scholarly journals Delayed lexical access and cascading effects on semantic activation during spoken word recognition in children with hearing aids and cochlear implants: Evidence from eye-tracking

2021 ◽  
Author(s):  
Kelsey Klein ◽  
Elizabeth Walker ◽  
Bob McMurray

Objective: The objective of this study was to characterize the dynamics of real-time lexical access, including lexical competition among phonologically similar words, and semantic activation in school-age children with hearing aids (HAs) and children with cochlear implants (CIs). We hypothesized that developing spoken language via degraded auditory input would lead children with HAs or CIs to adapt their approach to spoken word recognition, especially by slowing down lexical access.Design: Participants were children ages 9-12 years old with normal hearing (NH), HAs, or CIs. Participants completed a Visual World Paradigm task in which they heard a spoken word and selected the matching picture from four options. Competitor items were either phonologically similar, semantically similar, or unrelated to the target word. As the target word unfolded, children’s fixations to the target word, cohort competitor, rhyme competitor, semantically related item, and unrelated item were recorded as indices of ongoing lexical and semantic activation.Results: Children with HAs and children with CIs showed slower fixations to the target, reduced fixations to the cohort, and increased fixations to the rhyme, relative to children with NH. This wait-and-see profile was more pronounced in the children with CIs than the children with HAs. Children with HAs and children with CIs also showed delayed fixations to the semantically related item, though this delay was attributable to their delay in activating words in general, not to a distinct semantic source.Conclusions: Children with HAs and children with CIs showed qualitatively similar patterns of real-time spoken word recognition. Findings suggest that developing spoken language via degraded auditory input causes long-term cognitive adaptations to how listeners recognize spoken words, regardless of the type of hearing device used. Delayed lexical activation directly led to delayed semantic activation in children with HAs and CIs. This delay in semantic processing may impact these children’s ability to understand connected speech in everyday life.

Author(s):  
Christina Blomquist ◽  
Rochelle S. Newman ◽  
Yi Ting Huang ◽  
Jan Edwards

Purpose Children with cochlear implants (CIs) are more likely to struggle with spoken language than their age-matched peers with normal hearing (NH), and new language processing literature suggests that these challenges may be linked to delays in spoken word recognition. The purpose of this study was to investigate whether children with CIs use language knowledge via semantic prediction to facilitate recognition of upcoming words and help compensate for uncertainties in the acoustic signal. Method Five- to 10-year-old children with CIs heard sentences with an informative verb ( draws ) or a neutral verb ( gets ) preceding a target word ( picture ). The target referent was presented on a screen, along with a phonologically similar competitor ( pickle ). Children's eye gaze was recorded to quantify efficiency of access of the target word and suppression of phonological competition. Performance was compared to both an age-matched group and vocabulary-matched group of children with NH. Results Children with CIs, like their peers with NH, demonstrated use of informative verbs to look more quickly to the target word and look less to the phonological competitor. However, children with CIs demonstrated less efficient use of semantic cues relative to their peers with NH, even when matched for vocabulary ability. Conclusions Children with CIs use semantic prediction to facilitate spoken word recognition but do so to a lesser extent than children with NH. Children with CIs experience challenges in predictive spoken language processing above and beyond limitations from delayed vocabulary development. Children with CIs with better vocabulary ability demonstrate more efficient use of lexical-semantic cues. Clinical interventions focusing on building knowledge of words and their associations may support efficiency of spoken language processing for children with CIs. Supplemental Material https://doi.org/10.23641/asha.14417627


2005 ◽  
Vol 26 (Supplement) ◽  
pp. 82S-91S ◽  
Author(s):  
Rachael Frush Holt ◽  
Karen Iler Kirk ◽  
Laurie S. Eisenberg ◽  
Amy S. Martinez ◽  
Wenonah Campbell

2018 ◽  
Vol 61 (6) ◽  
pp. 1409-1425 ◽  
Author(s):  
Julia L. Evans ◽  
Ronald B. Gillam ◽  
James W. Montgomery

Purpose This study examined the influence of cognitive factors on spoken word recognition in children with developmental language disorder (DLD) and typically developing (TD) children. Method Participants included 234 children (aged 7;0–11;11 years;months), 117 with DLD and 117 TD children, propensity matched for age, gender, socioeconomic status, and maternal education. Children completed a series of standardized assessment measures, a forward gating task, a rapid automatic naming task, and a series of tasks designed to examine cognitive factors hypothesized to influence spoken word recognition including phonological working memory, updating, attention shifting, and interference inhibition. Results Spoken word recognition for both initial and final accept gate points did not differ for children with DLD and TD controls after controlling target word knowledge in both groups. The 2 groups also did not differ on measures of updating, attention switching, and interference inhibition. Despite the lack of difference on these measures, for children with DLD, attention shifting and interference inhibition were significant predictors of spoken word recognition, whereas updating and receptive vocabulary were significant predictors of speed of spoken word recognition for the children in the TD group. Conclusion Contrary to expectations, after controlling for target word knowledge, spoken word recognition did not differ for children with DLD and TD controls; however, the cognitive processing factors that influenced children's ability to recognize the target word in a stream of speech differed qualitatively for children with and without DLDs.


2007 ◽  
Vol 5 (4) ◽  
pp. 250-261 ◽  
Author(s):  
Karen Iler Kirk ◽  
Marcia J. Hay-Mccutcheon ◽  
Rachael Frush Holt ◽  
Sujuan Gao ◽  
Rong Qi ◽  
...  

Author(s):  
Cynthia G. Clopper ◽  
Janet B. Pierrehumbert ◽  
Terrin N. Tamati

AbstractLexical neighborhood density is a well-known factor affecting phonological categorization in spoken word recognition. The current study examined the interaction between lexical neighborhood density and dialect variation in spoken word recognition in noise. The stimulus materials were real English words produced in two regional American English dialects. To manipulate lexical neighborhood density, target words were selected so that predicted phonological confusions across dialects resulted in real English words in the word-competitor condition and did not result in real English words in the nonword-competitor condition. Word and vowel recognition performance were more accurate in the nonword-competitor condition than the word-competitor condition for both talker dialects. An examination of the responses to specific vowels revealed the role of dialect variation in eliciting this effect. When the predicted phonological confusions were real lexical neighbors, listeners could respond with either the target word or the confusable minimal pair, and were more likely than expected to produce a minimal pair differing from the target by one vowel. When the predicted phonological confusions were not real words, however, the listeners exhibited less lexical competition and responded with the target word or a minimal pair differing by one consonant.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kristin J. Van Engen ◽  
Avanti Dey ◽  
Nichole Runge ◽  
Brent Spehar ◽  
Mitchell S. Sommers ◽  
...  

This study assessed the effects of age, word frequency, and background noise on the time course of lexical activation during spoken word recognition. Participants (41 young adults and 39 older adults) performed a visual world word recognition task while we monitored their gaze position. On each trial, four phonologically unrelated pictures appeared on the screen. A target word was presented auditorily following a carrier phrase (“Click on ________”), at which point participants were instructed to use the mouse to click on the picture that corresponded to the target word. High- and low-frequency words were presented in quiet to half of the participants. The other half heard the words in a low level of noise in which the words were still readily identifiable. Results showed that, even in the absence of phonological competitors in the visual array, high-frequency words were fixated more quickly than low-frequency words by both listener groups. Young adults were generally faster to fixate on targets compared to older adults, but the pattern of interactions among noise, word frequency, and listener age showed that older adults’ lexical activation largely matches that of young adults in a modest amount of noise.


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