Contextual effects in the measurement of hearing-impaired speakers' intelligibility.

Previous research has indicated that hearing-impaired speakers' intelligibility scores are better when sentences are used than when word lists are used as speech material in word identification tests. The speech intelligibility of 20 hearing-impaired speakers was measured with word identification tests using isolated words (W-22 monosyllables) and words in sentence context (CID sentences). Analysis of individual speakers' intelligibility data revealed that sentence intelligibility scores were higher than word intelligibility scores only for the better speakers and that no differences were apparent between sentence and single-word intelligibility for the poorer speakers. These findings agree with the results of research with normal speech degraded in intelligibility by noise or filtering and indicate that an interaction may exist between context and overall intelligibility in which only speech that has a certain degree of overall intelligibility may show further intelligibility improvement with increased contextual clues.