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Trends Hear ; 28: 23312165241276435, 2024.
Article in English | MEDLINE | ID: mdl-39311635

ABSTRACT

In speech audiometry, the speech-recognition threshold (SRT) is usually established by adjusting the signal-to-noise ratio (SNR) until 50% of the words or sentences are repeated correctly. However, these conditions are rarely encountered in everyday situations. Therefore, for a group of 15 young participants with normal hearing and a group of 12 older participants with hearing impairment, speech-recognition scores were determined at SRT and at four higher SNRs using several stationary and fluctuating maskers. Participants' verbal responses were recorded, and participants were asked to self-report their listening effort on a categorical scale (self-reported listening effort, SR-LE). The responses were analyzed using an Automatic Speech Recognizer (ASR) and compared to the results of a human examiner. An intraclass correlation coefficient of r = .993 for the agreement between their corresponding speech-recognition scores was observed. As expected, speech-recognition scores increased with increasing SNR and decreased with increasing SR-LE. However, differences between speech-recognition scores for fluctuating and stationary maskers were observed as a function of SNR, but not as a function of SR-LE. The verbal response time (VRT) and the response speech rate (RSR) of the listeners' responses were measured using an ASR. The participants with hearing impairment showed significantly lower RSRs and higher VRTs compared to the participants with normal hearing. These differences may be attributed to differences in age, hearing, or both. With increasing SR-LE, VRT increased and RSR decreased. The results show the possibility of deriving a behavioral measure, VRT, measured directly from participants' verbal responses during speech audiometry, as a proxy for SR-LE.


Subject(s)
Acoustic Stimulation , Auditory Threshold , Perceptual Masking , Reaction Time , Speech Perception , Humans , Male , Female , Aged , Adult , Middle Aged , Young Adult , Case-Control Studies , Persons With Hearing Impairments/psychology , Persons With Hearing Impairments/rehabilitation , Self Report , Noise/adverse effects , Signal-To-Noise Ratio , Speech Reception Threshold Test , Speech Intelligibility , Hearing Loss/diagnosis , Hearing Loss/physiopathology , Age Factors , Time Factors , Hearing/physiology , Automation , Predictive Value of Tests
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