The Effect of Age and Type of Noise on Speech Perception under Conditions of Changing Context and Noise Levels

Taitelbaum-Swead, Riki; Fostick, Leah

doi:10.1159/000444749

Cited by 23 publications

(14 citation statements)

References 32 publications

(56 reference statements)

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“…A more recent study investigated the speech perception performance of 77 NH participants who were divided into five age groups under three conditions: auditory only, visual only, and audiovisual. The highest accuracy rate was observed for the audiovisual condition, followed by the auditory-only and the visual-only conditions [ 26 ]. Benefits of audiovisual integration are well noted in literature and, yet, there are no audiological evaluation tools that use visual cues.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Virtual Reality Audiological Testing: Prospective Study

Seol¹,

Kang²,

Lim³

et al. 2021

JMIR Serious Games

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Background It has been noted in the literature that there is a gap between clinical assessment and real-world performance. Real-world conversations entail visual and audio information, yet there are not any audiological assessment tools that include visual information. Virtual reality (VR) technology has been applied to various areas, including audiology. However, the use of VR in speech-in-noise perception has not yet been investigated. Objective The purpose of this study was to investigate the impact of virtual space (VS) on speech performance and its feasibility to be used as a speech test instrument. We hypothesized that individuals’ ability to recognize speech would improve when visual cues were provided. Methods A total of 30 individuals with normal hearing and 25 individuals with hearing loss completed pure-tone audiometry and the Korean version of the Hearing in Noise Test (K-HINT) under three conditions—conventional K-HINT (cK-HINT), VS on PC (VSPC), and VS head-mounted display (VSHMD)—at –10 dB, –5 dB, 0 dB, and +5 dB signal-to-noise ratios (SNRs). Participants listened to target speech and repeated it back to the tester for all conditions. Hearing aid users in the hearing loss group completed testing under unaided and aided conditions. A questionnaire was administered after testing to gather subjective opinions on the headset, the VSHMD condition, and test preference. Results Provision of visual information had a significant impact on speech performance between the normal hearing and hearing impaired groups. The Mann-Whitney U test showed statistical significance (P<.05) between the two groups under all test conditions. Hearing aid use led to better integration of audio and visual cues. Statistical significance through the Mann-Whitney U test was observed for –5 dB (P=.04) and 0 dB (P=.02) SNRs under the cK-HINT condition, as well as for –10 dB (P=.007) and 0 dB (P=.04) SNRs under the VSPC condition, between hearing aid and non–hearing aid users. Participants reported positive responses across almost all items on the questionnaire except for the weight of the headset. Participants preferred a test method with visual imagery, but found the headset to be heavy. Conclusions Findings are in line with previous literature that showed that visual cues were beneficial for communication. This is the first study to include hearing aid users with a more naturalistic stimulus and a relatively simple test environment, suggesting the feasibility of VR audiological testing in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Feasibility of Virtual Reality Audiological Testing: Prospective Study

Seol¹,

Kang²,

Lim³

et al. 2021

JMIR Serious Games

View full text Add to dashboard Cite

show abstract

“…Older individuals with CAPD seem to be more likely to suffer from dementia than those who are not affected (Martini et al, 2014;Fortunato et al, 2016). The decline can be highlighted in circumstances requiring greater cognitive effort and stressful conditions, such as speech discrimination of words or logatomes in noise or in quiet (Martini et al, 1988;Strauss et al, 2015;Gobara et al, 2016;Taitelbaum-Swead and Fostick, 2016;Bae et al, 2018). Competitive stimuli should be the most sensitive for detecting cognitive efforts or difficulties among elderly people (Pronk et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Correspondence Between Cognitive and Audiological Evaluations Among the Elderly: A Preliminary Report of an Audiological Screening Model of Subjects at Risk of Cognitive Decline With Slight to Moderate Hearing Loss

et al. 2019

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Epidemiological studies show increasing prevalence rates of cognitive decline and hearing loss with age, particularly after the age of 65 years. These conditions are reported to be associated, although conclusive evidence of causality and implications is lacking. Nevertheless, audiological and cognitive assessment among elderly people is a key target for comprehensive and multidisciplinary evaluation of the subject's frailty status. To evaluate the use of tools for identifying older adults at risk of hearing loss and cognitive decline and to compare skills and abilities in terms of hearing and cognitive performances between older adults and young subjects, we performed a prospective cross-sectional study using supraliminal auditory tests. The relationship between cognitive assessment results and audiometric results was investigated, and reference ranges for different ages or stages of disease were determined. Patients older than 65 years with different degrees of hearing function were enrolled. Each subject underwent an extensive audiological assessment, including tonal and speech audiometry, Italian Matrix Sentence Test, and speech audiometry with logatomes in quiet. Cognitive function was screened and then verified by experienced clinicians using the Montreal Cognitive Assessment Score, the Geriatric Depression Scale, and further investigations in some. One hundred twenty-three subjects were finally enrolled during 2016-2019: 103 were >65 years of age and 20 were younger participants (as controls). Cognitive functions showed a correlation with the audiological results in post-lingual hearing-impaired patients, in particular in those affected by slight to moderate hearing loss and aged more than 70 years. Audiological testing can thus be useful in clinical

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“…Indeed, older adults have difficulty processing short and rapid stimuli. This difficulty is often reflected in the difficulty of older adults in perceiving speech, especially when the speaker talks fast or when speech is accompanied by background noise [ 3 , 20 , 21 , 34 – 37 ]. Studies of temporal processing among older adults, including the studies using speech stimuli, have reported deficiencies in their performance compared to young adults [ 5 , 7 , 10 , 20 , 38 – 45 ].…”

Section: Introductionmentioning

confidence: 99%

The role of tone duration in dichotic temporal order judgment II: Extending the boundaries of duration and age

Fostick

Babkoff

2022

PLoS ONE

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Temporal order judgment (TOJ) measures the ability to correctly perceive the order of consecutive stimuli presented rapidly. Our previous research suggested that the major predictor of auditory dichotic TOJ threshold, a paradigm that requires the identification of the order of two tones, each of which is presented to a different ear, is the time separating the onset of the first tone from the onset of the second tone (stimulus-onset-asynchrony, SOA). Data supporting this finding, however, was based on a young adult population and a tone duration range of 10–40 msec. The current study aimed to evaluate the generalizability of the earlier finding by manipulating the experimental model in two different ways: a) extending the tone duration range to include shorter stimulus durations (3–8 msec; Experiment 1) and b) repeating the identical testing procedure on a different population with temporal processing deficits, i.e., older adults (Experiment 2). We hypothesized that the SOA would predict the TOJ threshold regardless of tone duration and participant age. Experiment 1 included 226 young adults divided into eight groups (each group receiving a different tone duration) with duration ranging from 3–40 msec. Experiment 2 included 98 participants aged 60–75 years, divided into five groups by tone duration (10–40 msec). The results of both experiments confirmed the hypothesis, that the SOA required for performing dichotic TOJ was constant regardless of stimulus duration, for both age groups: about 66.5 msec for the young adults and 33 msec longer (100 msec) for the older adults. This finding suggests that dichotic TOJ threshold is controlled by a general mechanism that changes quantitatively with age. Clinically, this has significance because quantitative changes can be more easily remedied than qualitative changes. Theoretically, our findings show that, with dichotic TOJ, tone duration affects threshold by providing more time between the onsets of the consecutive stimuli to the two ears. The findings also imply that a temporal processing deficit, at least among older adults, does not elicit the use of a different mechanism in order to judge temporal order.

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The Effect of Age and Type of Noise on Speech Perception under Conditions of Changing Context and Noise Levels

Cited by 23 publications

References 32 publications

Feasibility of Virtual Reality Audiological Testing: Prospective Study

Feasibility of Virtual Reality Audiological Testing: Prospective Study

Correspondence Between Cognitive and Audiological Evaluations Among the Elderly: A Preliminary Report of an Audiological Screening Model of Subjects at Risk of Cognitive Decline With Slight to Moderate Hearing Loss

The role of tone duration in dichotic temporal order judgment II: Extending the boundaries of duration and age

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