Speech reception by listeners with real and simulated hearing impairment: effects of continuous and interrupted noise.

The effects of audibility and age on masking for sentences in continuous and interrupted noise were examined in listeners with real and simulated hearing loss. The absolute thresholds of each of ten listeners with sensorineural hearing loss were simulated in normal-hearing listeners through a combination of spectrally-shaped threshold noise and multi-band expansion for octave bands with center frequencies from 0.25-8 kHz. Each individual hearing loss was simulated in two groups of three normal-hearing listeners (an age-matched and a non-age-matched group). The speech-to-noise ratio (S/N) for 50%-correct identification of hearing in noise test (HINT) sentences was measured in backgrounds of continuous and temporally-modulated (10 Hz square-wave) noise at two overall levels for unprocessed speech and for speech that was amplified with the NAL-RP prescription. The S/N in both continuous and interrupted noise of the hearing-impaired listeners was relatively well-simulated in both groups of normal-hearing listeners. Thus, release from masking (the difference in S/N obtained in continuous versus interrupted noise) appears to be determined primarily by audibility. Minimal age effects were observed in this small sample. Observed values of masking release were compared to predictions derived from intelligibility curves generated using the extended speech intelligibility index (ESII) [Rhebergen et al. (2006). J. Acoust. Soc. Am. 120, 3988-3997].