Task-Dependent Effects of Signal Audibility for Processing Speech: Comparing Performance With NAL-NL2 and DSL v5 Hearing Aid Prescriptions at Threshold and at Suprathreshold Levels in 9- to 17-Year-Olds With Hearing Loss.

Hearing aid fitting formulas intended for the pediatric population can differ by 6 to 25 dB in prescribed output across frequency leading to large variations in aided audibility. Children perceive these differences and have expressed preferences that favor more audibility for quiet speech and less a...

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Published in:Trends in Hearing Vol. 27; pp. 1 - 17
Main Authors: Pittman, Andrea L., Stewart, Elizabeth C.
Format: research tables/charts Journal Article
Published: Sage Publications Inc. Jan-Dec2023
Online Access:View this record in EBSCOhost
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      jtl: Trends in Hearing
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      dt: Jan-Dec2023
      vid: 27
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/23312165231177509
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        atl: Task-Dependent Effects of Signal Audibility for Processing Speech: Comparing Performance With NAL-NL2 and DSL v5 Hearing Aid Prescriptions at Threshold and at Suprathreshold Levels in 9- to 17-Year-Olds With Hearing Loss.
      aug:
        au:
          Pittman, Andrea L.
          Stewart, Elizabeth C.
        affil: MGH Institute of Health Professions, Boston, Massachusetts, USA
      sug:
        subj:
          Speech Perception
          Hearing Aid Fitting
          Hearing Disorders Therapy
          Hearing Disorders Therapy
          Task Performance and Analysis
          Equipment Design
          Human
          Child
          Adolescence
          Funding Source
          Speech Intelligibility
          Auditory Perception
          Memory
          Speech Reception Threshold Test
          Prescriptions, Non-Drug
          Language Processing
          Memory, Short Term
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Hearing aid fitting formulas intended for the pediatric population can differ by 6 to 25 dB in prescribed output across frequency leading to large variations in aided audibility. Children perceive these differences and have expressed preferences that favor more audibility for quiet speech and less audibility for noisy speech. In this study, the effect of variations in audibility consistent with hearing aid fittings for children was examined. Sixteen children and adolescents (9-17 years) with mild-tomoderate hearing loss participated. Hearing aids programed to National Acoustic Laboratories or Desired Sensation Level v5.0a targets were fitted to each participant. Also, separate programs with and without a low-level adaptive gain feature were provided with each prescription. Speech reception threshold (SRT) was measured as well as performance for four suprathreshold auditory tasks that increased in cognitive demand. These tasks were word recognition, nonword detection, multiword recall, and rapid word learning. A significant effect of fitting formula, but not low-level or adaptive gain, was observed for SRT. Significant effects of presentation level, fitting formula, and low-level gain were observed for word recognition. The effect of presentation level was significant for nonword detection, multiword recall, and rapid word learning but no other main effects or interactions were significant. Finally, word recognition and nonword detection increased significantly with audibility while multiword recall and word learning did not. The results suggest that audibility assists with the initial perception of auditory input but plays a smaller role in memory formation and learning.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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