1 Department of Speech and Hearing Science, Arizona State University, Tempe, AZ, USA.
Trends Hear. 2017 Jan-Dec;21:2331216517709597. doi: 10.1177/2331216517709597.
Two amplification features were examined using auditory tasks that varied in stimulus familiarity. It was expected that the benefits of certain amplification features would increase as the familiarity with the stimuli decreased. A total of 20 children and 15 adults with normal hearing as well as 21 children and 17 adults with mild to severe hearing loss participated. Three models of ear-level devices were selected based on the quality of the high-frequency amplification or the digital noise reduction (DNR) they provided. The devices were fitted to each participant and used during testing only. Participants completed three tasks: (a) word recognition, (b) repetition and lexical decision of real and nonsense words, and (c) novel word learning. Performance improved significantly with amplification for both the children and the adults with hearing loss. Performance improved further with wideband amplification for the children more than for the adults. In steady-state noise and multitalker babble, performance decreased for both groups with little to no benefit from amplification or from the use of DNR. When compared with the listeners with normal hearing, significantly poorer performance was observed for both the children and adults with hearing loss on all tasks with few exceptions. Finally, analysis of across-task performance confirmed the hypothesis that benefit increased as the familiarity of the stimuli decreased for wideband amplification but not for DNR. However, users who prefer DNR for listening comfort are not likely to jeopardize their ability to detect and learn new information when using this feature.
本文使用不同刺激熟悉度的听觉任务来检验两种放大特征。预期随着刺激的熟悉度降低,某些放大特征的优势会增加。共有 20 名正常听力的儿童和 15 名成人,以及 21 名轻度至重度听力损失的儿童和 17 名成人参与了研究。根据高频放大或数字降噪(DNR)的质量,选择了三种耳级设备模型。这些设备为每个参与者配备,并仅在测试期间使用。参与者完成了三项任务:(a)单词识别,(b)真实和无意义单词的重复和词汇判断,以及(c)新单词学习。对于听力损失的儿童和成人,放大效果显著提高。对于儿童,宽带放大的效果优于成人。在稳态噪声和多说话者噪声中,两组的表现都下降了,放大或使用 DNR 几乎没有益处。与正常听力的听众相比,听力损失的儿童和成人在所有任务中的表现都明显较差,除了少数例外。最后,跨任务表现分析证实了这样的假设,即随着刺激的熟悉度降低,宽带放大的优势会增加,但 DNR 则不会。然而,对于那些喜欢 DNR 以获得聆听舒适感的用户来说,当使用此功能时,他们不太可能危及他们检测和学习新信息的能力。