Speech Production as a Measure of Hearing Aid Benefit in Infants and Young Children With Hearing Loss

2007 ◽  
Vol 17 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Sheila R. Pratt ◽  
Kelly Schnoor ◽  
Melissa Friedman
Keyword(s):  
Hearing Loss ◽  
Young Children ◽  
Speech Production ◽  
Hearing Aid ◽  
Children With Hearing Loss ◽  
Hearing Aid Benefit ◽  
Infants And Young Children

scholarly journals Perception–Production Links in Children's Speech

2019 ◽  
Vol 62 (4) ◽  
pp. 853-867 ◽  
Author(s):  
Joanna H. Lowenstein ◽  
Susan Nittrouer
Keyword(s):  
Hearing Loss ◽  
Young Children ◽  
Speech Production ◽  
Voice Onset Time ◽  
Onset Time ◽  
Normal Hearing ◽  
Spectral Measures ◽  
Signal Degradation ◽  
Children With Hearing Loss ◽  
Production Capacities

Purpose Child phonologists have long been interested in how tightly speech input constrains the speech production capacities of young children, and the question acquires clinical significance when children with hearing loss are considered. Children with sensorineural hearing loss often show differences in the spectral and temporal structures of their speech production, compared to children with normal hearing. The current study was designed to investigate the extent to which this problem can be explained by signal degradation. Method Ten 5-year-olds with normal hearing were recorded imitating 120 three-syllable nonwords presented in unprocessed form and as noise-vocoded signals. Target segments consisted of fricatives, stops, and vowels. Several measures were made: 2 duration measures (voice onset time and fricative length) and 4 spectral measures involving 2 segments (1st and 3rd moments of fricatives and 1st and 2nd formant frequencies for the point vowels). Results All spectral measures were affected by signal degradation, with vowel production showing the largest effects. Although a change in voice onset time was observed with vocoded signals for /d/, voicing category was not affected. Fricative duration remained constant. Conclusions Results support the hypothesis that quality of the input signal constrains the speech production capacities of young children. Consequently, it can be concluded that the production problems of children with hearing loss—including those with cochlear implants—can be explained to some extent by the degradation in the signal they hear. However, experience with both speech perception and production likely plays a role as well.

Multiple-ASSR Thresholds in Infants and Young Children with Hearing Loss

2010 ◽  
Vol 21 (08) ◽  
pp. 535-545 ◽  
Author(s):  
Anna Van Maanen ◽  
David R. Stapells
Keyword(s):  
Hearing Loss ◽  
Young Children ◽  
Gold Standard ◽  
Bone Conduction ◽  
Normal Hearing ◽  
Strongly Correlated ◽  
Difference Scores ◽  
Brainstem Response ◽  
Children With Hearing Loss ◽  
Infants And Young Children

Background: The multiple auditory steady-state response (multiple ASSR) is a promising technique for determining thresholds for infants and children. However, there are few data for infants and young children with hearing loss where multiple-ASSR thresholds have been compared to frequency-specific gold standard (i.e., behavioral or tone-evoked auditory brainstem response [tone ABR]) measures. Purpose: The study compared multiple-ASSR and tone-ABR thresholds and assessed how well “normal” ASSR levels differentiate normal from elevated thresholds. Research Design: Multiple-ASSR and tone-ABR results (to air-conduction stimuli) were obtained in infants and young children with hearing loss or normal hearing. Study Sample: 98 infants with hearing loss (53 infants provided thresholds) and 34 infants with normal hearing. Data Collection and Analysis: Multiple-ASSR and tone-ABR results were typically completed on the same day. Correlations between ASSR and ABR thresholds, linear regressions, and ASSR-minus-ABR threshold difference scores were calculated for each group (normal or hearing loss), and for both groups combined. Results: Multiple-ASSR thresholds (dB HL) were strongly correlated (r = .97) with tone-ABR thresholds (dB nHL) for 500, 1000, 2000, and 4000 Hz. Mean (±1 SD) difference scores (ASSR-minus-ABR) were 10.7 ± 9.0, 9.5 ± 9.4, 9.2 ± 9.0, and 6.3 ± 9.5 dB for 500, 1000, 2000, and 4000 Hz, respectively. The previously published “normal” ASSR levels accurately differentiated normal from elevated thresholds. Out of 523 tests with elevated tone-ABR thresholds, the multiple ASSR was “normal” in only 22 tests. In these 13 infants, other ASSR frequencies were elevated, and thus the infants would not have “passed” the ASSR. Conclusions: There are few studies of infants and young children comparing ASSR thresholds to frequency-specific gold standard measures, especially using the multiple-ASSR technique. The present study, comparing multiple-ASSR to tone-ABR thresholds, nearly doubles the multiple-ASSR sample size in the literature. The results indicate that the multiple-ASSR and tone-ABR thresholds are strongly correlated, and the “normal” multiple-ASSR levels of 50, 45, 40, and 40 dB HL correctly classified children as having “normal” or “elevated” thresholds. However, due to the lack of air- and bone-conduction data in infants with different types and degrees of hearing loss, further ASSR research is needed.

scholarly journals Evaluation of Infants and Young Children with Hearing Loss Not Diagnosed in Its Early Stages

1985 ◽  
Vol 78 (6special) ◽  
pp. 1235-1246
Author(s):  
Yoshiko Yamamoto ◽  
Kishiko Sugiyama ◽  
Hiromichi Ishigami ◽  
Isao Takimoto
Keyword(s):  
Hearing Loss ◽  
Young Children ◽  
Early Stages ◽  
Children With Hearing Loss ◽  
Infants And Young Children

The Relationship Between Hearing Loss Self-Management and Hearing Aid Benefit and Satisfaction

2019 ◽  
Vol 28 (2) ◽  
pp. 274-284 ◽  
Author(s):  
Elizabeth Convery ◽  
Gitte Keidser ◽  
Louise Hickson ◽  
Carly Meyer
Keyword(s):  
Decision Making ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Clinical Decision Making ◽  
Hearing Aid ◽  
Well Being ◽  
Self Report ◽  
Self Management ◽  
Hearing Aid Benefit ◽  
The Relationship

Purpose Hearing loss self-management refers to the knowledge and skills people use to manage the effects of hearing loss on all aspects of their daily lives. The purpose of this study was to investigate the relationship between self-reported hearing loss self-management and hearing aid benefit and satisfaction. Method Thirty-seven adults with hearing loss, all of whom were current users of bilateral hearing aids, participated in this observational study. The participants completed self-report inventories probing their hearing loss self-management and hearing aid benefit and satisfaction. Correlation analysis was used to investigate the relationship between individual domains of hearing loss self-management and hearing aid benefit and satisfaction. Results Participants who reported better self-management of the effects of their hearing loss on their emotional well-being and social participation were more likely to report less aided listening difficulty in noisy and reverberant environments and greater satisfaction with the effect of their hearing aids on their self-image. Participants who reported better self-management in the areas of adhering to treatment, participating in shared decision making, accessing services and resources, attending appointments, and monitoring for changes in their hearing and functional status were more likely to report greater satisfaction with the sound quality and performance of their hearing aids. Conclusion Study findings highlight the potential for using information about a patient's hearing loss self-management in different domains as part of clinical decision making and management planning.

Sign in / Sign up

Export Citation Format

Share Document