Effects of expansion on consonant recognition and consonant audibility [corrected] [published erratum appears in J AM ACAD AUDIOL 2009 Nov-Dec;20(10):658].

BACKGROUND: Hearing aid expansion is intended to reduce the gain for low-level noise. However, expansion can also degrade low-intensity speech. Although it has been suggested that the poorer performance with expansion is due to reduced audibility, this has not been measured directly. Furthermore, pr...

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Published in:Journal of the American Academy of Audiology Vol. 20; no. 2; pp. 119 - 128
Main Authors: Brennan M, Souza P
Format: research tables/charts Journal Article
Published: Thieme Medical Publishing Inc. Feb2009
Online Access:View this record in EBSCOhost
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        atl: Effects of expansion on consonant recognition and consonant audibility [corrected] [published erratum appears in J AM ACAD AUDIOL 2009 Nov-Dec;20(10):658].
      aug:
        au:
          Brennan M
          Souza P
        affil: Speech and Hearing Sciences, University of Washington, 1417 NE 42nd St., Seattle, WA 98105, USA; mabrenn1@u.washington.edu
      sug:
        subj:
          Consonants
          Digital Compression Methods
          Hearing Aids Utilization
          Hearing Loss, Sensorineural
          Speech Perception
          Acoustic Stimulation
          Adult
          Aged
          Aged, 80 and Over
          Analysis of Variance
          Audiometry
          Consumer Satisfaction
          Correlational Studies
          Education, Continuing (Credit)
          Experimental Studies
          Funding Source
          Middle Age
          Regression
          Repeated Measures
          Speech Discrimination Tests
          Tympanic Membrane
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
      ab: BACKGROUND: Hearing aid expansion is intended to reduce the gain for low-level noise. However, expansion can also degrade low-intensity speech. Although it has been suggested that the poorer performance with expansion is due to reduced audibility, this has not been measured directly. Furthermore, previous studies used relatively high expansion kneepoints. PURPOSE: This study compared the effect of a 30 dB SPL and 50 dB SPL expansion kneepoint on consonant audibility and recognition. RESEARCH DESIGN: Eight consonant-vowel syllables were presented at 50, 60, and 71 dB SPL. Recordings near the tympanic membrane were made of each speech token and used to calculate the Aided Audibility Index (AAI). STUDY SAMPLE: Thirteen subjects with mild to moderate sensorineural hearing loss. RESULTS: Expansion with a high kneepoint resulted in reduced consonant recognition. The AAI correlated significantly with consonant recognition across all conditions and subjects. CONCLUSION: If consonant recognition is the priority, audibility calculations could be used to determine an optimal expansion kneepoint for a given individual.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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