Assessment of environmental sound perception among listeners with hearing loss and cochlear implants

Abstract

Perception of environmental sounds (PES), encompassing informationally and/or aesthetically salient nonspeech, nonmusical sounds, is crucial for safety, independence, and quality-of-life among listeners with hearing loss. The aims of this study were (1) to systematically review methodologies used to assess PES among cochlear implant (CI) users and identify performance trends in this population, and (2) to present preliminary data using a novel PES task requiring inference of materials and actions generating environmental sounds. For aim 1, PES in quiet using open- or closed-set response formats were most commonly used. PES accuracy in pediatric (3 studies) and adult (16 studies) CI users was highly variable but generally mediocre (mean correct: 31–87%). Most studies were cross-sectional; only two evaluated PES prospectively before and after CI. No significant differences in accuracy were reported between CI candidates and CI users. PES correlated in with measures of speech perception and spectro-temporal processing. For aim 2, we present preliminary findings on identification of materials and actions responsible for generating environmental sounds among normal hearing listeners and listeners with hearing loss using hearing aids or CIs. We discuss the types of materials and actions that are most difficult for listeners with hearing loss and common sources of confusion.