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1.
J Am Acad Audiol ; 5(6): 366-78, 1994 Nov.
Article in English | MEDLINE | ID: mdl-7858297

ABSTRACT

The current report demonstrates the importance of formally accounting for passage difficulty when using the tracking procedure. Cloze responses to 82 encyclopedia excerpts (343-349 words each) were obtained from a large pool of normal-hearing adults and scored verbatim. Passage difficulty, derived via ANOVA, was then defined as the deviation of a passage's mean Cloze score from the score for all passages, corrected for differences among respondents. The passage difficulties were applied in an alternating conditions tracking experiment with one adult cochlear implant user. Conditions included conventional auditory-visual and auditory-only tracking and experimental mode-switching techniques in which the talker changed modalities during the correction phase. An ANCOVA of the word-per-minute scores was conducted, with passage difficulty as a covariate and passage adjustment values as the output. Tracking rates and percentage of words correct from the beginning and end of training were examined. Use of adjusted data reversed the interpretation of performance change, demonstrating the need for determining passage difficulties a priori.


Subject(s)
Hearing Loss, Bilateral/diagnosis , Speech Perception , Audiometry , Auditory Threshold , Cochlear Implants , Female , Hearing/physiology , Hearing Loss, Bilateral/rehabilitation , Humans , Middle Aged
2.
J Am Acad Audiol ; 5(1): 52-69, 1994 Jan.
Article in English | MEDLINE | ID: mdl-8155895

ABSTRACT

Adult cochlear implant candidates' abilities to cope with communication breakdown were assessed using the Communication Strategies Task (CST). Forty adult cochlear implant candidates with acquired hearing losses and 10 adults with normal hearing served as subjects. Appropriateness of responses to the CST were rated by 10 certified speech-language pathologists and audiologists. Seventy-six percent of the subjects demonstrated difficulty identifying onset or resolution of communication breakdown, communicators' feelings, factors contributing to communication breakdown, and appropriate repair strategies. The responses of individuals with sudden hearing losses did not differ significantly from the responses of individuals with progressive hearing losses. Response patterns did not correlate with the age of onset of the hearing loss, duration of deafness, age at the time of evaluation, or educational background. The results of this study suggest that ability to cope with communication breakdown must be evaluated on an individual basis.


Subject(s)
Cochlear Implants , Communication Barriers , Deafness/rehabilitation , Adaptation, Psychological , Adult , Aged , Analysis of Variance , Auditory Threshold , Cochlear Implants/psychology , Female , Humans , Male , Middle Aged
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