Improvements in Pediatric Speech Perception in Noise Using Classifier-Based Noise Management.
Ursula M Findlen1,2, Alecia Jayne1, Jason Benedict3
1Department of Audiology, Division of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH.
American Journal of Audiology
|January 6, 2026
Summary
Classifier-based noise management significantly improved speech perception in pediatric cochlear implant (CI) users. This technology enhances listening ease and clarity for children in noisy environments.
Area of Science:
- Audiology
- Speech-Language Pathology
- Biomedical Engineering
Background:
- Pediatric cochlear implantation (CI) aims to restore hearing.
- Managing background noise is crucial for speech perception in children with CIs.
- Existing noise management strategies may not fully address the challenges faced by pediatric CI users.
Purpose of the Study:
- To evaluate the effectiveness of the AutoSense Sky OS 3.0 classifier-based noise management algorithm.
- To compare speech perception in noise for pediatric CI recipients using the algorithm versus standard omnidirectional mode.
- To compare the performance of pediatric CI recipients with typically hearing peers.
Main Methods:
- Prospective observational study with nine pediatric CI recipients and nine typically hearing peers (ages 9-15).
- Speech perception measured using Pediatric AzBio sentences at four signal-to-noise ratios (SNRs).
- Comparison between omnidirectional microphone mode and classifier-based noise management mode; subjective ratings of listening ease and clarity collected.
Main Results:
- Classifier-based noise management significantly improved speech perception in noise for pediatric CI recipients.
- Improvements of 21.4 and 47.1 percentage points were observed at 0 dB and -5 dB SNR, respectively.
- Subjective reports indicated enhanced listening ease and speech clarity with the algorithm.
Conclusions:
- Pediatric CI recipients benefit from classifier-based noise management (AutoSense Sky OS 3.0).
- Audiologists should consider activating this technology for pediatric CI users, especially for classroom listening.
- Improved noise management can enhance educational and social participation for children with CIs.
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