The Effects of Digital Signal Processing Features on Children's Speech Recognition and Loudness Perception.

Purpose: The purpose of this study was to determine the effects of hearing instruments set to Desired Sensation Level version 5 (DSL v5) hearing instrument prescription algorithm targets and equipped with directional microphones and digital noise reduction (DNR) on children's sentence recognition in...

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Publicado en:American Journal of Audiology Vol. 23; no. 1; pp. 99 - 116
Autores principales: Crukley, Jeffery, Scollie, Susan D.
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Mar2014
Acceso en línea:Ver este registro en EBSCOhost
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        10590889
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      jtl: American Journal of Audiology
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      dt: Mar2014
      vid: 23
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/1059-0889(2013/13-0024)
        95317457
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        atl: The Effects of Digital Signal Processing Features on Children's Speech Recognition and Loudness Perception.
      aug:
        au:
          Crukley, Jeffery
          Scollie, Susan D.
        affil: The Brain & Mind Institute, The University of Western Ontario, London, Ontario, Canada
      sug:
        subj:
          Loudness Perception In Infancy and Childhood
          Speech Perception In Infancy and Childhood
          Hearing Aids In Infancy and Childhood
          Rehabilitation of Persons with Hearing Loss In Infancy and Childhood
          Hearing Loss, Sensorineural Rehabilitation
          Human
          Funding Source
          Algorithms
          Equipment Design
          Noise
          Child
          Adolescence
          Hearing Aid Fitting
          Ontario
          Transducers
          Descriptive Statistics
          T-Tests
          Clinical Assessment Tools
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Purpose: The purpose of this study was to determine the effects of hearing instruments set to Desired Sensation Level version 5 (DSL v5) hearing instrument prescription algorithm targets and equipped with directional microphones and digital noise reduction (DNR) on children's sentence recognition in noise performance and loudness perception in a classroom environment. Method: Ten children (ages 8-17 years) with stable, congenital sensorineural hearing losses participated in the study. Participants were fitted bilaterally with behind-the-ear hearing instruments set to DSL v5 prescriptive targets. Sentence recognition in noise was evaluated using the Bamford-Kowal-Bench Speech in Noise Test (Niquette et al., 2003). Loudness perception was evaluated using a modified version of the Contour Test of Loudness Perception (Cox, Alexander, Taylor, & Gray, 1997). Results: Children's sentence recognition in noise performance was significantly better when using directional microphones alone or in combination with DNR than when using omnidirectional microphones alone or in combination with DNR. Children's loudness ratings for sounds above 72 dB SPL were lowest when fitted with the DSL v5 Noise prescription combined with directional microphones. DNR use showed no effect on loudness ratings. Conclusion: Use of the DSL v5 Noise prescription with a directional microphone improved sentence recognition in noise performance and reduced loudness perception ratings for loud sounds relative to a typical clinical reference fitting with the DSL v5 Quiet prescription with no digital signal processing features enabled. Potential clinical strategies are discussed.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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