ms or more, increased by 18% in noise and 8% in L2. These findings suggest that talkers held their turn for longer, allowing more time for speech understanding and planning. In L2, participants spoke slower, and in both L2 and noise, they took fewer turns. These changes in behavior may have offset some of the increased difficulty when communicating in noise or L2. We speculate that talkers prioritize the maintenance of turn-taking timing over other speech measures.
| S-EPMC8256248 | biostudies-literature
Project description:The present investigation carried out acoustic analyses of vowels in clear and conversational speech produced by 41 talkers. Mixed-effects models were then deployed to examine relationships among acoustic and perceptual data for these vowels. Acoustic data include vowel duration, steady-state formant frequencies, and two measures of dynamic formant movement. Perceptual data consist of vowel intelligibility in noise for young normal-hearing and elderly hearing-impaired listeners, as reported by Ferguson in 2004 and 2012 [J. Acoust. Soc. Am. 116, 2365-2373 (2004); J. Speech Lang. Hear. Res. 55, 779-790 (2012)], respectively. Significant clear speech effects were observed for all acoustic metrics, although not all measures changed for all vowels and considerable talker variability was observed. Mixed-effects analyses revealed that the contribution of duration and steady-state formant information to vowel intelligibility differed for the two listener groups. This outcome is consistent with earlier research suggesting that hearing loss, and possibly aging, alters the way acoustic cues are used for identifying vowels.
| S-EPMC4048446 | biostudies-other
Project description:Hearing aid equivalent input noise (EIN) measures assume the primary source of internal noise to be located prior to amplification and to be constant regardless of input level. EIN will underestimate internal noise in the case that noise is generated following amplification. The present study investigated the internal noise levels of six hearing aids (HAs). Concurrent with HA processing of a speech-like stimulus with both adaptive features (acoustic feedback cancellation, digital noise reduction, microphone directionality) enabled and disabled, internal noise was quantified for various stimulus levels as the variance across repeated trials. Changes in noise level as a function of stimulus level demonstrated that (1) generation of internal noise is not isolated to the microphone, (2) noise may be dependent on input level, and (3) certain adaptive features may contribute to internal noise. Quantifying internal noise as the variance of the output measures allows for noise to be measured under real-world processing conditions, accounts for all sources of noise, and is predictive of internal noise audibility.
| S-EPMC2865704 | biostudies-other
Project description:Reverberation can have a strong detrimental effect on speech intelligibility in noise. Two main monaural effects were studied here: the temporal smearing of the target speech, which makes the speech less understandable, and the temporal smearing of the noise, which reduces the opportunity for listening in the masker dips. These phenomena have been shown to affect normal-hearing (NH) listeners. The aim of this study was to understand whether hearing-impaired (HI) listeners are more affected by reverberation, and if so to identify which of these two effects is responsible. They were investigated separately and in combination, by applying reverberation either on the target speech, on the noise masker, or on both sources. Binaural effects were not investigated here. Intelligibility scores in the presence of stationary and modulated noise were systematically compared for both NH and HI listeners in these situations. At the optimal signal-to-noise ratios (SNRs) (that is to say, the SNRs with the least amount of floor and ceiling effects), the temporal smearing of both the speech and the noise had a similar effect for the HI and NH listeners, so that reverberation was not more detrimental for the HI listeners. There was only a very limited dip listening benefit at this SNR for either group. Some differences across group appeared at the SNR maximizing dip listening, but they could not be directly related to an effect of reverberation, and were rather due to floor effects or to the reduced ability of the HI listeners to benefit from dip listening, even in the absence of reverberation.
| S-EPMC9428532 | biostudies-literature
Project description:In recent years, a growing body of literature has explored the effect of hearing impairment on the neural processing of speech, particularly related to the neural tracking of speech envelopes. However, only limited work has focused on the potential usage of the method for evaluating the effect of hearing aids designed to amplify and process the auditory input provided to hearing-impaired listeners. The current study investigates how directional sound processing in hearing-aids, denoted directionality, affects the neural tracking and encoding of speech in EEG recorded from 11 older hearing-impaired listeners. Behaviorally, the task performance improved when directionality was applied, while subjective ratings of listening effort were not affected. The reconstruction of the to-be-attended speech envelopes improved significantly when applying directionality, as well as when removing the background noise altogether. When inspecting the modelled response of the neural encoding of speech, a faster transition was observed between the early bottom-up response and the later top-down attentional-driven responses when directionality was applied. In summary, hearing-aid directionality affects both the neural speech tracking and neural encoding of to-be-attended speech. This result shows that hearing-aid signal processing impacts the neural processing of sounds and that neural speech tracking is indicative of the benefits associated with applying hearing-aid processing algorithms.
| S-EPMC9228639 | biostudies-literature
Project description:ImportanceHearing loss is a highly prevalent condition with multiple negative associated outcomes, yet few persons with hearing loss have hearing aids (HAs). Personal sound amplification products (PSAPs) could be an alternative low-cost solution to HAs, but data are lacking on the performance of PSAPs.ObjectiveTo evaluate the clinical efficacy of a PSAP by comparing its performance with that of a basic HA and a premium HA in participants with mild, moderate, and moderately severe hearing impairment.Design, setting, and participantsA prospective, single-institution cohort study was performed with a total of 56 participants, including 19 with mild hearing loss, 20 with moderate hearing loss, and 17 with moderately severe hearing loss. All participants underwent 4 clinical hearing tests with each of the PSAP, basic HA, and premium HA, and all completed an evaluative questionnaire.InterventionsAll hearing devices (PSAP, basic HA, and premium HA) were applied by a clinician to prevent bias and order effects; participants were blinded to the device in use, and sequence of devices was randomized.Main outcomes and measuresThe study used the Korean version of the hearing in noise test, the speech intelligibility in noise test, listening effort measurement using a dual-task paradigm, pupillometry, and a self-rating questionnaire regarding sound quality and preference. These tests were administered under the following 4 hearing conditions: unaided hearing, use of PSAP, use of basic HA, and use of premium HA.ResultsThe study included 56 participants with a mean age of 56 years (interquartile range, 48-59 years); 29 (52%) were women. In the mild and moderate hearing loss groups, there was no meaningful difference between PSAP, basic HA, and premium HA for speech perception (Cohen d = 0.06-1.05), sound quality (Cohen d = 0.06-0.71), listening effort (Cohen d = 0.10-0.92), and user preference (PSAP, 41%; basic HA, 28%; premium HA, 31%). However, for the patients with moderately severe hearing loss, the premium HA had better performance across most tests (Cohen d = 0.60-1.59), and 70% of participants preferred to use the premium HA.Conclusions and relevanceThe results indicate that basic and premium HAs were not superior to the PSAP in patients with mild to moderate hearing impairment, which suggests that PSAPs might be used as an alternative to HAs in these patient populations. However, if hearing loss is more severe, then HAs, especially premium HAs, should be considered as an option to manage hearing loss.
| S-EPMC6537843 | biostudies-literature
Project description:ObjectivesTo determine whether suprathreshold measures of auditory function, such as distortion-product otoacoustic emissions (DPOAEs) and auditory brainstem responses (ABRs), are correlated with noise exposure history in normal-hearing human ears. Recent data from animal studies have revealed significant deafferentation of auditory nerve fibers after full recovery from temporary noise-induced hearing loss. Furthermore, these data report smaller ABR wave I amplitudes in noise-exposed animal ears when compared with non-noise-exposed control animals or prenoise exposure amplitudes in the same animal. It is unknown whether a similar phenomenon exists in the normal-hearing, noise-exposed human ear.DesignThirty normal-hearing human subjects with a range of noise exposure backgrounds (NEBs) participated in this study. NEB was quantified by the use of a noise exposure questionnaire that extensively queried loud sound exposure during the previous 12 months. DPOAEs were collected at three f2s (1, 2, and 4 kHz) over a range of L2s. DPOAE stimulus level began at 80 dB forward-pressure level and decreased in 10 dB steps. Two-channel ABRs were collected in response to click stimuli and 4 kHz tone bursts; one channel used an ipsilateral mastoid electrode and the other an ipsilateral tympanic membrane electrode. ABR stimulus level began at 90 dB nHL and was decreased in 10 dB steps. Amplitudes of waves I and V of the ABR were analyzed.ResultsA statistically significant relationship between ABR wave I amplitude and NEB was found for clicked-evoked ABRs recorded at a stimulus level of 90 dB nHL using a mastoid recording electrode. For this condition, ABR wave I amplitudes decreased as a function of NEB. Similar systematic trends were present for ABRs collected in response to clicks and 4 kHz tone bursts at additional suprathreshold stimulation levels (≥70 dB nHL). The relationship weakened and disappeared with decreases in stimulation level (≤60 dB nHL). Similar patterns were present for ABRs collected using a tympanic membrane electrode. However, these relationships were not statistically significant and were weaker and more variable than those collected using a mastoid electrode. In contrast to the findings for ABR wave I, wave V amplitude was not significantly related to NEB. Furthermore, there was no evidence of a systematic relationship between suprathreshold DPOAEs and NEB.ConclusionsA systematic trend of smaller ABR wave I amplitudes was found in normal-hearing human ears with greater amounts of voluntary NEB in response to suprathreshold clicks and 4 kHz tone bursts. These findings are consistent with the data from previous work completed in animals, where the reduction in suprathreshold responses was a result of deafferentation of high-threshold/low-spontaneous rate auditory nerve fibers. These data suggest that a similar mechanism might be operating in human ears after exposure to high sound levels. However, evidence of this damage is only apparent when examining suprathreshold wave I amplitude of the ABR. In contrast, suprathreshold DPOAE level was not significantly related to NEB. This was expected, given noise-induced auditory damage findings in animal ears did not extend to the outer hair cells, the generator for the DPOAE response.
| S-EPMC4374361 | biostudies-literature
Project description:Background and objectivesThis study aimed to investigate the occupational performance of Korean workers with and without hearing loss and analyze the hearing-related difficulties in the working environment.Subjects and purposeThe Amsterdam checklist for hearing and work was used for the analyses and the occupational environments of the Korean workers were investigated. Out of 129 total participants, 86 workers experienced severe to profound hearing loss and 43 had the normal hearing ability. The hearing-impaired workers were recruited from two leading vocational centers and normal-hearing workers were their colleagues.ResultsThe hearing-impaired workers were found to take fewer sick leaves and exhibited higher rates of permanent job statuses compared to the normal-hearing workers. Workers with hearing loss rarely detected background sound; however, they could perceive reverberation more frequently. They felt more satisfied with their careers than the normal hearing workers as they received social support and needed to put their effort into hearing for most hearing activities. Furthermore, the effort in hearing increased with the increase in job demand, job control, social support, and career satisfaction. The working hours per week increased with the increase in age, education level, job demand, job control, and social support. Different trends were observed in 9 out of 12 variables while comparing the data from the present study with that obtained from the hearing-impaired workers of the Netherlands, indicating a large difference between countries.ConclusionsAlthough the hearing-impaired Korean workers operate diligently with good job positions, it is necessary to enhance their acoustic environment and provide them social support. Considering the cultural background of the hearing-impaired workers, the development of suitable vocational rehabilitation programs and specific questionnaires is strongly recommended worldwide.
| S-EPMC8524117 | biostudies-literature