Assessing speech pattern contrast perception in infants: early results on VRASPAC.

Objective: To assess perception of specific speech pattern contrasts in infants with normal hearing (NH) and infants with sensorineural hearing loss (HL).Study Design: Prospective longitudinal and cross-sectional study.Setting: Tertiary referral center.Patients: Nine infants with NH and 11 infants w...

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Published in:Otology & Neurotology Vol. 29; no. 2; pp. 183 - 189
Main Authors: Martinez A, Eisenberg L, Boothroyd A, Visser-Dumont L, Martinez, Amy, Eisenberg, Laurie, Boothroyd, Arthur, Visser-Dumont, Leslie
Format: research Journal Article
Published: Lippincott Williams & Wilkins 2008 Feb
Online Access:View this record in EBSCOhost
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      dt: 2008 Feb
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Assessing speech pattern contrast perception in infants: early results on VRASPAC.
      aug:
        au:
          Martinez A
          Eisenberg L
          Boothroyd A
          Visser-Dumont L
          Martinez, Amy
          Eisenberg, Laurie
          Boothroyd, Arthur
          Visser-Dumont, Leslie
        affil: House Ear Institute, Children's Auditory Research and Evaluation Center, Los Angeles, California 90057, U.S.A
      sug:
        subj:
          Hearing Loss, Sensorineural Psychosocial Factors
          Speech Perception
          Visual Perception Physiology
          Acoustic Stimulation
          Audiometry
          Cochlear Implant
          Cross Sectional Studies
          Discrimination
          Female
          Hearing Loss, Sensorineural Physiopathology
          Infant
          Male
          Prospective Studies
          Reinforcement (Psychology)
          Human
          Infant: 1-23 months
          Female
          Male
      ab: Objective: To assess perception of specific speech pattern contrasts in infants with normal hearing (NH) and infants with sensorineural hearing loss (HL).Study Design: Prospective longitudinal and cross-sectional study.Setting: Tertiary referral center.Patients: Nine infants with NH and 11 infants with HL ranging from mild to profound.Methods: Speech pattern contrast perception was evaluated in infants with NH and HL using a new behavioral test called Visual Reinforcement Assessment of the Perception of Speech Pattern Contrasts (VRASPAC). VRASPAC assesses the infant's ability to distinguish the speech features of vowel height and place and consonant voicing, continuance, and place. Detection of a phonetic change is indicated by a conditioned head-turn response. Performance is reported as the percent confidence that responses are not random.Results: The infants with NH attained high confidence scores for the vowel height and place contrasts used in this study. The infants with HL achieved high scores for the vowel height contrast regardless of degree of hearing loss. High scores were attained for the vowel place contrast by infants with losses less than 60 dB HL. Performance for the consonant contrasts was variable for all of the infants. Results from 1 infant assessed precochlear and postcochlear implantation indicated substantial improvement in speech pattern contrast perception with the implant.Conclusion: Perception of speech pattern contrasts in infants, particularly for the vowel contrasts, can be evaluated with a high level of confidence using VRASPAC. Consonant contrast perception is much more variable than vowel contrast perception and requires further investigation.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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