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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
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A Speech Perception Test in Simulated Reverberation Conditions.
American Journal of Audiology
|February 6, 2015
Summary
New speech test materials (SPIN-Reverb) were created with varying reverberation. Listening performance decreased as reverberation increased for normal-hearing listeners and cochlear implant (CI) recipients.
Area of Science:
- Audiology
- Speech Science
- Acoustics
Background:
- Assessing speech perception in noisy environments is crucial for hearing device users.
- Simulating real-world acoustic challenges, like reverberation, is essential for accurate evaluations.
- Existing speech tests may not fully capture the impact of reverberation on speech intelligibility.
Purpose of the Study:
- To develop and validate new speech test materials (SPIN-Reverb) by applying reverberation treatments to sentences with varying contextual redundancy.
- To investigate the impact of different reverberation times (RT60) on speech perception for normal-hearing listeners and cochlear implant (CI) recipients.
Main Methods:
- Speech Perception in Noise-Revised (SPIN-R) sentences were modified to create SPIN-Reverb materials with four reverberation conditions (unprocessed, 600 ms, 1200 ms, 3600 ms RT60).
- Phase 1: List equivalency was established using nonparametric bootstrapping with 75 normal-hearing listeners.
- Phase 2: The utility of SPIN-Reverb was examined with 15 CI recipients.
Main Results:
- Equivalent lists were identified across all reverberation conditions.
- Speech perception performance significantly decreased with increasing reverberation time (RT60) for both high and low predictability sentences.
- All tested reverberation conditions (unprocessed, RevCond 1, 2, 3) were significantly different from each other.
- High- and low-predictability sentences showed significant differences within each reverberation condition.
Conclusions:
- The SPIN-Reverb materials, particularly RevCond 1 (600 ms) and RevCond 2 (1200 ms), show promise as supplementary tools for cochlear implant (CI) assessment.
- SPIN-Reverb offers a set of clinically feasible, graded difficulty materials that realistically simulate acoustic challenges for evaluating sensory devices.
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