A comparison of threshold estimation methods in children 6-11 years of age

Development of binaural temporal fine structure sensitivity in children

The highest frequency for which the temporal fine structure (TFS) of a sinewave can be compared across ears varies between listeners with an upper limit of about 1400 Hz for young normal-hearing adults (YNHA). In this study, binaural TFS sensitivity was investigated for 63 typically developing children, aged 5 years, 6 months to 9 years, 4 months using the temporal fine structure-adaptive frequency (TFS-AF) test of Füllgrabe, Harland, Sęk, and Moore [Int. J. Audiol. 56, 926-935 (2017)]. The test assesses the highest frequency at which an interaural phase difference (IPD) of ϕ° can be distinguished from an IPD of 0°. The values of ϕ were 30° and 180°. The starting frequency was 200 Hz. The thresholds for the children were significantly lower (worse) than the thresholds reported by Füllgrabe, Harland, Sęk, and Moore [Int. J. Audiol. 56, 926-935 (2017)] for YNHA. For both values of ϕ, the median age at which children performed above chance level was significantly higher (p < 0.001) than for those who performed at chance. For the subgroup of 40 children who performed above chance for ϕ = 180°, the linear regression analyses showed that the thresholds for ϕ = 180° increased (improved) significantly with increasing age (p < 0.001) with adult-like thresholds predicted to be reached at 10 years, 2 months of age. The implications for spatial release from masking are discussed.

fNIRS Assessment of Speech Comprehension in Children with Normal Hearing and Children with Hearing Aids in Virtual Acoustic Environments: Pilot Data and Practical Recommendations

The integration of virtual acoustic environments (VAEs) with functional near-infrared spectroscopy (fNIRS) offers novel avenues to investigate behavioral and neural processes of speech-in-noise (SIN) comprehension in complex auditory scenes. Particularly in children with hearing aids (HAs), the combined application might offer new insights into the neural mechanism of SIN perception in simulated real-life acoustic scenarios. Here, we present first pilot data from six children with normal hearing (NH) and three children with bilateral HAs to explore the potential applicability of this novel approach. Children with NH received a speech recognition benefit from low room reverberation and target-distractors' spatial separation, particularly when the pitch of the target and the distractors was similar. On the neural level, the left inferior frontal gyrus appeared to support SIN comprehension during effortful listening. Children with HAs showed decreased SIN perception across conditions. The VAE-fNIRS approach is critically compared to traditional SIN assessments. Although the current study shows that feasibility still needs to be improved, the combined application potentially offers a promising tool to investigate novel research questions in simulated real-life listening. Future modified VAE-fNIRS applications are warranted to replicate the current findings and to validate its application in research and clinical settings.

Effect of level on spectral-ripple detection threshold for listeners with normal hearing and hearing loss

This study investigated the effect of presentation level on spectral-ripple detection for listeners with and without sensorineural hearing loss (SNHL). Participants were 25 listeners with normal hearing and 25 listeners with SNHL. Spectral-ripple detection thresholds (SRDTs) were estimated at three spectral densities (0.5, 2, and 4 ripples per octave, RPO) and three to four sensation levels (SLs) (10, 20, 40, and, when possible, 60 dB SL). Each participant was also tested at 90 dB sound pressure level (SPL). Results indicate that level affected SRDTs. However, the effect of level depended on ripple density and hearing status. For all listeners and all RPO conditions, SRDTs improved from 10 to 40 dB SL. In the 2- and 4-RPO conditions, SRDTs became poorer from the 40 dB SL to the 90 dB SPL condition. The results suggest that audibility likely controls spectral-ripple detection at low SLs for all ripple densities, whereas spectral resolution likely controls spectral-ripple detection at high SLs and ripple densities. For optimal ripple detection across all listeners, clinicians and researchers should use a SL of 40 dB SL. To avoid absolute-level confounds, a presentation level of 80 dB SPL can also be used.

Psychophysics with children: Investigating the effects of attentional lapses on threshold estimates

When assessing the perceptual abilities of children, researchers tend to use psychophysical techniques designed for use with adults. However, children's poorer attentiveness might bias the threshold estimates obtained by these methods. Here, we obtained speed discrimination threshold estimates in 6- to 7-year-old children in UK Key Stage 1 (KS1), 7- to 9-year-old children in Key Stage 2 (KS2), and adults using three psychophysical procedures: QUEST, a 1-up 2-down Levitt staircase, and Method of Constant Stimuli (MCS). We estimated inattentiveness using responses to "easy" catch trials. As expected, children had higher threshold estimates and made more errors on catch trials than adults. Lower threshold estimates were obtained from psychometric functions fit to the data in the QUEST condition than the MCS and Levitt staircases, and the threshold estimates obtained when fitting a psychometric function to the QUEST data were also lower than when using the QUEST mode. This suggests that threshold estimates cannot be compared directly across methods. Differences between the procedures did not vary significantly with age group. Simulations indicated that inattentiveness biased threshold estimates particularly when threshold estimates were computed as the QUEST mode or the average of staircase reversals. In contrast, thresholds estimated by post-hoc psychometric function fitting were less biased by attentional lapses. Our results suggest that some psychophysical methods are more robust to attentiveness, which has important implications for assessing the perception of children and clinical groups.

Psychophysical measurements in children: challenges, pitfalls, and considerations

Measuring sensory sensitivity is important in studying development and developmental disorders. However, with children, there is a need to balance reliable but lengthy sensory tasks with the child’s ability to maintain motivation and vigilance. We used simulations to explore the problems associated with shortening adaptive psychophysical procedures, and suggest how these problems might be addressed. We quantify how adaptive procedures with too few reversals can over-estimate thresholds, introduce substantial measurement error, and make estimates of individual thresholds less reliable. The associated measurement error also obscures group differences. Adaptive procedures with children should therefore use as many reversals as possible, to reduce the effects of both Type 1 and Type 2 errors. Differences in response consistency, resulting from lapses in attention, further increase the over-estimation of threshold. Comparisons between data from individuals who may differ in lapse rate are therefore problematic, but measures to estimate and account for lapse rates in analyses may mitigate this problem.

Relationship between behavioral and physiological spectral-ripple discrimination

Previous studies have found a significant correlation between spectral-ripple discrimination and speech and music perception in cochlear implant (CI) users. This relationship could be of use to clinicians and scientists who are interested in using spectral-ripple stimuli in the assessment and habilitation of CI users. However, previous psychoacoustic tasks used to assess spectral discrimination are not suitable for all populations, and it would be beneficial to develop methods that could be used to test all age ranges, including pediatric implant users. Additionally, it is important to understand how ripple stimuli are processed in the central auditory system and how their neural representation contributes to behavioral performance. For this reason, we developed a single-interval, yes/no paradigm that could potentially be used both behaviorally and electrophysiologically to estimate spectral-ripple threshold. In experiment 1, behavioral thresholds obtained using the single-interval method were compared to thresholds obtained using a previously established three-alternative forced-choice method. A significant correlation was found (r = 0.84, p = 0.0002) in 14 adult CI users. The spectral-ripple threshold obtained using the new method also correlated with speech perception in quiet and noise. In experiment 2, the effect of the number of vocoder-processing channels on the behavioral and physiological threshold in normal-hearing listeners was determined. Behavioral thresholds, using the new single-interval method, as well as cortical P1-N1-P2 responses changed as a function of the number of channels. Better behavioral and physiological performance (i.e., better discrimination ability at higher ripple densities) was observed as more channels added. In experiment 3, the relationship between behavioral and physiological data was examined. Amplitudes of the P1-N1-P2 "change" responses were significantly correlated with d' values from the single-interval behavioral procedure. Results suggest that the single-interval procedure with spectral-ripple phase inversion in ongoing stimuli is a valid approach for measuring behavioral or physiological spectral resolution.

Psychometric functions for pure tone intensity discrimination: slope differences in school-aged children and adults

Previous work on pure tone intensity discrimination in school-aged children concluded that children might have higher levels of internal noise than adults for this task [J. Acoust. Soc. Am. 120, 2777-2788 (2006)]. If true, this would imply that psychometric function slopes are shallower for children than adults, a prediction that was tested in the present experiment. Normal hearing children (5-9 yr) and adults were tested in a two-stage protocol. The first stage used a tracking procedure to estimate 71% correct for intensity discrimination with a gated 500 Hz pure tone and a 65 dB sound pressure level standard level. The mean and standard deviation of these tracks were used to identify a set of five signal levels for each observer. In the second stage of the experiment percent correct was estimated at these five levels. Psychometric functions fitted to these data were significantly shallower for children than adults, as predicted by the internal noise hypothesis. Data from both stages of testing are consistent with a model wherein performance is based on a stable psychometric function, with sensitivity limited by psychometric function slope. Across observers the relationship between slope and threshold conformed closely to predictions of a simple signal detection model.

A comparison of adaptive procedures for rapid and reliable threshold assessment and training in naive listeners

In psychoacoustic studies there is often a need to assess performance indices quickly and reliably. The aim of this study was to establish a quick and reliable procedure for evaluating thresholds in backward masking and frequency discrimination tasks. Based on simulations, four procedures likely to produce the best results were selected, and data collected from 20 naive adult listeners on each. Each procedure used one of two adaptive methods (staircase or maximum-likelihood estimation, each targeting the 79% correct point on the psychometric function) and two response paradigms (3-interval, 2-alternative forced-choice AXB or 3-interval; 3-alternative forced-choice oddball). All procedures yielded statistically equivalent threshold estimates in both backward masking and frequency discrimination, with a trend to lower thresholds for oddball procedures in frequency discrimination. Oddball procedures were both more efficient and more reliable (test-retest) in backward masking, but all four procedures were equally efficient and reliable in frequency discrimination. Fitted psychometric functions yielded similar thresholds to averaging over reversals in staircase procedures. Learning was observed across threshold-assessment blocks and experimental sessions. In four additional groups, each of ten listeners, trained on the different procedures, no differences in performance improvement or rate of learning were observed, suggesting that learning is independent of procedure.

A comparison of psychophysical procedures for level-discrimination thresholds

Five different psychophysical procedures were used to measure level-discrimination (also called intensity discrimination) thresholds for 1-kHz tones at two levels (30 and 90 dB SPL) and two durations (10 and 500 ms). The procedures were the classic transformed up-down staircase method with a two-alternative forced-choice (2AFC) paradigm (UPD), 15- and 50-trial implementations of the method of maximum likelihood (MML) with a cued yes-no paradigm, and 18-trial implementations of ZEST using both cued yes-no and 2AFC paradigms. Results obtained from nine normal listeners show that estimates of level-discrimination thresholds for the four conditions are similar across all five procedures when different points of convergence are accounted for. The variance of threshold estimates within listener and condition was smallest for UPD, largest for the MML with 15 trials, and statistically indistinguishable among the others. The sweat factors ranged from 5.5 for MML with 50 trials to about 1.4 for UPD and ZEST. Simulations show that ideal performance of procedures may be far from real-life experience and that these deviations are likely to depend on complex interactions between listener behavior and parameter choices used for implementing the procedures. Therefore, empirical verification is important for judging the effectiveness of psychophysical procedures.

Event-related potentials reflect individual differences in age-invariant auditory skills

Previous work has found that auditory event-related potentials show maturational changes, with latency and amplitude of late components (N1 and P2) decreasing and increasing with age respectively. Our goal was to test the hypothesis that these changes reflect increased speed of neural processing in the auditory system. Thirty-three listeners, aged 10-50 years, were tested on a frequency discrimination task and an auditory backward recognition masking task. P1 and N1b event-related potential components were measured to tones. The N1b became larger and earlier with age, and the latency of P1 decreased with age. However, thresholds on the behavioural tasks did not change with age. Nevertheless, individual differences in the peak amplitude of N1b were independently related to frequency discrimination and degree of masking. Thus, the relationship that does exist between individual differences in psychoacoustic performance and the auditory N1b reflect a stable characteristic of the individual rather than a maturational change.