scholarly journals Consistency of Hearing Aid Setting Preference in Simulated Real-World Environments: Implications for Trainable Hearing Aids

2020 ◽  
Vol 24 ◽  
pp. 233121652093339
Author(s):  
Els Walravens ◽  
Gitte Keidser ◽  
Louise Hickson
Keyword(s):  
Hearing Aids ◽  
Real World ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Traffic Noise ◽  
Fine Tuning ◽  
Signal To Noise ◽  
Acoustic Environment ◽  
Change Environment ◽  
Noise Ratio

Trainable hearing aids let users fine-tune their hearing aid settings in their own listening environment: Based on consistent user-adjustments and information about the acoustic environment, the trainable aids will change environment-specific settings to the user’s preference. A requirement for effective fine-tuning is consistency of preference for similar settings in similar environments. The aim of this study was to evaluate consistency of preference for settings differing in intensity, gain-frequency slope, and directionality when listening in simulated real-world environments and to determine if participants with more consistent preferences could be identified based on profile measures. A total of 52 adults (63–88 years) with hearing varying from normal to a moderate sensorineural hearing loss selected their preferred setting from pairs differing in intensity (3 or 6 dB), gain-frequency slope (±1.3 or ± 2.7 dB/octave), or directionality (omnidirectional vs. cardioid) in four simulated real-world environments: traffic noise, a monologue in traffic noise at 5 dB signal-to-noise ratio, and a dialogue in café noise at 5 and at 0 dB signal-to-noise ratio. Forced-choice comparisons were made 10 times for each combination of pairs of settings and environment. Participants also completed nine psychoacoustic, cognitive, and personality measures. Consistency of preference, defined by a setting preferred at least 9 out of 10 times, varied across participants. More participants obtained consistent preferences for larger differences between settings and less difficult environments. The profile measures did not predict consistency of preference. Trainable aid users could benefit from counselling to ensure realistic expectations for particular adjustments and listening situations.

Effects of Adaptive Hearing Aid Directionality and Noise Reduction on Masked Speech Recognition for Children Who Are Hard of Hearing

2019 ◽  
Vol 28 (1) ◽  
pp. 101-113 ◽  
Author(s):  
Jenna M. Browning ◽  
Emily Buss ◽  
Mary Flaherty ◽  
Tim Vallier ◽  
Lori J. Leibold
Keyword(s):  
Speech Recognition ◽  
Hearing Aids ◽  
Hard Of Hearing ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Normal Hearing ◽  
Signal To Noise ◽  
Open Set ◽  
Fully Adaptive ◽  
Noise Ratio

Purpose The purpose of this study was to evaluate speech-in-noise and speech-in-speech recognition associated with activation of a fully adaptive directional hearing aid algorithm in children with mild to severe bilateral sensory/neural hearing loss. Method Fourteen children (5–14 years old) who are hard of hearing participated in this study. Participants wore laboratory hearing aids. Open-set word recognition thresholds were measured adaptively for 2 hearing aid settings: (a) omnidirectional (OMNI) and (b) fully adaptive directionality. Each hearing aid setting was evaluated in 3 listening conditions. Fourteen children with normal hearing served as age-matched controls. Results Children who are hard of hearing required a more advantageous signal-to-noise ratio than children with normal hearing to achieve comparable performance in all 3 conditions. For children who are hard of hearing, the average improvement in signal-to-noise ratio when comparing fully adaptive directionality to OMNI was 4.0 dB in noise, regardless of target location. Children performed similarly with fully adaptive directionality and OMNI settings in the presence of the speech maskers. Conclusions Compared to OMNI, fully adaptive directionality improved speech recognition in steady noise for children who are hard of hearing, even when they were not facing the target source. This algorithm did not affect speech recognition when the background noise was speech. Although the use of hearing aids with fully adaptive directionality is not proposed as a substitute for remote microphone systems, it appears to offer several advantages over fixed directionality, because it does not depend on children facing the target talker and provides access to multiple talkers within the environment. Additional experiments are required to further evaluate children's performance under a variety of spatial configurations in the presence of both noise and speech maskers.

A Test to Measure Subjective and Objective Speech Intelligibility

2002 ◽  
Vol 13 (01) ◽  
pp. 038-049 ◽  
Author(s):  
Gabrielle H. Saunders ◽  
Kathleen M. Cienkowski
Keyword(s):  
Speech Intelligibility ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Clinical Tool ◽  
Signal To Noise ◽  
Speech Reception ◽  
Measurement Signal ◽  
Perceptual Performance ◽  
Noise Ratio ◽  
Performance Discrepancy

Measurement of hearing aid outcome is particularly difficult because there are numerous dimensions to consider (e.g., performance, satisfaction, benefit). Often there are discrepancies between scores in these dimensions. It is difficult to reconcile these discrepancies because the materials and formats used to measure each dimension are so very different. We report data obtained with an outcome measure that examines both objective and subjective dimensions with the same test format and materials and gives results in the same unit of measurement (signal-to-noise ratio). Two variables are measured: a “performance” speech reception threshold and a “perceptual” speech reception threshold. The signal-to-noise ratio difference between these is computed to determine the perceptual-performance discrepancy (PPDIS). The results showed that, on average, 48 percent of the variance in subjective ratings of a hearing aid could be explained by a combination of the performance speech reception threshold and the PPDIS. These findings suggest that the measure is potentially a valuable clinical tool.

A Signal-to-Noise Ratio Model for the Speech-Reception Threshold of the Hearing Impaired

1986 ◽  
Vol 29 (2) ◽  
pp. 146-154 ◽  
Author(s):  
Reinier Plomp
Keyword(s):  
Hearing Aids ◽  
Noise Level ◽  
Signal To Noise Ratio ◽  
Hearing Impaired ◽  
Noise Levels ◽  
Threshold Elevation ◽  
Signal To Noise ◽  
Speech Reception ◽  
Noise Ratio ◽  
Two Parameters

This paper reviews the results of a series of investigations inspired by a model of the speech-reception threshold (SRT) of hearing-impaired listeners. The model contains two parameters accounting for the SRT of normal-hearing listeners (SRT in quiet and signal-to-noise ratio corresponding to the threshold at high noise levels), two parameters describing the hearing loss (attenuation and threshold elevation in terms of signal-to-noise ratio), and three parameters describing the hearing aid (acoustic gain, threshold elevation expressed in signal-to-noise ratio, and equivalent internal noise level). Experimental data are reported for three different types of hearing impairment: presbycusis, hearing losses with a pathological origin, and noise-induced losses. The model gives an excellent description of the data. It demonstrates that for many hearing-impaired persons speech intelligibility at noise levels beyond 50 to 60 dB(A) is their main problem, whereas hearing aids are most effective below that noise level.

scholarly journals Spectral Enhancement of a SiPM Array-Based Radiation Detector

2021 ◽  
Vol 253 ◽  
pp. 11007
Author(s):  
R. Harn ◽  
A. Osovizky ◽  
Y. Kadmon ◽  
S. Rotman ◽  
N. Kopeika ◽  
...  
Keyword(s):  
Bias Voltage ◽  
Signal To Noise Ratio ◽  
Radiation Detectors ◽  
Fine Tuning ◽  
Optimum Operating ◽  
Strong Temperature Dependence ◽  
Signal To Noise ◽  
Offset Voltage ◽  
Gain Variation ◽  
Noise Ratio

Silicon Photomultipliers (SiPMs) have many advantages when used in radiation detectors. Low bias voltage, compactness and immunity to electromagnetic interference are among their prominent benefits. However, due to their small size, usually an array of SiPM components is required in order to cover the coupling surface area of a scintillator. Since the SiPM is a semiconductor, biased in a reversed voltage, gain variation and strong temperature dependence are introduced. As a result, SiPM-based detectors, particularly an array of SiPMs, undergo spectral signal to noise ratio reduction. This work studies the effect of the SiPM breakdown voltage variation on the obtained energy spectrum and proposes an electronic approach to overcome this technological drawback. This developed technology provides an adequate temperature-dependent, commonly distributed high bias voltage and an individual offset-voltage fine tuning that enables adjustment of all the SiPM components to their optimum operating points. Powerwise it is beneficial to operate SiPM at lower voltages, where undesirable gain variation is more dominant. The proposed solution enables working at lower bias voltages, which provides lower power consumption and better radiation hardness, while yielding an enhanced spectrum resolution. The proposed electronic approach enhances the obtained spectra, reducing the noise threshold by 16 % when working at 1 V overvoltage. Hence provides an enhanced signal to noise ratio over the traditional biasing methods.

scholarly journals De-noising of Signal using FIR Filters for Hearing Aids

2019 ◽  
Vol 8 (6) ◽  
pp. 3263-3268
Keyword(s):  
Hearing Aids ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Traffic Noise ◽  
Research Work ◽  
Fir Filters ◽  
Speech Signals ◽  
Voice Communication ◽  
Health Related ◽  
Small Device

In Today’s era health related issues are increasing day by day and one of them is hearing loss. Hearing aids have done wonders and helped people in this situation. Hearing aid is a small device that makes the sound loud and clear for the person who is unable to listen, communicate and could not participate actively in day to day activities. A hearing aid can help people to listen in different environments such as loudspeakers in the background, a loud train horn and different noisy situations etc. But the speech signals are degraded and corrupted by different types of noises such as train noise, car engine noise, loud speaker and traffic noise at different SNR levels like -2db, 5db, 10db. These speech signals need to be improved by removing the unwanted disturbances or interference called noise so that enhanced signal can be obtained with good quality for voice communication in hearing aids. This research work proposes the noise reduction technique using FIR filters for hearing aids. The approach of threshold will be applied to remove empty bands or unwanted noise from the noisy signal. The threshold based technique de-noises the input signal efficiently. The proposed approach is implemented in MATLAB and results are analyzed in terms of SNR (signal to noise ratio) and MSE (mean square error).

Examining the Relationship Between Speech Recognition and a Spectral–Temporal Test With a Mixed Group of Hearing Aid and Cochlear Implant Users

2021 ◽  
Vol 64 (3) ◽  
pp. 1073-1080
Author(s):  
Justin M. Aronoff ◽  
Leah Duitsman ◽  
Deanna K. Matusik ◽  
Senad Hussain ◽  
Elise Lippmann
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Hearing Aids ◽  
Significant Relationship ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Mixed Group ◽  
Signal To Noise ◽  
Hearing Devices ◽  
The Relationship

Purpose Audiology clinics have a need for a nonlinguistic test for assessing speech scores for patients using hearing aids or cochlear implants. One such test, the Spectral-Temporally Modulated Ripple Test Lite for computeRless Measurement (SLRM), has been developed for use in clinics, but it, as well as the related Spectral-Temporally Modulated Ripple Test, has primarily been assessed with cochlear implant users. The main goal of this study was to examine the relationship between SLRM and the Arizona Biomedical Institute Sentence Test (AzBio) for a mixed group of hearing aid and cochlear implant users. Method Adult hearing aid users and cochlear implant users were tested with SLRM, AzBio in quiet, and AzBio in multitalker babble with a +8 dB signal-to-noise ratio. Results SLRM scores correlated with both AzBio recognition scores in quiet and in noise. Conclusions The results indicated that there is a significant relationship between SLRM and AzBio scores when testing a mixed group of cochlear implant and hearing aid users. This suggests that SLRM may be a useful nonlinguistic test for use with individuals with a variety of hearing devices.

Subjective Assessment of Cochlear Implant Users’ Signal-to-Noise Ratio Requirements for Different Levels of Wireless Device Usability

2014 ◽  
Vol 25 (10) ◽  
pp. 952-968 ◽  
Author(s):  
Stephen Julstrom ◽  
Linda Kozma-Spytek
Keyword(s):  
Cochlear Implant ◽  
Speech Signal ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Noise Measurement ◽  
National Standards ◽  
Signal To Noise ◽  
Telephone Communication ◽  
Telephone Speech ◽  
Noise Ratio

Background: In order to better inform the development and revision of the American National Standards Institute C63.19 and American National Standards Institute/Telecommunications Industry Association-1083 hearing aid compatibility standards, a previous study examined the signal strength and signal (speech)-to-noise (interference) ratio needs of hearing aid users when using wireless and cordless phones in the telecoil coupling mode. This study expands that examination to cochlear implant (CI) users, in both telecoil and microphone modes of use. Purpose: The purpose of this study was to evaluate the magnetic and acoustic signal levels needed by CI users for comfortable telephone communication and the users’ tolerance relative to the speech levels of various interfering wireless communication–related noise types. Research Design: Design was a descriptive and correlational study. Simulated telephone speech and eight interfering noise types presented as continuous signals were linearly combined and were presented together either acoustically or magnetically to the participants’ CIs. The participants could adjust the loudness of the telephone speech and the interfering noises based on several assigned criteria. Study Sample: The 21 test participants ranged in age from 23–81 yr. All used wireless phones with their CIs, and 15 also used cordless phones at home. There were 12 participants who normally used the telecoil mode for telephone communication, whereas 9 used the implant’s microphone; all were tested accordingly. Data Collection and Analysis: A guided-intake questionnaire yielded general background information for each participant. A custom-built test control box fed by prepared speech-and-noise files enabled the tester or test participant, as appropriate, to switch between the various test signals and to precisely control the speech-and-noise levels independently. The tester, but not the test participant, could read and record the selected levels. Subsequent analysis revealed the preferred speech levels, speech (signal)-to-noise ratios, and the effect of possible noise-measurement weighting functions. Results: The participants' preferred telephone speech levels subjectively matched or were somewhat lower than the level that they heard from a 65 dB SPL wideband reference. The mean speech (signal)-to-noise ratio requirement for them to consider their telephone experience “acceptable for normal use” was 20 dB, very similar to the results for the hearing aid users of the previous study. Significant differences in the participants’ apparent levels of noise tolerance among the noise types when the noise level was determined using A-weighting were eliminated when a CI-specific noise-measurement weighting was applied. Conclusions: The results for the CI users in terms of both preferred levels for wireless and cordless phone communication and signal-to-noise requirements closely paralleled the corresponding results for hearing aid users from the previous study, and showed no significant differences between the microphone and telecoil modes of use. Signal-to-noise requirements were directly related to the participants’ noise audibility threshold and were independent of noise type when appropriate noise-measurement weighting was applied. Extending the investigation to include noncontinuous interfering noises and forms of radiofrequency interference other than additive audiofrequency noise could be areas of future study.

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