Trends in Hearing最新文献_第9页

In-situ Audiometry Compared to Conventional Audiometry for Hearing Aid Fitting. 在助听器选配方面，原位测听与传统测听法的比较。

IF 2.7 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241259704

Maaike Van Eeckhoutte, Bettina Skjold Jasper, Erik Finn Kjærbøl, David Harbo Jordell, Torsten Dau

{"title":"In-situ Audiometry Compared to Conventional Audiometry for Hearing Aid Fitting.","authors":"Maaike Van Eeckhoutte, Bettina Skjold Jasper, Erik Finn Kjærbøl, David Harbo Jordell, Torsten Dau","doi":"10.1177/23312165241259704","DOIUrl":"10.1177/23312165241259704","url":null,"abstract":"The use of in-situ audiometry for hearing aid fitting is appealing due to its reduced resource and equipment requirements compared to standard approaches employing conventional audiometry alongside real-ear measures. However, its validity has been a subject of debate, as previous studies noted differences between hearing thresholds measured using conventional and in-situ audiometry. The differences were particularly notable for open-fit hearing aids, attributed to low-frequency leakage caused by the vent. Here, in-situ audiometry was investigated for six receiver-in-canal hearing aids from different manufacturers through three experiments. In Experiment I, the hearing aid gain was measured to investigate whether corrections were implemented to the prescribed target gain. In Experiment II, the in-situ stimuli were recorded to investigate if corrections were directly incorporated to the delivered in-situ stimulus. Finally, in Experiment III, hearing thresholds using in-situ and conventional audiometry were measured with real patients wearing open-fit hearing aids. Results indicated that (1) the hearing aid gain remained unaffected when measured with in-situ or conventional audiometry for all open-fit measurements, (2) the in-situ stimuli were adjusted for up to 30 dB at frequencies below 1000 Hz for all open-fit hearing aids except one, which also recommends the use of closed domes for all in-situ measurements, and (3) the mean interparticipant threshold difference fell within 5 dB for frequencies between 250 and 6000 Hz. The results clearly indicated that modern measured in-situ thresholds align (within 5 dB) with conventional thresholds measured, indicating the potential of in-situ audiometry for remote hearing care.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241259704"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11155351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship of Pitch Discrimination with Segregation of Tonal and Speech Streams for Cochlear Implant Users. 人工耳蜗使用者的音高辨别与音调和语音流分离的关系

IF 2.6 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241305049

Andres Camarena, Matthew Ardis, Takako Fujioka, Matthew B Fitzgerald, Raymond L Goldsworthy

{"title":"The Relationship of Pitch Discrimination with Segregation of Tonal and Speech Streams for Cochlear Implant Users.","authors":"Andres Camarena, Matthew Ardis, Takako Fujioka, Matthew B Fitzgerald, Raymond L Goldsworthy","doi":"10.1177/23312165241305049","DOIUrl":"10.1177/23312165241305049","url":null,"abstract":"Cochlear implant (CI) users often complain about music appreciation and speech recognition in background noise, which depend on segregating sound sources into perceptual streams. The present study examined relationships between frequency and fundamental frequency (F0) discrimination with stream segregation of tonal and speech streams for CI users and peers with no known hearing loss. Frequency and F0 discrimination were measured for 1,000 Hz pure tones and 110 Hz complex tones, respectively. Stream segregation was measured for pure and complex tones using a lead/lag delay detection task. Spondee word identification was measured in competing speech with high levels of informational masking that required listeners to use F0 to segregate speech. The hypotheses were that frequency and F0 discrimination would explain a significant portion of the variance in outcomes for tonal segregation and speech reception. On average, CI users received a large benefit for stream segregation of tonal streams when either the frequency or F0 of the competing stream was shifted relative to the target stream. A linear relationship accounted for 42% of the covariance between measures of stream segregation and complex tone discrimination for CI users. In contrast, such benefits were absent when the F0 of the competing speech was shifted relative to the target speech. The large benefit observed for tonal streams is promising for music listening if it transfers to separating instruments within a song; however, the lack of benefit for speech suggests separate mechanisms, or special requirements, for speech processing.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241305049"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adaptation to Reverberation for Speech Perception: A Systematic Review. 语音感知的混响适应：系统回顾

IF 2.6 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241273399

Avgeris Tsironis, Eleni Vlahou, Panagiota Kontou, Pantelis Bagos, Norbert Kopčo

{"title":"Adaptation to Reverberation for Speech Perception: A Systematic Review.","authors":"Avgeris Tsironis, Eleni Vlahou, Panagiota Kontou, Pantelis Bagos, Norbert Kopčo","doi":"10.1177/23312165241273399","DOIUrl":"10.1177/23312165241273399","url":null,"abstract":"In everyday acoustic environments, reverberation alters the speech signal received at the ears. Normal-hearing listeners are robust to these distortions, quickly recalibrating to achieve accurate speech perception. Over the past two decades, multiple studies have investigated the various adaptation mechanisms that listeners use to mitigate the negative impacts of reverberation and improve speech intelligibility. Following the PRISMA guidelines, we performed a systematic review of these studies, with the aim to summarize existing research, identify open questions, and propose future directions. Two researchers independently assessed a total of 661 studies, ultimately including 23 in the review. Our results showed that adaptation to reverberant speech is robust across diverse environments, experimental setups, speech units, and tasks, in noise-masked or unmasked conditions. The time course of adaptation is rapid, sometimes occurring in less than 1 s, but this can vary depending on the reverberation and noise levels of the acoustic environment. Adaptation is stronger in moderately reverberant rooms and minimal in rooms with very intense reverberation. While the mechanisms underlying the recalibration are largely unknown, adaptation to the direct-to-reverberant ratio-related changes in amplitude modulation appears to be the predominant candidate. However, additional factors need to be explored to provide a unified theory for the effect and its applications.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241273399"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Survey on Hearing Health of Musicians in Professional and Amateur Orchestras. 专业和业余管弦乐队音乐家听力健康调查。

IF 2.6 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241293762

Robin Hake, Gunter Kreutz, Ulrike Frischen, Merle Schlender, Esther Rois-Merz, Markus Meis, Kirsten C Wagener, Kai Siedenburg

{"title":"A Survey on Hearing Health of Musicians in Professional and Amateur Orchestras.","authors":"Robin Hake, Gunter Kreutz, Ulrike Frischen, Merle Schlender, Esther Rois-Merz, Markus Meis, Kirsten C Wagener, Kai Siedenburg","doi":"10.1177/23312165241293762","DOIUrl":"10.1177/23312165241293762","url":null,"abstract":"Hearing health, a cornerstone for musical performance and appreciation, often stands at odds with the unique acoustical challenges that musicians face. Utilizing a cross-sectional design, this survey-based study presents an in-depth examination of self-rated hearing health and its contributing factors in 370 professional and 401 amateur musicians recruited from German-speaking orchestras. To probe the nuanced differences between these groups, a balanced subsample of 200 professionals and 200 amateurs was curated, matched based on age, gender, and instrument family. The findings revealed that two-thirds of respondents reported hearing-related issues, prevalent in both professional and amateur musicians and affecting music-related activities as well as social interactions. The comparative analysis indicates that professionals experienced nearly four times more lifetime music noise exposure compared to amateurs and faced more hearing challenges in social contexts, but not in musical settings. Professionals exhibited greater awareness about hearing health and were more proactive in using hearing protection devices compared to their amateur counterparts. Notably, only 9% of professional musicians' playing hours and a mere 1% of amateurs' playing hours were fully protected. However, with respect to their attitudes toward hearing aids, professional musicians exhibited a noticeable aversion. In general, an increase in music-related problems (alongside hearing difficulties in daily life) was associated with a decrease in mental health-related quality of life. This research highlights the importance of proactive hearing health measures among both professional and amateur musicians and underscores the need for targeted interventions that address musicians' specific hearing health challenges and stigmatization concerns about hearing aids.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241293762"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quantifying the Impact of Auditory Deafferentation on Speech Perception. 量化听觉失真对语音感知的影响

IF 2.7 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241227818

Jiayue Liu, Joshua Stohl, Enrique A Lopez-Poveda, Tobias Overath

{"title":"Quantifying the Impact of Auditory Deafferentation on Speech Perception.","authors":"Jiayue Liu, Joshua Stohl, Enrique A Lopez-Poveda, Tobias Overath","doi":"10.1177/23312165241227818","DOIUrl":"10.1177/23312165241227818","url":null,"abstract":"The past decade has seen a wealth of research dedicated to determining which and how morphological changes in the auditory periphery contribute to people experiencing hearing difficulties in noise despite having clinically normal audiometric thresholds in quiet. Evidence from animal studies suggests that cochlear synaptopathy in the inner ear might lead to auditory nerve deafferentation, resulting in impoverished signal transmission to the brain. Here, we quantify the likely perceptual consequences of auditory deafferentation in humans via a physiologically inspired encoding-decoding model. The encoding stage simulates the processing of an acoustic input stimulus (e.g., speech) at the auditory periphery, while the decoding stage is trained to optimally regenerate the input stimulus from the simulated auditory nerve firing data. This allowed us to quantify the effect of different degrees of auditory deafferentation by measuring the extent to which the decoded signal supported the identification of speech in quiet and in noise. In a series of experiments, speech perception thresholds in quiet and in noise increased (worsened) significantly as a function of the degree of auditory deafferentation for modeled deafferentation greater than 90%. Importantly, this effect was significantly stronger in a noisy than in a quiet background. The encoding-decoding model thus captured the hallmark symptom of degraded speech perception in noise together with normal speech perception in quiet. As such, the model might function as a quantitative guide to evaluating the degree of auditory deafferentation in human listeners.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241227818"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10832414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intracochlear Recording of Electrocochleography During and After Cochlear Implant Insertion Dependent on the Location in the Cochlea. 人工耳蜗植入过程中和植入后的耳蜗内耳电记录取决于耳蜗的位置。

IF 2.7 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241248973

Sabine Haumann, Max E Timm, Andreas Büchner, Thomas Lenarz, Rolf B Salcher

{"title":"Intracochlear Recording of Electrocochleography During and After Cochlear Implant Insertion Dependent on the Location in the Cochlea.","authors":"Sabine Haumann, Max E Timm, Andreas Büchner, Thomas Lenarz, Rolf B Salcher","doi":"10.1177/23312165241248973","DOIUrl":"10.1177/23312165241248973","url":null,"abstract":"To preserve residual hearing during cochlear implant (CI) surgery it is desirable to use intraoperative monitoring of inner ear function (cochlear monitoring). A promising method is electrocochleography (ECochG). Within this project the relations between intracochlear ECochG recordings, position of the recording contact in the cochlea with respect to anatomy and frequency and preservation of residual hearing were investigated. The aim was to better understand the changes in ECochG signals and whether these are due to the electrode position in the cochlea or to trauma generated during insertion. During and after insertion of hearing preservation electrodes, intraoperative ECochG recordings were performed using the CI electrode (MED-EL). During insertion, the recordings were performed at discrete insertion steps on electrode contact 1. After insertion as well as postoperatively the recordings were performed at different electrode contacts. The electrode location in the cochlea during insertion was estimated by mathematical models using preoperative clinical imaging, the postoperative location was measured using postoperative clinical imaging. The recordings were analyzed from six adult CI recipients. In the four patients with good residual hearing in the low frequencies the signal amplitude rose with largest amplitudes being recorded closest to the generators of the stimulation frequency, while in both cases with severe pantonal hearing losses the amplitude initially rose and then dropped. This might be due to various reasons as discussed in the following. Our results indicate that this approach can provide valuable information for the interpretation of intracochlearly recorded ECochG signals.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241248973"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Toward Sound Localization Testing in Virtual Reality to Aid in the Screening of Auditory Processing Disorders. 在虚拟现实中进行声音定位测试，帮助筛查听觉处理障碍。

IF 2.7 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241235463

Melissa Ramírez, Johannes M Arend, Petra von Gablenz, Heinrich R Liesefeld, Christoph Pörschmann

{"title":"Toward Sound Localization Testing in Virtual Reality to Aid in the Screening of Auditory Processing Disorders.","authors":"Melissa Ramírez, Johannes M Arend, Petra von Gablenz, Heinrich R Liesefeld, Christoph Pörschmann","doi":"10.1177/23312165241235463","DOIUrl":"10.1177/23312165241235463","url":null,"abstract":"Sound localization testing is key for comprehensive hearing evaluations, particularly in cases of suspected auditory processing disorders. However, sound localization is not commonly assessed in clinical practice, likely due to the complexity and size of conventional measurement systems, which require semicircular loudspeaker arrays in large and acoustically treated rooms. To address this issue, we investigated the feasibility of testing sound localization in virtual reality (VR). Previous research has shown that virtualization can lead to an increase in localization blur. To measure these effects, we conducted a study with a group of normal-hearing adults, comparing sound localization performance in different augmented reality and VR scenarios. We started with a conventional loudspeaker-based measurement setup and gradually moved to a virtual audiovisual environment, testing sound localization in each scenario using a within-participant design. The loudspeaker-based experiment yielded results comparable to those reported in the literature, and the results of the virtual localization test provided new insights into localization performance in state-of-the-art VR environments. By comparing localization performance between the loudspeaker-based and virtual conditions, we were able to estimate the increase in localization blur induced by virtualization relative to a conventional test setup. Notably, our study provides the first proxy normative cutoff values for sound localization testing in VR. As an outlook, we discuss the potential of a VR-based sound localization test as a suitable, accessible, and portable alternative to conventional setups and how it could serve as a time- and resource-saving prescreening tool to avoid unnecessarily extensive and complex laboratory testing.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241235463"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10908240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extending Subcortical EEG Responses to Continuous Speech to the Sound-Field. 将皮层下脑电图对连续语音的反应扩展到声场。

IF 2.6 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241246596

Florine L Bachmann, Joshua P Kulasingham, Kasper Eskelund, Martin Enqvist, Emina Alickovic, Hamish Innes-Brown

{"title":"Extending Subcortical EEG Responses to Continuous Speech to the Sound-Field.","authors":"Florine L Bachmann, Joshua P Kulasingham, Kasper Eskelund, Martin Enqvist, Emina Alickovic, Hamish Innes-Brown","doi":"10.1177/23312165241246596","DOIUrl":"10.1177/23312165241246596","url":null,"abstract":"The auditory brainstem response (ABR) is a valuable clinical tool for objective hearing assessment, which is conventionally detected by averaging neural responses to thousands of short stimuli. Progressing beyond these unnatural stimuli, brainstem responses to continuous speech presented via earphones have been recently detected using linear temporal response functions (TRFs). Here, we extend earlier studies by measuring subcortical responses to continuous speech presented in the sound-field, and assess the amount of data needed to estimate brainstem TRFs. Electroencephalography (EEG) was recorded from 24 normal hearing participants while they listened to clicks and stories presented via earphones and loudspeakers. Subcortical TRFs were computed after accounting for non-linear processing in the auditory periphery by either stimulus rectification or an auditory nerve model. Our results demonstrated that subcortical responses to continuous speech could be reliably measured in the sound-field. TRFs estimated using auditory nerve models outperformed simple rectification, and 16 minutes of data was sufficient for the TRFs of all participants to show clear wave V peaks for both earphones and sound-field stimuli. Subcortical TRFs to continuous speech were highly consistent in both earphone and sound-field conditions, and with click ABRs. However, sound-field TRFs required slightly more data (16 minutes) to achieve clear wave V peaks compared to earphone TRFs (12 minutes), possibly due to effects of room acoustics. By investigating subcortical responses to sound-field speech stimuli, this study lays the groundwork for bringing objective hearing assessment closer to real-life conditions, which may lead to improved hearing evaluations and smart hearing technologies.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241246596"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11092544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and Characteristics of Veterans with Severe Hearing Loss: A Descriptive Study. 严重听力损失退伍军人的患病率和特征：一项描述性研究。

IF 2.6 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241273393

David R Friedmann, Andrew Nicholson, Colleen O'Brien-Russo, Scott Sherman, Joshua Chodosh

{"title":"Prevalence and Characteristics of Veterans with Severe Hearing Loss: A Descriptive Study.","authors":"David R Friedmann, Andrew Nicholson, Colleen O'Brien-Russo, Scott Sherman, Joshua Chodosh","doi":"10.1177/23312165241273393","DOIUrl":"10.1177/23312165241273393","url":null,"abstract":"Hearing loss is common among Veterans, and extensive hearing care resources are prioritized within the Veterans Administration (VA). Severe hearing loss poses unique communication challenges with speech understanding that may not be overcome with amplification. We analyzed data from the VA Audiometric Repository between 2005 and 2017 and the relationship between hearing loss severity with speech recognition scores. We hypothesized that a significant subset of Veterans with severe or worse hearing loss would have poor unaided speech perception outcomes even with adequate audibility. Sociodemographic characteristics and comorbidities were compiled using electronic medical records as was self-report measures of hearing disability. We identified a cohort of 137,500 unique Veterans with 232,789 audiograms demonstrating bilateral severe or worse hearing loss (four-frequency PTA > 70 dB HL). The median (IQR; range) age of Veterans at their first audiogram with severe or worse hearing loss was 81 years (74 to 87; 21-90+), and a majority were male (136,087 [99%]) and non-Hispanic white (107,798 [78.4%]). Among those with bilateral severe or worse hearing loss, 41,901 (30.5%) also had poor speech recognition scores (<50% words), with greater hearing loss severity correlating with worse speech perception. We observed variability in speech perception abilities in those with moderate-severe and greater levels of hearing loss who may derive limited benefit from amplification. Veterans with communication challenges may warrant alternative approaches and treatment strategies such as cochlear implants to support communication needs.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241273393"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11311185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conversational Dynamics in Task Dialogue Between Interlocutors With and Without Hearing Impairment. 听力障碍和非听力障碍对话者任务对话中的会话动态。

IF 2.6 2区医学

Trends in Hearing Pub Date : 2024-01-01 DOI: 10.1177/23312165241296073

A Josefine Munch Sørensen, Thomas Lunner, Ewen N MacDonald

{"title":"Conversational Dynamics in Task Dialogue Between Interlocutors With and Without Hearing Impairment.","authors":"A Josefine Munch Sørensen, Thomas Lunner, Ewen N MacDonald","doi":"10.1177/23312165241296073","DOIUrl":"10.1177/23312165241296073","url":null,"abstract":"This study investigated the effects of noise and hearing impairment on conversational dynamics between pairs of young normal-hearing and older hearing-impaired interlocutors. Twelve pairs of normal-hearing and hearing-impaired individuals completed a spot-the-difference task in quiet and in three levels of multitalker babble. To achieve the rapid response timing of turn taking that has been observed in normal conversations, people must simultaneously comprehend incoming speech, plan a response, and predict when their partners will end their turn. In difficult conditions, we hypothesized that the timing of turn taking by both normal-hearing and hearing-impaired interlocutors would be delayed and more variable. We found that the timing of turn starts by talkers with hearing impairment had higher variability than those with normal hearing, and participants with both normal hearing and hearing impairment started turns later and with more variability in the presence of noise. Overall, in the presence of noise, talkers spoke louder and slower, increased the duration of their pauses but decreased their rate of occurrence, and produced longer interpausal units, that is, units of connected speech surrounded by silence. However, when compared to previous studies of conversations between normal-hearing partners, the pattern of changes in conversational behavior by the normal-hearing participants was very different in the most challenging noise condition. The extent to which these adaptations are made to reduce the difficulty experienced by their partner with hearing impairment vs. the difficulty they experience themselves is not clear.","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"28 ","pages":"23312165241296073"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0