Effect of fundamental-frequency and sentence-onset differences on speech-identification performance of young and older adults in a competing-talker background

Effects of entropy in real-world noise on speech perception in listeners with normal hearing and hearing lossa)

Hearing aids show more benefit in traditional laboratory speech-in-noise tests than in real-world noisy environments. Real-world noise comprises a large range of acoustic properties that vary randomly and rapidly between and within environments, making quantifying real-world noise and using it in experiments and clinical tests challenging. One approach is to use acoustic features and statistics to quantify acoustic properties of real-world noise and control for them or measure their relationship to listening performance. In this study, the complexity of real-world noise from different environments was quantified using entropy in both the time- and frequency-domains. A distribution of noise segments from low to high entropy were extracted. Using a trial-by-trial design, listeners with normal hearing and hearing loss (in aided and unaided conditions) repeated back sentences embedded in these noise segments. Entropy significantly affected speech perception, with a larger effect of entropy in the time-domain than the frequency-domain, a larger effect for listeners with normal hearing than for listeners with hearing loss, and a larger effect for listeners with hearing loss in the aided than unaided condition. Speech perception also differed between most environment types. Combining entropy with the environment type improved predictions of speech perception above the environment type alone.

Frequency detection, frequency discrimination, and spectro-temporal pattern perception in older and younger typically hearing adults

Elderly adults often experience difficulties in speech understanding, possibly due to age-related deficits in frequency perception. It is unclear whether age-related deficits in frequency perception differ between the apical or basal regions of the cochlea. It is also unclear how aging might differently affect frequency discrimination or detection of a change in frequency within a stimulus. In the present study, pure-tone frequency thresholds were measured in 19 older (61-74 years) and 20 younger (22-28 years) typically hearing adults. Participants were asked to discriminate between reference and probe frequencies or to detect changes in frequency within a probe stimulus. Broadband spectro-temporal pattern perception was also measured using the spectro-temporal modulated ripple test (SMRT). Frequency thresholds were significantly poorer in the basal than in the apical region of the cochlea; the deficit in the basal region was 2 times larger for the older than for the younger group. Frequency thresholds were significantly poorer in the older group, especially in the basal region where frequency detection thresholds were 3.9 times poorer for the older than for the younger group. SMRT thresholds were 1.5 times better for the younger than for the older group. Significant age effects were observed for SMRT thresholds and for frequency thresholds only in the basal region. SMRT thresholds were significantly correlated with frequency thresholds only in the older group. The poorer frequency and spectro-temporal pattern perception may contribute to age-related deficits in speech perception, even when audiometric thresholds are nearly normal.

Differences in a Musician's Advantage for Speech-in-Speech Perception Based on Age and Task

PURPOSE

This study investigates the debate that musicians have an advantage in speech-in-noise perception from years of targeted auditory training. We also consider the effect of age on any such advantage, comparing musicians and nonmusicians (age range: 18-66 years), all of whom had normal hearing. We manipulate the degree of fundamental frequency (f _o) separation between the competing talkers, as well as use different tasks, to probe attentional differences that might shape a musician's advantage across ages.

METHOD

Participants (ranging in age from 18 to 66 years) included 29 musicians and 26 nonmusicians. They completed two tasks varying in attentional demands: (a) a selective attention task where listeners identify the target sentence presented with a one-talker interferer (Experiment 1), and (b) a divided attention task where listeners hear two vowels played simultaneously and identify both competing vowels (Experiment 2). In both paradigms, f _o separation was manipulated between the two voices (Δf _o = 0, 0.156, 0.306, 1, 2, 3 semitones).

RESULTS

Results show that increasing differences in f _o separation lead to higher accuracy on both tasks. Additionally, we find evidence for a musician's advantage across the two studies. In the sentence identification task, younger adult musicians show higher accuracy overall, as well as a stronger reliance on f _o separation. Yet, this advantage declines with musicians' age. In the double vowel identification task, musicians of all ages show an across-the-board advantage in detecting two vowels-and use f _o separation more to aid in stream separation-but show no consistent difference in double vowel identification.

CONCLUSIONS

Overall, we find support for a hybrid auditory encoding-attention account of music-to-speech transfer. The musician's advantage includes f _o, but the benefit also depends on the attentional demands in the task and listeners' age. Taken together, this study suggests a complex relationship between age, musical experience, and speech-in-speech paradigm on a musician's advantage.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.21956777.

Strategic perceptual weighting of acoustic cues for word stress in listeners with cochlear implants, acoustic hearing, or simulated bimodal hearing

Perception of word stress is an important aspect of recognizing speech, guiding the listener toward candidate words based on the perceived stress pattern. Cochlear implant (CI) signal processing is likely to disrupt some of the available cues for word stress, particularly vowel quality and pitch contour changes. In this study, we used a cue weighting paradigm to investigate differences in stress cue weighting patterns between participants listening with CIs and those with normal hearing (NH). We found that participants with CIs gave less weight to frequency-based pitch and vowel quality cues than NH listeners but compensated by upweighting vowel duration and intensity cues. Nonetheless, CI listeners' stress judgments were also significantly influenced by vowel quality and pitch, and they modulated their usage of these cues depending on the specific word pair in a manner similar to NH participants. In a series of separate online experiments with NH listeners, we simulated aspects of bimodal hearing by combining low-pass filtered speech with a vocoded signal. In these conditions, participants upweighted pitch and vowel quality cues relative to a fully vocoded control condition, suggesting that bimodal listening holds promise for restoring the stress cue weighting patterns exhibited by listeners with NH.

Aging Effect on Mandarin Chinese Vowel and Tone Identification in Six-Talker Babble

Purpose The purpose of this study was to measure Mandarin Chinese vowel-plus-tone identification in quiet and noise for younger and older listeners. Method Two types of noise served as the masker, namely, six-talker babble and babble-modulated noise, at two signal-to-noise ratios (SNRs) of -4 and -8 dB. Fourteen listeners from both age groups were recruited, and three sets of data analyses were conducted: the identification of vowel plus tone, the identification of vowel, and the identification of tone. Results Younger listeners outperformed older listeners in all listening conditions, whereas the younger-older listener difference became greater in noise than in quiet, indicating a more detrimental effect of noise for older listeners than for younger listeners. In addition, vowel identification showed slightly better scores than tone identification in noise, suggesting that noise appeared to affect tone perception more negatively than vowel perception in Mandarin Chinese. At -4 dB SNR, there was a significantly greater amount of informational masking (IM) and a greater amount of energetic masking (EM) for older listeners than for younger listeners. At -8 dB SNR, there was a greater amount of EM for older listeners than for younger listeners but with no group difference in the amount of IM. Conclusion These results suggest that older listeners received a more negative impact of noise for Mandarin Chinese phonemic and tone recognition and had a larger amount of IM or EM from competing speech noise than younger listeners, depending on the SNR.

Word Identification With Temporally Interleaved Competing Sounds by Younger and Older Adult Listeners

OBJECTIVES

The purpose of this experiment was to contribute to our understanding of the nature of age-related changes in competing speech perception using a temporally interleaved task.

DESIGN

Younger and older adults (n = 16/group) participated in this study. The target was a five-word sentence. The masker was one of the following: another five-word sentence; five brief samples of modulated noise; or five brief samples of environmental sounds. The stimuli were presented in a temporally interleaved manner, where the target and masker alternated in time, always beginning with the target. Word order was manipulated in the target (and in the masker during trials with interleaved words) to compare performance when the five words in each stream did versus did not create a syntactically correct sentence. Talker voice consistency also was examined by contrasting performance when each word in the target was spoken by the same talker or by different talkers; a similar manipulation was used for the masker when it consisted of words. Participants were instructed to repeat back the target words and ignore the intervening words or sounds. Participants also completed a subset of tests from the NIH Cognitive Toolbox.

RESULTS

Performance on this interleaved task was significantly associated with listener age and with a metric of cognitive flexibility, but it was not related to the degree of high-frequency hearing loss. Younger adults' performance on this task was better than that of older adults, especially for words located toward the end of the sentence. Both groups of participants were able to take advantage of correct word order in the target, and both were negatively affected, to a modest extent, when the masker words were in correct syntactic order. The two groups did not differ in how phonetic similarity between target and masker words influenced performance, and interleaved environmental sounds or noise had only a minimal effect for all listeners. The most robust difference between listener groups was found for the use of voice consistency: older adults, as compared with younger adults, were less able to take advantage of a consistent target talker within a trial.

CONCLUSIONS

Younger adults outperformed older adults when masker words were interleaved with target words. Results suggest that this difference was unlikely to be related to energetic masking and/or peripheral hearing loss. Rather, age-related changes in cognitive flexibility and problems encoding voice information appeared to underlie group differences. These results support the contention that, in real-life competing speech situations that produce both energetic and informational masking, older adults' problems are due to both peripheral and nonperipheral changes.

School-age children benefit from voice gender cue differences for the perception of speech in competing speech

Differences in speakers' voice characteristics, such as mean fundamental frequency (F0) and vocal-tract length (VTL), that primarily define speakers' so-called perceived voice gender facilitate the perception of speech in competing speech. Perceiving speech in competing speech is particularly challenging for children, which may relate to their lower sensitivity to differences in voice characteristics than adults. This study investigated the development of the benefit from F0 and VTL differences in school-age children (4-12 years) for separating two competing speakers while tasked with comprehending one of them and also the relationship between this benefit and their corresponding voice discrimination thresholds. Children benefited from differences in F0, VTL, or both cues at all ages tested. This benefit proportionally remained the same across age, although overall accuracy continued to differ from that of adults. Additionally, children's benefit from F0 and VTL differences and their overall accuracy were not related to their discrimination thresholds. Hence, although children's voice discrimination thresholds and speech in competing speech perception abilities develop throughout the school-age years, children already show a benefit from voice gender cue differences early on. Factors other than children's discrimination thresholds seem to relate more closely to their developing speech in competing speech perception abilities.

The effect of fundamental frequency contour similarity on multi-talker listening in older and younger adults

Older adults with hearing loss have greater difficulty recognizing target speech in multi-talker environments than young adults with normal hearing, especially when target and masker speech streams are perceptually similar. A difference in fundamental frequency (f0) contour depth is an effective stream segregation cue for young adults with normal hearing. This study examined whether older adults with varying degrees of sensorineural hearing loss are able to utilize differences in target/masker f0 contour depth to improve speech recognition in multi-talker listening. Speech recognition thresholds (SRTs) were measured for speech mixtures composed of target/masker streams with flat, normal, and exaggerated speaking styles, in which f0 contour depth systematically varied. Computational modeling estimated differences in energetic masking across listening conditions. Young adults had lower SRTs than older adults; a result that was partially explained by differences in audibility predicted by the model. However, audibility differences did not explain why young adults experienced a benefit from mismatched target/masker f0 contour depth, while in most conditions, older adults did not. Reduced ability to use segregation cues (differences in target/masker f0 contour depth), and deficits grouping speech with variable f0 contours likely contribute to difficulties experienced by older adults in challenging acoustic environments.

Suprathreshold Differences in Competing Speech Perception in Older Listeners With Normal and Impaired Hearing

Purpose Age-related declines in auditory temporal processing and cognition make older listeners vulnerable to interference from competing speech. This vulnerability may be increased in older listeners with sensorineural hearing loss due to additional effects of spectral distortion and accelerated cognitive decline. The goal of this study was to uncover differences between older hearing-impaired (OHI) listeners and older normal-hearing (ONH) listeners in the perceptual encoding of competing speech signals. Method Age-matched groups of 10 OHI and 10 ONH listeners performed the coordinate response measure task with a synthetic female target talker and a male competing talker at a target-to-masker ratio of +3 dB. Individualized gain was provided to OHI listeners. Each listener completed 50 baseline and 800 "bubbles" trials in which randomly selected segments of the speech modulation power spectrum (MPS) were retained on each trial while the remainder was filtered out. Average performance was fixed at 50% correct by adapting the number of segments retained. Multinomial regression was used to estimate weights showing the regions of the MPS associated with performance (a "classification image" or CImg). Results The CImg weights were significantly different between the groups in two MPS regions: a region encoding the shared phonetic content of the two talkers and a region encoding the competing (male) talker's voice. The OHI listeners demonstrated poorer encoding of the phonetic content and increased vulnerability to interference from the competing talker. Individual differences in CImg weights explained over 75% of the variance in baseline performance in the OHI listeners, whereas differences in high-frequency pure-tone thresholds explained only 10%. Conclusion Suprathreshold deficits in the encoding of low- to mid-frequency (~5-10 Hz) temporal modulations-which may reflect poorer "dip listening"-and auditory grouping at a perceptual and/or cognitive level are responsible for the relatively poor performance of OHI versus ONH listeners on a different-gender competing speech task. Supplemental Material https://doi.org/10.23641/asha.12568472.

Effects of auditory selective attention on neural phase: individual differences and short-term training

How does the brain follow a sound that is mixed with others in a noisy environment? One possible strategy is to allocate attention to task-relevant time intervals. Prior work has linked auditory selective attention to alignment of neural modulations with stimulus temporal structure. However, since this prior research used relatively easy tasks and focused on analysis of main effects of attention across participants, relatively little is known about the neural foundations of individual differences in auditory selective attention. Here we investigated individual differences in auditory selective attention by asking participants to perform a 1-back task on a target auditory stream while ignoring a distractor auditory stream presented 180° out of phase. Neural entrainment to the attended auditory stream was strongly linked to individual differences in task performance. Some variability in performance was accounted for by degree of musical training, suggesting a link between long-term auditory experience and auditory selective attention. To investigate whether short-term improvements in auditory selective attention are possible, we gave participants 2 ​h of auditory selective attention training and found improvements in both task performance and enhancements of the effects of attention on neural phase angle. Our results suggest that although there exist large individual differences in auditory selective attention and attentional modulation of neural phase angle, this skill improves after a small amount of targeted training.

Masked Sentence Recognition in Children, Young Adults, and Older Adults: Age-Dependent Effects of Semantic Context and Masker Type

OBJECTIVES

Masked speech recognition in normal-hearing listeners depends in part on masker type and semantic context of the target. Children and older adults are more susceptible to masking than young adults, particularly when the masker is speech. Semantic context has been shown to facilitate noise-masked sentence recognition in all age groups, but it is not known whether age affects a listener's ability to use context with a speech masker. The purpose of the present study was to evaluate the effect of masker type and semantic context of the target as a function of listener age.

DESIGN

Listeners were children (5 to 16 years), young adults (19 to 30 years), and older adults (67 to 81 years), all with normal or near-normal hearing. Maskers were either speech-shaped noise or two-talker speech, and targets were either semantically correct (high context) sentences or semantically anomalous (low context) sentences.

RESULTS

As predicted, speech reception thresholds were lower for young adults than either children or older adults. Age effects were larger for the two-talker masker than the speech-shaped noise masker, and the effect of masker type was larger in children than older adults. Performance tended to be better for targets with high than low semantic context, but this benefit depended on age group and masker type. In contrast to adults, children benefitted less from context in the two-talker speech masker than the speech-shaped noise masker. Context effects were small compared with differences across age and masker type.

CONCLUSIONS

Different effects of masker type and target context are observed at different points across the lifespan. While the two-talker masker is particularly challenging for children and older adults, the speech masker may limit the use of semantic context in children but not adults.

Prediction of individual speech recognition performance in complex listening conditions

This study examined how well individual speech recognition thresholds in complex listening scenarios could be predicted by a current binaural speech intelligibility model. Model predictions were compared with experimental data measured for seven normal-hearing and 23 hearing-impaired listeners who differed widely in their degree of hearing loss, age, as well as performance in clinical speech tests. The experimental conditions included two masker types (multi-talker or two-talker maskers), and two spatial conditions (maskers co-located with the frontal target or symmetrically separated from the target). The results showed that interindividual variability could not be well predicted by a model including only individual audiograms. Predictions improved when an additional individual "proficiency factor" was derived from one of the experimental conditions or a standard speech test. Overall, the current model can predict individual performance relatively well (except in conditions high in informational masking), but the inclusion of age-related factors may lead to even further improvements.

Developmental Effects in Children's Ability to Benefit From F0 Differences Between Target and Masker Speech

OBJECTIVES

The objectives of this study were to (1) evaluate the extent to which school-age children benefit from fundamental frequency (F0) differences between target words and competing two-talker speech, and (2) assess whether this benefit changes with age. It was predicted that while children would be more susceptible to speech-in-speech masking compared to adults, they would benefit from differences in F0 between target and masker speech. A second experiment was conducted to evaluate the relationship between frequency discrimination thresholds and the ability to benefit from target/masker differences in F0.

DESIGN

Listeners were children (5 to 15 years) and adults (20 to 36 years) with normal hearing. In the first experiment, speech reception thresholds (SRTs) for disyllabic words were measured in a continuous, 60-dB SPL two-talker speech masker. The same male talker produced both the target and masker speech (average F0 = 120 Hz). The level of the target words was adaptively varied to estimate the level associated with 71% correct identification. The procedure was a four-alternative forced-choice with a picture-pointing response. Target words either had the same mean F0 as the masker or it was shifted up by 3, 6, or 9 semitones. To determine the benefit of target/masker F0 separation on word recognition, masking release was computed by subtracting thresholds in each shifted-F0 condition from the threshold in the unshifted-F0 condition. In the second experiment, frequency discrimination thresholds were collected for a subset of listeners to determine whether sensitivity to F0 differences would be predictive of SRTs. The standard was the syllable /ba/ with an F0 of 250 Hz; the target stimuli had a higher F0. Discrimination thresholds were measured using a three-alternative, three-interval forced choice procedure.

RESULTS

Younger children (5 to 12 years) had significantly poorer SRTs than older children (13 to 15 years) and adults in the unshifted-F0 condition. The benefit of F0 separations generally increased with increasing child age and magnitude of target/masker F0 separation. For 5- to 7-year-olds, there was a small benefit of F0 separation in the 9-semitone condition only. For 8- to 12-year-olds, there was a benefit from both 6- and 9-semitone separations, but to a lesser degree than what was observed for older children (13 to 15 years) and adults, who showed a substantial benefit in the 6- and 9-semitone conditions. Examination of individual data found that children younger than 7 years of age did not benefit from any of the F0 separations tested. Results for the frequency discrimination task indicated that, while there was a trend for improved thresholds with increasing age, these thresholds were not predictive of the ability to use F0 differences in the speech-in-speech recognition task after controlling for age.

CONCLUSIONS

The overall pattern of results suggests that children's ability to benefit from F0 differences in speech-in-speech recognition follows a prolonged developmental trajectory. Younger children are less able to capitalize on differences in F0 between target and masker speech. The extent to which individual children benefitted from target/masker F0 differences was not associated with their frequency discrimination thresholds.

Contributions of Voice Expectations to Talker Selection in Younger and Older Adults With Normal Hearing

Focused attention on expected voice features, such as fundamental frequency (F0) and spectral envelope, may facilitate segregation and selection of a target talker in competing talker backgrounds. Age-related declines in attention may limit these abilities in older adults, resulting in poorer speech understanding in complex environments. To test this hypothesis, younger and older adults with normal hearing listened to sentences with a single competing talker. For most trials, listener attention was directed to the target by a cue phrase that matched the target talker's F0 and spectral envelope. For a small percentage of randomly occurring probe trials, the target's voice unexpectedly differed from the cue phrase in terms of F0 and spectral envelope. Overall, keyword recognition for the target talker was poorer for older adults than younger adults. Keyword recognition was poorer on probe trials than standard trials for both groups, and incorrect responses on probe trials contained keywords from the single-talker masker. No interaction was observed between age-group and the decline in keyword recognition on probe trials. Thus, reduced performance by older adults overall could not be attributed to declines in attention to an expected voice. Rather, other cognitive abilities, such as speed of processing and linguistic closure, were predictive of keyword recognition for younger and older adults. Moreover, the effects of age interacted with the sex of the target talker, such that older adults had greater difficulty understanding target keywords from female talkers than male talkers.

Perceptual sensitivity to, and electrophysiological encoding of, a complex periodic signal: effects of age

Objective: The purpose of this study was to investigate perceptual and electrophysiological encoding of complex periodic signals as a function of age. Design: Two groups of adults completed three listening tasks: a behavioural task of detection of a mistuned harmonic component in a complex tone, an electrophysiological measure of speech-evoked auditory brainstem response (sABR), and a speech-in-noise measure. Between group comparisons were undertaken for each task as well as pairwise correlation analyses for all tasks. Study sample: One group of younger adults (n = 20) and one group of older adults (n = 20) participated. All listeners had relatively normal audiometric thresholds (≤20 dB HL) from 250-4000 Hz. Results: Younger adults had better results than the older adults on all three tasks: sensitivity for detecting a mistuned harmonic, spectral encoding for sABR, and release from masking for the speech-in-noise test. There were no significant correlations between measures when evaluating the older adults in isolation. Conclusions: The results are consistent with the body of literature that demonstrates reduced temporal processing abilities for older adults. The combined method approach undertaken in this investigation did not result in correlations between the perceptual and electrophysiological measures of temporal processing.

Lexical Influences on Errors in Masked Speech Perception in Younger, Middle-Aged, and Older Adults

Purpose In situations with a competing talker, lexical properties of words in both streams affect the recognition of words in the to-be-attended target stream. In this study, we tested whether these lexical properties also influence the type of errors made by listeners across the adult life span. Method Errors from a corpus collected by Helfer and Jesse (2015) were categorized as phonologically similar to words in the target and/or masker streams. Younger, middle-aged, and older listeners had produced these errors when trying to identify key words from a target stream while ignoring a single-talker masker. Neighborhood density and lexical frequency of target words and masker words had been manipulated independently. Results Lexical properties of target words influenced all types of errors. With higher frequency maskers, the probability of responding with a masker word increased and the phonological influence of target words decreased. Lower levels of lexical competition for maskers increased the probability that listeners reported a word phonologically related to both masker and target words. The influence of masker words increased across the adult life span, as evidenced by phonological intrusions into responses and the temporary failure in selectively attending to the target stream. The effects of lexical properties on error patterns, however, were consistent across age groups. Conclusions The ease of recognition of words in both attended and unattended speech influences the breakdown of speech perception. These influences remain robust across the adult life span.

Age effects on the contributions of envelope and periodicity cues to recognition of interrupted speech in quiet and with a competing talker

Envelope and periodicity cues may provide redundant, additive, or synergistic benefits to speech recognition. The contributions of these cues may change under different listening conditions and may differ for younger and older adults. To address these questions, younger and older adults with normal hearing listened to interrupted sentences containing different combinations of envelope and periodicity cues in quiet and with a competing talker. Envelope and periodicity cues improved speech recognition for both groups, and their benefits were additive when both cues were available. Envelope cues were particularly important for older adults and for sentences with a competing talker.

Age effects on perceptual organization of speech: Contributions of glimpsing, phonemic restoration, and speech segregation

In realistic listening environments, speech perception requires grouping together audible fragments of speech, filling in missing information, and segregating the glimpsed target from the background. The purpose of this study was to determine the extent to which age-related difficulties with these tasks can be explained by declines in glimpsing, phonemic restoration, and/or speech segregation. Younger and older adults with normal hearing listened to sentences interrupted with silence or envelope-modulated noise, presented either in quiet or with a competing talker. Older adults were poorer than younger adults at recognizing keywords based on short glimpses but benefited more when envelope-modulated noise filled silent intervals. Recognition declined with a competing talker but this effect did not interact with age. Results of cognitive tasks indicated that faster processing speed and better visual-linguistic closure were predictive of better speech understanding. Taken together, these results suggest that age-related declines in speech recognition may be partially explained by difficulty grouping short glimpses of speech into a coherent message.

Age effects on perceptual organization of speech: Contributions of glimpsing, phonemic restoration, and speech segregation

In realistic listening environments, speech perception requires grouping together audible fragments of speech, filling in missing information, and segregating the glimpsed target from the background. The purpose of this study was to determine the extent to which age-related difficulties with these tasks can be explained by declines in glimpsing, phonemic restoration, and/or speech segregation. Younger and older adults with normal hearing listened to sentences interrupted with silence or envelope-modulated noise, presented either in quiet or with a competing talker. Older adults were poorer than younger adults at recognizing keywords based on short glimpses but benefited more when envelope-modulated noise filled silent intervals. Recognition declined with a competing talker but this effect did not interact with age. Results of cognitive tasks indicated that faster processing speed and better visual-linguistic closure were predictive of better speech understanding. Taken together, these results suggest that age-related declines in speech recognition may be partially explained by difficulty grouping short glimpses of speech into a coherent message.

The Effect of Aging and Priming on Same/Different Judgments Between Text and Partially Masked Speech

OBJECTIVES

It is well known from previous research that when listeners are told what they are about to hear before a degraded or partially masked auditory signal is presented, the speech signal "pops out" of the background and becomes considerably more intelligible. The goal of this research was to explore whether this priming effect is as strong in older adults as in younger adults.

DESIGN

Fifty-six adults-28 older and 28 younger-listened to "nonsense" sentences spoken by a female talker in the presence of a 2-talker speech masker (also female) or a fluctuating speech-like noise masker at 5 signal-to-noise ratios. Just before, or just after, the auditory signal was presented, a typed caption was displayed on a computer screen. The caption sentence was either identical to the auditory sentence or differed by one key word. The subjects' task was to decide whether the caption and auditory messages were the same or different. Discrimination performance was reported in d'. The strength of the pop-out perception was inferred from the improvement in performance that was expected from the caption-before order of presentation. A subset of 12 subjects from each group made confidence judgments as they gave their responses, and also completed several cognitive tests.

RESULTS

Data showed a clear order effect for both subject groups and both maskers, with better same-different discrimination performance for the caption-before condition than the caption-after condition. However, for the two-talker masker, the younger adults obtained a larger and more consistent benefit from the caption-before order than the older adults across signal-to-noise ratios. Especially at the poorer signal-to-noise ratios, older subjects showed little evidence that they experienced the pop-out effect that is presumed to make the discrimination task easier. On average, older subjects also appeared to approach the task differently, being more reluctant than younger subjects to report that the captions and auditory sentences were the same. Correlation analyses indicated a significant negative association between age and priming benefit in the two-talker masker and nonsignificant associations between priming benefit in this masker and either high-frequency hearing loss or performance on the cognitive tasks.

CONCLUSIONS

Previous studies have shown that older adults are at least as good, if not better, at exploiting context in speech recognition, as compared with younger adults. The current results are not in disagreement with those findings but suggest that, under some conditions, the automatic priming process that may contribute to benefits from context is not as strong in older as in younger adults.

Effect of frequency mismatch and band partitioning on vocal tract length perception in vocoder simulations of cochlear implant processing

The vocal tract length (VTL) of a speaker is an important voice cue that aids speech intelligibility in multi-talker situations. However, cochlear implant (CI) users demonstrate poor VTL sensitivity. This may be partially caused by the mismatch between frequencies received by the implant and those corresponding to places of stimulation along the cochlea. This mismatch can distort formant spacing, where VTL cues are encoded. In this study, the effects of frequency mismatch and band partitioning on VTL sensitivity were investigated in normal hearing listeners with vocoder simulations of CI processing. The hypotheses were that VTL sensitivity may be reduced by increased frequency mismatch and insufficient spectral resolution in how the frequency range is partitioned, specifically where formants lie. Moreover, optimal band partitioning might mitigate the detrimental effects of frequency mismatch on VTL sensitivity. Results showed that VTL sensitivity decreased with increased frequency mismatch and reduced spectral resolution near the low frequencies of the band partitioning map. Band partitioning was independent of mismatch, indicating that if a given partitioning is suboptimal, a better partitioning might improve VTL sensitivity despite the degree of mismatch. These findings suggest that customizing the frequency partitioning map may enhance VTL perception in individual CI users.

Age-Related Changes in Objective and Subjective Speech Perception in Complex Listening Environments

PURPOSE

A frequent complaint by older adults is difficulty communicating in challenging acoustic environments. The purpose of this work was to review and summarize information about how speech perception in complex listening situations changes across the adult age range.

METHOD

This article provides a review of age-related changes in speech understanding in complex listening environments and summarizes results from several studies conducted in our laboratory.

RESULTS

Both degree of high frequency hearing loss and cognitive test performance limit individuals' ability to understand speech in difficult listening situations as they age. The performance of middle-aged adults is similar to that of younger adults in the presence of noise maskers, but they experience substantially more difficulty when the masker is 1 or 2 competing speech messages. For the most part, middle-aged participants in studies conducted in our laboratory reported as much self-perceived hearing problems as did older adult participants.

CONCLUSIONS

Research supports the multifactorial nature of listening in real-world environments. Current audiologic assessment practices are often insufficient to identify the true speech understanding struggles that individuals experience in these situations. This points to the importance of giving weight to patients' self-reported difficulties.

PRESENTATION VIDEO

http://cred.pubs.asha.org/article.aspx?articleid=2601619.

Speech recognition in one- and two-talker maskers in school-age children and adults: Development of perceptual masking and glimpsing

Children perform more poorly than adults on a wide range of masked speech perception paradigms, but this effect is particularly pronounced when the masker itself is also composed of speech. The present study evaluated two factors that might contribute to this effect: the ability to perceptually isolate the target from masker speech, and the ability to recognize target speech based on sparse cues (glimpsing). Speech reception thresholds (SRTs) were estimated for closed-set, disyllabic word recognition in children (5-16 years) and adults in a one- or two-talker masker. Speech maskers were 60 dB sound pressure level (SPL), and they were either presented alone or in combination with a 50-dB-SPL speech-shaped noise masker. There was an age effect overall, but performance was adult-like at a younger age for the one-talker than the two-talker masker. Noise tended to elevate SRTs, particularly for older children and adults, and when summed with the one-talker masker. Removing time-frequency epochs associated with a poor target-to-masker ratio markedly improved SRTs, with larger effects for younger listeners; the age effect was not eliminated, however. Results were interpreted as indicating that development of speech-in-speech recognition is likely impacted by development of both perceptual masking and the ability recognize speech based on sparse cues.

Exploring Use of the Coordinate Response Measure in a Multitalker Babble Paradigm

PURPOSE

Three experiments examined the use of competing coordinate response measure (CRM) sentences as a multitalker babble.

METHOD

In Experiment I, young adults with normal hearing listened to a CRM target sentence in the presence of 2, 4, or 6 competing CRM sentences with synchronous or asynchronous onsets. In Experiment II, the condition with 6 competing sentences was explored further. Three stimulus conditions (6 talkers saying same sentence, 1 talker producing 6 different sentences, and 6 talkers each saying a different sentence) were evaluated with different methods of presentation. Experiment III examined the performance of older adults with hearing impairment in a subset of conditions from Experiment II.

RESULTS

In Experiment I, performance declined with increasing numbers of talkers and improved with asynchronous sentence onsets. Experiment II identified conditions under which an increase in the number of talkers led to better performance. In Experiment III, the relative effects of the number of talkers, messages, and onset asynchrony were the same for young and older listeners.

CONCLUSIONS

Multitalker babble composed of CRM sentences has masking properties similar to other types of multitalker babble. However, when the number of different talkers and messages are varied independently, performance is best with more talkers and fewer messages.

Effects of age and hearing loss on concurrent vowel identification

Differences in formant frequencies and fundamental frequencies (F0) are important cues for segregating and identifying two simultaneous vowels. This study assessed age- and hearing-loss-related changes in the use of these cues for recognition of one or both vowels in a pair and determined differences related to vowel identity and specific vowel pairings. Younger adults with normal hearing, older adults with normal hearing, and older adults with hearing loss listened to different-vowel and identical-vowel pairs that varied in F0 differences. Identification of both vowels as a function of F0 difference revealed that increased age affects the use of F0 and formant difference cues for different-vowel pairs. Hearing loss further reduced the use of these cues, which was not attributable to lower vowel sensation levels. High scores for one vowel in the pair and no effect of F0 differences suggested that F0 cues are important only for identifying both vowels. In contrast to mean scores, widely varying differences in effects of F0 cues, age, and hearing loss were observed for particular vowels and vowel pairings. These variations in identification of vowel pairs were not explained by acoustical models based on the location and level of formants within the two vowels.

Aging and the effect of target-masker alignment

Similarity between target and competing speech messages plays a large role in how easy or difficult it is to understand messages of interest. Much research on informational masking has used highly aligned target and masking utterances that are very similar semantically and syntactically. However, listeners rarely encounter situations in real life where they must understand one sentence in the presence of another (or more than one) highly aligned, syntactically similar competing sentence(s). The purpose of the present study was to examine the effect of syntactic/semantic similarity of target and masking speech in different spatial conditions among younger, middle-aged, and older adults. The results of this experiment indicate that differences in speech recognition between older and younger participants were largest when the masker surrounded the target and was more similar to the target, especially at more adverse signal-to-noise ratios. Differences among listeners and the effect of similarity were much less robust, and all listeners were relatively resistant to masking, when maskers were located on one side of the target message. The present results suggest that previous studies using highly aligned stimuli may have overestimated age-related speech recognition problems.

Modulation masking and glimpsing of natural and vocoded speech during single-talker modulated noise: Effect of the modulation spectrum

Compared to notionally steady-state noise, modulated maskers provide a perceptual benefit for speech recognition, in part due to preserved speech information during the amplitude dips of the masker. However, overlap in the modulation spectrum between the target speech and the competing modulated masker may potentially result in modulation masking, and thereby offset the release from energetic masking. The current study investigated masking release provided by single-talker modulated noise. The overlap in the modulation spectra of the target speech and the modulated noise masker was varied through time compression or expansion of the competing masker. Younger normal hearing adults listened to sentences that were unprocessed or noise vocoded to primarily limit speech recognition to the preserved temporal envelope cues. For unprocessed speech, results demonstrated improved performance with masker modulation spectrum shifted up or down compared to the target modulation spectrum, except for the most extreme time expansion. For vocoded speech, significant masking release was observed with the slowest masker rate. Perceptual results combined with acoustic analyses of the preserved glimpses of the target speech suggest contributions of modulation masking and cognitive-linguistic processing as factors contributing to performance.

Modulation masking and glimpsing of natural and vocoded speech during single-talker modulated noise: Effect of the modulation spectrum

Compared to notionally steady-state noise, modulated maskers provide a perceptual benefit for speech recognition, in part due to preserved speech information during the amplitude dips of the masker. However, overlap in the modulation spectrum between the target speech and the competing modulated masker may potentially result in modulation masking, and thereby offset the release from energetic masking. The current study investigated masking release provided by single-talker modulated noise. The overlap in the modulation spectra of the target speech and the modulated noise masker was varied through time compression or expansion of the competing masker. Younger normal hearing adults listened to sentences that were unprocessed or noise vocoded to primarily limit speech recognition to the preserved temporal envelope cues. For unprocessed speech, results demonstrated improved performance with masker modulation spectrum shifted up or down compared to the target modulation spectrum, except for the most extreme time expansion. For vocoded speech, significant masking release was observed with the slowest masker rate. Perceptual results combined with acoustic analyses of the preserved glimpses of the target speech suggest contributions of modulation masking and cognitive-linguistic processing as factors contributing to performance.

Speech recognition interference by the temporal and spectral properties of a single competing talker

This study investigated how speech recognition during speech-on-speech masking may be impaired due to the interaction between amplitude modulations of the target and competing talker. Young normal-hearing adults were tested in a competing talker paradigm where the target and/or competing talker was processed to primarily preserve amplitude modulation cues. Effects of talker sex and linguistic interference were also examined. Results suggest that performance patterns for natural speech-on-speech conditions are largely consistent with the same masking patterns observed for signals primarily limited to temporal amplitude modulations. However, results also suggest a role for spectral cues in talker segregation and linguistic competition.

On Older Listeners' Ability to Perceive Dynamic Pitch

PURPOSE

Natural speech comes with variation in pitch, which serves as an important cue for speech recognition. The present study investigated older listeners' dynamic pitch perception with a focus on interindividual variability. In particular, we asked whether some of the older listeners' inability to perceive dynamic pitch stems from the higher susceptibility to the interference from formant changes.

METHOD

A total of 22 older listeners and 21 younger controls with at least near-typical hearing were tested on dynamic pitch identification and discrimination tasks using synthetic monophthong and diphthong vowels.

RESULTS

The older listeners' ability to detect changes in pitch varied substantially, even when musical and linguistic experiences were controlled. The influence of formant patterns on dynamic pitch perception was evident in both groups of listeners. Overall, strong pitch contours (i.e., more dynamic) were perceived better than weak pitch contours (i.e., more monotonic), particularly with rising pitch patterns.

CONCLUSIONS

The findings are in accordance with the literature demonstrating some older individuals' difficulty perceiving dynamic pitch cues in speech. Moreover, they suggest that this problem may be prominent when the dynamic pitch is carried by natural speech and when the pitch contour is not strong.

Effects of Hearing Loss and Cognitive Load on Speech Recognition with Competing Talkers

Everyday communication frequently comprises situations with more than one talker speaking at a time. These situations are challenging since they pose high attentional and memory demands placing cognitive load on the listener. Hearing impairment additionally exacerbates communication problems under these circumstances. We examined the effects of hearing loss and attention tasks on speech recognition with competing talkers in older adults with and without hearing impairment. We hypothesized that hearing loss would affect word identification, talker separation and word recall and that the difficulties experienced by the hearing impaired listeners would be especially pronounced in a task with high attentional and memory demands. Two listener groups closely matched for their age and neuropsychological profile but differing in hearing acuity were examined regarding their speech recognition with competing talkers in two different tasks. One task required repeating back words from one target talker (1TT) while ignoring the competing talker whereas the other required repeating back words from both talkers (2TT). The competing talkers differed with respect to their voice characteristics. Moreover, sentences either with low or high context were used in order to consider linguistic properties. Compared to their normal hearing peers, listeners with hearing loss revealed limited speech recognition in both tasks. Their difficulties were especially pronounced in the more demanding 2TT task. In order to shed light on the underlying mechanisms, different error sources, namely having misunderstood, confused, or omitted words were investigated. Misunderstanding and omitting words were more frequently observed in the hearing impaired than in the normal hearing listeners. In line with common speech perception models, it is suggested that these effects are related to impaired object formation and taxed working memory capacity (WMC). In a post-hoc analysis, the listeners were further separated with respect to their WMC. It appeared that higher capacity could be used in the sense of a compensatory mechanism with respect to the adverse effects of hearing loss, especially with low context speech.

Understanding the speech-understanding problems of older adults

PURPOSE

The purpose of this article was to review recent research from our laboratory on the speech-understanding problems of older adults.

METHOD

The method involved a narrative review of previously reported data from our laboratory.

CONCLUSION

To date, the results from most of our studies have indicated that peripheral and cognitive factors are the primary contributors to the speech-understanding problems of older adults, with the relative mix of these 2 factors changing for unaided (primarily peripheral) and aided (primarily cognitive) listening conditions.

Sentence intelligibility during segmental interruption and masking by speech-modulated noise: Effects of age and hearing loss

This study investigated how single-talker modulated noise impacts consonant and vowel cues to sentence intelligibility. Younger normal-hearing, older normal-hearing, and older hearing-impaired listeners completed speech recognition tests. All listeners received spectrally shaped speech matched to their individual audiometric thresholds to ensure sufficient audibility with the exception of a second younger listener group who received spectral shaping that matched the mean audiogram of the hearing-impaired listeners. Results demonstrated minimal declines in intelligibility for older listeners with normal hearing and more evident declines for older hearing-impaired listeners, possibly related to impaired temporal processing. A correlational analysis suggests a common underlying ability to process information during vowels that is predictive of speech-in-modulated noise abilities. Whereas, the ability to use consonant cues appears specific to the particular characteristics of the noise and interruption. Performance declines for older listeners were mostly confined to consonant conditions. Spectral shaping accounted for the primary contributions of audibility. However, comparison with the young spectral controls who received identical spectral shaping suggests that this procedure may reduce wideband temporal modulation cues due to frequency-specific amplification that affected high-frequency consonants more than low-frequency vowels. These spectral changes may impact speech intelligibility in certain modulation masking conditions.

Sentence intelligibility during segmental interruption and masking by speech-modulated noise: Effects of age and hearing loss

This study investigated how single-talker modulated noise impacts consonant and vowel cues to sentence intelligibility. Younger normal-hearing, older normal-hearing, and older hearing-impaired listeners completed speech recognition tests. All listeners received spectrally shaped speech matched to their individual audiometric thresholds to ensure sufficient audibility with the exception of a second younger listener group who received spectral shaping that matched the mean audiogram of the hearing-impaired listeners. Results demonstrated minimal declines in intelligibility for older listeners with normal hearing and more evident declines for older hearing-impaired listeners, possibly related to impaired temporal processing. A correlational analysis suggests a common underlying ability to process information during vowels that is predictive of speech-in-modulated noise abilities. Whereas, the ability to use consonant cues appears specific to the particular characteristics of the noise and interruption. Performance declines for older listeners were mostly confined to consonant conditions. Spectral shaping accounted for the primary contributions of audibility. However, comparison with the young spectral controls who received identical spectral shaping suggests that this procedure may reduce wideband temporal modulation cues due to frequency-specific amplification that affected high-frequency consonants more than low-frequency vowels. These spectral changes may impact speech intelligibility in certain modulation masking conditions.

Competing Speech Perception in Middle Age

PURPOSE

This research forum article summarizes research from our laboratory that assessed middle-aged adults' ability to understand speech in the presence of competing talkers.

METHOD

The performance of middle-aged adults on laboratory-based speech understanding tasks was compared to that of younger and older adults.

RESULTS

Decline in the ability to understand speech in complex listening environments can be demonstrated in midlife. The specific auditory and cognitive contributors to these problems have yet to be established.

CONCLUSION

There is evidence that the ability to understand a target speech message in the presence of competing speech messages changes relatively early in the aging process. The nature and impact of these changes warrant further investigation.

Neural representation of concurrent harmonic sounds in monkey primary auditory cortex: implications for models of auditory scene analysis

The ability to attend to a particular sound in a noisy environment is an essential aspect of hearing. To accomplish this feat, the auditory system must segregate sounds that overlap in frequency and time. Many natural sounds, such as human voices, consist of harmonics of a common fundamental frequency (F0). Such harmonic complex tones (HCTs) evoke a pitch corresponding to their F0. A difference in pitch between simultaneous HCTs provides a powerful cue for their segregation. The neural mechanisms underlying concurrent sound segregation based on pitch differences are poorly understood. Here, we examined neural responses in monkey primary auditory cortex (A1) to two concurrent HCTs that differed in F0 such that they are heard as two separate "auditory objects" with distinct pitches. We found that A1 can resolve, via a rate-place code, the lower harmonics of both HCTs, a prerequisite for deriving their pitches and for their perceptual segregation. Onset asynchrony between the HCTs enhanced the neural representation of their harmonics, paralleling their improved perceptual segregation in humans. Pitches of the concurrent HCTs could also be temporally represented by neuronal phase-locking at their respective F0s. Furthermore, a model of A1 responses using harmonic templates could qualitatively reproduce psychophysical data on concurrent sound segregation in humans. Finally, we identified a possible intracortical homolog of the "object-related negativity" recorded noninvasively in humans, which correlates with the perceptual segregation of concurrent sounds. Findings indicate that A1 contains sufficient spectral and temporal information for segregating concurrent sounds based on differences in pitch.

Stimulus and listener factors affecting age-related changes in competing speech perception

The purpose of this study was to examine associations among hearing thresholds, cognitive ability, and speech understanding in adverse listening conditions within and between groups of younger, middle-aged, and older adults. Participants repeated back sentences played in the presence of several types of maskers (syntactically similar and syntactically different competing speech from one or two other talkers, and steady-state speech-shaped noise). They also completed tests of auditory short-term/working memory, processing speed, and inhibitory ability. Results showed that group differences in accuracy of word identification and in error patterns differed depending upon the number of masking voices; specifically, older and middle-aged individuals had particular difficulty, relative to younger subjects, in the presence of a single competing message. However, the effect of syntactic similarity was consistent across subject groups. Hearing loss, short-term memory, processing speed, and inhibitory ability were each related to some aspects of performance by the middle-aged and older participants. Notably, substantial age-related changes in speech recognition were apparent within the group of middle-aged listeners.

Decreased ability in the segregation of dynamically changing vowel-analog streams: a factor in the age-related cocktail-party deficit?

Pairs of harmonic complexes with different fundamental frequencies f0 (105 and 189 Hz or 105 and 136 Hz) but identical bandwidth (0.25–3 kHz) were band-pass filtered using a filter having an identical center frequency of 1 kHz. The filter's center frequency was modulated using a triangular wave having a 5-Hz modulation frequency f_mod to obtain a pair of vowel-analog waveforms with dynamically varying single-formant transitions. The target signal S contained a single modulation cycle starting either at a phase of −π/2 (up-down) or π/2 (down-up), whereas the longer distracter N contained several cycles of the modulating triangular wave starting at a random phase. The level at which the target formant's modulating phase could be correctly identified was adaptively determined for several distracter levels and several extents of frequency swing (10–55%) in a group of experienced normal-hearing young and a group of experienced elderly individuals with hearing loss not exceeding one considered moderate. The most important result was that, for the two f0 differences, all distracter levels, and all frequency swing extents tested, elderly listeners needed about 20 dB larger S/N ratios than the young. Results also indicate that identification thresholds of both the elderly and the young listeners are between 4 and 12 dB higher than similarly determined detection thresholds and that, contrary to detection, identification is not a linear function of distracter level. Since formant transitions represent potent cues for speech intelligibility, the large S/N ratios required by the elderly for correct discrimination of single-formant transition dynamics may at least partially explain the well-documented intelligibility loss of speech in babble noise by the elderly.

Advantages of binaural amplification to acceptable noise level of directional hearing aid users

Objectives

The goal of the present study was to examine whether Acceptable Noise Levels (ANLs) would be lower (greater acceptance of noise) in binaural listening than in monaural listening condition and also whether meaningfulness of background speech noise would affect ANLs for directional microphone hearing aid users. In addition, any relationships between the individual binaural benefits on ANLs and the individuals' demographic information were investigated.

Methods

Fourteen hearing aid users (mean age, 64 years) participated for experimental testing. For the ANL calculation, listeners' most comfortable listening levels and background noise level were measured. Using Korean ANL material, ANLs of all participants were evaluated under monaural and binaural amplification with a counterbalanced order. The ANLs were also compared across five types of competing speech noises, consisting of 1- through 8-talker background speech maskers. Seven young normal-hearing listeners (mean age, 27 years) participated for the same measurements as a pilot testing.

Results

The results demonstrated that directional hearing aid users accepted more noise (lower ANLs) with binaural amplification than with monaural amplification, regardless of the type of competing speech. When the background speech noise became more meaningful, hearing-impaired listeners accepted less amount of noise (higher ANLs), revealing that ANL is dependent on the intelligibility of the competing speech. The individuals' binaural advantages in ANLs were significantly greater for the listeners with longer experience of hearing aids, yet not related to their age or hearing thresholds.

Conclusion

Binaural directional microphone processing allowed hearing aid users to accept a greater amount of background noise, which may in turn improve listeners' hearing aid success. Informational masking substantially influenced background noise acceptance. Given a significant association between ANLs and duration of hearing aid usage, ANL measurement can be useful for clinical counseling of binaural hearing aid candidates or unsuccessful users.

Spatial and temporal modifications of multitalker speech can improve speech perception in older adults

Speech perception in multitalker environments often requires listeners to divide attention among several concurrent talkers before focusing on one talker with pertinent information. Such attentionally demanding tasks are particularly difficult for older adults due both to age-related hearing loss (presbacusis) and general declines in attentional processing and associated cognitive abilities. This study investigated two signal-processing techniques that have been suggested as a means of improving speech perception accuracy of older adults: time stretching and spatial separation of target talkers. Stimuli in each experiment comprised 2-4 fixed-form utterances in which listeners were asked to consecutively 1) detect concurrently spoken keywords in the beginning of the utterance (divided attention); and, 2) identify additional keywords from only one talker at the end of the utterance (selective attention). In Experiment 1, the overall tempo of each utterance was unaltered or slowed down by 25%; in Experiment 2 the concurrent utterances were spatially coincident or separated across a 180-degree hemifield. Both manipulations improved performance for elderly adults with age-appropriate hearing on both tasks. Increasing the divided attention load by attending to more concurrent keywords had a marked negative effect on performance of the selective attention task only when the target talker was identified by a keyword, but not by spatial location. These findings suggest that the temporal and spatial modifications of multitalker speech improved perception of multitalker speech primarily by reducing competition among cognitive resources required to perform attentionally demanding tasks.

Auditory and cognitive factors underlying individual differences in aided speech-understanding among older adults

This study was designed to address individual differences in aided speech understanding among a relatively large group of older adults. The group of older adults consisted of 98 adults (50 female and 48 male) ranging in age from 60 to 86 (mean = 69.2). Hearing loss was typical for this age group and about 90% had not worn hearing aids. All subjects completed a battery of tests, including cognitive (6 measures), psychophysical (17 measures), and speech-understanding (9 measures), as well as the Speech, Spatial, and Qualities of Hearing (SSQ) self-report scale. Most of the speech-understanding measures made use of competing speech and the non-speech psychophysical measures were designed to tap phenomena thought to be relevant for the perception of speech in competing speech (e.g., stream segregation, modulation-detection interference). All measures of speech understanding were administered with spectral shaping applied to the speech stimuli to fully restore audibility through at least 4000 Hz. The measures used were demonstrated to be reliable in older adults and, when compared to a reference group of 28 young normal-hearing adults, age-group differences were observed on many of the measures. Principal-components factor analysis was applied successfully to reduce the number of independent and dependent (speech understanding) measures for a multiple-regression analysis. Doing so yielded one global cognitive-processing factor and five non-speech psychoacoustic factors (hearing loss, dichotic signal detection, multi-burst masking, stream segregation, and modulation detection) as potential predictors. To this set of six potential predictor variables were added subject age, Environmental Sound Identification (ESI), and performance on the text-recognition-threshold (TRT) task (a visual analog of interrupted speech recognition). These variables were used to successfully predict one global aided speech-understanding factor, accounting for about 60% of the variance.

Auditory Training: Evidence for Neural Plasticity in Older Adults

Improvements in digital amplification, cochlear implants, and other innovations have extended the potential for improving hearing function; yet, there remains a need for further hearing improvement in challenging listening situations, such as when trying to understand speech in noise or when listening to music. Here, we review evidence from animal and human models of plasticity in the brain's ability to process speech and other meaningful stimuli. We considered studies targeting populations of younger through older adults, emphasizing studies that have employed randomized controlled designs and have made connections between neural and behavioral changes. Overall results indicate that the brain remains malleable through older adulthood, provided that treatment algorithms have been modified to allow for changes in learning with age. Improvements in speech-in-noise perception and cognition function accompany neural changes in auditory processing. The training-related improvements noted across studies support the need to consider auditory training strategies in the management of individuals who express concerns about hearing in difficult listening situations. Given evidence from studies engaging the brain's reward centers, future research should consider how these centers can be naturally activated during training.

Age-related deficits in the processing of fundamental frequency differences for the intelligibility of competing voices

A common complaint of older listeners is that they can hear speech, yet cannot understand it, especially when listening to speech in a background noise. When target and competing speech signals are concurrently presented, a difference in the fundamental frequency (ΔF0) between competing speech signals, which determines the pitch of voice, can be an important and commonly occurring cue to facilitate the separation of the target message from the interfering message, consequently improving intelligibility of the target message. To address the question of whether the older listeners have reduced ability to use ΔF0 and how the age-related deficits in the processing of ΔF0 are theoretically explained, this paper is divided into three parts. The first part of this article summarizes how the speech-communication difficulties that older listeners have are theoretically explained. In the second part, literatures on the perceptual benefits from ΔF0 and the age-related deficits on the use of ΔF0 are reviewed. As a final part, three theoretical models explaining the general processing of ΔF0 are compared to discuss which better explains the age-related deficits in the processing of ΔF0.

The Potential Role of the cABR in Assessment and Management of Hearing Impairment

Hearing aid technology has improved dramatically in the last decade, especially in the ability to adaptively respond to dynamic aspects of background noise. Despite these advancements, however, hearing aid users continue to report difficulty hearing in background noise and having trouble adjusting to amplified sound quality. These difficulties may arise in part from current approaches to hearing aid fittings, which largely focus on increased audibility and management of environmental noise. These approaches do not take into account the fact that sound is processed all along the auditory system from the cochlea to the auditory cortex. Older adults represent the largest group of hearing aid wearers; yet older adults are known to have deficits in temporal resolution in the central auditory system. Here we review evidence that supports the use of the auditory brainstem response to complex sounds (cABR) in the assessment of hearing-in-noise difficulties and auditory training efficacy in older adults.