Seeing the Talker's Face Improves Free Recall of Speech for Young Adults With Normal Hearing but Not Older Adults With Hearing Loss

2016 ◽  
Vol 59 (3) ◽  
pp. 590-599 ◽  
Author(s):  
Mary Rudner ◽  
Sushmit Mishra ◽  
Stefan Stenfelt ◽  
Thomas Lunner ◽  
Jerker Rönnberg
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Free Recall ◽  
Cognitive Processing ◽  
Signal To Noise Ratio ◽  
Recall Performance ◽  
Cognitive Task ◽  
Normal Hearing ◽  
Task Demands ◽  
Audiovisual Integration

Purpose Seeing the talker's face improves speech understanding in noise, possibly releasing resources for cognitive processing. We investigated whether it improves free recall of spoken two-digit numbers. Method Twenty younger adults with normal hearing and 24 older adults with hearing loss listened to and subsequently recalled lists of 13 two-digit numbers, with alternating male and female talkers. Lists were presented in quiet as well as in stationary and speech-like noise at a signal-to-noise ratio giving approximately 90% intelligibility. Amplification compensated for loss of audibility. Results Seeing the talker's face improved free recall performance for the younger but not the older group. Poorer performance in background noise was contingent on individual differences in working memory capacity. The effect of seeing the talker's face did not differ in quiet and noise. Conclusions We have argued that the absence of an effect of seeing the talker's face for older adults with hearing loss may be due to modulation of audiovisual integration mechanisms caused by an interaction between task demands and participant characteristics. In particular, we suggest that executive task demands and interindividual executive skills may play a key role in determining the benefit of seeing the talker's face during a speech-based cognitive task.

scholarly journals Effect of Reduced Audibility on Mini-Mental State Examination Scores

2019 ◽  
Vol 30 (10) ◽  
pp. 845-855
Author(s):  
Laura Gaeta ◽  
Jo Azzarello ◽  
Jonathan Baldwin ◽  
Carrie A. Ciro ◽  
Mary A. Hudson ◽  
...  
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Hearing Loss ◽  
Signal To Noise Ratio ◽  
Normal Hearing ◽  
Cognitive Status ◽  
Screening Tests ◽  
Cognitive Screening ◽  
Matched Case ◽  
State Examination

AbstractThe interaction of audition and cognition has been of interest to researchers and clinicians, especially as the prevalence of hearing loss and cognitive decline increases with advancing age. Cognitive screening tests are commonly used to assess cognitive status in individuals reporting changes in memory or function or to monitor cognitive status over time. These assessments are administered verbally, so performance may be adversely affected by hearing loss. Previous research on the impact of reduced audibility on cognitive screening test scores has been limited to older adults with sensorineural hearing loss (SNHL) or young adults with normal hearing and simulated audibility loss. No comparisons have been conducted to determine whether age-related SNHL and its impact on cognitive screening tests is successfully modeled by audibility reduction.The purpose of this study was to examine the effects of reduced audibility on the Mini-Mental State Examination (MMSE), a common bedside cognitive screening instrument, by comparing performance of cognitively normal older adults with SNHL and young adults with normal hearing.A 1:1 gender-matched case–control design was used for this study.Thirty older adults (60–80 years old) with mild to moderately severe SNHL (cases) and 30 young adults (18–35 years old) with normal hearing (controls) served as participants for this study. Participants in both groups were selected for inclusion if their cognitive status was within normal limits on the Montreal Cognitive Assessment.Case participants were administered a recorded version of the MMSE in background noise at a signal-to-noise ratio of +25-dB SNR. Control participants were administered a digitally filtered version of the MMSE that reflected the loss of audibility (i.e., threshold elevation) of the matched case participant at a signal-to-noise ratio of +25-dB SNR. Performance on the MMSE was scored using standard criteria.Between-group analyses revealed no significant difference in the MMSE score. However, within-group analyses showed that education was a significant effect modifier for the case participants.Reduced audibility has a negative effect on MMSE score in cognitively intact participants, which contributes to and confirms the findings of earlier studies. The findings suggest that observed reductions in score on the MMSE were primarily due to loss of audibility of the test item. The negative effects of audibility loss may be greater in individuals who have lower levels of educational attainment. Higher levels of educational attainment may offset decreased performance on the MMSE because of reduced audibility. Failure to consider audibility and optimize communication when administering these assessments can lead to invalid results (e.g., false positives or missed information), misdiagnosis, and inappropriate recommendations for medication or intervention.

scholarly journals The effects of Processing Instruction on the acquisition of English simple past tense: Age and cognitive task demands

2015 ◽  
Vol 53 (2) ◽  
Author(s):  
Alessandro Benati ◽  
Tanja Angelovska
Keyword(s):  
Cognitive Processing ◽  
Cognitive Task ◽  
Age Groups ◽  
Task Demands ◽  
School Age Children ◽  
School Age ◽  
Processing Instruction ◽  
Positive Effects ◽  
Sentence Level ◽  
Post Test

AbstractThe present study investigates the effects of Processing Instruction on two different age groups and the role that cognitive task demands might play in the results generated by Processing Instruction. This study includes school-age children and adult native speakers of German learning English as a foreign language – a language combination not previously investigated within the Processing Instruction and individual differences research paradigm. The present study investigates directly whether two different age groups will benefit equally from Processing Instruction in altering their reliance on lexical temporal indicators and redirecting their attention to verb forms on Processing Instruction activities with different cognitive demands. The grammatical feature chosen for this study is the English past simple tense marking tested on both interpretation and production measures. The results from this study provide further evidence that the Processing Instruction is an effective instructional treatment in helping school-age children and adult L2 learners to make accurate form-meaning connections. The results from the first sentence-level interpretation task and the production task showed that Processing Instruction has positive and equal effects on both age groups (school-age learners and adults). The positive effects of instruction were maintained over the delayed post-test for both age groups who made similar gains on the immediate post-test. The results from the second (cognitively more complex) sentence-level interpretation task indicated that the adults made greater gains than school-age learners. However, both groups retained the positive effects of instruction over time. The difference in gains between the two age groups on the second sentence-level interpretation task can be explained in terms of cognitive processing load.

Cognition in older adults with severe to profound sensorineural hearing loss compared to peers with normal hearing for age

2019 ◽  
Vol 59 (4) ◽  
pp. 254-262 ◽  
Author(s):  
Maria Huber ◽  
Sebastian Roesch ◽  
Belinda Pletzer ◽  
Julia Lukaschyk ◽  
Anke Lesinski-Schiedat ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Hearing ◽  
Sensorineural Hearing

Age Affects Responses on the Speech, Spatial, and Qualities of Hearing Scale (SSQ) by Adults with Minimal Audiometric Loss

2012 ◽  
Vol 23 (02) ◽  
pp. 081-091 ◽  
Author(s):  
Jessica Banh ◽  
Gurjit Singh ◽  
M. Kathleen Pichora-Fuller
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Cognitive Processing ◽  
Local Community ◽  
Age Groups ◽  
Younger Adults ◽  
Clinically Normal ◽  
Age Related ◽  
Listening In Noise ◽  
Psychology Course

Background: Age-related declines in auditory and cognitive processing may contribute to the difficulties with listening in noise that are often reported by older adults. Such difficulties are reported even by those who have relatively good audiograms that could be considered “normal” for their age (ISO 7029-2000 [ISO, 2000]). The Speech, Spatial, and Qualities of Hearing Scale (SSQ; Gatehouse and Noble, 2004) is a questionnaire developed to measure a listener's self-reported ability to hear in a variety of everyday situations, such as those that are challenging for older adults, and it can provide insights into the possible contributions of auditory and cognitive factors to their listening difficulties. The SSQ has been shown to be a sensitive and reliable questionnaire to detect benefits associated with the use of different hearing technologies and potentially other forms of intervention. Establishing how age-matched listeners with audiograms “normal” for their age rate the items on the SSQ could enable an extension of its use in audiological assessment and in setting rehabilitative goals. Purpose: The main purpose of this study was to investigate how younger and older adults who passed audiometric screening and who had thresholds considered to be “normal” for their age responded on the SSQ. It was also of interest to compare these results to those reported previously for older listeners with hearing loss in an attempt to tease out the relative effects of age and hearing loss. Study Sample: The SSQ was administered to 48 younger (mean age = 19 yr; SD = 1.0) and 48 older (mean age = 70 yr, SD = 4.1) adults with clinically normal audiometric thresholds below 4 kHz. The younger adults were recruited through an introductory psychology course, and the older adults were volunteers from the local community. Data Collection and Analysis: Both age groups completed the SSQ. The differences between the groups were analyzed. Correlations were used to compare the pattern of results across items for the two age groups in the present study and to assess the relationship between SSQ scores and objective measures of hearing. Comparisons were also made to published results for older adults with hearing loss. Results: The pattern of reported difficulty across items was similar for both age groups, but younger adults had significantly higher scores than older adults on 42 of the 46 items. On average, younger adults scored 8.8 (SD = 0.6) out of 10 and older adults scored 7.7 (SD = 1.2) out of 10. By comparison, scores of 5.5 (SD = 1.9) have been reported for older adults (mean age = 71 yr, SD = 8.1) with moderate hearing loss (Gatehouse and Noble, 2004). Conclusions: By establishing the best scores that could reasonably be expected from younger and older adults with “normal” hearing thresholds, these results provide clinicians with information that should assist them in setting realistic targets for interventions for adults of different ages.

scholarly journals Masking Release in Children and Adults With Hearing Loss When Using Amplification

2016 ◽  
Vol 59 (1) ◽  
pp. 110-121 ◽  
Author(s):  
Marc Brennan ◽  
Ryan McCreery ◽  
Judy Kopun ◽  
Dawna Lewis ◽  
Joshua Alexander ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Normal Hearing ◽  
Noise Masking ◽  
Sentence Recognition ◽  
Hearing Status ◽  
Masking Release ◽  
Adults And Children ◽  
Children With Hearing Loss

Purpose This study compared masking release for adults and children with normal hearing and hearing loss. For the participants with hearing loss, masking release using simulated hearing aid amplification with 2 different compression speeds (slow, fast) was compared. Method Sentence recognition in unmodulated noise was compared with recognition in modulated noise (masking release). Recognition was measured for participants with hearing loss using individualized amplification via the hearing-aid simulator. Results Adults with hearing loss showed greater masking release than the children with hearing loss. Average masking release was small (1 dB) and did not depend on hearing status. Masking release was comparable for slow and fast compression. Conclusions The use of amplification in this study contrasts with previous studies that did not use amplification. The results suggest that when differences in audibility are reduced, participants with hearing loss may be able to take advantage of dips in the noise levels, similar to participants with normal hearing. Although children required a more favorable signal-to-noise ratio than adults for both unmodulated and modulated noise, masking release was not statistically different. However, the ability to detect a difference may have been limited by the small amount of masking release observed.

scholarly journals Talker Differences in Clear and Conversational Speech: Vowel Intelligibility for Older Adults With Hearing Loss

2012 ◽  
Vol 55 (3) ◽  
pp. 779-790 ◽  
Author(s):  
Sarah Hargus Ferguson
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Conversational Speech ◽  
Clear Speech ◽  
Talker Variability ◽  
Speaking Style

Purpose To establish the range of talker variability for vowel intelligibility in clear versus conversational speech for older adults with hearing loss and to determine whether talkers who produced a clear speech benefit for young listeners with normal hearing also did so for older adults with hearing loss. Method Clear and conversational vowels in /bVd/ context produced by 41 talkers were presented in noise for identification by 40 older (ages 65–87 years) adults with sloping sensorineural hearing loss. Results Vowel intelligibility within each speaking style and the size of the clear speech benefit varied widely among talkers. The clear speech benefit was equivalent to that enjoyed by young listeners with normal hearing in an earlier study. Most talkers who had produced a clear speech benefit for young listeners with normal hearing also did so for the older listeners with hearing loss in the present study. However, effects of talker gender differed between listeners with normal hearing and listeners with hearing loss. Conclusion The clear speech vowel intelligibility benefit generated for listeners with hearing loss varied considerably among talkers. Most talkers who produced a clear speech benefit for normal-hearing listeners also produced a benefit for listeners with hearing loss.

Hearing Loss, Aging, and Speech Perception in Reverberation and Noise

1990 ◽  
Vol 33 (1) ◽  
pp. 149-155 ◽  
Author(s):  
Karen S. Helfer ◽  
Laura A. Wilber
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Nonsense Syllable ◽  
Normal Hearing ◽  
Four Levels ◽  
Reverberant Speech ◽  
Pure Tone Threshold

The present investigation examined the effect of reverberation and noise on the perception of nonsense syllables by four groups of subjects: younger (≤35 years of age) and older (>60 years of age) listeners with mild-to-moderate sensorineural hearing loss; younger, normal-hearing individuals; and older adults with minimal peripheral hearing loss. Copies of the Nonsense Syllable Test (Resnick, Dubno, Huffnung, & Levitt, 1975) were re-recorded under four levels of reverberation (0.0, 0.6, 0.9, 1.3 s) in quiet and in cafeteria noise at + 10 dB S:N. Results suggest that both age and amount of pure-tone hearing loss contribute to senescent changes in the ability to understand noisy, reverberant speech: pure-tone threshold and age were correlated negatively with performance in reverberation plus noise, although age and pure-tone hearing loss were not correlated with each other. Further, many older adults with minimal amounts of peripheral hearing loss demonstrated difficulty understanding distorted consonants.

scholarly journals Hearing Loss, Hearing Aid Use and Depressive Symptoms in Older Adults – Findings from the Atherosclerosis Risk in Communities Neurocognitive Study (ARIC-NCS)

2019 ◽  
Author(s):  
Aishwarya Shukla ◽  
Nicholas Reed ◽  
Nicole M Armstrong ◽  
Frank R Lin ◽  
Jennifer A Deal ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Depressive Symptoms ◽  
Hearing Aid ◽  
Depression Scale ◽  
Normal Hearing ◽  
Community Dwelling ◽  
Atherosclerosis Risk In Communities ◽  
Hearing Aid Use ◽  
Atherosclerosis Risk

Abstract OBJECTIVES Investigate the cross-sectional association between hearing loss (HL), hearing aid use, and depressive symptoms in community-dwelling older adults. METHOD The analytic sample consisted of 3188 participants (age range 71-94 years) in the Atherosclerosis Risk in Communities Neurocognitive Study (ARIC-NCS). Multivariable logistic regression was used to evaluate the association of audiometric hearing status and self-reported hearing aid use with depressive symptoms (11-item Center for Epidemiologic Studies Depression Scale). RESULTS 4.6% of participants had depressive symptoms. 40% had mild HL and 27% had moderate or greater HL. In multivariable-adjusted models, mild HL was associated with 1.90 times higher odds (95% Confidence Interval, [CI] 1.20-3.01) and moderate or greater HL with 2.42 times higher odds (95% CI 1.44-4.07) of depressive symptoms compared to normal hearing. Each 10dB increase in HL was associated with 1.30 higher odds of depressive symptoms (95% CI 1.14-1.49). Hearing aid use was not associated with depressive symptoms among those with mild (Odds Ratio [OR] 0.94, 95% CI 0.35-2.54) or moderate or greater (OR 1.12, 95% CI 0.60-2.11) HL. DISCUSSION Older adults with HL have higher odds of depressive symptoms compared to adults with normal hearing. Future studies are needed to assess whether hearing care is protective against depressive symptoms in older adults.

How task demands influence time-based prospective memory performance in young and older adults

2001 ◽  
Vol 25 (4) ◽  
pp. 386-391 ◽  
Author(s):  
Mike Martin ◽  
Ruth Schumann-Hengsteler
Keyword(s):  
Older Adults ◽  
Cognitive Load ◽  
Cognitive Processing ◽  
Prospective Memory ◽  
Memory Performance ◽  
Memory Task ◽  
Task Demands ◽  
Age Effects ◽  
Processing Demands ◽  
Prospective Memory Performance

Prospective memory performance as a measure of everyday cognitive functioning is of increasing importance for developmental research. However, comparisons of studies on prospective memory development in adults reveal essential differences. Although some studies report no age effects, others find age effects of widely varying magnitudes. We suggest that differences in these findings on prospective memory performance can be explained by an age by task interaction (i.e., large amounts of cognitive load imposed by time-based prospective memory tasks disproportionally penalise older adults who possess fewer cognitive resources). We explored our hypothesis in a study with 90 young adults (M = 24.0 years) and 75 older adults (M = 69.0 years) by manipulating the overall cognitive processing demands of the prospective task situation. We varied the cognitive load of the background task while holding constant the time-based prospective memory task. Results indicate that the effects of increased overall processing demands strongly influence older adults’ performance. Results are discussed within the framework of capacity explanations of cognitive ageing that focus on the role of working memory resources in monitoring processes.

Effects of Speech Rate, Background Noise, and Simulated Hearing Loss on Speech Rate Judgment and Speech Intelligibility in Young Listeners

2009 ◽  
Vol 20 (01) ◽  
pp. 028-039 ◽  
Author(s):  
Elizabeth M. Adams ◽  
Robert E. Moore
Keyword(s):  
Hearing Loss ◽  
Research Design ◽  
Background Noise ◽  
Speech Intelligibility ◽  
Signal To Noise Ratio ◽  
Speech Rate ◽  
Normal Hearing ◽  
Moderate Correlation ◽  
Signal To Noise ◽  
Noise Ratio

Purpose: To study the effect of noise on speech rate judgment and signal-to-noise ratio threshold (SNR50) at different speech rates (slow, preferred, and fast). Research Design: Speech rate judgment and SNR50 tasks were completed in a normal-hearing condition and a simulated hearing-loss condition. Study Sample: Twenty-four female and six male young, normal-hearing participants. Results: Speech rate judgment was not affected by background noise regardless of hearing condition. Results of the SNR50 task indicated that, as speech rate increased, performance decreased for both hearing conditions. There was a moderate correlation between speech rate judgment and SNR50 with the various speech rates, such that as judgment of speech rate increased from too slow to too fast, performance deteriorated. Conclusions: These findings can be used to support the need for counseling patients and their families about the potential advantages to using average speech rates or rates that are slightly slowed while conversing in the presence of background noise.

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