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Updated: Mar 15, 2026

Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
Published on: June 25, 2019
Effect of response context and masker type on word recognition in school-age children and adults
Emily Buss1, Lori J Leibold2, Joseph W Hall1
1Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Abstract:
In adults, masked speech recognition improves with the provision of a closed set of response alternatives. The present study evaluated whether school-age children (5-13 years) benefit to the same extent as adults from a forced-choice context, and whether this effect depends on masker type. Experiment 1 compared masked speech reception thresholds for disyllabic words in either an open-set or a four-alternative forced-choice (4AFC) task. Maskers were speech-shaped noise or two-talker speech. Experiment 2 compared masked speech reception thresholds for monosyllabic words in two 4AFC tasks, one in which the target and foils were phonetically similar and one in which they were dissimilar. Maskers were speech-shaped noise, amplitude-modulated noise, or two-talker speech. For both experiments, it was predicted that children would not benefit from the information provided by the 4AFC context to the same degree as adults, particularly when the masker was complex (two-talker) or when audible speech cues were temporally sparse (modulated-noise). Results indicate that young children do benefit from a 4AFC context to the same extent as adults in speech-shaped noise and amplitude-modulated noise, but the benefit of context increases with listener age for the two-talker speech masker.
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