Seminars in HearingPub Date : 2023-03-28eCollection Date: 2023-05-01DOI: 10.1055/s-0043-1767668
Erin M Picou
{"title":"Listening Effort Methodologies: Challenges and Future Directions.","authors":"Erin M Picou","doi":"10.1055/s-0043-1767668","DOIUrl":"10.1055/s-0043-1767668","url":null,"abstract":"","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 2","pages":"93-94"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9367043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in HearingPub Date : 2023-03-28eCollection Date: 2023-05-01DOI: 10.1055/s-0043-1766140
Haiping Huang, Ilze Oosthuizen, Erin M Picou
{"title":"Dual-Task Paradigm Measures of Listening Effort: To Include or Not to Include Secondary Task Responses with Incorrect Primary Task Responses.","authors":"Haiping Huang, Ilze Oosthuizen, Erin M Picou","doi":"10.1055/s-0043-1766140","DOIUrl":"10.1055/s-0043-1766140","url":null,"abstract":"<p><p>Response time-based dual-task paradigms are commonly adopted to measure behavioral listening effort. Most extant studies used an all-response approach that included secondary task responses under both correct and incorrect primary task responses during analysis. However, evidence supporting this strategy is limited. Therefore, the current study investigated the potential differences between including all responses versus only including correct responses. Data from two previous studies were reanalyzed. Experiment 1 included 16 listeners and used a dual-task paradigm to examine the effect of introducing background noise on listening effort. Experiment 2 included 19 participants and used a different dual-task paradigm to examine the effect of reverberation and loudspeaker-to-listener distance on listening effort. ANOVA results obtained using both analysis approaches were compared. The all-response and correct-only approaches revealed similar results. However, larger effect sizes and an additional main effect were found with the all-response approach. The current study supports the use of an all-response approach due to its greater sensitivity to changes in behavioral listening effort. However, a correct-only approach could be utilized to suit specific study purposes.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 2","pages":"155-165"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9397598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in HearingPub Date : 2023-03-22eCollection Date: 2023-02-01DOI: 10.1055/s-0043-1764128
Cory L Hillis, Rosalie M Uchanski, Lisa S Davidson
{"title":"Common Sounds Audiograms: Quantitative Analyses and Recommendations.","authors":"Cory L Hillis, Rosalie M Uchanski, Lisa S Davidson","doi":"10.1055/s-0043-1764128","DOIUrl":"10.1055/s-0043-1764128","url":null,"abstract":"<p><p>A counseling tool routinely used by pediatric audiologists and early intervention-specialists is the often-named \"common sounds audiogram\" (CSA). Typically, a child's hearing detection thresholds are plotted on the CSA to indicate that child's audibility of speech and environmental sounds. Importantly, the CSA may be the first item that parents see when their child's hearing loss is explained. Thus, the accuracy of the CSA and its associated counseling information are integral to the parents' understanding of what their child can hear and to the parents' role in the child's future hearing care and interventions. Currently available CSAs were collected from professional societies, early intervention providers, device manufacturers, etc., and analyzed ( <i>n</i> = 36). Analysis included quantification of sound elements, presence of counseling information, attribution of acoustic measurements, and errors. The analyses show that currently-available CSAs are wildly inconsistent as a group, not scientifically justified, and omit important information for counseling and interpretation. Variations found among currently available CSAs can lead to very different parental interpretations of the impact of a child's hearing loss on his/her access to sounds, especially spoken language. Such variations, presumably, could also lead to different recommendations regarding intervention and hearing devices. Recommendations are outlined for the development of a new, standard CSA.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 Suppl 1","pages":"S49-S63"},"PeriodicalIF":0.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in HearingPub Date : 2023-03-02eCollection Date: 2023-02-01DOI: 10.1055/s-0043-1764134
Dawna E Lewis
{"title":"Speech Understanding in Complex Environments by School-Age Children with Mild Bilateral or Unilateral Hearing Loss.","authors":"Dawna E Lewis","doi":"10.1055/s-0043-1764134","DOIUrl":"10.1055/s-0043-1764134","url":null,"abstract":"<p><p>Numerous studies have shown that children with mild bilateral (MBHL) or unilateral hearing loss (UHL) experience speech perception difficulties in poor acoustics. Much of the research in this area has been conducted via laboratory studies using speech-recognition tasks with a single talker and presentation via earphones and/or from a loudspeaker located directly in front of the listener. Real-world speech understanding is more complex, however, and these children may need to exert greater effort than their peers with normal hearing to understand speech, potentially impacting progress in a number of developmental areas. This article discusses issues and research relative to speech understanding in complex environments for children with MBHL or UHL and implications for real-world listening and understanding.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 Suppl 1","pages":"S36-S48"},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in HearingPub Date : 2023-03-01eCollection Date: 2023-02-01DOI: 10.1055/s-0043-1764138
Elizabeth A Walker
{"title":"The Importance of High-Frequency Bandwidth on Speech and Language Development in Children: A Review of Patricia Stelmachowicz's Contributions to Pediatric Audiology.","authors":"Elizabeth A Walker","doi":"10.1055/s-0043-1764138","DOIUrl":"10.1055/s-0043-1764138","url":null,"abstract":"<p><p>We review the literature related to Patricia Stelmachowicz's research in pediatric audiology, specifically focusing on the influence of audibility in language development and acquisition of linguistic rules. Pat Stelmachowicz spent her career increasing our awareness and understanding of children with mild to severe hearing loss who use hearing aids. Using a variety of novel experiments and stimuli, Pat and her colleagues produced a robust body of evidence to support the hypothesis that development moderates the role of frequency bandwidth on speech perception, particularly for fricative sounds. The prolific research that came out of Pat's lab had several important implications for clinical practice. First, her work highlighted that children require access to more high-frequency speech information than adults in the detection and identification of fricatives such as /s/ and /z/. These high-frequency speech sounds are important for morphological and phonological development. Consequently, the limited bandwidth of conventional hearing aids may delay the formation of linguistic rules in these two domains for children with hearing loss. Second, it emphasized the importance of not merely applying adult findings to the clinical decision-making process in pediatric amplification. Clinicians should use evidence-based practices to verify and provide maximum audibility for children who use hearing aids to acquire spoken language.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 Suppl 1","pages":"S3-S16"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9314846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in HearingPub Date : 2023-03-01eCollection Date: 2023-02-01DOI: 10.1055/s-0043-1764135
Lori J Leibold, Lauren Calandruccio, Emily Buss
{"title":"Building on the Academic Legacy of Pat Stelmachowicz and other Pioneers in Developmental Psychoacoustics and Pediatric Audiology: The Children's English/Spanish Speech Recognition Test (ChEgSS).","authors":"Lori J Leibold, Lauren Calandruccio, Emily Buss","doi":"10.1055/s-0043-1764135","DOIUrl":"10.1055/s-0043-1764135","url":null,"abstract":"<p><p>Basic research investigating auditory development often has implications for clinical diagnosis and treatment of hearing loss in children, but it can be challenging to translate those findings into practice. Meeting that challenge was a guiding principle of Pat Stelmachowicz's research and mentorship. Her example inspired many of us to pursue translational research and motivated the recent development of the Children's English/Spanish Speech Recognition Test (ChEgSS). This test evaluates word recognition in noise or two-talker speech, with target and masker speech produced in either English or Spanish. The test uses recorded materials and a forced-choice response, so the tester need not be fluent in the test language. ChEgSS provides a clinical measure of masked speech recognition outcomes for children who speak English, Spanish, or both, including estimates of performance in noise and two-talker speech, with the goal of maximizing speech and hearing outcomes for children with hearing loss. This article highlights several of Pat's many contributions to pediatric hearing research and describes the motivation and development of ChEgSS.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 Suppl 1","pages":"S29-S35"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in HearingPub Date : 2023-03-01eCollection Date: 2023-02-01DOI: 10.1055/s-0043-1764133
Brian B Monson, Allison Trine
{"title":"Extending the High-Frequency Bandwidth and Predicting Speech-in-Noise Recognition: Building on the Work of Pat Stelmachowicz.","authors":"Brian B Monson, Allison Trine","doi":"10.1055/s-0043-1764133","DOIUrl":"10.1055/s-0043-1764133","url":null,"abstract":"<p><p>Recent work has demonstrated that high-frequency (>6 kHz) and extended high-frequency (EHF; >8 kHz) hearing is valuable for speech-in-noise recognition. Several studies also indicate that EHF pure-tone thresholds predict speech-in-noise performance. These findings contradict the broadly accepted \"speech bandwidth\" that has historically been limited to below 8 kHz. This growing body of work is a tribute to the work of Pat Stelmachowicz, whose research was instrumental in revealing the limitations of the prior speech bandwidth work, particularly for female talkers and child listeners. Here, we provide a historical review that demonstrates how the work of Stelmachowicz and her colleagues paved the way for subsequent research to measure effects of extended bandwidths and EHF hearing. We also present a reanalysis of previous data collected in our lab, the results of which suggest that 16-kHz pure-tone thresholds are consistent predictors of speech-in-noise performance, regardless of whether EHF cues are present in the speech signal. Based on the work of Stelmachowicz, her colleagues, and those who have come afterward, we argue that it is time to retire the notion of a limited speech bandwidth for speech perception for both children and adults.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 Suppl 1","pages":"S64-S74"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9331272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in HearingPub Date : 2023-03-01eCollection Date: 2023-02-01DOI: 10.1055/s-0043-1764136
Kathryn B Wiseman, Ryan W McCreery
{"title":"Quantifying Access to Speech in Children with Hearing Loss: The Influence of the Work of Pat Stelmachowicz on Measures of Audibility.","authors":"Kathryn B Wiseman, Ryan W McCreery","doi":"10.1055/s-0043-1764136","DOIUrl":"10.1055/s-0043-1764136","url":null,"abstract":"<p><p>This article reviews the research of Pat Stelmachowicz on traditional and novel measures for quantifying speech audibility (i.e., pure-tone average [PTA], the articulation/audibility index [AI], the speech intelligibility index, and auditory dosage) as predictors of speech perception and language outcomes in children. We discuss the limitations of using audiometric PTA as a predictor of perceptual outcomes in children and how Pat's research shed light on the importance of measures that characterize high-frequency audibility. We also discuss the AI, Pat's work on the calculation of the AI as a hearing aid outcome measure, and how this work led to the application of the speech intelligibility index as a clinically utilized measure of unaided and aided audibility. Finally, we describe a novel measure of audibility-auditory dosage-that was developed based on Pat's work on audibility and hearing aid use for children who are hard of hearing.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 Suppl 1","pages":"S17-S28"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9751230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hammam AlMakadma, Sreedevi Aithal, Venkatesh Aithal, Joseph Kei
{"title":"Use of Wideband Acoustic Immittance in Neonates and Infants.","authors":"Hammam AlMakadma, Sreedevi Aithal, Venkatesh Aithal, Joseph Kei","doi":"10.1055/s-0043-1764200","DOIUrl":"https://doi.org/10.1055/s-0043-1764200","url":null,"abstract":"<p><p>With widespread agreement on the importance of early identification of hearing loss, universal newborn hearing screening (UNHS) has become the standard of care in several countries. Despite advancements in screening technology, UNHS and early hearing detection and intervention programs continue to be burdened by high referral rates of false-positive cases due to temporary obstruction of sound in the outer/middle ear at birth. A sensitive adjunct test of middle ear at the time of screening would aid in the interpretation of screening outcomes, minimize unnecessary rescreens, and prioritize referral to diagnostic assessment for infants with permanent congenital hearing loss. Determination of middle ear status is also an important aspect of diagnostic assessment in infants. Standard single-frequency tympanometry used to determine middle ear status in infants is neither efficient nor accurate in newborns and young infants. A growing body of research has demonstrated the utility of wideband acoustic immittance (WAI) testing in both screening and diagnostic settings. Wideband power absorbance (WBA), a WAI measure, has been shown to be more sensitive than tympanometry in the assessment of outer/middle ear function in newborns. Furthermore, age-graded norms also support successful application of WBA in young infants. Despite its merits, uptake of this technology is low among pediatric audiologists and hearing screening health workers. This report describes normative data, methods for assessment and interpretation of WBA, test-retest variations, and other factors pertinent to clinical use of WAI in newborns and infants. Clinical cases illustrate the use of WAI testing in newborn and infant hearing assessment.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 1","pages":"29-45"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9130694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum: The Rise and Fall of Aural Acoustic Immittance Assessment Tools.","authors":"Navid Shahnaz, Hammam AlMakadma, Chris A Sanford","doi":"10.1055/s-0043-1767808","DOIUrl":"https://doi.org/10.1055/s-0043-1767808","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0043-1764139.].</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 1","pages":"e1"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9527932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}