Objectives
This study (a) examined speech recognition abilities of cochlear implant (CI) recipients
in the spectrally complex listening condition of three contrasting types of background music, and
(b) compared performance based upon listener groups: CI recipients using conventional long-electrode
(LE) devices, Hybrid CI recipients (acoustic plus electric stimulation), and normal-hearing (NH)
adults.
Methods
We tested 154 LE CI recipients using varied devices and strategies, 21 Hybrid CI
recipients, and 49 NH adults on closed-set recognition of spondees presented in three contrasting
forms of background music (piano solo, large symphony orchestra, vocal solo with small combo
accompaniment) in an adaptive test.
Outcomes
Signal-to-noise thresholds for speech in music (SRTM) were examined in relation to
measures of speech recognition in background noise and multi-talker babble, pitch perception, and
music experience.
Results
SRTM thresholds varied as a function of category of background music, group membership
(LE, Hybrid, NH), and age. Thresholds for speech in background music were significantly correlated
with measures of pitch perception and speech in background noise thresholds; auditory status was an
important predictor.
Conclusions
Evidence suggests that speech reception thresholds in background music change as a
function of listener age (with more advanced age being detrimental), structural characteristics of
different types of music, and hearing status (residual hearing). These findings have implications
for everyday listening conditions such as communicating in social or commercial situations in which
there is background music.