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Relationships Between Hearing Status, Cognitive Abilities, and Reliance on Visual and Contextual Cues
Andreea Micula1,2,3, Emil Holmer3, Ruijing Ning3
1National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Hearing aid users compensated for hearing loss using visual cues, achieving similar speech recognition as normal-hearing individuals. Higher fluid intelligence in hearing aid users further improved their ability to utilize these visual cues for better speech-in-noise recognition.
Area of Science:
- Audiology
- Cognitive Neuroscience
- Speech Perception
Background:
- Visual and contextual cues enhance speech recognition in challenging auditory environments.
- Cognitive abilities like working memory and fluid intelligence are linked to speech recognition, but their role in utilizing visual cues is unclear.
Purpose of the Study:
- To compare reliance on visual and contextual cues for speech recognition between normal-hearing individuals and hearing aid users.
- To determine if working memory and fluid intelligence are associated with the use of visual and contextual cues in these groups.
Main Methods:
- Speech recognition in noise was assessed using the Samuelsson and Rönnberg task in auditory and audiovisual modalities with and without contextual cues.
- Participants included 169 normal-hearing individuals and 169 hearing aid users with mild to severe sensorineural hearing loss.
- Working memory and fluid intelligence were measured using the Reading Span and Raven tests, respectively.
Main Results:
- Both groups showed improved speech recognition with visual and contextual cues.
- Hearing aid users performed worse in auditory-only conditions but matched normal-hearing individuals in audiovisual conditions.
- Fluid intelligence positively correlated with speech recognition in hearing aid users in the audiovisual modality.
Conclusions:
- Both normal-hearing individuals and hearing aid users benefit from contextual cues.
- Hearing aid users effectively used visual cues to overcome auditory deficits, achieving comparable performance to normal-hearing peers.
- Higher fluid intelligence in hearing aid users enhanced their ability to leverage visual cues for improved speech-in-noise recognition.
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