Self-Adjusted Amplification Parameters Produce Large Between-Subject Variability and Preserve Speech Intelligibility.

The current study used the self-fitting algorithm to allow listeners to self-adjust hearing-aid gain or compression parameters to select gain for speech understanding in a variety of quiet and noise conditions. Thirty listeners with mild to moderate sensorineural hearing loss adjusted gain parameters in quiet and in several types of noise. Outcomes from self-adjusted gain and audiologist-fit gain indicated consistent within-subject performance but a great deal of between-subject variability. Gain selection did not strongly affect intelligibility within the range of signal-to-noise ratios tested. Implications from the findings are that individual listeners have consistent preferences for gain and may prefer gain configurations that differ greatly from National Acoustic Laboratories-based prescriptions in quiet and in noise.

Behavioral measures of cochlear compression and temporal resolution as predictors of speech masking release in hearing-impaired listeners.

Hearing-impaired (HI) listeners often show less masking release (MR) than normal-hearing listeners when temporal fluctuations are imposed on a steady-state masker, even when accounting for overall audibility differences. This difference may be related to a loss of cochlear compression in HI listeners. Behavioral estimates of compression, using temporal masking curves (TMCs), were compared with MR for band-limited (500-4000 Hz) speech and pure tones in HI listeners and age-matched, noise-masked normal-hearing (NMNH) listeners. Compression and pure-tone MR estimates were made at 500, 1500, and 4000 Hz. The amount of MR was defined as the difference in performance between steady-state and 10-Hz square-wave-gated speech-shaped noise. In addition, temporal resolution was estimated from the slope of the off-frequency TMC. No significant relationship was found between estimated cochlear compression and MR for either speech or pure tones. NMNH listeners had significantly steeper off-frequency temporal masking recovery slopes than did HI listeners, and a small but significant correlation was observed between poorer temporal resolution and reduced MR for speech. The results suggest either that the effects of hearing impairment on MR are not determined primarily by changes in peripheral compression, or that the TMC does not provide a sufficiently reliable measure of cochlear compression.

Behavioral estimates of basilar-membrane compression: additivity of forward masking in noise-masked normal-hearing listeners.

Cochlear hearing loss is often associated with a loss of basilar-membrane (BM) compression, which in turn may contribute to degraded processing of suprathreshold stimuli. Behavioral estimates of compression may therefore be useful as long as they are valid over a wide range of levels and frequencies. Additivity of forward masking (AFM) may provide such a measure, but research to date lacks normative data from normal-hearing (NH) listeners at high sound levels, which is necessary to evaluate data from hearing-impaired (HI) listeners. The present study measured AFM in six NH listeners for signal frequencies of 500, 1500, and 4000 Hz in the presence of background noise, designed to elevate signal thresholds to levels similar to those experienced by HI listeners. Results consistent with compressive BM responses were found for all six listeners at 500 Hz, five listeners at 1500 Hz, but only two listeners at 4000 Hz. Further measurements in the absence of background noise also indicated a lack of consistent compression at 4000 Hz at higher signal levels, in contrast to earlier results collected at lower levels. A better understanding of this issue will be required before AFM can be used as a general behavioral estimate of BM compression.

Effects of background noise level on behavioral estimates of basilar-membrane compression.

Hearing-impaired (HI) listeners often show poorer performance on psychoacoustic tasks than do normal-hearing (NH) listeners. Although some such deficits may reflect changes in suprathreshold sound processing, others may be due to stimulus audibility and the elevated absolute thresholds associated with hearing loss. Masking noise can be used to raise the thresholds of NH to equal the thresholds in quiet of HI listeners. However, such noise may have other effects, including changing peripheral response characteristics, such as the compressive input-output function of the basilar membrane in the normal cochlea. This study estimated compression behaviorally across a range of background noise levels in NH listeners at a 4 kHz signal frequency, using a growth of forward masking paradigm. For signals 5 dB or more above threshold in noise, no significant effect of broadband noise level was found on estimates of compression. This finding suggests that broadband noise does not significantly alter the compressive response of the basilar membrane to sounds that are presented well above their threshold in the noise. Similarities between the performance of HI listeners and NH listeners in threshold-equalizing noise are therefore unlikely to be due to a linearization of basilar-membrane responses to suprathreshold stimuli in the NH listeners.