During a hearing loss management workshop, 10 listeners with normal hearing sensitivity and 18 listeners with sensorineural hearing loss compared four group assistive listening devices (ALDs)—FM, induction loop, infrared, and soundfield amplification—to no system. Listeners with hearing loss were tested using the ALDs alone and using the ALDs inductively coupled to personal in-the-ear (ITE) hearing aids. Significant improvements in word recognition ability with the FM, induction loop, and infrared systems were noted in listeners with normal hearing and with all ALD systems in listeners with hearing loss, as compared to performance with no system. Listeners with hearing loss performed better and preferred using the FM, induction loop, and infrared systems with headsets, but preferred the soundfield amplification system with their hearing aids. Both groups of listeners preferred the FM system over other systems in terms of performance, comfort, and ease of use.
This study investigated the relationship between acoustic damping of hearing aid responses and listeners’ speech discrimination and judgments of preference and sound quality. Eighteen subjects with essentially equivalent hearing impairments participated. Subjects’ speech discrimination was evaluated for a male talker in quiet and in noise and for a female talker in the same conditions with hearing aids with 0 dB, −5 dB, and −10 dB of damping. Subjects also compared the damping levels using eight bipolar adjective pairs and provided judgments of overall preference. Measurements of the hearing aid responses were made in a 2-cm
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coupler and in the subjects’ ears using probe microphone techniques. Smoothness of the responses was quantified using the Index of Response Irregularity (IRI) and the Frequency Response Smoothness Quantification Index (FReSQI). Subjects preferred the two damped hearing aid responses to the undamped. They also had better speech discrimination with damped hearing aid responses. The bipolar adjectives were of limited use in comparing hearing aids. A few questions about hearing aid sound quality and preference appear adequate for evaluating listeners’ choice of hearing aids. Smoothness of the hearing aid responses in the test box was higher for the damped hearing aids than for the undamped. However, for real ear responses measured using a probe microphone, smoothness did not change as a function of damping level.
Many elderly persons with high-frequency hearing loss find telephone use frustrating due to lower intensity levels and reductions in acoustical information that can be useful in deciphering speech. The purpose of this project is to pre-process the speech signal before it is sent over the phone line and provide speech enhancement without the use of amplifying handsets or hearing aids at the receiving end. The enhancement technique takes into account the limited bandwidth of the phone line as well as the hearing characteristics of the user. Two pre-processing schemes, a single channel and a double channel approach, used to increase the intelligibility of speech in these situations are discussed. The single channel method performs amplitude compression of the entire signal. The two-channel method filters the incoming signal into high-frequency and low-frequency channels and performs independent compression on each before recombination. Results comparing the two speech enhancement schemes against no processing for a group of elderly hearing-impaired subjects are presented. [Work supported by a grant from the Franklin County Office on Aging.]
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