Individual Aided Speech-Recognition Performance and Predictions of Benefit for Listeners With Impaired Hearing...

The benefit in speech-recognition performance due to the compensation of a hearing loss can vary between listeners, even if unaided performance and hearing thresholds are similar. To accurately predict the individual performance benefit due to a specific hearing device, a prediction model is proposed which takes into account hearing thresholds and a frequency-dependent suprathreshold component of impaired hearing. To test the model, the German matrix sentence test was performed in unaided and individually aided conditions in quiet and in noise by 18 listeners with different degrees of hearing loss. The outcomes were predicted by an individualized automatic speech-recognition system where the individualization parameter for the suprathreshold component of hearing loss was inferred from tone-in-noise detection thresholds. The suprathreshold component was implemented as a frequency-dependent multiplicative noise (mimicking level uncertainty) in the feature-extraction stage of the automatic speech-recognition system. Its inclusion improved the root-mean-square prediction error of individual speech-recognition thresholds (SRTs) from 6.3 dB to 4.2 dB and of individual benefits in SRT due to common compensation strategies from 5.1 dB to 3.4 dB. The outcome predictions are highly correlated with both the corresponding observed SRTs (R² = .94) and the benefits in SRT (R² = .89) and hence might help to better understand-and eventually mitigate-the perceptual consequences of as yet unexplained hearing problems, also discussed in the context of hidden hearing loss.