Background
In listening environments with background noise that fluctuates in level, listeners with normal hearing can
“glimpse” speech during dips in the noise, resulting in better speech recognition in fluctuating noise than in
steady noise at the same overall level (referred to as masking release). Listeners with sensorineural hearing loss show less
masking release. Amplification can improve masking release for listeners with sensorineural hearing loss but not to the same
extent as unaided masking release for listeners with normal hearing.
Purpose
The purpose of this study was to compare masking release for listeners with sensorineural hearing loss obtained with an
experimental hearing-aid signal-processing algorithm with instantaneous compression (referred to as a suppression hearing aid,
SHA) to masking release obtained with fast compression. The suppression hearing aid mimics effects of normal cochlear
suppression, i.e., the reduction in the response to one sound by the simultaneous presentation of another sound.
Research Design
A within-participant design with repeated measures across test conditions was used.
Study Sample
Participants included 29 adults with mild-to-moderate sensorineural hearing loss and 21 adults with normal hearing.
Intervention
Participants with sensorineural hearing loss were fitted with simulators for SHA and a generic hearing aid (GHA) with
fast (but not instantaneous) compression (5 ms attack and 50 ms release times) and no suppression. Gain was prescribed using
either an experimental method based on categorical loudness scaling (CLS) or the Desired Sensation Level (DSL) algorithm
version 5a, resulting in a total of four processing conditions: CLS-GHA, CLS-SHA, DSL-GHA, and DSL-SHA.
Data Collection
All participants listened to consonant-vowel-consonant nonwords in the presence of temporally-modulated and steady
noise. An adaptive-tracking procedure was used to determine the signal-to-noise ratio required to obtain 29% and
71% correct. Measurements were made with amplification for participants with sensorineural hearing loss and without
amplification for participants with normal hearing.
Analysis
Repeated-measures analysis of variance was used to determine the influence of within-participant factors of noise type
and, for participants with sensorineural hearing loss, processing condition on masking release. Pearson correlational analysis
was used to assess the effect of age on masking release for participants with sensorineural hearing loss.
Results
Statistically significant masking release was observed for listeners with sensorineural hearing loss for 29%
correct, but not for 71% correct. However, the amount of masking release was less than masking release for
participants with normal hearing. There were no significant differences among the amplification conditions for participants
with sensorineural hearing loss.
Conclusions
The results suggest that amplification with either instantaneous or fast compression resulted in similar masking
release for listeners with ...