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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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Listening Effort Is Not the Same as Speech Intelligibility Score.
Matthew B Winn1, Katherine H Teece1
1Department of Speech-Language-Hearing Sciences, University of Minnesota, Minneapolis, United States.
Trends in Hearing
|July 15, 2021
Summary
Listening effort, a key issue for hearing loss patients, is not fully explained by speech intelligibility. This study reveals effort is influenced by error types and the need to resolve ambiguity, not just accuracy.
Area of Science:
- Auditory neuroscience
- Speech perception research
- Human-computer interaction
Background:
- Listening effort is a primary concern for individuals with hearing loss.
- Speech intelligibility scores are often used as a proxy for listening effort but may oversimplify the issue.
- Understanding the mechanisms of listening effort beyond intelligibility is crucial for effective interventions.
Purpose of the Study:
- To elucidate the mechanisms of listening effort not captured by speech intelligibility scores.
- To investigate how specific types of errors and ambiguity resolution impact listening effort.
- To develop a more explanatory account of listening effort.
Main Methods:
- Utilized sentence-repetition tasks with planned or analyzed errors.
- Measured listening effort using changes in pupil size.
- Included participants with normal hearing and cochlear implants.
Main Results:
- Mental correction of misperceived words increases listening effort, even with correct responses.
- For incorrect responses, listening effort depends on error type, position, and ambiguity resolution, not just word accuracy.
- A taxonomy of error types was developed and validated.
Conclusions:
- Listening effort is a complex phenomenon influenced by cognitive processes beyond simple accuracy.
- Speech perception tasks can be designed to probe specific effort-related error mechanisms.
- Dissociating mental correction from error count allows for a more explanatory model of listening effort.
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