Speech recognition of hearing-impaired listeners: predictions from audibility and the limited role of high-frequency amplification.

@article{Ching1998SpeechRO,
  title={Speech recognition of hearing-impaired listeners: predictions from audibility and the limited role of high-frequency amplification.},
  author={Teresa Y. C. Ching and Harvey Dillon and Denis Byrne},
  journal={The Journal of the Acoustical Society of America},
  year={1998},
  volume={103 2},
  pages={
          1128-40
        }
}
Two experiments were conducted to examine the relationship between audibility and speech recognition for individuals with sensorineural hearing losses ranging from mild to profound degrees. Speech scores measured using filtered sentences were compared to predictions based on the Speech Intelligibility Index (SII). The SII greatly overpredicted performance at high sensation levels, and for many listeners, it underpredicted performance at low sensation levels. To improve predictive accuracy, the… 

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References

SHOWING 1-10 OF 24 REFERENCES

Speech recognition and the Articulation Index for normal and hearing-impaired listeners.

The AI procedure as presently used is inadequate for predicting performance of individuals with reduced speech recognition ability and should be used conservatively in applications predicting optimal or acceptable frequency response characteristics for hearing-aid amplification systems.

Prediction of speech intelligibility for normal-hearing and cochlearly hearing-impaired listeners.

  • C. Ludvigsen
  • Physics
    The Journal of the Acoustical Society of America
  • 1987
It is concluded that speech intelligibility of cochlearly hearing-impaired listeners may also, to a first approximation, be predicted from articulation index theory.

Consonant reception in noise by listeners with mild and moderate sensorineural hearing impairment.

It is concluded that the primary source of difficulty in listening in noise for listeners with moderate or milder hearing impairments, aside from the noise itself, is the loss of audibility.

Use of the articulation index for assessing residual auditory function in listeners with sensorineural hearing impairment.

  • C. Pavlovic
  • Physics
    The Journal of the Acoustical Society of America
  • 1984
The results indicate that the deficit in suprathreshold speech processing is frequency-specific and that, therefore, the proficiency factor is not independent of frequency.

An articulation index based procedure for predicting the speech recognition performance of hearing-impaired individuals.

The articulation index calculation procedure developed for use with individual normal-hearing listeners was modified to account for the deterioration in suprathreshold speech processing produced by sensorineural hearing impairment.

Effects of frequency response characteristics on speech discrimination and perceived intelligibility and pleasantness of speech for hearing-impaired listeners.

  • D. Byrne
  • Physics
    The Journal of the Acoustical Society of America
  • 1986
The studies strongly support the frequency response selection rationale of amplifying all frequency bands of speech to MCL and highlight some of the complications involved in achieving this aim.

Stop-consonant recognition for normal-hearing listeners and listeners with high-frequency hearing loss. II: Articulation index predictions.

The results suggest that poorer speech recognition among hearing-impaired listeners results from reduced audibility within critical spectral regions of the speech stimuli.

Comparison of frequency selectivity and consonant recognition among hearing-impaired and masked normal-hearing listeners.

Although frequency selectivity is reduced, there is no consistent difference in consonant recognition between hearing-impaired subjects and masked normal-hearing subjects, when performance is assessed under conditions that assure equal speech-spectrum audibility across subjects.

Speech intelligibility in noise-induced hearing loss: effects of high-frequency compensation.

  • M. Skinner
  • Physics
    The Journal of the Acoustical Society of America
  • 1980
The speech-recognition ability of six listeners with permanent noise-induced hearing losses above 1 kHz was evaluated with the Pascoe High-Frequency Work List spoken by a female talker and presented

Recognition of nonsense syllables by hearing-impaired listeners and by noise-masked normal hearers.

The results indicated that two of the four hearing-impaired subjects performed better than their corresponding subgroup of noise- masked normal hearers, whereas the other two impaired listeners performed like the noise-masked normal listeners.