A cautionary note on the use of the adaptive up-down method

Testing the Informativeness of Diverse Measures of Auditory Processing for Clinical Audiological Practice in Middle-Aged Adults in Mexico

PURPOSE

Standard clinical audiologic assessment is limited in its ability to capture variance in self-reported hearing difficulty. Additionally, the costs associated with clinical testing in audiology create financial barriers for hearing health care in developing countries like Mexico. This study used an open-source Spanish-language tool called PART (Portable Automated Rapid Testing) to test the hypothesis that a battery of assessments of auditory processing can complement standard clinical audiological assessment to better capture the variance of self-reported hearing difficulty.

METHOD

Forty-three adults between 40 and 69 years of age were tested in Mexico City using a traditional clinical pure-tone audiogram, cognitive screening, and a battery of PART-based auditory processing assessments including a speech-on-speech competition spatial release from masking task. Results were compared to self-reported hearing difficulty, assessed with a Spanish-language adaptation of the Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S).

RESULTS

Several measures from the PART battery exhibited stronger correlations with self-reported hearing difficulties than the pure-tone audiogram. The spatial release from masking task best captured variance in HHIE-S scores and remained significant after controlling for the effects of age, audibility, and cognitive score.

CONCLUSIONS

The spatial release from masking task can complement traditional clinical measures to better account for patient's self-reported hearing difficulty. Open-source access to this test in PART supports its implementation for Spanish speakers in clinical settings around the world at low cost.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.24470140.

Validation of the adaptive scan method in the quest for time-efficient methods of testing auditory processes

A major barrier to the clinical application of psychophysical testing of central auditory processes is the time required to obtain precise estimates of different listening abilities. In this study, we validate a novel adaptive scan (AS) method of threshold estimation that is designed to adapt on a range of values around threshold rather than on a single threshold value. This method has the advantage of providing the listener with greater familiarity with the stimulus characteristics near threshold while maintaining precise measurement and increasing time-efficiency. Additionally, we explore the time-efficiency of AS through comparison with two more conventional adaptive algorithms and the method of constant stimuli in two common psychophysical tasks: the detection of a gap in noise and the detection of a tone in noise. Seventy undergraduates without hearing complaints were tested using all four methods. The AS method provided similar threshold estimates with similar precision to those from the other adaptive methods and, thus, it is a valid adaptive method of psychophysical testing. We also provide an analysis of the AS method based on precision metrics to propose a shortened version of the algorithm that maximizes the time/precision tradeoff and can achieve similar thresholds to the adaptive methods tested in the validation. This work lays the foundation for using AS across a wide variety of psychophysical assessments and experimental situations where different levels of precision and/or time-efficiency may be required.

Consonant Perception in Connected Syllables Spoken at a Conversational Syllabic Rate

Closed-set consonant identification, measured using nonsense syllables, has been commonly used to investigate the encoding of speech cues in the human auditory system. Such tasks also evaluate the robustness of speech cues to masking from background noise and their impact on auditory-visual speech integration. However, extending the results of these studies to everyday speech communication has been a major challenge due to acoustic, phonological, lexical, contextual, and visual speech cue differences between consonants in isolated syllables and in conversational speech. In an attempt to isolate and address some of these differences, recognition of consonants spoken in multisyllabic nonsense phrases (e.g., aBaSHaGa spoken as /ɑbɑʃɑɡɑ/) produced at an approximately conversational syllabic rate was measured and compared with consonant recognition using Vowel-Consonant-Vowel bisyllables spoken in isolation. After accounting for differences in stimulus audibility using the Speech Intelligibility Index, consonants spoken in sequence at a conversational syllabic rate were found to be more difficult to recognize than those produced in isolated bisyllables. Specifically, place- and manner-of-articulation information was transmitted better in isolated nonsense syllables than for multisyllabic phrases. The contribution of visual speech cues to place-of-articulation information was also lower for consonants spoken in sequence at a conversational syllabic rate. These data imply that auditory-visual benefit based on models of feature complementarity from isolated syllable productions may over-estimate real-world benefit of integrating auditory and visual speech cues.

Development and validation of a Spanish-language spatial release from masking task in a Mexican population

This study validates a new Spanish-language version of the Coordinate Response Measure (CRM) corpus using a well-established measure of spatial release from masking (SRM). Participants were 96 Spanish-speaking young adults without hearing complaints in Mexico City. To present the Spanish-language SRM test, we created new recordings of the CRM with Spanish-language Translations and updated the freely available app (PART; https://ucrbraingamecenter.github.io/PART_Utilities/) to present materials in Spanish. In addition to SRM, we collected baseline data on a battery of non-speech auditory assessments, including detection of frequency modulations, temporal gaps, and modulated broadband noise in the temporal, spectral, and spectrotemporal domains. Data demonstrate that the newly developed speech and non-speech tasks show similar reliability to an earlier report in English-speaking populations. This study demonstrates an approach by which auditory assessment for clinical and basic research can be extended to Spanish-speaking populations for whom testing platforms are not currently available.

Propagation and update of auditory perceptual priors through alpha and theta rhythms

To maintain a continuous and coherent percept over time, the brain makes use of past sensory information to anticipate forthcoming stimuli. We recently showed that auditory experience of the immediate past is propagated through ear-specific reverberations, manifested as rhythmic fluctuations of decision bias at alpha frequencies. Here, we apply the same time-resolved behavioural method to investigate how perceptual performance changes over time under conditions of stimulus expectation and to examine the effect of unexpected events on behaviour. As in our previous study, participants were required to discriminate the ear-of-origin of a brief monaural pure tone embedded in uncorrelated dichotic white noise. We manipulated stimulus expectation by increasing the target probability in one ear to 80%. Consistent with our earlier findings, performance did not remain constant across trials, but varied rhythmically with delay from noise onset. Specifically, decision bias showed a similar oscillation at ~9 Hz, which depended on ear congruency between successive targets. This suggests rhythmic communication of auditory perceptual history occurs early and is not readily influenced by top-down expectations. In addition, we report a novel observation specific to infrequent, unexpected stimuli that gave rise to oscillations in accuracy at ~7.6 Hz one trial after the target occurred in the non-anticipated ear. This new behavioural oscillation may reflect a mechanism for updating the sensory representation once a prediction error has been detected.

Order effects in two-alternative forced-choice tasks invalidate adaptive threshold estimates

Adaptive psychophysical methods are widely used for the quick estimation of percentage points (thresholds) on psychometric functions for two-alternative forced-choice (2AFC) tasks. The use of adaptive methods is supported by numerous simulation studies documenting their performance, which have shown that thresholds can be reasonably estimated with them when their founding assumptions hold. One of these assumptions is that the psychometric function is invariant, but empirical evidence is mounting that human performance in 2AFC tasks needs to be described by two different psychometric functions, one that holds when the test stimulus is presented first in the 2AFC trial and a different one that holds when the test is presented second. The same holds when presentations are instead simultaneous at two spatial locations rather than sequential. We re-evaluated the performance of adaptive methods in the presence of these order effects via simulation studies and an empirical study with human observers. The simulation study showed that thresholds are severely overestimated by adaptive methods in these conditions, and the empirical study corroborated these findings. These results question the validity of threshold estimates obtained with adaptive methods that incorrectly assume the psychometric function to be invariant with presentation order. Alternative ways in which thresholds can be accurately estimated in the presence of order effects are discussed.

Portable Automated Rapid Testing (PART) for auditory assessment: Validation in a young adult normal-hearing population

This study aims to determine the degree to which Portable Automated Rapid Testing (PART), a freely available program running on a tablet computer, is capable of reproducing standard laboratory results. Undergraduate students were assigned to one of three within-subject conditions that examined repeatability of performance on a battery of psychoacoustical tests of temporal fine structure processing, spectro-temporal amplitude modulation, and targets in competition. The repeatability condition examined test/retest with the same system, the headphones condition examined the effects of varying headphones (passive and active noise-attenuating), and the noise condition examined repeatability in the presence of recorded cafeteria noise. In general, performance on the test battery showed high repeatability, even across manipulated conditions, and was similar to that reported in the literature. These data serve as validation that suprathreshold psychoacoustical tests can be made accessible to run on consumer-grade hardware and perform in less controlled settings. This dataset also provides a distribution of thresholds that can be used as a normative baseline against which auditory dysfunction can be identified in future work.

Dichoptic Spatial Contrast Sensitivity Reflects Binocular Balance in Normal and Stereoanomalous Subjects

Purpose

To study binocular balance by comparing dichoptic and standard monocular contrast sensitivity function (CSF) in stereonormal and stereoanomalous/stereoblind amblyopic subjects.

Methods

Sixteen amblyopes and 17 controls participated. Using the capability of the passive three-dimensional display, we measured their CSF both monocularly and dichoptically at spatial frequencies 0.5, 1, 2, 4, and 8 cpds using achromatic Gabor patches on a luminance noise background. During monocular stimulation, the untested eye was covered, while for the dichoptic stimulation the untested eye viewed background noise. Dichoptic CSF of both eyes was acquired within one block.

Results

In patients with central fixation, dichoptic viewing had a large negative impact on the CSF of the amblyopic eye, although it hardly affected that of the dominant eye. In contrast, dichoptic viewing had a small but significant effect on both eyes for controls. In addition, all participants lay along a continuum in terms of how much their two eyes were affected by dichoptic stimulation: by using two predefined contrast sensitivity ratios, namely, amblyopic sensitivity decrement and dichoptic sensitivity decrement, not only did we find a significant correlation between these variables among all participants, but also the two groups were identified with minimum error using a cluster analysis.

Conclusions

Dichoptic CSF may be considered to measure visual performance in patients with altered binocular vision, because it better reflects the visual capacity of the amblyopic eye than the standard monocular examinations. It may also be a more reliable parameter to assess the efficacy of modern approaches to treat amblyopia.

The Do's and Don'ts of Psychophysical Methods for Interpretability of Psychometric Functions and Their Descriptors

Many areas of research require measuring psychometric functions or their descriptors (thresholds, slopes, etc.). Data for this purpose are collected with psychophysical methods of various types and justification for the interpretation of results arises from a model of performance grounded in signal detection theory. Decades of research have shown that psychophysical data display features that are incompatible with such framework, questioning the validity of interpretations obtained under it and revealing that psychophysical performance is more complex than this framework entertains. This paper describes the assumptions and formulation of the conventional framework for the two major classes of psychophysical methods (single- and dual-presentation methods) and presents various lines of empirical evidence that the framework is inconsistent with. An alternative framework is then described and shown to account for all the characteristics that the conventional framework regards as anomalies. This alternative process model explicitly separates the sensory, decisional, and response components of performance and represents them via parameters whose estimation characterizes the corresponding processes. Retrospective and prospective evidence of the validity of the alternative framework is also presented. A formal analysis also reveals that some psychophysical methods and response formats are unsuitable for separation of the three components of observed performance. Recommendations are thus given regarding practices that should be avoided and those that should be followed to ensure interpretability of the psychometric function, or descriptors (detection threshold, difference limen, point of subjective equality, etc.) obtained with shortcut methods that do not require estimation of psychometric functions.

Auditory Perceptual History Is Propagated through Alpha Oscillations

Perception is a proactive, “predictive” process, in which the brain relies, at least in part, on accumulated experience to make best guesses about the world to test against sensory data, updating the guesses as new experience is acquired. Using novel behavioral methods, the present study demonstrates the role of alpha rhythms in communicating past perceptual experience. Participants were required to discriminate the ear of origin of brief sinusoidal tones that were presented monaurally at random times within a burst of uncorrelated dichotic white noise masks. Performance was not constant but varied with delay after noise onset in an oscillatory manner at about 9 Hz (alpha rhythm). Importantly, oscillations occurred only for trials preceded by a target tone to the same ear, either on the previous trial or two trials back. These results suggest that communication of perceptual history generates neural oscillations within specific perceptual circuits, strongly implicating behavioral oscillations in predictive perception and with formation of working memory.

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We demonstrate the role of alpha rhythms in the propagation of perceptual history

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Auditory decisions were rhythmically biased by stimuli presented 1 or 2 trials back

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Bias oscillated at ∼9 Hz only when successive stimuli occurred in the same ear

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Alpha is strongly implicated in predictive perception and working memory formation

Psychophysical Tests Do Not Identify Ocular Dominance Consistently

Classical sighting or sensory tests are used in clinical practice to identify the dominant eye. Several psychophysical tests were recently proposed to quantify the magnitude of dominance but whether their results agree was never investigated. We addressed this question for the two most common psychophysical tests: The perceived-phase test, which measures the cyclopean appearance of dichoptically presented sinusoids of different phase, and the coherence-threshold test, which measures interocular differences in motion perception when signal and noise stimuli are presented dichoptically. We also checked for agreement with three classical tests (Worth 4-dot, Randot suppression, and Bagolini lenses). Psychophysical tests were administered in their conventional form and also using more dependable psychophysical methods. The results showed weak correlations between psychophysical measures of strength of dominance with inconsistent identification of the dominant eye across tests: Agreement on left-eye dominance, right-eye dominance, or nondominance by both tests occurred only for 11 of 40 observers (27.5%); the remaining 29 observers were classified differently by each test, including 14 cases (35%) of opposite classification (left-eye dominance by one test and right-eye dominance by the other). Classical tests also yielded conflicting results that did not agree well with classification based on psychophysical tests. The results are discussed in the context of determination of ocular dominance for clinical decisions.

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.

Enhanced perception of pitch changes in speech and music in early blind adults

It is well known that congenitally blind adults have enhanced auditory processing for some tasks. For instance, they show supra-normal capacity to perceive accelerated speech. However, only a few studies have investigated basic auditory processing in this population. In this study, we investigated if pitch processing enhancement in the blind is a domain-general or domain-specific phenomenon, and if pitch processing shares the same properties as in the sighted regarding how scores from different domains are associated. Fifteen congenitally blind adults and fifteen sighted adults participated in the study. We first created a set of personalized native and non-native vowel stimuli using an identification and rating task. Then, an adaptive discrimination paradigm was used to determine the frequency difference limen for pitch direction identification of speech (native and non-native vowels) and non-speech stimuli (musical instruments and pure tones). The results show that the blind participants had better discrimination thresholds than controls for native vowels, music stimuli, and pure tones. Whereas within the blind group, the discrimination thresholds were smaller for musical stimuli than speech stimuli, replicating previous findings in sighted participants, we did not find this effect in the current control group. Further analyses indicate that older sighted participants show higher thresholds for instrument sounds compared to speech sounds. This effect of age was not found in the blind group. Moreover, the scores across domains were not associated to the same extent in the blind as they were in the sighted. In conclusion, in addition to providing further evidence of compensatory auditory mechanisms in early blind individuals, our results point to differences in how auditory processing is modulated in this population.

Pitch priming in sequences of two sounds

Frequency discrimination limens (FDLs) were measured for pairs of stimuli differing from each other with respect to pitch salience. One of the two stimuli to be compared within a trial was a pure tone of at least 100 ms, evoking a salient pitch, while the other stimulus consisted of only eight sinusoidal cycles (experiment 1), or was a noise band with a Gaussian spectral envelope, evoking a weak pitch corresponding to the peak frequency (experiment 2). From trial to trial, frequency was varied randomly and widely. In both experiments, the FDLs were lower, by an average factor of about 3, when the stimulus with the more salient pitch preceded the other stimulus than vice versa. Evidence is presented against an interpretation of this temporal asymmetry in terms of memory limitations. It is suggested that the asymmetry reflects a pitch-priming effect. In two additional experiments, both of the stimuli to be compared within a trial were very short tone bursts or noise bands; perceptually, they differed only with respect to pitch height. Performance was markedly better than in experiments 1 and 2, and was not improved when the two stimuli were preceded by a 300-ms tone intended to produce pitch priming.

Feasibility of error-based electrotactile and auditive feedback in prosthetic walking

BACKGROUND AND AIM

Several studies have shown that feedback in upper-leg prostheses is possible, but slow or difficult to interpret. In this study, electrotactile and auditive error-based feedback, only giving feedback when an undesired event occurs, were tested for its use in upper-leg prosthesis when provided during a perturbation.

TECHNIQUE

A total of nine healthy subjects walked on a prosthetic simulator which was disturbed at the end of the swing phase. They received either no feedback, electrotactile feedback, or auditive feedback at the time of the perturbation.

DISCUSSION

The reaction time of the subjects only improved by 40 ms when using auditory feedback, compared to the no-feedback condition. No changes in reaction time were found in the electrotactile feedback condition. Considering perturbation detection was not taken into account in this study, this improvement is not enough for practical applications in upper-leg prosthesis.

CLINICAL RELEVANCE

Many transfemoral amputees are insecure about their prosthesis, are afraid of falling, or actually fall. Providing feedback specifically during a perturbation may prevent them from falling, or at least give them a chance to react.

Does time ever fly or slow down? The difficult interpretation of psychophysical data on time perception

Time perception is studied with subjective or semi-objective psychophysical methods. With subjective methods, observers provide quantitative estimates of duration and data depict the psychophysical function relating subjective duration to objective duration. With semi-objective methods, observers provide categorical or comparative judgments of duration and data depict the psychometric function relating the probability of a certain judgment to objective duration. Both approaches are used to study whether subjective and objective time run at the same pace or whether time flies or slows down under certain conditions. We analyze theoretical aspects affecting the interpretation of data gathered with the most widely used semi-objective methods, including single-presentation and paired-comparison methods. For this purpose, a formal model of psychophysical performance is used in which subjective duration is represented via a psychophysical function and the scalar property. This provides the timing component of the model, which is invariant across methods. A decisional component that varies across methods reflects how observers use subjective durations to make judgments and give the responses requested under each method. Application of the model shows that psychometric functions in single-presentation methods are uninterpretable because the various influences on observed performance are inextricably confounded in the data. In contrast, data gathered with paired-comparison methods permit separating out those influences. Prevalent approaches to fitting psychometric functions to data are also discussed and shown to be inconsistent with widely accepted principles of time perception, implicitly assuming instead that subjective time equals objective time and that observed differences across conditions do not reflect differences in perceived duration but criterion shifts. These analyses prompt evidence-based recommendations for best methodological practice in studies on time perception.

Individual differences in sour and salt sensitivity: detection and quality recognition thresholds for citric acid and sodium chloride

Taste sensitivity is assessed with various techniques, including absolute detection and quality recognition. For any stimulus, one might expect individual differences in sensitivity to be reflected in all measures, but they are often surprisingly independent. Here, we focus on sensitivity to sour and salty taste, in part because processing of these qualities is poorly understood relative to other tastes. In Study 1, we measured retest reliability for detection (modified, forced-choice staircase method) and recognition (modified Harris-Kalmus procedure) for both citric acid (CA) and sodium chloride (NaCl). Despite good retest reliability, individual differences in detection and recognition were weakly correlated, suggesting that detection and recognition of sour and salty stimuli may reflect different physiological processes. In Study 2, a subset of subjects returned to contribute full detection (psychometric) functions for CA and NaCl. Thresholds estimated from full detection functions correlated with both staircase and recognition thresholds, suggesting that both tasks may reflect absolute sensitivity to some extent. However, the ranges of individual differences were systematically compressed for staircase thresholds relative to those from full detection functions. Thus, individual differences in sensitivity appear to interact with different test methodologies in lawful ways. More work will be required to understand how different taste phenotypes relate to one another.