scholarly journals Effects of Long-Term Training on Aided Speech-Recognition Performance in Noise in Older Adults

2008 ◽  
Vol 51 (3) ◽  
pp. 759-771 ◽  
Author(s):  
Matthew H. Burk ◽  
Larry E. Humes
Keyword(s):  
Older Adults ◽  
Speech Recognition ◽  
Recognition Performance

The Impact of Speech Recognition Testing on State Anxiety in Young, Middle-Age, and Older Adults

2020 ◽  
Vol 63 (8) ◽  
pp. 2789-2800
Author(s):  
Christina M. Roup ◽  
Donna E. Green ◽  
J. Riley DeBacker
Keyword(s):  
Older Adults ◽  
Speech Recognition ◽  
State Anxiety ◽  
Middle Age ◽  
Recognition Performance ◽  
State Trait Anxiety Inventory ◽  
Speech Perception In Noise ◽  
Speech In Noise ◽  
Noise Test ◽  
Recognition Testing

Purpose This study assessed state anxiety as a function of speech recognition testing using three clinical measures of speech in noise and one clinical measure of dichotic speech recognition. Method Thirty young adults, 30 middle-age adults, and 25 older adults participated. State anxiety was measured pre– and post–speech recognition testing using the State–Trait Anxiety Inventory. Speech recognition was measured with the Revised Speech Perception in Noise Test, the Quick Speech-in-Noise Test, the Words-in-Noise Test, and the Dichotic Digits Test (DDT). Results Speech recognition performance was as expected: Older adults performed significantly poorer on all measures as compared to the young adults and significantly poorer on the Revised Speech Perception in Noise Test, the Quick Speech-in-Noise Test, and the Words-in-Noise Test as compared to the middle-age adults. On average, State–Trait Anxiety Inventory scores increased posttesting, with the middle-age adults exhibiting significantly greater increases in state anxiety as compared to the young and older adults. Increases in state anxiety were significantly greater for the DDT relative to the speech-in-noise tests for the middle-age adults only. Poorer DDT recognition performance was associated with higher levels of state anxiety. Conclusions Increases in state anxiety were observed after speech-in-noise and dichotic listening testing for all groups, with significant increases seen for the young and middle-age adults. Although the exact mechanisms could not be determined, multiple factors likely influenced the observed increases in state anxiety, including task difficulty, individual proficiency, and age.

Speech-Recognition Performance after Long-Term Hearing Aid Use

2007 ◽  
Vol 18 (04) ◽  
pp. 292-303
Author(s):  
Janet E. Shanks ◽  
Richard H. Wilson ◽  
Patricia Stelmachowicz ◽  
Gene W. Bratt ◽  
David W. Williams
Keyword(s):  
Speech Recognition ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Recognition Performance ◽  
Stimulus Level ◽  
Original Study ◽  
Noise Condition ◽  
Hearing Aid Use ◽  
Hearing Aid Benefit

Larson et al (2000) reported the findings of a multicenter, NIDCD/VA clinical trial that compared hearing aid performance for three output limiting circuits in 360 adults with symmetrical sensorineural hearing loss. The current study was undertaken to examine long-term hearing aid benefit in this same group of participants following five to six years of hearing aid use. The speech-recognition portion of the follow-up study enrolled 108 participants from the original study, 85% of whom were current hearing aid users and 15% of whom had not worn hearing aids during the past month (nonusers). Recognition performance in sound field on the NU-6 (quiet at 62 dB SPL) and the CST (quiet at 74 dB SPL and with -3 and 3 dB signal-to-babble ratios [S/B] at 62 and 74 dB SPL) was measured unaided and aided whenever possible. Speech-recognition abilities decreased significantly since the original study. Speech-recognition decrements were observed regardless of the speech materials (NU-6 and CST), test condition (quiet and noise), S/B (-3 and 3 dB), or stimulus level (62 and 74 dB SPL). Despite decreases in speech recognition, hearing aid benefit remained largely unchanged since the original study; aided performance exceeded unaided performance regardless of presentation level or noise condition. As in the original study, the relations among stimulus level, S/B, and speech-recognition performance were complex. Larson y col. (2000) reportaron los hallazgos de un estudio clínicos multicéntrico del NIDCD/VA que comparó el desempeño en el uso de auxiliares auditivos (AA) con tres circuitos de limitación de la salida, en 360 adultos con pérdida auditiva sensorineural simétrica. El estudio actual fue conducido para examinar el beneficio a largo plazo del AA en el mismo grupo de participantes, luego de cinco a seis años de utilización del AA. La porción de reconocimiento de lenguaje del estudio de seguimiento involucró a 108 participantes del estudio original, 85% de los cuáles eran actuales usuarios de AA y 15% que no habían usado AA durante el mes anterior (no usuarios). El desempeño en reconocimiento del lenguaje en campo sonoro con el NU-6 (en silencio a 62 dB SPL) y con el CST (en silencio a 74 dB SPL, y con tasas de señal/balbuceo de -3 y +3 dB [S&B] a 62 y 74 dB SPL), fue medido con y sin amplificación cuando resultó posible. Las habilidades de reconocimiento del lenguaje habían disminuido significativamente desde el estudio original. Se observó reducción en el reconocimiento del lenguaje independientemente del material logoaudiométrico (NU-6 y CST), las condiciones de la prueba (en silencio o en ruido), S/B (-3 y +3 dB), o la intensidad del estímulo (62 y 74 dB SPL). A pesar de la disminución en el reconocimiento del lenguaje, el beneficio del AA permaneció sin cambios en relación al estudio original; el desempeño con amplificación superó el desempeño sin amplificación sin importar la intensidad de la presentación o las condiciones de ruido. Al igual que en el estudio original, las relaciones entre el nivel de estímulo, la S/B y el desempeño en el reconocimiento de lenguaje fueron complejas.

Aging and Input Devices: Voice Recognition Performance is Slower Yet More Acceptable than a Lightpen

2005 ◽  
Vol 49 (2) ◽  
pp. 167-171 ◽  
Author(s):  
Tiffany Jastrzembski ◽  
Neil Charness ◽  
Patricia Holley ◽  
Jeffrey Feddon
Keyword(s):  
Older Adults ◽  
Speech Recognition ◽  
Response Times ◽  
Recognition Performance ◽  
Target Selection ◽  
Modern Society ◽  
Input Devices ◽  
Speech Recognition Software ◽  
Age Related ◽  
Light Pen

Microcomputers are ubiquitous to modern society, yet older adults consistently perform more poorly than younger counterparts using standard input devices (e.g. a mouse). Prior research has revealed that direct positioning devices (e.g. light pen), minimize age differences and enable quick transfer to the non-preferred hand. This study investigates whether speech recognition may also reduce age-related declines and enhance performance of older adults in target selection tasks. Twenty-four participants ages 20–26 (M = 21.7), twenty-four participants ages 44-55 (M = 48.9), and twenty-four participants ages 65–78 (M = 70.4) were asked to select a specified target using either a light pen or speech recognition software (IBM's ViaVoice). Results revealed no age effects for type of device, but response times for target acquisition were approximately 2178 ms longer for speech recognition than the direct positioning device, and preference ratings were higher using speech as input versus the lightpen. Implications are discussed.

The Effect of Lexical Content on Dichotic Speech Recognition in Older Adults

2016 ◽  
Vol 27 (01) ◽  
pp. 013-028 ◽  
Author(s):  
Ursula M. Findlen ◽  
Christina M. Roup
Keyword(s):  
Older Adults ◽  
Speech Recognition ◽  
Older Adult ◽  
Auditory Processing ◽  
Speech Signal ◽  
Recognition Performance ◽  
Performance Characteristics ◽  
Top Down ◽  
Response Condition ◽  
Lexical Content

Background: Age-related auditory processing deficits have been shown to negatively affect speech recognition for older adult listeners. In contrast, older adults gain benefit from their ability to make use of semantic and lexical content of the speech signal (i.e., top-down processing), particularly in complex listening situations. Assessment of auditory processing abilities among aging adults should take into consideration semantic and lexical content of the speech signal. Purpose: The purpose of this study was to examine the effects of lexical and attentional factors on dichotic speech recognition performance characteristics for older adult listeners. Research Design: A repeated measures design was used to examine differences in dichotic word recognition as a function of lexical and attentional factors. Study Sample: Thirty-five older adults (61–85 yr) with sensorineural hearing loss participated in this study. Data Collection and Analysis: Dichotic speech recognition was evaluated using consonant–vowel–consonant (CVC) word and nonsense CVC syllable stimuli administered in the free recall, directed recall right, and directed recall left response conditions. Results: Dichotic speech recognition performance for nonsense CVC syllables was significantly poorer than performance for CVC words. Dichotic recognition performance varied across response condition for both stimulus types, which is consistent with previous studies on dichotic speech recognition. Inspection of individual results revealed that five listeners demonstrated an auditory-based left ear deficit for one or both stimulus types. Conclusions: Lexical content of stimulus materials affects performance characteristics for dichotic speech recognition tasks in the older adult population. The use of nonsense CVC syllable material may provide a way to assess dichotic speech recognition performance while potentially lessening the effects of lexical content on performance (i.e., measuring bottom-up auditory function both with and without top-down processing).

Comparison of the Multipeak and Spectral Peak Speech Coding Strategies of the Nucleus TM 22-Channel Cochlear Implant System

1995 ◽  
Vol 4 (3) ◽  
pp. 49-54 ◽  
Author(s):  
Laura K. Holden ◽  
Margaret W. Skinner ◽  
Timothy A. Holden ◽  
Susan M. Binzer
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Speech Coding ◽  
Recognition Performance ◽  
Sound Field ◽  
Spectral Peak ◽  
Monosyllabic Word ◽  
Coding Strategies ◽  
Implant System

Eight subjects participated in a comparison of the multipeak (MPEAK) and spectral peak (SPEAK) speech coding strategies of the Nucleus TM 22-channel cochlear implant system as part of a long-term monitoring study. Sound-field threshold levels and speech recognition performance on the Bamford-Kowal-Bench Sentence Test, NU-6 Monosyllabic Word Test, and Connected Speech Test or CID Everyday Sentence Test were analyzed for the two speech coding strategies. For the group, speech recognition performance was significantly higher with the SPEAK speech coding strategy than with the MPEAK strategy on all speech tests. For individual subjects, scores with the SPEAK strategy were significantly higher for some subjects on each of the speech tests. None of the subjects scored significantly higher on any of the tests with MPEAK.

State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

2014 ◽  
Author(s):  
Susan C. Reinhard Reinhard ◽  
Ari Houser Houser ◽  
Enid Kassner Kassner ◽  
Robert Mollica Mollica ◽  
Kathleen Ujuari Ujuari ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Physical Disabilities ◽  
Services And Supports ◽  
People With Physical Disabilities

Uitbraak COVID-19 in de verpleeghuiszorg

2020 ◽  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Rapid Review ◽  
Daily Routine ◽  
Term Care ◽  
Care Facilities

Long-term care for older adults is highly affect by the COVID-19 outbreak. The objective of this rapid review is to understand what we can learn from previous crises or disasters worldwide to optimize the care for older adults in long term care facilities during the outbreak of COVID-19. We searched five electronic databases to identify potentially relevant articles. In total, 23 articles were included in this study. Based on the articles, it appeared that nursing homes benefit from preparing for the situation as best as they can. For instance, by having proper protocols and clear division of tasks and collaboration within the organization. In addition, it is helpful for nursing homes to collaborate closely with other healthcare organizations, general practitioners, informal caregivers and local authorities. It is recommended that nursing homes pay attention to capacity and employability of staff and that they support or relieve staff where possible. With regard to care for the older adults, it is important that staff tries to find a new daily routine in the care for residents as soon as possible. Some practical tips were found on how to communicate with people who have dementia. Furthermore, behavior of people with dementia may change during a crisis. We found tips for staff how to respond and act upon behavior change. After the COVID-19 outbreak, aftercare for staff, residents, and informal caregivers is essential to timely detect psychosocial problems. The consideration between, on the one hand, acute safety and risk reduction (e.g. by closing residential care facilities and isolating residents), and on the other hand, the psychosocial consequences for residents and staff, were discussed in case of other disasters. Furthermore, the search of how to provide good (palliative) care and to maintain quality of life for older adults who suffer from COVID-19 is also of concern to nursing home organizations. In the included articles, the perspective of older adults, informal caregivers and staff is often lacking. Especially the experiences of older adults, informal caregivers, and nursing home staff with the care for older adults in the current situation, are important in formulating lessons about how to act before, during and after the coronacrisis. This may further enhance person-centered care, even in times of crisis. Therefore, we recommend to study these experiences in future research.

Long-Term Follow-Up of Early Cochlear Implant Device Activation

2021 ◽  
pp. 1-11
Author(s):  
Stefanie Bruschke ◽  
Uwe Baumann ◽  
Timo Stöver
Keyword(s):  
Speech Recognition ◽  
Side Effects ◽  
Cochlear Implant ◽  
Surgical Techniques ◽  
Control Group ◽  
First Year ◽  
Safe Procedure ◽  
Sound Processor

Background: The cochlear implant (CI) is a standard procedure for the treatment of patients with severe to profound hearing loss. In the past, a standard healing period of 3–6 weeks occurred after CI surgery before the sound processor was initially activated. Advancements of surgical techniques and instruments allow an earlier initial activation of the processor within 14 days after surgery. Objective: Evaluation of the early CI device activation after CI surgery within 14 days, comparison to the first activation after 4–6 weeks, and assessment of the feasibility and safety of the early fitting over a 12 month observation period were the objectives of this study. Method: In a prospective study, 127 patients scheduled for CI surgery were divided into early fitting group (EF, n = 67) and control group (CG, n = 60). Individual questionnaires were used to evaluate medical and technical outcomes of the EF. Medical side effects, speech recognition, and follow-up effort were compared with the CG within the first year after CI surgery. Results: The early fitting was feasible in 97% of the EF patients. In the EF, the processor was activated 25 days earlier than in the CG. No major complications were observed in either group. At the follow-up appointments, side effects such as pain and balance problems occurred with comparable frequency in both groups. At initial fitting, the EF showed a significantly higher incidence of medical minor complications (p < 0.05). When developing speech recognition within the first year of CI use, no difference was observed. Furthermore, the follow-up effort within the first year after CI surgery was comparable in both groups. Conclusions: Early fitting of the sound processor is a feasible and safe procedure with comparable follow-up effort. Although more early minor complications were observed in the EF, there were no long-term wound healing problems caused by the early fitting. Regular inspection of the magnet strength is recommended as part of the CI follow-up since postoperative wound swelling must be expected. The early fitting procedure enabled a clear reduction in the waiting time between CI surgery and initial sound processor activation.

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