Masked speech recognition by 6-13-year-olds with early-childhood otitis media: effects of acoustic condition and otologic history.

OBJECTIVE: To investigate speech recognition in school-age children with early-childhood otitis media (OM) in conditions with noise or speech maskers with or without interaural differences. To also investigate the effects of three otologic history factors. DESIGN: Using headphone presentation, speech recognition thresholds (SRTs) were measured with simple sentences. As maskers, stationary speech-shaped noise (SSN) or two-talker running speech (TTS) were used. The stimuli were presented in a monaural and binaural condition (SSN) or a co-located and spatially separated condition (TTS). Based on the available medical records, overall OM duration, OM onset age, and time since the last OM episode were estimated. STUDY SAMPLE: 6-13-year-olds with a history of recurrent OM (N = 42) or without any ear diseases (N = 20) with normal tympanograms and audiograms at the time of testing. RESULTS: Mixed-model regression analyses that controlled for age showed poorer SRTs for the OM group (Δ-value = 0.84 dB, p = 0.009). These appeared driven by the spatially separated, binaural, and monaural conditions. The OM group showed large inter-individual differences, which were unrelated to the otologic history factors. CONCLUSIONS: Early-childhood OM can affect speech recognition in different acoustic conditions. The effects of the otologic history warrant further investigation.

Masked Speech Recognition by Normal-Hearing 6-13-Year-Olds in Conditions With and Without Interaural Difference Cues.

Using the Danish 'børneDAT' corpus, the current study aimed to (1) collect normative masked speech recognition data for 6-13-year-olds in conditions with and without interaural difference cues, (2) evaluate the test-retest reliability of these measurements, and (3) compare two widely used measures of binaural/spatial benefit in terms of the obtained scores. Seventy-four children and 17 young adults with normal hearing participated. Using headphone presentation, speech recognition thresholds (SRTs) were measured twice at two separate visits in four conditions. In the first two conditions, børneDAT sentences were presented in diotic stationary speech-shaped noise, with the sentences either interaurally in-phase ('N0S0') or interaurally out-of-phase ('N0S180'). In the other two conditions, børneDAT sentences were simulated to come from 0° azimuth and two running speech maskers from either 0° azimuth ('co-located') or ±90° azimuth ('spatially separated'). In relative terms, the children achieved lower SRTs in stationary noise than in competing speech, whereas the adults showed the opposite pattern. 12-13-year-old children achieved adult-like performance in all but the co-located condition. Younger children showed generally immature speech recognition abilities. Test-retest reliability was highest for the SRTs in stationary noise and lowest for the spatial benefit scores. Mean benefit was comparable for the two measures and participant groups, and the two sets of scores were not correlated with each other. Developmental effects were most pronounced in the conditions with interaural difference cues. In conclusion, reference data for the børneDAT corpus obtained under different acoustic conditions are available that can guide future research and potential clinical applications.

Monaural and binaural phase sensitivity in school-age children with early-childhood otitis media.

OBJECTIVE: Previous research has linked recurrent otitis media (OM) during early childhood to reduced binaural masking level differences (BMLDs) in school-age children. How this finding relates to monaural processing abilities and the individual otologic history has not been investigated systematically. The current study, therefore, addressed these issues. DESIGN: Sensitivity to monaural and binaural phase information was assessed using a common test paradigm. To evaluate the influence of the otologic history, overall OM duration, OM onset age, and the time since the last OM episode were considered in the analyses. STUDY SAMPLE: Children aged 6-13 years with a history of recurrent OM (N = 42) or without any previous ear diseases (N = 20). RESULTS: Compared to the controls, the OM children showed smaller BMLDs (p < 0.05) whereas their monaural and binaural detection thresholds were comparable (p > 0.05). After controlling for age, the otologic history factors failed to predict the BMLDs of the OM children. Their monaural detection thresholds were correlated with the binaural detection thresholds (r = ∼0.5, p < 0.05) but not the BMLDs. CONCLUSIONS: The current study suggests that early-childhood OM can impair binaural processing abilities in school-age children.

A Danish Sentence Corpus for Assessing Speech Recognition in Noise in School-Age Children.

For the audiological assessment of the speech-in-noise abilities of children with normal or impaired hearing, appropriate test materials are required. However, in Denmark, no standardized materials exist. The purpose of this study was to develop a Danish sentence corpus suitable for testing school-age children. Based on the 600 validated test sentences from the Danish DAT (Dagmar, Asta, or Tine) corpus, 11 test lists comprising 20 sentences each were carefully constructed. These lists were evaluated in terms of their perceptual similarity and reliability with a group of 20 typically developing, normal-hearing children aged 6 to 12 years. Using stationary speech-shaped noise and diotic stimulus presentation, speech recognition thresholds (SRTs) were measured twice per list and participant at two separate visits. The analyses showed that six test lists were perceptually equivalent. These lists are characterized by a grand average SRT of -2.6 dB signal-to-noise ratio, a test-retest improvement of 0.6 dB, and a within-subject standard deviation of 1.1 dB signal-to-noise ratio. The other lists were characterized by slightly higher SRTs, slightly larger training effects, and slightly larger measurement uncertainty, but were otherwise also usable. Overall, it is therefore concluded that the developed corpus is suited for assessing speech recognition in noise in Danish 6- to 12-year olds. The corpus is publicly available.