Directional Benefit Is Present with Audiovisual Stimuli: Limiting Ceiling Effects.

Background: Past research demonstrates that as the speech recognition performance of listeners fitted with omnidirectional hearing aids approaches maximum (ceiling), the benefit afforded by directional microphones is necessarily lessened. This effect could potentially eliminate the benefit provided...

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Publicado en:Journal of the American Academy of Audiology Vol. 25; no. 7; pp. 666 - 676
Autores principales: Aspell, Elizabeth, Picou, Erin, Ricketts, Todd
Formato: research tables/charts Journal Article
Publicado: Thieme Medical Publishing Inc. Jul/Aug2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2014
      vid: 25
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        atl: Directional Benefit Is Present with Audiovisual Stimuli: Limiting Ceiling Effects.
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          Aspell, Elizabeth
          Picou, Erin
          Ricketts, Todd
        affil: JFK Johnson Rehabilitation Institute, Edison, NJ
      sug:
        subj:
          Speech Perception
          Transducers
          Audiovisuals
          Hearing Disorders
          Human
          Descriptive Statistics
          Analysis of Variance
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Air Conduction
          Aged
          Aged, 80 and Over
          Audiometry, Pure-Tone
          Noise
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Past research demonstrates that as the speech recognition performance of listeners fitted with omnidirectional hearing aids approaches maximum (ceiling), the benefit afforded by directional microphones is necessarily lessened. This effect could potentially eliminate the benefit provided by directional microphones in easier listening situations, such as environments with visual cues and favorable signal-to-noise ratios (SNRs). Purpose: The purpose of this study was to evaluate directional benefit using auditory-visual stimuli in SNRs commonly found in the real world (ranging from +3 to +12 dB). In order to maximize the possibility of directional benefit, a bilateral beamformer was used, which functions as a highly directional microphone. Research Design: Sentence recognition was evaluated in three SNRs and in two levels of reverberation (low and moderate). For each SNR and reverberation combination, sentence recognition was evaluated using omnidirectional and bilateral beamformer microphone modes. Study Sample: A total of 15 adults with hearing loss participated. Only listeners who had significant difficulty understanding speech in noise were included. Data Collection and Analysis: Sentence recognition scores were evaluated using analysis of variance with three within-participant variables (SNR, reverb, microphone mode). Follow-up analyses were conducted using linear contrast while controlling for family-wise error rate. Results: Results revealed significant bilateral beamformer benefit ranging from approximately 22-30 rationalized arcsine units (~20-28 percentage points) in both low and moderate reverberation across all tested SNRs (+3 to +12 dB). Conclusions: These results provide support for the use of bilateral beamformers, even at relatively favorable SNRs and in the presence of visual cues, for listeners who demonstrate poor sentence recognition in noise.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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