Preference for Combinations of Hearing Aid Signal Processing.

Purpose: The purpose of this study was to determine how multiple types of signal processing activated together influence listeners' preferences. Method: Participants were adults with mild to moderately severe sensorineural hearing loss. Stimuli were spatialized low-context sentences mixed with sixta...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 65; no. 8; pp. 3100 - 3117
Autores principales: Rallapalli, Varsha, Schauer, Jacob, Souzaa, Pamela
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Aug2022
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Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Speech, Language & Hearing Research
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      dt: Aug2022
      vid: 65
      iid: 8
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      pub: American Speech-Language-Hearing Association
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        158620632
        10.1044/2022_JSLHR-22-00018
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        atl: Preference for Combinations of Hearing Aid Signal Processing.
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        au:
          Rallapalli, Varsha
          Schauer, Jacob
          Souzaa, Pamela
        affil:
          Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
          Division of Biostatistics, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL
          Knowles Hearing Center, Northwestern University, Evanston, IL
      su:
        Noise control
        Evaluation of medical care
        Speech perception
        Physiological aspects of speech
        Confidence intervals
        Intelligibility of speech
        Hearing aids
        Paired comparisons (Mathematics)
        Content mining
        Comparative studies
        Signal processing
        Hearing disorders
        Research funding
        Descriptive statistics
        Sound
        Algorithms
      sug:
        subj:
          Noise control
          Evaluation of medical care
          All Other Health and Personal Care Stores
          Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
          Electromedical and Electrotherapeutic Apparatus Manufacturing
          Professional machinery, equipment and supplies merchant wholesalers
          Speech perception
          Physiological aspects of speech
          Confidence intervals
          Intelligibility of speech
          Hearing aids
          Paired comparisons (Mathematics)
          Content mining
          Comparative studies
          Signal processing
          Hearing disorders
          Research funding
          Descriptive statistics
          Sound
          Algorithms
      ab: Purpose: The purpose of this study was to determine how multiple types of signal processing activated together influence listeners' preferences. Method: Participants were adults with mild to moderately severe sensorineural hearing loss. Stimuli were spatialized low-context sentences mixed with sixtalker babble at 3 and 8 dB signal-to-noise ratios (SNRs). Stimuli were processed with three common hearing aid processing algorithms: wide dynamic range compression (WDRC), frequency compression (FC), and digital noise reduction (DNR). A full-factorial design with two levels for each algorithm (WDRC & DNR: mild versus strong; FC: ON versus OFF; clinically relevant ranges) was evaluated. Preference was measured using a paired-comparison task within a choice-based conjoint analysis framework. Remote data collection methods were used. A signal fidelity metric quantified the acoustic effects across conditions. Results: At 3 dB SNR, participants preferred a combination of Slow WDRC and Mild DNR, although the mean preference was small (odds ratio close to 1). At both SNRs when Strong DNR was used, Fast WDRC was preferred over Slow WDRC. This may be related to signal fidelity, which was lower for the combination of Fast WDRC and Mild DNR and higher for the combination of Slow WDRC and either Mild DNR or Strong DNR. There was no effect of FC on preference or signal fidelity. Conclusions: WDRC and DNR together influenced both listeners' preferences and signal fidelity in the investigated listening conditions. On average, the small effect sizes suggest that minor fine-tuning adjustments to hearing aid algorithms may not result in a substantial change in clinical outcomes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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