Assessing the benefit of acoustic beamforming for listeners with aphasia using modified psychoacoustic methods

Acoustic beamforming has been shown to improve identification of target speech in noisy listening environments for individuals with sensorineural hearing loss. This study examined whether beamforming would provide a similar benefit for individuals with aphasia (acquired neurological language impairment). The benefit of beamforming was examined for persons with aphasia (PWA) and age- and hearing-matched controls in both a speech masking condition and a speech-shaped, speech-modulated noise masking condition. Performance was measured when natural spatial cues were provided, as well as when the target speech level was enhanced via a single-channel beamformer. Because typical psychoacoustic methods may present substantial experimental confounds for PWA, clinically guided modifications of experimental procedures were determined individually for each PWA participant. Results indicated that the beamformer provided a significant overall benefit to listeners. On an individual level, both PWA and controls who exhibited poorer performance on the speech masking condition with spatial cues benefited from the beamformer, while those who achieved better performance with spatial cues did not. All participants benefited from the beamformer in the noise masking condition. The findings suggest that a spatially tuned hearing aid may be beneficial for older listeners with relatively mild hearing loss who have difficulty taking advantage of spatial cues.