scholarly journals Listening Effort Is Not the Same as Speech Intelligibility Score

2021 ◽  
Vol 25 ◽  
pp. 233121652110276
Author(s):  
Matthew B. Winn ◽  
Katherine H. Teece
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implants ◽  
Pupil Size ◽  
Speech Intelligibility ◽  
Explanatory Power ◽  
Listening Effort ◽  
Sentence Repetition ◽  
Intelligibility Score ◽  
Important Notion

Listening effort is a valuable and important notion to measure because it is among the primary complaints of people with hearing loss. It is tempting and intuitive to accept speech intelligibility scores as a proxy for listening effort, but this link is likely oversimplified and lacks actionable explanatory power. This study was conducted to explain the mechanisms of listening effort that are not captured by intelligibility scores, using sentence-repetition tasks where specific kinds of mistakes were prospectively planned or analyzed retrospectively. Effort measured as changes in pupil size among 20 listeners with normal hearing and 19 listeners with cochlear implants. Experiment 1 demonstrates that mental correction of misperceived words increases effort even when responses are correct. Experiment 2 shows that for incorrect responses, listening effort is not a function of the proportion of words correct but is rather driven by the types of errors, position of errors within a sentence, and the need to resolve ambiguity, reflecting how easily the listener can make sense of a perception. A simple taxonomy of error types is provided that is both intuitive and consistent with data from these two experiments. The diversity of errors in these experiments implies that speech perception tasks can be designed prospectively to elicit the mistakes that are more closely linked with effort. Although mental corrective action and number of mistakes can scale together in many experiments, it is possible to dissociate them to advance toward a more explanatory (rather than correlational) account of listening effort.

scholarly journals Listening effort: Not just a function of speech intelligibility scores

2020 ◽  
Author(s):  
Matthew Winn ◽  
Katherine H. Teece
Keyword(s):  
Speech Perception ◽  
Cochlear Implants ◽  
Pupil Size ◽  
Speech Intelligibility ◽  
Normal Hearing ◽  
Listening Effort ◽  
Wrong Answer ◽  
Percent Correct ◽  
Sentence Repetition ◽  
Whole Word

Speech perception and listening effort are complicated and interrelated concepts. One might assume that intelligibility performance (percent correct) is a proxy for listening effort, but there are some reasons to challenge whether that is actually true. Correct responses in speech perception tests could reflect effortful mental processing, and a completely wrong answer could evoke very little effort, especially if the misperception itself is linguistically well-formed and sensible. This paper presents evidence that listening effort is not a function of the proportion of words correct, but is rather driven by the types of errors, position of errors within a sentence, and the need to resolve ambiguity, reflecting how easily the listener can make sense of a perception. We offer a taxonomy of error types that is both intuitive and also consistent with data from two experiments measuring listening effort with careful controls to either elicit specific kinds of mistakes or to track specific mistakes retrospectively. Participants included individuals with normal hearing or with cochlear implants. In two experiments of sentence repetition, listening effort – indexed by changes in pupil size – was found to scale with the amount of perceptual restoration needed (phoneme versus whole word), and also scale with the sensibility of responses, but not with the number of intelligibility errors. Although mental corrective action and number of mistakes can scale together in many experiments, it is possible to dissociate them in order to advance toward a more explanatory (rather than correlational) account of listening effort.

scholarly journals Cognitive and physiological measures of listening effort during degraded speech perception: A comparison of dual-task and pupillometry paradigms

2020 ◽  
Author(s):  
Sarah Elizabeth Margaret Colby ◽  
Bob McMurray
Keyword(s):  
Speech Perception ◽  
Dual Task ◽  
Pupil Size ◽  
Spoken Word Recognition ◽  
Recognition Task ◽  
Spoken Word ◽  
Physiological Measures ◽  
Listening Effort ◽  
Response Feedback ◽  
The Relationship

Purpose: Listening effort is quickly becoming an important metric for assessing speech perception in less-than-ideal situations. However, the relationship between the construct of listening effort and the measures used to assess it remain unclear. We compared two measures of listening effort: a cognitive dual task and a physiological pupillometry task. We sought to investigate the relationship between these measures of effort and whether engaging effort impacts speech accuracy.Method: In Experiment 1, 30 participants completed a dual task and pupillometry task that were carefully matched in stimuli and design. The dual task consisted of a spoken word recognition task and a visual match-to-sample task. In the pupillometry task, pupil size was monitored while participants completed a spoken word recognition task. Both tasks presented words at three levels of listening difficulty (unmodified, 8-channel vocoding, and 4-channel vocoding) and provided response feedback on every trial. We refined the pupillometry task in Experiment 2 (n=31); crucially, participants no longer received response feedback. Finally, we ran a new group of subjects on both tasks in Experiment 3 (n=30).Results: In Experiment 1, accuracy in the visual task decreased with increased listening difficulty in the dual task, but pupil size was sensitive to accuracy and not listening difficulty. After removing feedback in Experiment 2, changes in pupil size were predicted by listening difficulty, suggesting the task was now sensitive to engaged effort. Both tasks were sensitive to listening difficulty in Experiment 3, but there was no relationship between the tasks and neither task predicted speech accuracy.Conclusions: Consistent with previous work, we found little evidence for a relationship between different measures of listening effort. We also found no evidence that effort predicts speech accuracy, suggesting that engaging more effort does not lead to improved speech recognition. Cognitive and physiological measures of listening effort are likely sensitive to different aspects of the construct of listening effort.

Noise and acoustic conditions of premises for hearing-impaired people in Korea

2021 ◽  
Vol 69 (1) ◽  
pp. 77-85
Author(s):  
Cheol-Ho Jeong ◽  
Wan-Ho Cho ◽  
Ji-Ho Chang ◽  
Sung-Hyun Lee ◽  
Chang-Wook Kang ◽  
...  
Keyword(s):  
Speech Perception ◽  
Speech Intelligibility ◽  
Hearing Impaired ◽  
Noise Levels ◽  
Listening Effort ◽  
Subjective Data ◽  
Impaired People ◽  
The Republic ◽  
Primary School Pupils ◽  
Acoustic Conditions

Hearing-impaired people need more stringent acoustic and noise requirements than normal-hearing people in terms of speech intelligibility and listening effort. Multiple guidelines recommend a maximum reverberation time of 0.4 s in classrooms, signal-to-noise ratios (SNRs) greater than 15 dB, and ambient noise levels lower than 35 dBA. We measured noise levels and room acoustic parameters of 12 classrooms in two schools for hearing-impaired pupils, a dormitory apartment for the hearing-impaired, and a church mainly for the hearing-impaired in the Republic of Korea. Additionally, subjective speech clarity and quality of verbal communication were evaluated through questionnaires and interviews with hearing-impaired students in one school. Large differences in subjective speech perception were found between younger primary school pupils and older pupils. Subjective data from the questionnaire and interview were inconsistent; major challenges in obtaining reliable subjective speech perception and limitations of the results are discussed.

scholarly journals Listener Performance with a Novel Hearing Aid Frequency Lowering Technique

2017 ◽  
Vol 28 (09) ◽  
pp. 810-822 ◽  
Author(s):  
Benjamin J. Kirby ◽  
Judy G. Kopun ◽  
Meredith Spratford ◽  
Clairissa M. Mollak ◽  
Marc A. Brennan ◽  
...  
Keyword(s):  
Signal Processing ◽  
Hearing Loss ◽  
Speech Perception ◽  
Hearing Aids ◽  
High Frequency ◽  
Hearing Aid ◽  
Sound Quality ◽  
Processing Strategy ◽  
Listening Effort ◽  
At Home

AbstractSloping hearing loss imposes limits on audibility for high-frequency sounds in many hearing aid users. Signal processing algorithms that shift high-frequency sounds to lower frequencies have been introduced in hearing aids to address this challenge by improving audibility of high-frequency sounds.This study examined speech perception performance, listening effort, and subjective sound quality ratings with conventional hearing aid processing and a new frequency-lowering signal processing strategy called frequency composition (FC) in adults and children.Participants wore the study hearing aids in two signal processing conditions (conventional processing versus FC) at an initial laboratory visit and subsequently at home during two approximately six-week long trials, with the order of conditions counterbalanced across individuals in a double-blind paradigm.Children (N = 12, 7 females, mean age in years = 12.0, SD = 3.0) and adults (N = 12, 6 females, mean age in years = 56.2, SD = 17.6) with bilateral sensorineural hearing loss who were full-time hearing aid users.Individual performance with each type of processing was assessed using speech perception tasks, a measure of listening effort, and subjective sound quality surveys at an initial visit. At the conclusion of each subsequent at-home trial, participants were retested in the laboratory. Linear mixed effects analyses were completed for each outcome measure with signal processing condition, age group, visit (prehome versus posthome trial), and measures of aided audibility as predictors.Overall, there were few significant differences in speech perception, listening effort, or subjective sound quality between FC and conventional processing, effects of listener age, or longitudinal changes in performance. Listeners preferred FC to conventional processing on one of six subjective sound quality metrics. Better speech perception performance was consistently related to higher aided audibility.These results indicate that when high-frequency speech sounds are made audible with conventional processing, speech recognition ability and listening effort are similar between conventional processing and FC. Despite the lack of benefit to speech perception, some listeners still preferred FC, suggesting that qualitative measures should be considered when evaluating candidacy for this signal processing strategy.

scholarly journals Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
B. Y. Roukema ◽  
M. C. Van Loon ◽  
C. Smits ◽  
C. F. Smit ◽  
S. T. Goverts ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Bacterial Meningitis ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Speech Intelligibility ◽  
Pneumococcal Meningitis ◽  
Profound Hearing Loss ◽  
Young Infants ◽  
Key Points ◽  
Auditory Performance

Objective. To describe the audiological, anesthesiological, and surgical key points of cochlear implantation after bacterial meningitis in very young infants.Material and Methods. Between 2005 and 2010, 4 patients received 7 cochlear implants before the age of 9 months (range 4–8 months) because of profound hearing loss after pneumococcal meningitis.Results. Full electrode insertions were achieved in all operated ears. The audiological and linguistic outcome varied considerably, with categories of auditory performance (CAP) scores between 3 and 6, and speech intelligibility rating (SIR) scores between 0 and 5. The audiological, anesthesiological, and surgical issues that apply in this patient group are discussed.Conclusion. Cochlear implantation in very young postmeningitic infants is challenging due to their young age, sequelae of meningitis, and the risk of cochlear obliteration. A swift diagnostic workup is essential, specific audiological, anesthesiological, and surgical considerations apply, and the outcome is variable even in successful implantations.

scholarly journals Listening Effort Measured in Adults with Normal Hearing and Cochlear Implants

2017 ◽  
Vol 28 (08) ◽  
pp. 685-697 ◽  
Author(s):  
Ann E. Perreau ◽  
Yu-Hsiang Wu ◽  
Bailey Tatge ◽  
Diana Irwin ◽  
Daniel Corts
Keyword(s):  
Working Memory ◽  
Hearing Loss ◽  
Cochlear Implants ◽  
Dual Task ◽  
Working Memory Capacity ◽  
Memory Capacity ◽  
Normal Hearing ◽  
Primary Task ◽  
Listening Effort ◽  
Significant Difference

AbstractStudies have examined listening effort in individuals with hearing loss to determine the extent of the impairment. Regarding cochlear implants (CIs), results suggest that listening effort is improved using bilateral CIs compared to unilateral CIs. Few studies have investigated listening effort and outcomes related to the hybrid CI.Here, we compared listening effort across three CI groups, and to a normal-hearing control group. The impact of listener traits, that is, age, age at onset of hearing loss, duration of CI use, and working memory capacity, were examined relative to listening effort.The participants completed a dual-task paradigm with a primary task identifying sentences in noise and a secondary task measuring reaction time on a Stroop test. Performance was assessed for all participant groups at different signal-to-noise ratios (SNRs), ranging in 2-dB steps from 0 to +10 dB relative to an individual’s SNR-50, at which the speech recognition performance is 50% correct. Participants completed three questions on listening effort, the Spatial Hearing Questionnaire, and a reading span test.All 46 participants were adults. The four participant groups included (1) 12 individuals with normal hearing, (2) 10 with unilateral CIs, (3) 12 with bilateral CIs, and (4) 12 with a hybrid short-electrode CI and bilateral residual hearing.Results from the dual-task experiment were compared using a mixed 4 (hearing group) by 6 (SNR condition) analysis of variance (ANOVA). Questionnaire results were compared using one-way ANOVAs, and correlations between listener traits and the objective and subjective measures were compared using Pearson correlation coefficients.Significant differences were found in speech perception among the normal-hearing and the unilateral and the bilateral CI groups. There was no difference in primary task performance among the hybrid CI and the normal-hearing groups. Across the six SNR conditions, listening effort improved to a greater degree for the normal-hearing group compared to the CI groups. However, there was no significant difference in listening effort between the CI groups. The subjective measures revealed significant differences between the normal-hearing and CI groups, but no difference among the three CI groups. Across all groups, age was significantly correlated with listening effort. We found no relationship between listening effort and the age at the onset of hearing loss, age at implantation, the duration of CI use, and working memory capacity for these participants.Listening effort was reduced to a greater degree for the normal-hearing group compared to the CI users. There was no significant difference in listening effort among the CI groups. For the CI users in this study, age was a significant factor with regard to listening effort, whereas other variables such as the duration of CI use and the age at the onset of hearing loss were not significantly related to listening effort.

scholarly journals Outcomes of Late Implantation in Usher Syndrome Patients

2016 ◽  
Vol 21 (02) ◽  
pp. 140-143 ◽  
Author(s):  
Ana Hoshino ◽  
Agustina Echegoyen ◽  
Maria Goffi-Gomez ◽  
Robinson Tsuji ◽  
Ricardo Bento
Keyword(s):  
Hearing Loss ◽  
Retrospective Study ◽  
Speech Perception ◽  
Cochlear Implants ◽  
Pure Tone ◽  
Autosomal Recessive ◽  
Usher Syndrome ◽  
Autosomal Recessive Disorder ◽  
Auditory Pathways ◽  
One Year

Introduction Usher syndrome (US) is an autosomal recessive disorder characterized by hearing loss and progressive visual impairment. Some deaf Usher syndrome patients learn to communicate using sign language. During adolescence, as they start losing vision, they are usually referred to cochlear implantation as a salvage for their new condition. Is a late implantation beneficial to these children? Objective The objective of this study is to describe the outcomes of US patients who received cochlear implants at a later age. Methods This is a retrospective study of ten patients diagnosed with US1. We collected pure-tone thresholds and speech perception tests from pre and one-year post implant. Results Average age at implantation was 18.9 years (5–49). Aided average thresholds were 103 dB HL and 35 dB HL pre and one-year post implant, respectively. Speech perception was only possible to be measured in four patients preoperatively, who scored 13.3; 26.67; 46% vowels and 56% 4-choice. All patients except one had some kind of communication. Two were bilingual. After one year of using the device, seven patients were able to perform the speech tests (from four-choice to close set sentences) and three patients abandoned the use of the implant. Conclusion We observed that detection of sounds can be achieved with late implantation, but speech recognition is only possible in patients with previous hearing stimulation, since it depends on the development of hearing skills and the maturation of the auditory pathways.

scholarly journals Neural signatures of disordered multi-talker speech perception in adults with normal hearing

2019 ◽  
Author(s):  
Aravindakshan Parthasarathy ◽  
Kenneth E Hancock ◽  
Kara Bennett ◽  
Victor DeGruttola ◽  
Daniel B Polley
Keyword(s):  
Speech Perception ◽  
Speech Intelligibility ◽  
Phase Locking ◽  
Active Listening ◽  
Strongly Correlated ◽  
Listening Effort ◽  
Social Settings ◽  
Eeg Recordings ◽  
Ear Canals ◽  
The Individual

AbstractIn social settings, speech waveforms from nearby speakers mix together in our ear canals. The brain unmixes the attended speech stream from the chorus of background speakers using a combination of fast temporal processing and cognitive active listening mechanisms. Multi-talker speech perception is vulnerable to aging or auditory abuse. We found that ∼10% of adult visitors to our clinic have no measurable hearing loss, yet offer a primary complaint of poor hearing. Multi-talker speech intelligibility in these adults was strongly correlated with neural phase locking to frequency modulation (FM) cues, as determined from ear canal EEG recordings. Combining neural temporal fine structure (TFS) processing with pupil-indexed measures of cognitive listening effort could predict most of the individual variance in speech intelligibility thresholds. These findings identify a confluence of disordered bottom-up and top-down processes that predict poor multi-talker speech perception and could be useful in next-generation tests of hidden hearing disorders.

scholarly journals Functional Consequences of Poor Binaural Hearing in Development: Evidence From Children With Unilateral Hearing Loss and Children Receiving Bilateral Cochlear Implants

2021 ◽  
Vol 25 ◽  
pp. 233121652110512
Author(s):  
Claire McSweeny ◽  
Sharon L. Cushing ◽  
Jennifer L. Campos ◽  
Blake C. Papsin ◽  
Karen A. Gordon
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implants ◽  
Verbal Memory ◽  
Binaural Hearing ◽  
Normal Hearing ◽  
Unilateral Hearing Loss ◽  
Visuospatial Memory ◽  
Bilateral Cochlear Implants ◽  
Academic Deficits

Poor binaural hearing in children was hypothesized to contribute to related cognitive and academic deficits. Children with unilateral hearing have normal hearing in one ear but no access to binaural cues. Their cognitive and academic deficits could be unique from children receiving bilateral cochlear implants (CIs) at young ages who have poor access to spectral cues and impaired binaural sensitivity. Both groups are at risk for vestibular/balance deficits which could further contribute to memory and learning challenges. Eighty-eight children (43 male:45 female, aged 9.89  ±  3.40 years), grouped by unilateral hearing loss ( n = 20), bilateral CI ( n = 32), and typically developing ( n = 36), completed a battery of sensory, cognitive, and academic tests. Analyses revealed that children in both hearing loss groups had significantly poorer skills (accounting for age) on most tests than their normal hearing peers. Children with unilateral hearing loss had more asymmetric speech perception than children with bilateral CIs ( p < .0001) but balance and language deficits ( p = .0004, p < .0001, respectively) were similar in the two hearing loss groups ( p > .05). Visuospatial memory deficits occurred in both hearing loss groups ( p = .02) but more consistently across tests in children with unilateral hearing loss. Verbal memory was not significantly different than normal ( p > .05). Principal component analyses revealed deficits in a main cluster of visuospatial memory, oral language, mathematics, and reading measures (explaining 46.8% data variability). The remaining components revealed clusters of self-reported hearing, balance and vestibular function, and speech perception deficits. The findings indicate significant developmental impacts of poor binaural hearing in children.

Cochlear Implant Outcomes for Children With Auditory Neuropathy Spectrum Disorder

2009 ◽  
Vol 19 (2) ◽  
pp. 75-84 ◽  
Author(s):  
Jaime Leigh ◽  
Gary Rance ◽  
Shani Dettman ◽  
Richard Dowell
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Auditory Neuropathy ◽  
Cochlear Nerve ◽  
Spectrum Disorder ◽  
Language Outcomes ◽  
Outcomes For Children ◽  
Cochlear Nerve Deficiency

Abstract Cochlear implantation is currently the intervention option of choice for many children with auditory neuropathy spectrum disorder (ANSD) who are unable to obtain benefit from conventional amplification. The aim of this study was to review the speech perception and language outcomes for children with ANSD who had received a cochlear implant and highlight specific clinical considerations for working with this population of children with hearing impairment who are being considered for implantation. Finds for the group of 17 children with ANSD using cochlear implants were compared to previously reported outcomes for children with sensori-neural (SN) type hearing loss using cochlear implants. Two children, identified with cochlear nerve deficiency pre-operatively, received no useful auditory percepts from their cochlear implant and discontinued device use. The remaining children demonstrated speech perception and language outcomes comparable to those observed for SN hearing loss peers using cochlear implants. This paper highlights a number of considerations for clinicians to be aware of and the importance of careful counseling pre-operatively regarding the potential for less-than-optimal outcomes, particularly for those children identified with cochlear nerve deficiency.

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