Rallapalli Varsha, Freyman Richard, Souza Pamela
Department of Communication Sciences & Disorders, Northwestern University, Evanston, Illinois, USA.
Department of Communication Sciences & Disorders, Knowles Hearing Center, Northwestern University, Evanston, Illinois, USA.
Ear Hear. 2025;46(2):523-536. doi: 10.1097/AUD.0000000000001605. Epub 2024 Nov 6.
Previous research has shown that speech recognition with different wide dynamic range compression (WDRC) time-constants (fast-acting or Fast and slow-acting or Slow) is associated with individual working memory ability, especially in adverse listening conditions. Until recently, much of this research has been limited to omnidirectional hearing aid settings and colocated speech and noise, whereas most hearing aids are fit with directional processing that may improve the listening environment in spatially separated conditions and interact with WDRC processing. The primary objective of this study was to determine whether there is an association between individual working memory ability and speech recognition in noise with different WDRC time-constants, with and without microphone directionality (binaural beamformer or Beam versus omnidirectional or Omni) in a spatial condition ideal for the beamformer (speech at 0 , noise at 180 ). The hypothesis was that the relationship between speech recognition ability and different WDRC time-constants would depend on working memory in the Omni mode, whereas the relationship would diminish in the Beam mode. The study also examined whether this relationship is different from the effects of working memory on speech recognition with WDRC time-constants previously studied in colocated conditions.
Twenty-one listeners with bilateral mild to moderately severe sensorineural hearing loss repeated low-context sentences mixed with four-talker babble, presented across 0 to 10 dB signal to noise ratio (SNR) in colocated (0 ) and spatially separated (180 ) conditions. A wearable hearing aid customized to the listener's hearing level was used to present four signal processing combinations which combined microphone mode (Beam or Omni) and WDRC time-constants (Fast or Slow). Individual working memory ability was measured using the reading span test. A signal distortion metric was used to quantify cumulative temporal envelope distortion from background noise and the hearing aid processing for each listener. In a secondary analysis, the role of working memory in the relationship between cumulative signal distortion and speech recognition was examined in the spatially separated condition.
Signal distortion was greater with Fast WDRC compared with Slow WDRC, regardless of the microphone mode or spatial condition. As expected, Beam reduced signal distortion and improved speech recognition over Omni, especially at poorer SNRs. Contrary to the hypothesis, speech recognition with different WDRC time-constants did not depend on working memory in Beam or Omni (in the spatially separated condition). However, there was a significant interaction between working memory and cumulative signal distortion, such that speech recognition increased at a faster rate with lower distortion for an individual with better working memory. In Omni, the effect of working memory on speech recognition in different spatial conditions (colocated versus spatially separated) was inconclusive.
The findings highlight the benefit of binaural beamformers for all listeners, especially at poorer signal to noise ratios for target speech from the front and noise behind the listener. Individuals with better working memory are more likely to benefit from reduced signal distortions than individuals with poorer working memory in these conditions. There was no clear evidence for benefit or detriment in speech recognition with Fast versus Slow WDRC, regardless of individual working memory.
先前的研究表明,使用不同宽动态范围压缩(WDRC)时间常数(快速作用或快速与慢速作用或慢速)的言语识别与个体工作记忆能力相关,尤其是在不利的聆听条件下。直到最近,这项研究大多局限于全向性助听器设置以及同置一处的言语和噪声,而大多数助听器都采用了方向性处理,这可能会在空间分离的条件下改善聆听环境,并与WDRC处理相互作用。本研究的主要目的是确定在适合波束形成器的空间条件(0°处有言语,180°处有噪声)下,个体工作记忆能力与不同WDRC时间常数、有无麦克风方向性(双耳波束形成器或波束模式与全向性或全向模式)时的噪声中言语识别之间是否存在关联。假设是,言语识别能力与不同WDRC时间常数之间的关系在全向模式下将取决于工作记忆,而在波束模式下这种关系将减弱。该研究还考察了这种关系是否与先前在同置一处条件下研究的工作记忆对WDRC时间常数的言语识别影响不同。
21名双侧轻度至中度重度感音神经性听力损失的听众重复听低语境句子与四说话者嘈杂声混合的声音,在同置一处(0°)和空间分离(180°)条件下,以0至10 dB的信噪比呈现。使用根据听众听力水平定制的可穿戴助听器呈现四种信号处理组合,这些组合将麦克风模式(波束或全向)和WDRC时间常数(快速或慢速)相结合。使用阅读广度测试测量个体工作记忆能力。使用信号失真度量来量化每个听众背景噪声和助听器处理产生的累积时间包络失真。在二次分析中,考察了空间分离条件下工作记忆在累积信号失真与言语识别关系中的作用。
无论麦克风模式或空间条件如何,快速WDRC时的信号失真均大于慢速WDRC时的信号失真。正如预期的那样,波束模式相比全向模式减少了信号失真并改善了言语识别,尤其是在较差的信噪比下。与假设相反,不同WDRC时间常数的言语识别在波束或全向模式下(在空间分离条件下)并不取决于工作记忆。然而,工作记忆与累积信号失真之间存在显著交互作用,因此对于工作记忆较好的个体,言语识别随着失真降低以更快的速率增加。在全向模式下,工作记忆对不同空间条件(同置一处与空间分离)下言语识别的影响尚无定论。
研究结果凸显了双耳波束形成器对所有听众的益处,尤其是在听众前方目标言语的信噪比差且后方有噪声的情况下。在这些条件下,工作记忆较好的个体比工作记忆较差的个体更有可能从降低的信号失真中受益。无论个体工作记忆如何,没有明确证据表明快速与慢速WDRC在言语识别方面有有益或有害影响。