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Updated: Jun 25, 2026

Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
Published on: June 25, 2019
Predicting word-recognition performance in noise by young listeners with normal hearing using acoustic, phonetic, and
Rachel McArdle1, Richard H Wilson
1Bay Pines VA Healthcare System, Bay Pines, FL 33744, USA. Rachel.mcardle@va.gov
Purpose:
To analyze the 50% correct recognition data that were from the Wilson et al (this issue) study and that were obtained from 24 listeners with normal hearing; also to examine whether acoustic, phonetic, or lexical variables can predict recognition performance for monosyllabic words presented in speech-spectrum noise.
Research Design:
The specific variables are as follows: (a) acoustic variables (i.e., effective root-mean-square sound pressure level, duration), (b) phonetic variables (i.e., consonant features such as manner, place, and voicing for initial and final phonemes; vowel phonemes), and (c) lexical variables (i.e., word frequency, word familiarity, neighborhood density, neighborhood frequency).
Data Collection And Analysis:
The descriptive, correlational study will examine the influence of acoustic, phonetic, and lexical variables on speech recognition in noise performance.
Results:
Regression analysis demonstrated that 45% of the variance in the 50% point was accounted for by acoustic and phonetic variables whereas only 3% of the variance was accounted for by lexical variables. These findings suggest that monosyllabic word-recognition-in-noise is more dependent on bottom-up processing than on top-down processing.
Conclusions:
The results suggest that when speech-in-noise testing is used in a pre- and post-hearing-aid-fitting format, the use of monosyllabic words may be sensitive to changes in audibility resulting from amplification.
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