Hearing Speech Research Articles

Digital speech hearing screening using a quick novel mobile hearing impairment assessment: an observational correlation study

By 2050, 1 in 4 people worldwide will be living with hearing impairment. We propose a digital Speech Hearing Screener (dSHS) using short nonsense word recognition to measure speech-hearing ability. The importance of hearing screening is increasing due to the anticipated increase in individuals with hearing impairment globally. We compare dSHS outcomes with standardized pure-tone averages (PTA) and speech-recognition thresholds (SRT). Fifty participants (aged 55 or older underwent pure-tone and speech-recognition thresholding. One-way ANOVA was used to compare differences between hearing impaired and hearing not-impaired groups, by the dSHS, with a clinical threshold of moderately impaired hearing at 35 dB and severe hearing impairment at 50 dB. dSHS results significantly correlated with PTAs/SRTs. ANOVA results revealed the dSHS was significantly different (F(1,47) = 38.1, p < 0.001) between hearing impaired and unimpaired groups. Classification analysis using a 35 dB threshold, yielded accuracy of 85.7% for PTA-based impairment and 81.6% for SRT-based impairment. At a 50 dB threshold, dSHS classification accuracy was 79.6% for PTA-based impairment (Negative Predictive Value (NPV)-93%) and 83.7% (NPV-100%) for SRT-based impairment. The dSHS successfully differentiates between hearing-impaired and unimpaired individuals in under 3 min. This hearing screener offers a time-saving, in-clinic hearing screening to streamline the triage of those with likely hearing impairment to the appropriate follow-up assessment, thereby improving the quality of services. Future work will investigate the ability of the dSHS to help rule out hearing impairment as a cause or confounder in clinical and research applications.

Speech Recognition and Subjective Hearing Abilities for Electric-Acoustic Stimulation Users With Unilateral Hearing Loss.

Some cochlear implant (CI) recipients with unilateral hearing loss (UHL) have functional acoustic hearing in the implanted ear, warranting the fitting of an ipsilateral electric-acoustic stimulation (EAS) device. The present study assessed speech recognition and subjective hearing abilities over time for EAS users with UHL. Prospective, repeated-measures. Tertiary referral center. Adult CI recipients with normal-to-moderate low-frequency acoustic thresholds in the implanted ear and a contralateral pure-tone average (0.5, 1, and 2 kHz) ≤25 dB HL. Participants were evaluated preoperatively and at 1, 3, and 6 months post-activation. Speech recognition for the affected ear was evaluated with CNC words in quiet. Masked speech recognition in the bilateral condition was evaluated with AzBio sentences in a 10-talker masker (0 dB SNR) for three spatial configurations: target from the front and masker either colocated with the target or presented 90 degrees toward the affected or contralateral ear. Responses to the Speech, Spatial, and Qualities of Hearing Scale subscales were used to assess subjective hearing abilities. Participants experienced significant improvements in CNC scores ( F(3,13) = 14.90, p < 0.001), and masked speech recognition in the colocated ( F(3,11) = 3.79, p = 0.043) and masker toward the contralateral ear ( F(3,11) = 4.75, p = 0.023) configurations. They also reported significantly better abilities on the Speech Hearing ( F(3,13) = 5.19, p = 0.014) and Spatial Hearing ( F(3,13) = 10.22, p = 0.001) subscales. Adults with UHL and functional acoustic hearing in the implanted ear experience significant improvements in speech recognition and subjective hearing abilities within the initial months of EAS use as compared with preoperative performance and perceptions.

Quantification of Automatic Speech Recognition System Performance on d/Deaf and Hard of Hearing Speech.

To evaluate the performance of commercial automatic speech recognition (ASR) systems on d/Deaf and hard-of-hearing (d/Dhh) speech. A corpus containing 850 audio files of d/Dhh and normal hearing (NH) speech from the University of Memphis Speech Perception Assessment Laboratory was tested on four speech-to-text application program interfaces (APIs): Amazon Web Services, Microsoft Azure, Google Chirp, and OpenAI Whisper. We quantified the Word Error Rate (WER) of API transcriptions for 24 d/Dhh and nine NH participants and performed subgroup analysis by speech intelligibility classification (SIC), hearing loss (HL) onset, and primary communication mode. Mean WER averaged across APIs was 10 times higher for the d/Dhh group (52.6%) than the NH group (5.0%). APIs performed significantly worse for "low" and "medium" SIC (85.9% and 46.6% WER, respectively) as compared to "high" SIC group (9.5% WER, comparable to NH group). APIs performed significantly worse for speakers with prelingual HL relative to postlingual HL (80.5% and 37.1% WER, respectively). APIs performed significantly worse for speakers primarily communicating with sign language (70.2% WER) relative to speakers with both oral and sign language communication (51.5%) or oral communication only (19.7%). Commercial ASR systems underperform for d/Dhh individuals, especially those with "low" and "medium" SIC, prelingual onset of HL, and sign language as primary communication mode. This contrasts with Big Tech companies' promises of accessibility, indicating the need for ASR systems ethically trained on heterogeneous d/Dhh speech data. 3 Laryngoscope, 2024.

Outcomes Using the Optimized Pitch and Language Strategy Versus the Advanced Combination Encoder Strategy in Mandarin-Speaking Cochlear Implant Recipients.

The experimental Optimized Pitch and Language (OPAL) strategy enhances coding of fundamental frequency (F0) information in the temporal envelope of electrical signals delivered to channels of a cochlear implant (CI). Previous studies with OPAL have explored performance on speech and lexical tone perception in Mandarin- and English-speaking CI recipients. However, it was not clear which cues to lexical tone (primary and/or secondary) were used by the Mandarin CI listeners. The primary aim of the present study was to investigate whether OPAL provides improved recognition of Mandarin lexical tones in both quiet and noisy environments compared with the Advanced Combination Encoder (ACE) strategy. A secondary aim was to investigate whether, and to what extent, removal of secondary (duration and intensity envelope) cues to lexical tone affected Mandarin tone perception. Thirty-two CI recipients with an average age of 24 (range 7 to 57) years were enrolled in the study. All recipients had at least 1 year of experience using ACE. Each subject attended two testing sessions, the first to measure baseline performance, and the second to evaluate the effect of strategy after provision of some take-home experience using OPAL. A minimum take-home duration of approximately 4 weeks was prescribed in which subjects were requested to use OPAL as much as possible but were allowed to also use ACE when needed. The evaluation tests included recognition of Mandarin lexical tones in quiet and in noise (signal to noise ratio [SNR] +5 dB) using naturally produced tones and duration/intensity envelope normalized versions of the tones; Mandarin sentence in adaptive noise; Mandarin monosyllabic and disyllabic word in quiet; a subset of Speech, Spatial, and Qualities of hearing questionnaire (SSQ, speech hearing scale); and subjective preference for strategy in quiet and noise. For both the natural and normalized lexical tone tests, mean scores for OPAL were significantly higher than ACE in quiet by 2.7 and 2.9%-points, respectively, and in noise by 7.4 and 7.2%-points, respectively. Monosyllabic word recognition in quiet using OPAL was significantly higher than ACE by approximately 7.5% points. Average SSQ ratings for OPAL were significantly higher than ACE by approximately 0.5 points on a 10-point scale. In quiet conditions, 14 subjects preferred OPAL, 7 expressed a preference for ACE, and 9 reported no preference. Compared with quiet, in noisy situations, there was a stronger preference for OPAL (19 recipients), a similar preference for ACE (7 recipients), while fewer expressed no preference. Average daily take-home use of ACE and OPAL was 4.9 and 7.1 hr, respectively. For Mandarin-speaking CI recipients, OPAL provided significant improvements to lexical tone perception for natural and normalized tones in quiet and noise, monosyllabic word recognition in quiet, and subjective ratings of speech intelligibility. Subjects accessed both primary and secondary cues to lexical tone for perception in quiet and noise conditions. The benefits of lexical tone recognition were attributed to enhanced F0 rate cues encoded by OPAL, especially in a noisy environment. The OPAL strategy was well accepted by many of the Mandarin-speaking CI recipients.

Uses of Linguistic Context in Speech Listening: Does Acquired Hearing Loss Lead to Reduced Engagement of Prediction?

Research investigating the complex interplay of cognitive mechanisms involved in speech listening for people with hearing loss has been gaining prominence. In particular, linguistic context allows the use of several cognitive mechanisms that are not well distinguished in hearing science, namely those relating to "postdiction", "integration", and "prediction". We offer the perspective that an unacknowledged impact of hearing loss is the differential use of predictive mechanisms relative to age-matched individuals with normal hearing. As evidence, we first review how degraded auditory input leads to reduced prediction in people with normal hearing, then consider the literature exploring context use in people with acquired postlingual hearing loss. We argue that no research on hearing loss has directly assessed prediction. Because current interventions for hearing do not fully alleviate difficulty in conversation, and avoidance of spoken social interaction may be a mediator between hearing loss and cognitive decline, this perspective could lead to greater understanding of cognitive effects of hearing loss and provide insight regarding new targets for intervention.

Rhythmic and intonation skills of a primary school student in mastering a foreign language

The article is devoted to rhythmic and intonation skills, the formation of which contributes to the acquisition of the sound system of foreign language speech by primary school students and thus to the formation of foreign language speech ability. The concepts of skill, rhythmic and intonation skills, speech hearing, phonetic hearing, phonemic hearing, intonation hearing are analyzed. The contents of teaching pronunciation in foreign language classes in primary school are clarified.

Listening Comprehension Skills in Children with Attention Deficit and Hyperactivity Disorder: A Review Study

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity and impulsivity that may begin in early childhood and continue into adolescence and adulthood and are incompatible with the developmental level of the individual. Most children with ADHD are at risk of facing significant academic problems throughout their educational life. In recent studies aiming to reveal the causes of academic problems experienced by children with ADHD, academic problems have been associated with the difficulties in reading and listening comprehension skills of children with ADHD. The relatively common prevalence of ADHD, the extent of academic problems experienced by children with ADHD, and the lack of clarity about reading difficulties require further examination of the relationship between ADHD and reading and listening comprehension skills, which are often based on the same language and cognitive skills. Listening comprehension, which is defined as the ability to understand, interpret, organise and evaluate the ideas and thoughts in a speech heard or a text read aloud, is one of the most important early literacy skills necessary for the ultimate goal of reading, which is reading comprehension. In this review study, listening comprehension skills of children with ADHD were discussed together with the literature.

근원적 인지 메커니즘을 통한 난독증 탐구

Objectives The purpose of this paper is to identify dyslexia among various types of learning disabilities, explain its manifestation mechanism, and demonstrate it clinically.&#x0D; Methods This paper shows that through the fundamental cognitive mechanism, not only can the characteristics of dyslexia be understood in the most fundamental, essential, and holistic way, but also a better understanding of how dyslexia is fundamentally manifested. For clinical proof, non-verbal intelligence test (K-CTONI-2), Korean version of Children's Visual Perception Development Test (K-DTVP-3), the Korean Reading Test (KOLRA), and speech hearing test were administered to 7 elementary school students who continued to experience difficulties despite receiving reading education.&#x0D; Results Dyslexia begins with an excessively imbalanced structure of the brain's large visual and small auditory cognitive spaces. Due to the imbalance between the two cognitive spaces, visual acuity and visual memory appear strong, while auditory acuity and auditory memory appear weak, resulting in auditory internal attention deficit, which is the most important cognitive condition for language development. Auditory internal attention deficit in turn interferes with auditory information processing, resulting in serious difficulties in written language development and various symptoms observed in dyslexic children. The test results showed a low auditory function score compared to a high visual function score.&#x0D; Conclusions Dyslexia occurs due to functional defects in hierarchical cognitive processes such as auditory sensation, memory, and thought processing caused by an imbalance between the brain's small auditory cognitive space and large visual cognitive space. This paper presents directions for effective dyslexia treatment based on research results.&#x0D;

Gestures speed up responses to questions

ABSTRACT Most language use occurs in face-to-face conversation, which involves rapid turn-taking. Seeing communicative bodily signals in addition to hearing speech may facilitate such fast responding. We tested whether this holds for co-speech hand gestures by investigating whether these gestures speed up button press responses to questions. Sixty native speakers of Dutch viewed videos in which an actress asked yes/no-questions, either with or without a corresponding iconic hand gesture. Participants answered the questions as quickly and accurately as possible via button press. Gestures did not impact response accuracy, but crucially, gestures sped up responses, suggesting that response planning may be finished earlier when gestures are seen. How much gestures sped up responses was not related to their timing in the question or their timing with respect to the corresponding information in speech. Overall, these results are in line with the idea that multimodality may facilitate fast responding during face-to-face conversation.

What do voices contribute to acoustic context effects in speech perception?

All perception takes place in context, and speech perception is no exception. Surrounding sounds form a context that guides speech perception. This is particularly true when earlier sounds inform the perception and/or recognition of later sounds. Several lines of research have advanced models where listeners use preceding context to account for characteristics of the talker’s voice, such as vocal tract properties, articulatory maneuvers, or the speaker’s identity. Conversely, research with nonspeech sounds and/or nonhuman animals has advanced alternative models where perception is responding more to signal acoustics than to vocal characteristics. In this talk, I will review recent evidence from our research on acoustic context effects and talker normalization when hearing speech and nonspeech (music) sounds. Parallel patterns of performance across speech and music domains are conducive to, but not definitive evidence of, acoustic context being utilized according to general signal acoustics, with speech- and voice-specific contributions coming later in the processing stream.

A 10-year in-depth follow-up of post-lingual hearing loss patients with Chinese domestic cochlear implants

Background Follow-up of cochlear implant effectiveness is mainly focused on 3 years postoperatively, and studies with more than 5 years of observation are rare, especially for local Chinese brands. Objectives Nurotron (Chinese domestic cochlear implant brand) CI recipients who participated in the clinical trial in 2009 were followed-up for 10 years prospectively, providing data to guide doctors and patients. Material and Methods From December 2009 to April 2010, 57 subjects underwent Nurotron Venus CI surgery at multiple-centers, and were continued to be followed up and assessed at 1, 2, 3, 4, 5, and 10 years after switch on. Results All recipients were successfully implanted with CIs with no difficulty in subsequent use with one reported case of re-implantation at 9 years after implantation. The aided hearing thresholds were significantly improved at one month after switch on (p < 0.0001) and remained stable afterwards for 10 years. Speech recognition scores were significantly higher than pre-operative results (p < 0.05) and continued to improve till 3 years after switch on. At 10 years post-operation, most subjects had improved QOL scores in most sub-items. Conclusions and Significance Nurotron Venus CI System provides long-term, stable results in hearing speech assistance capabilities and can improve the quality of life of CI recipients.

Illusions in speech sound and voice perception

ABSTRACT Hearing speech in a particular voice is a common experience in spoken linguistic communication. Nevertheless, the nature and role(s) of that experience are relatively under-theorized in philosophy. What can we learn about auditory experiences of listening to speech in a voice from illusions? In this paper I discuss two illusions and two special effects in speech sound and voice perception: (1) the temporal induction illusion in speech, (2) the phantom words illusion, (3) the McGurk effect, and (4) the audiovisual experience of the voice-over translation. The first two phenomena support widely accepted claims of top-down influences in speech perception. The latter two illustrate the nature and scope of multimodal integration in speech and voice perception. My discussion of the voice-over translation technique and the experiences it may give rise to will expand the scope of the phenomena that are typically discussed in this area.

Cortical linear encoding and decoding of sounds: Similarities and differences between naturalistic speech and music listening.

Linear models are becoming increasingly popular to investigate brain activity in response to continuous and naturalistic stimuli. In the context of auditory perception, these predictive models can be 'encoding', when stimulus features are used to reconstruct brain activity, or 'decoding' when neural features are used to reconstruct the audio stimuli. These linear models are a central component of some brain-computer interfaces that can be integrated into hearing assistive devices (e.g., hearing aids). Such advanced neurotechnologies have been widely investigated when listening to speech stimuli but rarely when listening to music. Recent attempts at neural tracking of music show that the reconstruction performances are reduced compared with speech decoding. The present study investigates the performance of stimuli reconstruction and electroencephalogram prediction (decoding and encoding models) based on the cortical entrainment of temporal variations of the audio stimuli for both music and speech listening. Three hypotheses that may explain differences between speech and music stimuli reconstruction were tested to assess the importance of the speech-specific acoustic and linguistic factors. While the results obtained with encoding models suggest different underlying cortical processing between speech and music listening, no differences were found in terms of reconstruction of the stimuli or the cortical data. The results suggest that envelope-based linear modelling can be used to study both speech and music listening, despite the differences in the underlying cortical mechanisms.

Knowledge, attitude, and practices towards occupational noise among maintenance and administration workers of selected health facilities in Modimolle-Mookgopong Municipality, South Africa

ABSTRACT This study aimed to determine knowledge, attitude, and practices towards Noise-Induced Hearing Loss among maintenance and administration workers in selected health facilities in the Modimolle-Mookgopong Municipality. Non-probability convenient sampling was used to select 250 participants. Maintenance workers were populated within the age range of 26–35 years, being more than administrative personnel (COR 1.59, CI 0.8–3.16). Maintenance workers showed more knowledge of noise being an unwanted sound (COR 1.04, CI 0.29–3.73), an ear infection (COR 4.65, CI 1.48–14.58) and poor hearing of speech as a sign of hearing loss (AOR 0.25, CI 0.07–0.86). Thirty-four percent (34%) of maintenance workers believed that ear screening and assessments are important while 17.9% believed not to be important. Forty-eight percent (58%) of maintenance workers suggested that they could not use hearing protectors effectively without training while 13.7% suggested training is needed.

Quality in Measurement Matters: Adjusted American Bar Association Ratings and Circuit Court Confirmation Hearing Word Choice

Abstract Though widely used in studies of judicial politics, American Bar Association (ABA) ratings have a partisan bias. As a result, when researchers include ABA ratings and ideology in a model together, the results may be biased toward non-findings with respect to the effect of ideology, qualifications, or both. This study leverages new data on the ABA rating process to create a valid and reliable new measure for the qualifications of nominees to the US Courts of Appeals. In an empirical example, I test the new measure against alternative specifications to demonstrate its potential. The empirical example also presents a new data set on circuit court confirmation hearing speech. The findings contrast with well-established conclusions from previous studies.

Formation of Communication Skills in Primary School Students in Foreign Language Lessons in the New Ukrainian School

The article highlights the ways of implementing the competence approach in the process of teaching younger students the English language, it involves clarifying the content and results of learning, selecting effective methods, techniques, and forms of organizing educational interaction, updating the didactic and methodological support of the educational process, introducing new approaches to checking and evaluating the educational achievements of students. It has been determined that in the modern conditions of education reform in Ukraine, the formation of communicative competence of primary school students is gaining relevance, because the younger school age is extremely favorable for mastering communicative skills and abilities, since children of this age period, speech hearing and articulation are easily formed, they love to learn new words and stable expressions, master linguistic constructions, show interest and sensitivity to linguistic phenomena, strive for communication and quickly acquire speech experience. It has been proven that the didactic and methodical principles of the organization of competence-oriented teaching of foreign languages of elementary school students. The age characteristics and potential capabilities of elementary school students are outlined, the types and forms of educational activities are proposed and substantiated by the competence, communicative, person-oriented, and cultural approaches to learning, and the methods, forms, and methods of organizing the process of learning language material and the formation of foreign language communication skills are characterized; the specific tasks of the development of the educational process during the implementation of the Concept of the New Ukrainian School in general secondary education institutions are defined.

Ecological momentary assessments of real-world speech listening are associated with heart rate and acoustic condition

Background and aimEcological momentary assessment (EMA) can provide insights into the real-world auditory ecology of hearing aid (HA) users. To better understand what factors, influence the real-world listening experiences of this population, more detailed models of human auditory ecology and behavior are needed. Laboratory studies suggest that physiological measures are sensitive to different listening experiences, as changes in physiological signals (e.g., pupil dilation) have been associated with effortful listening. In addition, real-world heart rate (HR) has been shown to be sensitive to acoustic influences (e.g., sound pressure level, SPL, and signal-to-noise ratio, SNR). Here, we hypothesized that including physiological and acoustic data in models predicting EMA ratings can provide additional insights into real-world listening outcome. To test this, we collected and analyzed longitudinal data from individuals with normal hearing.MethodFifteen normal-hearing adults completed smartphone-based EMAs regarding their listening experiences during a 2-week period. When completing the EMAs, they had to indicate their current listening intent. The participants received a single HA each that they fastened to their collars. The HAs were used to collect continuous SPL and SNR data in the participants' daily environments. Wristbands worn by the participants were used to collect continuous HR data.ResultsLinear mixed-effects models with SPL, SNR, and HR as fixed effects and participant as random intercept showed that higher SPL and lower SNR were associated with lower (poorer) EMA ratings. Including listening intent in the analyses revealed increased HR in “speech communication” and “focused listening” situations to be associated with better EMA ratings relative to situations without any specific listening intent.ConclusionsOur findings indicate that including in-situ HR and acoustic measurements can improve the prediction of real-world listening experiences. Further, they suggest that listening intent significantly impacts self-reported listening experiences and their association with physiological responses. Specifically, better listening experiences in speech communication situations are associated with higher HR.

Advancements of phonetics in the 21st century: Theoretical and empirical issues of spoken word recognition in phonetic research

How do listeners understand what they are hearing? Humans hearing speech perform spoken word recognition, recognizing what words they are hearing in a speech stream in order to understand the meaning. Phonetics refers to the properties of the speech at a detailed level, particularly below the level of segmental phonemic distinctions. In order to recognize spoken words, listeners have to extract information from the detailed acoustic signal in some way, but theories differ about whether listeners extract phonemes, whole words, or other units, by what mechanism, and they differ on what kinds of information are stored in the lexicon. The process of spoken word recognition can be affected by any number of situations such as the speaker or listener being a non-native of the language or dialect, being a child, having a speech/hearing disability, hearing speech in noise, the speech itself containing variability, or many other situations. Any of these situations can shed light on theoretical questions by giving a fuller picture of how listeners recognize words. This chapter examines what we have learned in these first ∼21 years of the 21st century about how phonetics interacts with spoken word recognition.

Benefits of Bimodal Stimulation to Speech Perception in Noise and Silence.

Introduction Understanding all the benefits of bimodality with self-assessment questionnaires on the effect of hearing on quality of life is still necessary. Objective To present whether bimodality still offers hearing benefits to the population who uses acoustic stimulation associated with electrical stimulation. Methods The present study included 13 participants aged between 16 and 80 years old who were users of cochlear implants from Cochlear Corporation and hearing aids. All patients underwent the Hearing in Noise Test, and their visual analog scale score was obtained. Four-tone means were collected, and the participants answered the Speech, Spatial and Hearing Qualities questionnaire. Results Bimodal users had an average sentence recognition rate of 76.0% in silence and 67.6% in fixed noise, and the signal-to-noise ratio in adaptive noise was +2.89dB. In addition, a lower level of difficulty was observed in the test using the visual analog scale. The domain with the highest average was auditory qualities (6.50), followed by spatial hearing (6.26) and hearing for speech (5.81). Individuals with an average between 50 and 70 dB of hearing level showed better sentence recognition in silence and noise. Conclusion Bimodal stimulation showed benefits for users with different degrees of hearing loss; however, individuals who presented greater hearing residue had better performance in speech recognition with noise and in silence in addition to a good perception of hearing quality.

E-Module of Speech Listening Skills for BIPA 1 Learners for Children with Indonesian Culinary Content at the Cooperative Education Unit School

The purpose of this research is to describe 1) the needs analysis profile for the development of e-module listening-speech skills for BIPA 1 students with Indonesian culinary content; 2) the design of an e-module of listening-speech skills for BIPA 1 students with Indonesian culinary content; 3) developing an e-module of listening-speech skills for BIPA 1 students with Indonesian culinary content; and 4) the implementation of the listening-speech skills e-module for BIPA 1 students with Indonesian cuisine content. 5) Response of e-module on listening-speech skills for BIPA 1 students with Indonesian cuisine content. The research and development (R&amp;D) approach was applied in this study with the ADDIE concept. Data collection techniques using literature study and semi-structured interviews. The research data is in the form of words and documents, which are then analyzed with the techniques that will be described descriptively in the form of a collection of words arranged, data reduction, analysis, data interpretation, and triangulation. According to the findings of this development research, the electronic development of the BIPA 1 students' listening-speech skills module with Indonesian cuisine content receives an average percentage of 87% with a very good predicate. As a result, the development of electronic listening-speech skills courses suited to the demands of BIPA 1 pupils is conceivable.