Behavioral Feedback Research Articles

Neural envelope tracking predicts speech intelligibility and hearing aid benefit in children with hearing loss

Early assessment of hearing aid benefit is crucial, as the extent to which hearing aids provide audible speech information predicts speech and language outcomes. A growing body of research has proposed neural envelope tracking as an objective measure of speech intelligibility, particularly for individuals unable to provide reliable behavioral feedback. However, its potential for evaluating speech intelligibility and hearing aid benefit in children with hearing loss remains unexplored. In this study, we investigated neural envelope tracking in children with permanent hearing loss through two separate experiments. EEG data were recorded while children listened to age-appropriate stories (Experiment 1) or an animated movie (Experiment 2) under aided and unaided conditions (using personal hearing aids) at multiple stimulus intensities. Neural envelope tracking was evaluated using a linear decoder reconstructing the speech envelope from the EEG in the delta band (0.5-4 Hz). Additionally, we calculated temporal response functions (TRFs) to investigate the spatio-temporal dynamics of the response. In both experiments, neural tracking increased with increasing stimulus intensity, but only in the unaided condition. In the aided condition, neural tracking remained stable across a wide range of intensities, as long as speech intelligibility was maintained. Similarly, TRF amplitudes increased with increasing stimulus intensity in the unaided condition, while in the aided condition significant differences were found in TRF latency rather than TRF amplitude. This suggests that decreasing stimulus intensity does not necessarily impact neural tracking. Furthermore, the use of personal hearing aids significantly enhanced neural envelope tracking, particularly in challenging speech conditions that would be inaudible when unaided. Finally, we found a strong correlation between neural envelope tracking and behaviorally measured speech intelligibility for both narrated stories (Experiment 1) and movie stimuli (Experiment 2). Altogether, these findings indicate that neural envelope tracking could be a valuable tool for predicting speech intelligibility benefits derived from personal hearing aids in hearing-impaired children. Incorporating narrated stories or engaging movies expands the accessibility of these methods even in clinical settings, offering new avenues for using objective speech measures to guide pediatric audiology decision-making.

Cognitive-behavioral group teaching on social anxiety disorder of tourism management majors

Background Group Cognitive Behavioral Therapy (GCBT) is the primary psychological treatment for social anxiety disorder. The core concept of Cognitive Behavioral Therapy is manifested in two aspects: cognitive correction and behavioral feedback. Social Anxiety Disorder (SAD) is a chronic mental disorder with a high incidence of negative automatic thinking and negative fear.Subjects and MethodsThis study conducted a controlled experiment between 50 SAD patients and 50 healthy people. Before treatment, 50 SAD patients were surveyed by psychological questionnaires, including social anxiety scale, social support scale, and parenting style questionnaire, to evaluate the thinking style, personality characteristics, and external psychosocial support of SAD patients. After GCBT treatment, SAD patients were again surveyed with a scale and questionnaire within one week to evaluate the degree of symptom improvement and cognitive change. In this study, SPSS23.0 analysis software was used for analysis.ResultsThere were significant differences in thinking style, personality characteristics, social support, and parenting style between SAD patients and the control group (P<0.05). Social anxiety (P=0.03), negative thinking (P=0.03), and fear of negation (P=0.04) were significantly lower in GCBT patients after treatment than before treatment.ConclusionsGCBT treatment can change the symptoms of SAD patients in a long-term and stable manner, which is related to the changes in patients’ cognitive habits. GCBT treatment can improve the negative cognition of SAD patients to reduce their symptoms, and increasing subjective social support and reducing paternity rejection can improve the long-term prognosis of patients with social anxiety.AcknowledgementThe National Social Science Foundation (22XGL021); Guizhou grassroots social governance innovation high-end think tank; the grass-roots governance innovation team for Rural Revitalization of Guizhou Federation of Social Sciences.

The impact of cognitive and motivational resources on engagement with automated formative feedback

The effectiveness of automated formative feedback highly depends on student feedback engagement that is largely determined by learners’ cognitive and motivational resources. Yet, most studies have only investigated either cognitive resources (e.g., mental effort), or motivational resources (e.g., expectancy-value-cost variables). The purpose of this study is to examine the development (indicated by time) and relationship of 1) cognitive, 2) affective, and 3) behavioral feedback engagement as a function of cognitive and motivational resources in a computer-based learning environment with automated formative feedback. Data was collected from N = 330 German B.Ed. Elementary Education students who worked four consecutive sessions on summarizing texts. Previously invested mental effort (t − 1) affected situational expectancy and cost but not situational value. 1) Cognitive feedback engagement was positively associated with previous performance but neither associated with cognitive nor motivational resources. 2) Affective feedback engagement was positively associated with intrinsic value and negatively associated with situational expectancies, invested mental effort and previous performance. 3) Behavioral feedback engagement was positively associated with situational expectancies and invested mental effort. This study contributes to the understanding of student’s cognitive and motivational structures when engaging with automated formative feedback.

Teamwork dynamics in the context of large-size software development courses

BackgroundEffectively facilitating teamwork experiences, particularly in the context of large-size courses, is difficult to implement. This study seeks to address the challenges of implementing effective teamwork experiences in large courses. This study integrated teamwork pedagogy to facilitate a semester-long project in the context of a large-size class comprising 118 students organized into 26 teams. The data for this study were collected from two online teamwork sessions when teams collaborated and self-recorded during the in-class time. The video recordings were qualitatively analyzed to identify patterns in team dynamics processes through visualizations. The study aims to provide insights into the different ways team members engaged in team dynamics processes during different phases of the semester.ResultsFindings suggest that members of teams were mostly active and passive during meetings and less constructive and interactive in their engagement. Team members mainly engaged in communication, team orientation, and feedback behaviors. Over time, team members' interactions with one another remained about the same, with feedback behaviors tending to diminish and coordination behaviors staying about the same or slightly increasing over time.ConclusionThe implications of this study extend to both practice and theory. Practically, combining cooperative learning and scrum practices enabled a blend of collaborative and cooperative work, which suggests providing teams with tools and structures to coordinate teamwork processes and promote interaction among team members. From a theoretical perspective, this study contributes to the understanding of temporal aspects of teamwork dynamics by examining how team interactions evolve during working sessions at different points in time. Overall, this research provides valuable insights for educators, practitioners, and researchers aiming to enhance teamwork experiences in large courses, particularly in software development disciplines.

The effect of punishment and feedback on correcting erroneous behavior

Introduction: Understanding the consequences of non-punitive sanctions and feedback for nonintentional deviations (i.e., errors) is important to effective safety policy. This study aims to address a lack of research on the effects of punishment and feedback on correcting erroneous behavior in the context of multitasking. Method: A Multi-Attribute Task Battery (MATB-II) was employed to simulate the demands of aviating, an important area of applied safety. Sixty participants were randomly assigned to one of four experimental groups (no intervention, punishment, feedback, punishment + feedback) and asked to perform the MATB-II. Punishment, feedback, and punishment + feedback decreased error and increased performance, with punishment alone having the greatest effect. Results: The results highlight the need for behavioral consequences or feedback to reduce erroneous behavior. Practical Applications: From an applied perspective, these results have implications for policy and training.

Brand engagement and community user behaviors in online interest communities: exploring a moderated mediation model

PurposeAs fertile soil for product promotion, online interest communities have gradually come into brands' view. However, existing research does not clarify whether brand engagement in consumer interaction is beneficial to the development of online interest communities. This study attempts to investigate the effects of brand engagement on the online interest community operation.Design/methodology/approachThe authors propose a model that delineated the influence of brand engagement on consumers' citizenship behavior in the online interest community from the commitment-trust perspective. Scenario-based experiments were conducted and 536 data were collected by simple random sampling.FindingsResults shows that a stronger perception of brand engagement has a positive influence on the relationship (trust and commitment) between the community and its users, which further influences online community citizenship behavior (feedback, advocacy and tolerance) of both posters and lurkers, especially for the posters. Although relationships are more complex, brand engagement activates the development of online interest communities to some extent.Originality/valueThis original study contributes to the commitment-trust theory by examining the impact of brand engagement on citizenship behavior via community commitment and trust in the online interest community context. In addition, this study compares the moderating effect of posters vs lurkers on the relationship between brand engagement and citizenship behavior in the online interest community.

A systematic review of interventions to improve medication adherence in family medicine patients

Background: Medication non-adherence poses a significant challenge in healthcare, leading to suboptimal treatment outcomes. This systematic review aims to evaluate the effectiveness of different interventions in improving medication adherence. Methodology: A comprehensive search was conducted to identify relevant studies. Inclusion criteria encompassed interventions targeting medication adherence and reporting quantitative measures of adherence outcomes. The selected studies were assessed for quality, and data were extracted for analysis. Results: The review included a total of 14 studies. Interventions involving tailored phone calls or educational materials did not yield significant improvements in medication adherence. Conversely, interventions such as face-to-face counseling sessions and self-management programs showed promise in improving adherence. Nurse-led interventions and pharmacist-led consultations did not demonstrate significant improvements. Similarly, interventions involving stroke physician specialist assessments, behavioral feedback, medication reviews, and motivational interviewing did not yield significant improvements. A pooled analysis of various interventions across different healthcare settings showed a moderate but not statistically significant difference in medication adherence. Conclusion: The findings from this systematic review suggest that interventions tailored to individual patient characteristics and involving personalized support and education show promise in improving medication adherence. However, interventions relying solely on tailored phone calls, educational materials, nurse-led care, pharmacist-led consultations, stroke physician specialist assessments, behavioral feedback, medication reviews, or motivational interviewing may not consistently improve adherence. Keywords: Medication Adherence, Patient Compliance, Family Medicine, Education, Behavioral Modification.

Self-complexification through integral feedback in eusocial paper wasps of various levels of sociality

We investigate how simple physical interactions can generate remarkable diversity in the life history of social agents using data of social wasps, yielding complex scalable task partitioning. We built and analyzed a computational model to investigate how diverse task allocation patterns found in nature can emerge from the same behavioral blueprint. Self-organizing mechanisms of interwoven behavioral feedback loops, task-dependent time delays and simple material flows between interacting individuals yield an emergent homeostatic self-regulation while keeping the global colony performance scalable. Task allocation mechanisms based on implicitly honest signaling via material flows are not only very robust but are also highly evolvable due to their simplicity and reliability. We find that task partitioning has evolved to be scalable and adaptable to life history traits, such as expected colony size or temporal bottlenecks in the available workforce or materials. By tuning solely the total number of agents and a social connectivity-related parameter in the model, our simulations yield the whole range of emergent patterns in task allocation and task fidelity akin to observed field data. Our model suggests that the material exchange (“common stomach mechanism”) found in many paper wasps provides a common functional “core” across these genera, which not only provides self-regulation of the colony, but also provides a scalable mechanism allowing natural selection to yield complex social integration in larger colonies over the course of their evolutionary trajectory.

Development of a goal-directed movement intervention (GOAL) using a movement sensor for hospitalized patients: An intervention mapping approach

Objective To describe the development of a goal-directed movement intervention in two medical wards, including recommendations for implementation and evaluation. Design Implementation Research. Setting Pulmonology and nephrology/gastroenterology wards of the University Medical Centre Utrecht, The Netherlands. Participants Seven focus groups were executed including 28 nurses, 7 physical therapists and 15 medical specialists. Patients’ perceptions were repeatedly assessed during the iterative steps of the intervention development. Intervention Interventions were targeted to each ward's specific character, following an Intervention Mapping approach using literature and research meetings. Main measures: Intervention components were linked to Behavior Change Techniques and implementation strategies will be selected using the Expert Recommendation Implementing Change tool. Evaluation outcomes like number of patients using the movement intervention will be measured, based on the taxonomy of Proctor. Results The developed intervention consists of: insight in patients movement behavior (monitoring & feedback), goal setting (goals & planning) and adjustments to the environment (associations & antecedents). The following implementation strategies are recommended: to conduct educational meetings, prepare & identify champions and audit & provide feedback. To measure service and client outcomes, the mean level of physical activity per ward can be evaluated and the Net Promoter Score can be used. Conclusion(s) This study shows the development of a goal-directed movement intervention aligned with the needs of healthcare professionals. This resulted in an intervention consisting of feedback & monitoring of movement behavior, goal setting and adjustments in the environment. Using a step-by-step iterative implementation model to guide development and implementation is recommended.

Individualized behavior-based safety-leadership training: A randomized controlled trial

Introduction: Construction site managers play a critical role in occupational safety in the construction industry. This study aimed to develop and test a method for training construction site managers in positive feedback and active listening by incorporating the behavioral training components of behavior analysis, goal setting, practice with behavior feedback, homework, and maintenance planning into individualized behavior-based safety-leadership training (IBST), and to assess the effect of IBST on construction site managers’ safety-leadership behaviors and performance. Method: In a naturalistic randomized controlled trial, construction site managers were randomly assigned to an experimental group (n = 16) or a control group (n = 19). The experimental-group managers received IBST, while the control-group managers received no training. Paired sample t-tests on pre- to post-training (i.e., six weeks after the final training session) were performed separately for the experimental- and control-group managers. Results: The safety-leadership behaviors of the experimental-group managers improved in terms of favorable feedback (d = 0.99, p <.01), safety-specific feedback (d = 0.89, p =.02), behavior-specific feedback (d = 0.66, p =.02), antecedent listening (d = 0.68, p =.02), and consequential listening (d = 0.78, p =.01). In addition, safety-leadership performance improved in terms of transformational leadership (d = 0.78, p =.01) and contingent-reward leadership (d = 0.64, p =.02). No significant change was found for the control-group managers. Conclusions: The results indicate that behavior analysis, goal setting, practice with behavior feedback, homework, and maintenance planning are effective behavioral training components of safety-leadership training. Positive feedback and active listening were also found to be important behavioral requisites for transformational and contingent-reward leadership. Practical applications: IBST can be used to develop occupational safety in the construction industry by improving construction site managers’ safety-leadership behaviors and performance.

Spatiotemporal vaccine allocation policies for epidemics with behavioral feedback dynamics

AbstractMotivated by the COVID‐19 pandemic, we study how a public health authority may allocate vaccines from a limited stockpile to different jurisdictions over time. We propose an epidemiological model with time‐varying contact rates determined by a stylized behavioral feedback mechanism to reflect multi‐wave transmission dynamics. We evaluate the performance of various information‐sensitive allocation policies (e.g., allocation proportional to local incidence) as alternatives to the widely used pro‐rata policy. We also obtain optimized allocation strategies under the proposed epidemiological model with fairness and implementable freeze‐period constraints. For the case of a multi‐wave epidemic as represented by our compartmental model with behavioral feedback, we find that none of the alternative policies offers consistently more efficient allocations than a simple pro‐rata policy across a broad range of behavioral parameter settings. In fact, in some cases the alternative policies may actually result in less efficient allocations than the pro‐rata policy. Thus our results support the conclusion that the widely used pro‐rata policy can be well justified because it is simple to explain/implement and does not cause unexpected adverse effects. However, if policy makers are willing to invest in more tailored strategies based on numerical optimization, then the identified optimized strategies are a more favorable option as they allow for a more efficient allocation of vaccines.

Intrinsic need satisfaction, emotional attachment, and value co-creation behaviors of seniors in using modified mobile government

Although mobile-government-for-elders has the advantages of improving social equity, narrowing the digital divide, and reducing service costs, most previous studies on mobile government (m-government) have ignored the elderly. Meanwhile, most previous studies on the elderly regard them as silent users. Furthermore, the antecedents of seniors using the modified m-government for value co-creation have been poorly investigated. To bridge this literature gap, we developed a model based on the self-regulation framework. This model examined the impacts of intrinsic need satisfaction on value co-creation behaviors during seniors' use of mobile-government-for-elders. We surveyed 415 elderly users who used mobile-government-for-elders. The results showed that seniors' intrinsic need satisfaction (autonomy, competence, and relatedness) positively influenced emotional attachment to modified m-government. Emotional attachment positively influenced seniors' value co-creation behaviors (feedback, advocacy, and information sharing) on modified m-government. In addition, trust in government positively moderated the relationship between emotional attachment and feedback behavior, emotional attachment and advocacy behavior, and emotional attachment and information-sharing behavior. Our findings can help managers and developers of mobile-government-for-elders take appropriate strategies to improve the value co-creation behaviors of elderly users.

Global stability and optimal control of epidemics in heterogeneously structured populations exhibiting adaptive behavior

We present a novel SIRS model on scale-free networks that takes into account behavioral memory and time delay to depict an adaptive behavioral feedback mechanism, which can better characterize the actual spread of epidemics. We conduct rigorous analysis on the dynamics of the model, including the basic reproduction number R0, uniform persistence and the global asymptotic stability of equilibria. The model has the sharp threshold property, namely, if R0 is less than 1 then the disease-free equilibrium is globally asymptotically stable while if R0 is larger than 1 then the endemic equilibrium is globally asymptotically stable. We further perform an optimal control study for the model to seek effective vaccination and treatment strategies. The existence and uniqueness of these optimal control strategies are demonstrated. Finally, we perform some stochastic network simulations that yield quantitative agreement with the deterministic mean-field approach. Our findings indicate that time delay does not affect R0, but behavioral memory does.

Associations Between Sleep Duration and Positive Mental Health Screens During Adolescent Preventive Visits in Primary Care.

The purpose of this paper was to understand associations between low sleep duration (<8.ßhours) and positive mental health screens among adolescents (ages 13...18) seen for preventive visits in primary care. Data were from two randomized controlled trials testing the efficacy of an electronic health risk behavior screening and feedback tool for adolescent preventive visits. Participants (n.ß=.ß601) completed screeners at baseline, 3 months, and 6 months which included sleep duration in hours and the Patient Health Questionnaire 9 and Generalized Anxiety Disorder 7 screeners for depression and anxiety, respectively. Main analyses included adjusted logistic regressions testing associations between low sleep duration and positive mental health screens. Adjusted models showed that low sleep duration was associated with significantly greater odds of a positive depression screen (OR.ß=.ß1.58, 95% CI: 1.06...2.37) but not with a positive anxiety screen or co-occurring positive depression and anxiety screens. However, follow-up analyses indicated an interaction between sleep duration and anxiety in the association with a positive depression screen, such that the association between low sleep and a positive depression screen was driven by those who did not screen positive for anxiety. As pediatric primary care guidelines for sleep continue to evolve, further research, training, and support for sleep screening are warranted to ensure effective early intervention for sleep and mental health problems during adolescence.

Responsive Smart Materials from Energy Transition of Biomolecular Structural Changes

Herein, the use of biomolecules is reviewed as raw materials for creating functional responsive materials with a variety of tunable properties, including physicochemical and mechanical properties. Through self‐assembly/coassembly, self‐powered smart devices can be designed, which aim to create efficient and stable transformation systems within existing energy relations. These systems can respond to various chemical or physical stimuli, triggering reassembly and completing potential energy conversion through conformational changes at the molecular and mesoscopic scales. This energy conversion provides the necessary energy for macroscopic feedback behavior. Herein, bionic devices are presented that can perform energy conversion completely and autonomously and discuss the mechanism of energy conversion between different chemical potentials, kinetic, or thermal energies.

Measuring what learners do in feedback: the feedback literacy behaviour scale

Feedback can be powerful, but its effects are dependent on what students do. There has been intensive research in recent years under the banner of ‘feedback literacy’ to understand how to help students make the most of feedback. Although there are instruments to measure feedback literacy, they largely measure perceptions and orientations rather than what learners actually do. This paper documents the development and validation of the Feedback Literacy Behaviour Scale (FLBS), which is a self-report instrument intended to measure students’ feedback behaviours. A framework for feedback literacy was constructed with five factors: Seek Feedback information (SF), Make Sense of information (MS), Use Feedback information (UF), Provide Feedback information (PF), and Manage Affect (MA). An initial set of 45 questions were reviewed in an iterative process by feedback experts, resulting in 39 questions that were trialled with 350 student participants from four countries. Our final survey of 24 questions was generally supported by confirmatory factor and Rasch analyses, and has acceptable test-retest reliability. The FLBS provides a more robust way for educators and researchers to capture behavioural indicators of feedback literacy and the impact of interventions to improve it.

The Interfacial Dilational Rheology Properties of Betaine Solutions: Effect of Anionic Surfactant and Polymer.

Interfacial dilational rheology is one of the important means to explore the interfacial properties of adsorption films. In this paper, the interfacial rheological properties of the mixed system of sulfobetaine ASB with a linear alkyl group and two anionic surfactants, petroleum sulfonate (PS) and alkyl polyoxyethylene carboxylate (AEC), were investigated by interfacial dilational rheology. The effect of the introduction of polymer hydrophobically modified polyacrylamide (HMPAM) on the interfacial properties of the mixed system was analyzed. In this experiment, the surfactant solution was used as the external phase and n-decane was used as the internal phase. A periodic sinusoidal disturbance of 0.1 Hz was applied to the n-decane droplets, and the changes of parameters such as droplet interfacial tension and interfacial area were monitored in real time with the help of a computer. The results show that the betaine ASB molecule responds to the dilation and compression of the interface through the change of ion head orientation, while the feedback behavior of petroleum sulfonate PS and AEC molecules embedded with oxygen vinyl groups in the molecule is diffusion and exchange between the interface and the bulk phase. Therefore, the interface film formed by ASB alone is higher, and the film formed by PS and AEC molecules alone is relatively lower. After adding two kinds of anionic surfactants to the betaine system, the ionic head of PS or AEC molecules will be attached to the positive center of the hydrophilic group of ASB molecules by electrostatic attraction and no longer adsorb and desorb with the interface deformation. The interfacial rheological properties of the compound system are still dominated by betaine, with higher dilational modulus and lower phase angle. When a small amount of HMPAM is added, or the content of hydrophobic monomer AMPS in the bulk phase is low, the intermolecular interaction at the interface is enhanced, the slow relaxation process is intensified, and the interfacial film strength is increased. As the content of AMPS further increases, hydrophobic blocks and surfactant molecules will form interfacial aggregates similar to mixed micelles at the oil-water interface, which will regulate the properties of the film by affecting the adsorption of surfactants at the interface. As long as the interfacial tension is the same, the properties of the interfacial film are the same. Based on the colloid interface science and the background of enhanced oil recovery, this study provides a reference for the field application of chemical flooding formulations.

Leveraging WiFi network logs to infer student collocation and its relationship with academic performance

A comprehensive understanding of collocated social interactions can help campuses and organizations better support their community. Universities could determine new ways to conduct classes and design programs by studying how students have collocated in the past. However, this needs data that describe large groups over a long period. Harnessing user devices to infer collocation, while tempting, is challenged by privacy concerns, power consumption, and maintenance issues. Alternatively, embedding new sensors across the entire campus is expensive. Instead, we investigate an easily accessible data source that can retroactively depict multiple users on campus over a semester, a managed WiFi network. Despite the coarse approximations of collocation provided by WiFi network logs, we demonstrate that leveraging such data can express meaningful outcomes of collocated social interaction. Since a known outcome of collocating with peers is improved performance, we inspected if automatically–inferred collocation behaviors can indicate the individual performance of project group members on a campus. We studied 163 students (in 54 project groups) over 14 weeks. After describing how we determine collocation with the WiFi logs, we present a study to analyze how collocation within groups relates to a student’s final score. We found that modeling collocation behaviors showed a significant correlation (Pearson’sr =0.24) with performance (better than models of peer feedback or individual behaviors). These findings emphasize that it is feasible and valuable to characterize collocated social interactions with archived WiFi network logs. We conclude the paper with a discussion of applications for repurposing WiFi logs to describe collocation, along with privacy considerations, and directions for future work.

Subjective valuation of performance feedback is robust to trait cognitive fatigue in multiple sclerosis.

Performance feedback is vital to rehabilitation interventions that treat cognitive impairments from multiple sclerosis (MS). Optimal treatment relies on participants' motivation to learn from feedback throughout these interventions. Cognitive fatigue, a prevalent symptom of MS, is associated with aberrant reward processing, which necessitates research into how fatigue affects perceived reward value of feedback in these individuals. The current study investigated how trait fatigue influences subjective valuation of feedback and subsequent feedback-seeking behavior in people with MS. 33 MS and 32 neurotypical (NT) participants completed a willingness-to-pay associative memory paradigm that assessed feedback valuation via trial-by-trial decisions to either purchase or forego feedback in service of maximizing a performance-contingent monetary reward. Participant ratings of trait fatigue were also collected. Generalized logistic mixed modeling was used to analyze factors that influenced trial-wise feedback purchase decisions and task performance. Despite reporting greater trait fatigue, MS participants purchased comparable amounts of feedback as NT participants. Like NT participants, MS participants were more likely to purchase feedback when they were less confident about response accuracy. MS participants also performed comparably to NT participants, who both particularly benefited from purchase decisions that yielded negative feedback (i.e., indicating a response error). Trait cognitive fatigue may not impact performance feedback valuation in people with MS. Nonetheless, confidence in performance may drive their feedback-seeking behavior and may serve as a target for improving learning throughout cognitive rehabilitation and maximizing treatment success.

Head movement and its relation to hearing.

Head position at any point in time plays a fundamental role in shaping the auditory information that reaches a listener, information that continuously changes as the head moves and reorients to different listening situations. The connection between hearing science and the kinesthetics of head movement has gained interest due to technological advances that have increased the feasibility of providing behavioral and biological feedback to assistive listening devices that can interpret movement patterns that reflect listening intent. Increasing evidence also shows that the negative impact of hearing deficits on mobility, gait, and balance may be mitigated by prosthetic hearing device intervention. Better understanding of the relationships between head movement, full body kinetics, and hearing health, should lead to improved signal processing strategies across a range of assistive and augmented hearing devices. The purpose of this review is to introduce the wider hearing community to the kinesiology of head movement and to place it in the context of hearing and communication with the goal of expanding the field of ecologically-specific listener behavior.