scholarly journals Computer-based auditory training (CBAT) for adult cochlear implant users

2019 ◽  
Author(s):  
C Schirmer ◽  
D Kampmann ◽  
S Dazert ◽  
C Völter
Keyword(s):  
Cochlear Implant ◽  
Auditory Training ◽  
Computer Based

scholarly journals Effectiveness of Computer-Based Auditory Training for Adult Cochlear Implant Users: A Randomized Crossover Study

2021 ◽  
Vol 25 ◽  
pp. 233121652110259
Author(s):  
Mariana Reis ◽  
Catherine M. McMahon ◽  
Dayse Távora-Vieira ◽  
Peter Humburg ◽  
Isabelle Boisvert
Keyword(s):  
Quality Of Life ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Cognitive Abilities ◽  
Training Programs ◽  
Auditory Training ◽  
Speech Perception In Noise ◽  
Computer Based ◽  
Randomized Crossover Study

The aim of this study was to assess whether a computer-based speech-in-noise auditory training (AT) program would lead to short- and long-term changes in trained and untrained measures of listening, cognition, and quality of life. A secondary aim was to assess whether directly training the underlying cognitive abilities required for speech perception in noise, using a computer-based visual training (VT) program without the auditory component, would elicit comparable outcomes as the AT program. A randomized crossover study with repeated measures was conducted with 26 adult cochlear implant users. Participants completed either 6 weeks of speech perception in noise training followed by 6 weeks of masked text recognition training, or vice versa. Outcome measures were administered twice before each training program, as well as twice after the completion of each program. The test battery was designed to evaluate whether training led to improvements in listening abilities, cognitive abilities, or quality of life. Mixed-effects models were conducted to analyze whether changes occurred on the trained tasks and on untrained outcome measures after training. Statistically significant improvements were shown for verbal recognition performance during both training programs, in particular for consonants in words, and during the first 2 weeks of training. This on-task learning, however, did not lead to clear improvements in outcomes measured beyond the training programs. This suggests that experienced cochlear implant users may not show transfer of on-task learning to untrained tasks after computer-based auditory and visual training programs such as the ones used in this study.

Auditory Training to Improve Speech Perception and Self-Efficacy in Aging Adults

2020 ◽  
Vol 63 (4) ◽  
pp. 1270-1281
Author(s):  
Leah Fostick ◽  
Riki Taitelbaum-Swead ◽  
Shulamith Kreitler ◽  
Shelly Zokraut ◽  
Miriam Billig
Keyword(s):  
Speech Perception ◽  
Self Efficacy ◽  
Temporal Order Judgment ◽  
Auditory Training ◽  
Intensity Discrimination ◽  
Training Design ◽  
Auditory Temporal Processing ◽  
Temporal Properties ◽  
Computer Based ◽  
Aging Adults

Purpose Difficulty in understanding spoken speech is a common complaint among aging adults, even when hearing impairment is absent. Correlational studies point to a relationship between age, auditory temporal processing (ATP), and speech perception but cannot demonstrate causality unlike training studies. In the current study, we test (a) the causal relationship between a spatial–temporal ATP task (temporal order judgment [TOJ]) and speech perception among aging adults using a training design and (b) whether improvement in aging adult speech perception is accompanied by improved self-efficacy. Method Eighty-two participants aged 60–83 years were randomly assigned to a group receiving (a) ATP training (TOJ) over 14 days, (b) non-ATP training (intensity discrimination) over 14 days, or (c) no training. Results The data showed that TOJ training elicited improvement in all speech perception tests, which was accompanied by increased self-efficacy. Neither improvement in speech perception nor self-efficacy was evident following non-ATP training or no training. Conclusions There was no generalization of the improvement resulting from TOJ training to intensity discrimination or generalization of improvement resulting from intensity discrimination training to speech perception. These findings imply that the effect of TOJ training on speech perception is specific and such improvement is not simply the product of generally improved auditory perception. It provides support for the idea that temporal properties of speech are indeed crucial for speech perception. Clinically, the findings suggest that aging adults can be trained to improve their speech perception, specifically through computer-based auditory training, and this may improve perceived self-efficacy.

scholarly journals Systematic Review of Auditory Training in Pediatric Cochlear Implant Recipients

2019 ◽  
Vol 62 (5) ◽  
pp. 1574-1593 ◽  
Author(s):  
Hanin Rayes ◽  
Ghada Al-Malky ◽  
Deborah Vickers
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Cochlear Implant ◽  
Auditory Training ◽  
Memory Retention ◽  
Speech Discrimination ◽  
Speech And Language Development ◽  
Published Research ◽  
Over Time

Objective The purpose of this systematic review is to evaluate the published research in auditory training (AT) for pediatric cochlear implant (CI) recipients. This review investigates whether AT in children with CIs leads to improvements in speech and language development, cognition, and/or quality of life and whether improvements, if any, remain over time post AT intervention. Method A systematic search of 7 databases identified 96 review articles published up until January 2017, 9 of which met the inclusion criteria. Data were extracted and independently assessed for risk of bias and quality of study against a PICOS (participants, intervention, control, outcomes, and study) framework. Results All studies reported improvements in trained AT tasks, including speech discrimination/identification and working memory. Retention of improvements over time was found whenever it was assessed. Transfer of learning was measured in 4 of 6 studies, which assessed generalization. Quality of life was not assessed. Overall, evidence for the included studies was deemed to be of low quality. Conclusion Benefits of AT were illustrated through the improvement in trained tasks, and this was observed in all reviewed studies. Transfer of improvement to other domains and also retention of benefits post AT were evident when assessed, although rarely done. However, higher quality evidence to further examine outcomes of AT in pediatric CI recipients is needed.

scholarly journals Computer-Based Connected-Text Training of Speech-in-Noise Perception for Cochlear Implant Users

2019 ◽  
Vol 23 ◽  
pp. 233121651984387 ◽  
Author(s):  
Tim Green ◽  
Andrew Faulkner ◽  
Stuart Rosen
Keyword(s):  
Cochlear Implant ◽  
Cognitive Abilities ◽  
Digit Span ◽  
Clinical Intervention ◽  
Primary Outcome Measure ◽  
Training Performance ◽  
Sentence Recognition ◽  
Speech In Noise ◽  
Connected Text ◽  
Computer Based

An interactive method for training speech perception in noise was assessed with adult cochlear implant users. The method employed recordings of connected narratives divided into phrases of 4 to 10 words, presented in babble. After each phrase, the listener identified key words from the phrase from among similar sounding foil words. Nine postlingually deafened adult cochlear implant users carried out 12 hr of training over a 4-week period. Training was carried out at home on tablet computers. The primary outcome measure was sentence recognition in babble. Vowel and consonant identification in speech-shaped noise were also assessed, along with digit span in noise, intended as a measure of some important underlying cognitive abilities. Talkers for speech tests were different from those used in training. To control for procedural learning, the test battery was administered repeatedly prior to training. Performance was assessed immediately after training and again after a further 4 weeks during which no training occurred. Sentence recognition in babble improved significantly after training, with an improvement in speech reception threshold of approximately 2 dB, which was maintained at the 4-week follow-up. There was little evidence of improvement in the other measures. It appears that the method has potential as a clinical intervention. However, the underlying sources of improvement and the extent to which benefits generalize to real-world situations remain to be determined.

scholarly journals Environmental Sound Training in Cochlear Implant Users

2015 ◽  
Vol 58 (2) ◽  
pp. 509-519 ◽  
Author(s):  
Valeriy Shafiro ◽  
Stanley Sheft ◽  
Sejal Kuvadia ◽  
Brian Gygi
Keyword(s):  
Cochlear Implant ◽  
Low Cost ◽  
Computer Training ◽  
Environmental Sound ◽  
Sound Perception ◽  
Environmental Sounds ◽  
Computer Based Training ◽  
Home Based ◽  
Average Improvement ◽  
Computer Based

Purpose The study investigated the effect of a short computer-based environmental sound training regimen on the perception of environmental sounds and speech in experienced cochlear implant (CI) patients. Method Fourteen CI patients with the average of 5 years of CI experience participated. The protocol consisted of 2 pretests, 1 week apart, followed by 4 environmental sound training sessions conducted on separate days in 1 week, and concluded with 2 posttest sessions, separated by another week without training. Each testing session included an environmental sound test, which consisted of 40 familiar everyday sounds, each represented by 4 different tokens, as well as the Consonant Nucleus Consonant (CNC) word test, and Revised Speech Perception in Noise (SPIN-R) sentence test. Results Environmental sounds scores were lower than for either of the speech tests. Following training, there was a significant average improvement of 15.8 points in environmental sound perception, which persisted 1 week later after training was discontinued. No significant improvements were observed for either speech test. Conclusions The findings demonstrate that environmental sound perception, which remains problematic even for experienced CI patients, can be improved with a home-based computer training regimen. Such computer-based training may thus provide an effective low-cost approach to rehabilitation for CI users, and potentially, other hearing impaired populations.

Overview of Nine Computerized, Home-Based Auditory-Training Programs for Adult Cochlear Implant Recipients

2014 ◽  
Vol 25 (04) ◽  
pp. 405-413 ◽  
Author(s):  
Ming Zhang ◽  
Aimee Miller ◽  
Melanie McNutt Campbell
Keyword(s):  
Cochlear Implant ◽  
Web Sites ◽  
Training Programs ◽  
Auditory Training ◽  
Intensive Training ◽  
Home Based ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
The Many ◽  
Google Search

Background: Computerized, home-based auditory-training programs could be attractive to cochlear implant (CI) recipients who cannot obtain direct intensive training services and also to busy clinicians who would like to enable CI recipients to benefit from these programs. However, it is difficult for either group to know which of the many programs available might best suit individual needs. Purpose: Selecting a computerized home-based program can be challenging because each offers different features. This article provides an overview of currently available programs to help clinicians and recipients choose one that is most suitable. Data Collection and Analysis: A narrative literature review and an advanced Google search of Web sites linked to auditory-training programs were conducted. This overview builds on and updates information from previous literature. Results: Nine computerized, home-based auditory-training programs were identified for overview. Twenty-nine information items and features for each of the nine programs are presented, categorized by general product and purchase information, design features of the training paradigm, and auditory and communication targets. Conclusions: This article provides a descriptive overview of computerized, home-based auditory-training programs for the use of clinicians, CI recipients, researchers, and hearing aid users.

Can a Commercially Available Auditory Training Program Improve Audiovisual Speech Performance?

2016 ◽  
Vol 25 (3S) ◽  
pp. 308-312 ◽  
Author(s):  
Dania Rishiq ◽  
Aparna Rao ◽  
Tess Koerner ◽  
Harvey Abrams
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Auditory Training ◽  
Control Group ◽  
Signal To Noise ◽  
Hearing Aid Use ◽  
Speech Performance ◽  
Computer Based ◽  
B Test ◽  
Experimental Group

Purpose The goal of this study was to determine whether hearing aids in combination with computer-based auditory training improve audiovisual (AV) performance compared with the use of hearing aids alone. Method Twenty-four participants were randomized into an experimental group (hearing aids plus ReadMyQuips [RMQ] training) and a control group (hearing aids only). The Multimodal Lexical Sentence Test for Adults (Kirk et al., 2012) was used to measure auditory-only (AO) and AV speech perception performance at three signal-to-noise ratios (SNRs). Participants were tested at the time of hearing aid fitting (pretest), after 4 weeks of hearing aid use (posttest I), and again after 4 weeks of RMQ training (posttest II). Results Results did not reveal an effect of training. As expected, interactions were found between (a) modality (AO vs. AV) and SNR and (b) test (pretest vs. posttests) and SNR. Conclusion Data do not show a significant effect of RMQ training on AO or AV performance as measured using the Multimodal Lexical Sentence Test for Adults.

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