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Eye Tracking During Visually Situated Language Comprehension: Flexibility and Limitations in Uncovering Visual Context Effects
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[Speech comprehension and cognitive performance in acoustically difficult situations].

H Meister1

  • 1FB Audiologie, Jean Uhrmacher Institut für klinische HNO-Forschung, Universität zu Köln, Geibelstr. 29-31, 50931, Köln, Deutschland. hartmut.meister@uni-koeln.de.

HNO
|August 24, 2019
PubMed
Summary
This summary is machine-generated.

Cognitive processes like attention and memory are crucial for understanding speech, especially for older adults with hearing and cognitive decline. Future audiology should assess listening effort to improve communication effectiveness.

Keywords:
AgeAttentionListening effortSpeech audiometryWorking memory

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Area of Science:

  • Auditory Neuroscience
  • Cognitive Psychology

Background:

  • Speech understanding relies on both sensory (bottom-up) and cognitive (top-down) processes.
  • Aging often leads to declines in hearing and cognitive functions, impacting communication.
  • Acoustically challenging environments exacerbate the reliance on cognitive resources for speech perception.

Purpose of the Study:

  • To highlight the importance of cognitive processes in speech understanding, particularly in older adults.
  • To emphasize the need for audiological rehabilitation to address both audibility and cognitive load.
  • To advocate for the inclusion of listening effort in future audiometric assessments.

Main Methods:

  • Review of sensory and cognitive contributions to speech perception.
  • Analysis of the impact of aging on hearing and cognitive abilities.
  • Discussion of clinical implications for audiological practice.

Main Results:

  • Cognitive functions, including attention and working memory, significantly influence speech understanding.
  • Reduced hearing and cognitive abilities in older adults pose communication challenges.
  • Current rehabilitative strategies may not fully address the cognitive demands of speech perception.

Conclusions:

  • Effective speech understanding requires integrating sensory input with cognitive processing.
  • Audiological interventions should aim to reduce listening effort and cognitive load.
  • Future audiometric evaluations must incorporate measures of listening effort to provide comprehensive patient care.