Revised Speech Perception Research Articles

Used to Be a Dime, Now It's a Dollar: Revised Speech Perception in Noise Key Word Predictability Revisited 40 Years On.

Almost 40 years after its development, in this article, we reexamine the relevance and validity of the ubiquitously used Revised Speech Perception in Noise (R-SPiN) sentence corpus. The R-SPiN corpus includes "high-context" and "low-context" sentences and has been widely used in the field of hearing research to examine the benefit derived from semantic context across English-speaking listeners, but research investigating age differences has yielded somewhat inconsistent findings. We assess the appropriateness of the corpus for use today in different English-language cultures (i.e., British and American) as well as for older and younger adults. Two hundred forty participants, including older (60-80 years) and younger (19-31 years) adult groups in the the United Kingdom and United States, completed a cloze task consisting of R-SPiN sentences with the final word removed. Cloze, as a measure of predictability, and entropy, as a measure of response uncertainty, were compared between culture and age groups. Most critically, of the 200 "high-context" stimuli, only around half were assessed as highly predictable for older adults (United Kingdom: 109; United States: 107); and fewer still, for younger adults (United Kingdom: 75; United States: 81). We also found dominant responses to these "high-context" stimuli varied between cultures, with U.S. responses being more likely to match the original R-SPiN target. Our findings highlight the issue of incomplete transferability of corpus items across English-language cultures as well as diminished equivalency for older and younger adults. By identifying relevant items for each population, this work could facilitate the interpretation of inconsistent findings in the literature, particularly relating to age effects.

The Benefit of Hearing Aids as Measured by Listening Accuracy, Subjective Listening Effort, and Functional Near Infrared Spectroscopy.

There is broad consensus that listening effort is an important outcome for measuring hearing performance. However, there remains debate on the best ways to measure listening effort. This study sought to measure neural correlates of listening effort using functional near-infrared spectroscopy (fNIRS) in experienced adult hearing aid users. The study evaluated impacts of amplification and signal-to-noise ratio (SNR) on cerebral blood oxygenation, with the expectation that easier listening conditions would be associated with less oxygenation in the prefrontal cortex. Thirty experienced adult hearing aid users repeated sentence-final words from low-context Revised Speech Perception in Noise Test sentences. Participants repeated words at a hard SNR (individual SNR-50) or easy SNR (individual SNR-50 + 10 dB), while wearing hearing aids fit to prescriptive targets or without wearing hearing aids. In addition to assessing listening accuracy and subjective listening effort, prefrontal blood oxygenation was measured using fNIRS. As expected, easier listening conditions (i.e., easy SNR, with hearing aids) led to better listening accuracy, lower subjective listening effort, and lower oxygenation across the entire prefrontal cortex compared to harder listening conditions. Listening accuracy and subjective listening effort were also significant predictors of oxygenation.

Reduced Semantic Context and Signal-to-Noise Ratio Increase Listening Effort As Measured Using Functional Near-Infrared Spectroscopy

Objectives: Understanding speech-in-noise can be highly effortful. Decreasing the signal-to-noise ratio (SNR) of speech increases listening effort, but it is relatively unclear if decreasing the level of semantic context does as well. The current study used functional near-infrared spectroscopy to evaluate two primary hypotheses: (1) listening effort (operationalized as oxygenation of the left lateral PFC) increases as the SNR decreases and (2) listening effort increases as context decreases. Design: Twenty-eight younger adults with normal hearing completed the Revised Speech Perception in Noise Test, in which they listened to sentences and reported the final word. These sentences either had an easy SNR (+4 dB) or a hard SNR (−2 dB), and were either low in semantic context (e.g., “Tom could have thought about the sport”) or high in context (e.g., “She had to vacuum the rug”). PFC oxygenation was measured throughout using functional near-infrared spectroscopy. Results: Accuracy on the Revised Speech Perception in Noise Test was worse when the SNR was hard than when it was easy, and worse for sentences low in semantic context than high in context. Similarly, oxygenation across the entire PFC (including the left lateral PFC) was greater when the SNR was hard, and left lateral PFC oxygenation was greater when context was low. Conclusions: These results suggest that activation of the left lateral PFC (interpreted here as reflecting listening effort) increases to compensate for acoustic and linguistic challenges. This may reflect the increased engagement of domain-general and domain-specific processes subserved by the dorsolateral prefrontal cortex (e.g., cognitive control) and inferior frontal gyrus (e.g., predicting the sensory consequences of articulatory gestures), respectively.

The Impact of Music Training and Working Memory on Speech Recognition in Older Age.

Purpose Music training has been proposed as a possible tool for auditory training in older adults, as it may improve both auditory and cognitive skills. However, the evidence to support such benefits is mixed. The goal of this study was to determine the differential effects of lifelong musical training and working memory on speech recognition in noise, in older adults. Method A total of 31 musicians and nonmusicians aged 65-78 years took part in this cross-sectional study. Participants had a normal pure-tone average, with most having high-frequency hearing loss. Working memory (memory capacity) was assessed with the backward Digit Span test, and speech recognition in noise was assessed with three clinical tests (Quick Speech in Noise, Hearing in Noise Test, and Revised Speech Perception in Noise). Results Findings from this sample of older adults indicate that neither music training nor working memory was associated with differences on the speech recognition in noise measures used in this study. Similarly, duration of music training was not associated with speech-in-noise recognition. Conclusions Results from this study do not support the hypothesis that lifelong music training benefits speech recognition in noise. Similarly, an effect of working memory (memory capacity) was not apparent. While these findings may be related to the relatively small sample size, results across previous studies that investigated these effects have also been mixed. Prospective randomized music training studies may be able to better control for variability in outcomes associated with pre-existing and music training factors, as well as to examine the differential impact of music training and working memory for speech-in-noise recognition in older adults.

The Impact of Speech Recognition Testing on State Anxiety in Young, Middle-Age, and Older Adults.

Purpose This study assessed state anxiety as a function of speech recognition testing using three clinical measures of speech in noise and one clinical measure of dichotic speech recognition. Method Thirty young adults, 30 middle-age adults, and 25 older adults participated. State anxiety was measured pre- and post-speech recognition testing using the State-Trait Anxiety Inventory. Speech recognition was measured with the Revised Speech Perception in Noise Test, the Quick Speech-in-Noise Test, the Words-in-Noise Test, and the Dichotic Digits Test (DDT). Results Speech recognition performance was as expected: Older adults performed significantly poorer on all measures as compared to the young adults and significantly poorer on the Revised Speech Perception in Noise Test, the Quick Speech-in-Noise Test, and the Words-in-Noise Test as compared to the middle-age adults. On average, State-Trait Anxiety Inventory scores increased posttesting, with the middle-age adults exhibiting significantly greater increases in state anxiety as compared to the young and older adults. Increases in state anxiety were significantly greater for the DDT relative to the speech-in-noise tests for the middle-age adults only. Poorer DDT recognition performance was associated with higher levels of state anxiety. Conclusions Increases in state anxiety were observed after speech-in-noise and dichotic listening testing for all groups, with significant increases seen for the young and middle-age adults. Although the exact mechanisms could not be determined, multiple factors likely influenced the observed increases in state anxiety, including task difficulty, individual proficiency, and age.

Bilingualism and Speech Understanding in Noise: Auditory and Linguistic Factors.

Bilingual speakers often have difficulty understanding speech in noisy and acoustically degraded conditions. The first aim was to examine the potential source(s) of the difficulties that English-proficient bilingual listeners experience when hearing English speech in noise. The second aim was to assess how bilingual listeners perform on a battery of central auditory processing tests. A mixed design was used in this study. Normal-hearing college students (n = 24) participated in this study. The bilingual participants (n = 12) self-reported that they learned a second language before age 9 and the monolingual participants reported that they only knew American English. All participants considered themselves to be native speakers of American English. Participants were administered the Revised Speech Perception in Noise (R-SPIN) test to assess whether bilingual listeners' speech understanding in noise reflects auditory factors, linguistic factors, or a combination of the two. To minimize the influence of short-term memory and motor movements, only the final word of a sentence is repeated for this test. Sentence-final words were presented in two linguistic contexts: in the high-predictability condition, the final word can be deduced from the context created by the preceding words, and in the low-predictability condition, it cannot. The R-SPIN test was administered at two signal-to-noise ratios (SNRs) (0 and 3 dB). In addition, the participants were given a reading comprehension test to measure their ability to use context when linguistic stimuli are delivered to the visual, not auditory, modality. The central auditory test battery consisted of three tests: Competing Sentences, Dichotic Digits, and NU-6 Time-Compressed Speech with Reverberation. All test materials were given in American English. The bilingual and monolingual groups performed similarly in the low-context condition of the R-SPIN test. However, in comparison to the age-matched monolingual group, the bilingual group did not derive the same level of benefit from contextual cues, as seen by a smaller improvement in performance between the low- and high-predictability R-SPIN conditions. The bilingual and monolingual groups showed a similar decrement in performance when the SNR dropped. In addition, bilingual individuals underperformed on the Competing Sentences test when instructed to attend to the left ear. However, the bilingual and monolingual groups performed equally well on the reading comprehension test, as well as on the Time-Compressed Speech with Reverberation and Dichotic Digits tests. We show that individuals who are exposed to two languages from an early age, and self-report as having a high level of proficiency in English, perform like their monolingual counterparts in acoustically degraded conditions where context is not facilitative, but they underperform in conditions where sentence-level linguistic context is facilitative to understanding. We conclude that deficits observed in noise are likely not due to a perceptual deficit or a lack of linguistic competence, but instead reflect a linguistic system that performs inefficiently in noise. In addition, we do not find evidence of an auditory processing weakness or advantage in our bilingual cohort; however, the use of speech materials to assess auditory processing is a confound.

Gated Word Recognition by Postlingually Deafened Adults With Cochlear Implants: Influence of Semantic Context.

The main goal of this study was to investigate the minimum amount of sensory information required to recognize spoken words (isolation points [IPs]) in listeners with cochlear implants (CIs) and investigate facilitative effects of semantic contexts on the IPs. Listeners with CIs as well as those with normal hearing (NH) participated in the study. In Experiment 1, the CI users listened to unprocessed (full-spectrum) stimuli and individuals with NH listened to full-spectrum or vocoder processed speech. IPs were determined for both groups who listened to gated consonant-nucleus-consonant words that were selected based on lexical properties. In Experiment 2, the role of semantic context on IPs was evaluated. Target stimuli were chosen from the Revised Speech Perception in Noise corpus based on the lexical properties of the final words. The results indicated that spectrotemporal degradations impacted IPs for gated words adversely, and CI users as well as participants with NH listening to vocoded speech had longer IPs than participants with NH who listened to full-spectrum speech. In addition, there was a clear disadvantage due to lack of semantic context in all groups regardless of the spectral composition of the target speech (full spectrum or vocoded). Finally, we showed that CI users (and users with NH with vocoded speech) can overcome such word processing difficulties with the help of semantic context and perform as well as listeners with NH. Word recognition occurs even before the entire word is heard because listeners with NH associate an acoustic input with its mental representation to understand speech. The results of this study provide insight into the role of spectral degradation on the processing of spoken words in isolation and the potential benefits of semantic context. These results may also explain why CI users rely substantially on semantic context.

Binaural processing in adults with a history of traumatic brain injury

An auditory processing deficit is a perceptual issue affecting how the central auditory nervous system understands and makes use of auditory information. Auditory processing deficits are typically associated with the pediatric population; however, anecdotal clinical evidence and the recent focus on central auditory effects of traumatic brain injury (TBI) suggests that auditory processing deficits may be prevalent among adults with a history of TBI. Individuals with symptoms of an auditory processing deficit often score within the normal range on standard clinical assessments. The objectiveof the current study, therefore, was to target measures of binaural processing to identify and characterize auditory processing deficits among adults with a history of TBI. Two groups were recruited: adults with a history of TBI and a control group. Binaural processing was measured with: 1) the Revised Speech Perception in Noise test measured in soundfield; 2) dichotic word recognition without and with low-pass filtering measured in the free recall and directed recall conditions; 3) the 500-Hz masking level difference; and 4) the Listening in Spatialized Noise Sentences Test. Results suggest that individuals with a history of TBI have lower than normal binaural performance.

Role of contextual cues on the perception of spectrally reduced interrupted speech.

Understanding speech within an auditory scene is constantly challenged by interfering noise in suboptimal listening environments when noise hinders the continuity of the speech stream. In such instances, a typical auditory-cognitive system perceptually integrates available speech information and "fills in" missing information in the light of semantic context. However, individuals with cochlear implants (CIs) find it difficult and effortful to understand interrupted speech compared to their normal hearing counterparts. This inefficiency in perceptual integration of speech could be attributed to further degradations in the spectral-temporal domain imposed by CIs making it difficult to utilize the contextual evidence effectively. To address these issues, 20 normal hearing adults listened to speech that was spectrally reduced and spectrally reduced interrupted in a manner similar to CI processing. The Revised Speech Perception in Noise test, which includes contextually rich and contextually poor sentences, was used to evaluate the influence of semantic context on speech perception. Results indicated that listeners benefited more from semantic context when they listened to spectrally reduced speech alone. For the spectrally reduced interrupted speech, contextual information was not as helpful under significant spectral reductions, but became beneficial as the spectral resolution improved. These results suggest top-down processing facilitates speech perception up to a point, and it fails to facilitate speech understanding when the speech signals are significantly degraded.

Effects of hearing and aging on sentence-level time-gated word recognition.

Aging is known to influence temporal processing, but its relationship to speech perception has not been clearly defined. To examine listeners' use of contextual and phonetic information, the Revised Speech Perception in Noise test (R-SPIN) was used to develop a time-gated word (TGW) task. In Experiment 1, R-SPIN sentence lists were matched on context, target-word length, and median word segment length necessary for target recognition. In Experiment 2, TGW recognition was assessed in quiet and in noise among adults of various ages with normal hearing to moderate hearing loss. Linear regression models of the minimum word duration necessary for correct identification and identification failure rates were developed. Age and hearing thresholds were modeled as continuous predictors with corrections for correlations among multiple measurements of the same participants. While aging and hearing loss both had significant impacts on task performance in the most adverse listening condition (low context, in noise), for most conditions, performance was limited primarily by hearing loss. Whereas hearing loss was strongly related to target-word recognition, the effect of aging was only weakly related to task performance. These results have implications for the design and evaluation of studies of hearing and aging.

Gap detection and speech recognition in noise in younger versus older listeners

The ability to encode information in temporal envelopes of acoustic stimuli is an important skill of the auditory system. It has been demonstrated that a listener's temporal-processing capability is predictive of performance on speech recognition, especially in noisy and complex environments (George, Festen, & Houtgast, 2006; George et al., 2007; Shen, 2014; Snell, Mapes, Hickman, & Frisina, 2002). The goal of this study was to determine whether temporal acuity using gap detection thresholds from the Gap-in Noise (GIN) test (Musiek, 2003) has any relation to the perception of speech in noise from the Revised Speech Perception in Noise (R-SPIN; Bilger, 1984). All younger listeners were between 21 and 30 years (n = 7/mean = 24.7) and older listeners (n = 4/mean = 67.25) were between 65 and 71 years old with audiometric thresholds equal or better than 15 dB HL between 250 and 8000 Hz in both ears, monolingual English, and intact cognitive skills. Results revealed that temporal acuity of older listeners was reduced compared to the younger listeners. Despite temporal processing differences between the two age groups on the GIN test, they performed similarly on the R-SPIN. Results suggest that impaired abilities to process envelope and fine structure cues of acoustic signals does not influence speech perception in background noise.

Environmental sound training in cochlear implant users.

The study investigated the effect of a short computer-based environmental sound training regimen on the perception of environmental sounds and speech in experienced cochlear implant (CI) patients. Fourteen CI patients with the average of 5 years of CI experience participated. The protocol consisted of 2 pretests, 1 week apart, followed by 4 environmental sound training sessions conducted on separate days in 1 week, and concluded with 2 posttest sessions, separated by another week without training. Each testing session included an environmental sound test, which consisted of 40 familiar everyday sounds, each represented by 4 different tokens, as well as the Consonant Nucleus Consonant (CNC) word test, and Revised Speech Perception in Noise (SPIN-R) sentence test. Environmental sounds scores were lower than for either of the speech tests. Following training, there was a significant average improvement of 15.8 points in environmental sound perception, which persisted 1 week later after training was discontinued. No significant improvements were observed for either speech test. The findings demonstrate that environmental sound perception, which remains problematic even for experienced CI patients, can be improved with a home-based computer training regimen. Such computer-based training may thus provide an effective low-cost approach to rehabilitation for CI users, and potentially, other hearing impaired populations.

The Revised Speech Perception in Noise Test (R-SPIN) in a Multiple Signal-to-Noise Ratio Paradigm

The Revised Speech Perception in Noise Test (R-SPIN; Bilger, 1984b) is composed of 200 target words distributed as the last words in 200 low-predictability (LP) and 200 high-predictability (HP) sentences. Four list pairs, each consisting of two 50-sentence lists, were constructed with the target word in a LP and HP sentence. Traditionally the R-SPIN is presented at a signal-to-noise ratio (SNR, S/N) of 8 dB with the listener task to repeat the last word in the sentence. The purpose was to determine the practicality of altering the R-SPIN format from a single SNR paradigm into a multiple SNR paradigm from which the 50% points for the HP and LP sentences can be calculated. Three repeated measures experiments were conducted. Forty listeners with normal hearing and 184 older listeners with pure-tone hearing loss participated in the sequence of experiments. The R-SPIN sentences were edited digitally (1) to maintain the temporal relation between the sentences and babble, (2) to establish the SNRs, and (3) to mix the speech and noise signals to obtain SNRs between -1 and 23 dB. All materials were recorded on CD and were presented through an earphone with the responses recorded and analyzed at the token level. For reference purposes the Words-in-Noise Test (WIN) was included in the first experiment. In Experiment 1, recognition performances by listeners with normal hearing were better than performances by listeners with hearing loss. For both groups, performances on the HP materials were better than performances on the LP materials. Performances on the LP materials and on the WIN were similar. Performances at 8 dB S/N were the same with the traditional fixed level presentation and the descending presentation level paradigms. The results from Experiment 2 demonstrated that the four list pairs of R-SPIN materials produced good first approximation psychometric functions over the -4 to 23 dB S/N range, but there were irregularities. The data from Experiment 2 were used in Experiment 3 to guide the selection of the words to be used at the various SNRs that would provide homogeneous performances at each SNR and would produce systematic psychometric functions. In Experiment 3, the 50% points were in good agreement for the LP and HP conditions within both groups of listeners. The psychometric functions for List Pairs 1 and 2, 3 and 4, and 5 and 6 had similar characteristics and maintained reasonable separations between the HP and LP functions, whereas the HP and LP functions for List Pair 7 and 8 bisected one another at the lower SNRs. This study indicates that the R-SPIN can be configured into a multiple SNR paradigm. A more in-depth study with the R-SPIN materials is needed to develop lists that are systematic and reasonably equivalent for use on listeners with hearing loss. The approach should be based on the psychometric characteristics of the 200 HP and 200 LP sentences with the current R-SPIN lists discarded. Of importance is maintaining the synchrony between the sentences and their accompanying babble.

Speech-in-noise measures: Variable versus fixed speech and noise levels

Objective: The purpose was to determine if speech-recognition performances were the same when the speech level was fixed and the noise level varied as when the noise level was fixed and the speech level varied. Design: A descriptive/quasi-experimental experiment was conducted with Lists 3 and 4 of the revised speech perception in noise (R-SPIN) test, which involves high predictability (HP) and low predictability (LP) words. The R-SPIN was modified into a multiple signal-to-noise paradigm (23- to −1-dB in 3-dB decrements) from which the 50% points were calculated with the Spearman-Kärber equation. Study sample: Sixteen young listeners with normal hearing and 48 older listeners with pure-tone hearing losses participated. Results: The listeners with normal hearing performed better than the listeners with hearing loss on both the HP and LP conditions. For both groups of listeners, (1) performance on the HP sentences was better than on the LP sentences, and (2) the mean 50% points were 0.1 to 0.4 dB lower (better) on the speech-variable, babble-fixed condition than on the speech-fixed, babble-variable condition. Conclusions: For practical purposes the ≤ 0.4-dB differences are not considered noteworthy as the differences are smaller than the decibel value of one word on the test (0.6 dB).

Can Behavioral Speech-In-Noise Tests Improve the Quality of Hearing Aid Fittings?

The purpose of this article is to propose 4 dimensions for consideration in hearing aid fittings and 4 tests to evaluate those dimensions. The 4 dimensions and tests are (a) working memory, evaluated by the Revised Speech Perception in Noise test (Bilger, Nuetzel, & Rabinowitz, 1984); (b) performance in noise, evaluated by the Quick Speech in Noise test (QSIN; Killion, Niquette, Gudmundsen, Revit, & Banerjee, 2004); (c) acceptance of noise, evaluated by the Acceptable Noise Level test (ANL; Nabelek, Tucker, & Letowski, 1991); and (d) performance versus perception, evaluated by the Perceptual–Performance test (PPT; Saunders & Cienkowski, 2002). The authors discuss the 4 dimensions and tests in the context of improving the quality of hearing aid fittings.

Longitudinal Benefit From and Satisfaction With the Baha System for Patients With Acquired Unilateral Sensorineural Hearing Loss

To analyze the short-, medium-, and long-term benefits from and satisfaction with the Baha for patients with profound unilateral sensorineural hearing loss (SNHL). Prospective clinical study. Head and Neck Institute at the Cleveland Clinic. Eight patients with acquired profound unilateral SNHL. Patients underwent unaided baseline testing and aided Baha testing using laboratory and self-report measures at 6 postfitting intervals. Laboratory measures included the revised Speech Perception in Noise test, Hearing in Noise Test, and localization testing. Disease-specific self-report measures included the Abbreviated Profile of Hearing Aid Benefit, Hearing Handicap Inventory for Adults, and Single-Sided Deafness Questionnaire. The Medical Outcomes Study SF-36 Health Survey was used to assess health-related quality of life. Based on 95% confidence intervals for unaided testing, significant improvements on aided revised Speech Perception in Noise, Abbreviated Profile of Hearing Aid Benefit, and Hearing Handicap Inventory for Adults scores were sustained during the 18-month test interval. Variable performance was observed for the Hearing in Noise Test over time and patients. No acclimatization effects were shown for localization testing or the generic health-related quality-of-life measure. Patients reported satisfaction in a variety of situations as quantified by the Single-Sided Deafness Questionnaire in the long-term. The Baha is effective in reducing psychosocial consequences of unilateral profound SNHL for the long-term. Improvement in speech understanding occurred when the primary signal was spatially separated from background noise. Localization performance did not improve with Baha use. Overall, patients were satisfied with their Baha and would still elect to have this procedure if given a second chance.

Auditory measures in clinically depressed individuals. II. Auditory evoked potentials and behavioral speech tests

This is the second paper in a series of two papers comparing auditory measures in depressed and non-depressed individuals. In this paper, we describe the auditory brainstem responses (ABRs), auditory late responses (ALRs) and behavioral speech measures obtained from the same set of 36 individuals as in our previous paper. No changes were made to the inclusion criteria or subject classification. The results indicated a significantly larger amplitude growth with increase in intensity for ABR peak V and ALR peak N1P2 in the unmedicated group compared to the normal group. The unmedicated group performed less favorably on most behavioral speech tests administered compared to the control group, but the difference was significant only in the left ear for the Low Predictability Sentence List of the R-SPIN (Revised-Speech Perception in Noise) test. The mean test scores of the medicated group were closer to the scores of the control group.

Context effects with limited spectral information

Speech recognition has been established and unified as a construct through the systematic study of its domain [Bilger, 1984]. To investigate the effect of limiting spectral information, items from the Revised Speech Perception in Noise (SPIN) test [Bilger et al., 1984] were impoverished to include two, three, or four channels of spectral information [cf. Shannon et al., 1995] and administered to 62 normal-hearing, young adults. Subjects also identified consonants that likewise had been spectrally limited via signal processing. When consonant confusion matrices were analyzed, transmission of place of articulation was strongly affected by spectral limitations followed closely by effects on manner perception, while voicing and resonance (oral/nasal) cues were relatively robust. High-context (HC) SPIN items were significantly easier for the subjects to identify than low-context (LC) items for the four-channel sentences. The context advantage decreased for the two-channel task because listeners were unable to utilize the sentence cues. Across channel conditions, a regression line fit to normalized HC by LC data had a slope of 0.9. Reduced semantic and syntactic information in LC items, therefore, contributed to a perceptual uncertainty network (PUN) when spectral information was limited and this SPIN PUN should be explored further. [Work supported by MURI Grant Z883402.]

Estimation of client-assessed hearing aid performance based upon unaided variables.

The purpose of this study was to investigate the possibility of estimating client-assessed hearing aid performance before hearing aids are purchased. Aided performance was represented by the Profile of Hearing Aid Performance (PHAP, Cox & Gilmore, 1990). Multiple regression was applied to 16 unaided predictor variables and to 8 response variables. The response variables were the scores from the seven PHAP subscales plus the overall PHAP score, which were obtained from 46 participants. Audiologic, demographic, and psychological information was included among the 16 predictor variables. The average widths of 95% prediction intervals showed that, with the exception of the Aversiveness of Sounds and Ease of Communication subscales, PHAP subscale scores were predicted within 15% on average. Eighty percent or more of the individual participants' PHAP scores were predicted within 15% for all but the Aversiveness of Sounds subscale. The predictor variables appearing in regression equations for the greatest number of PHAP subscales include age, Communication Strategies and Personal Adjustment scores from the Communication Profile for the Hearing Impaired (Demorest & Erdman, 1986), Revised Speech Perception in Noise (Bilger, Neutzel, Rabinowitz, & Rzeczkowski, 1984; Kalikow, Stevens, & Elliott, 1977) test scores, comfortable loudness levels, and the difference between National Acoustic Laboratories' target gain (Byrne & Dillon, 1986) and actual insertion gain. Further testing of the models on additional participants would be needed to determine their clinical applicability. In addition to being potentially useful for predicting client-assessed aided performance, the equations obtained in this study identify relationships between the aided and unaided variables that can be applied in the counseling of new hearing aid users.

Temporal Factors and Speech Recognition Performance in Young and Elderly Listeners

This study investigated factors that contribute to deficits of elderly listeners in recognizing speech that is degraded by temporal waveform distortion. Young and elderly listeners with normal hearing sensitivity and with mild-to-moderate, sloping sensorineural hearing losses were evaluated. Low-predictability (LP) sentences from the Revised Speech Perception in Noise test (R-SPIN) (Bilger, Nuetzel, Rabinowitz, & Rzeczkowski, 1984) were presented to subjects in undistorted form and in three forms of distortion: time compression, reverberation, and interruption. Percent-correct recognition scores indicated that age and hearing impairment contributed independently to deficits in recognizing all forms of temporally distorted speech. In addition, subjects' auditory temporal processing abilities were assessed on duration discrimination and gap detection tasks. Canonical correlation procedures showed that some of the suprathreshold temporal processing measures, especially gap duration discrimination, contributed to the ability to recognize reverberant speech. The overall conclusion is that age-related factors other than peripheral hearing loss contribute to diminished speech recognition performance of elderly listeners.