Sensitivity, reliability and convergent validity of sequential dual-task measures of listening effort

OBJECTIVE

The aim of the current study was to assess the sensitivity, reliability and convergent validity of objective measures of listening effort collected in a sequential dual-task.

DESIGN

On each trial, participants viewed a set of digits and listened to a spoken sentence presented at one of a range of signal-to-noise ratios (SNR) and then typed the sentence-final word and recalled the digits. Listening effort measures included word response time, digit recall accuracy and digit response time. In Experiment 1, SNR on each trial was randomised. In Experiment 2, SNR varied in a blocked design, and in each block self-reported listening effort was also collected.

STUDY SAMPLES

Separate groups of 40 young adults participated in each experiment.

RESULTS

Effects of SNR were observed for all measures. Linear effects of SNR were generally observed even with word recognition accuracy factored out of the models. Among the objective measures, reliability was excellent, and repeated-measures correlations, though not between-subjects correlations, were nearly all significant.

CONCLUSION

The objective measures assessed appear to be sensitive and reliable indices of listening effort that are non-redundant with speech intelligibility and have strong within-participants convergent validity. Results support use of these measures in future studies of listening effort.

Listening Over Time: Single-Trial Tonic and Phasic Oscillatory Alpha-and Theta-Band Indicators of Listening-Related Fatigue

Objectives

Listening effort engages cognitive resources to support speech understanding in adverse listening conditions, and leads to fatigue over the longer term for people with hearing loss. Direct, neural measures of listening-related fatigue have not been developed. Here, event-related or phasic changes in alpha and theta oscillatory power during listening were used as measures of listening effort, and longer-term or tonic changes over the course of the listening task were assessed as measures of listening-related fatigue. In addition, influences of self-reported fatigue and degree of hearing loss on tonic changes in oscillatory power were examined.

Design

Participants were middle-aged adults (age 37–65 years; n = 12) with age-appropriate hearing. Sentences were presented in a background of multi-talker babble at a range of signal-to-noise ratios (SNRs) varying around the 80 percent threshold of individual listeners. Single-trial oscillatory power during both sentence and baseline intervals was analyzed with linear mixed-effect models that included as predictors trial number, SNR, subjective fatigue, and hearing loss.

Results

Alpha and theta power in both sentence presentation and baseline intervals increased as a function of trial, indicating listening-related fatigue. Further, tonic power increases across trials were affected by hearing loss and/or subjective fatigue, particularly in the alpha-band. Phasic changes in alpha and theta power generally tracked with SNR, with decreased alpha power and increased theta power at less favorable SNRs. However, for the alpha-band, the linear effect of SNR emerged only at later trials.

Conclusion

Tonic increases in oscillatory power in alpha- and theta-bands over the course of a listening task may be biomarkers for the development of listening-related fatigue. In addition, alpha-band power as an index of listening-related fatigue may be sensitive to individual differences attributable to level of hearing loss and the subjective experience of listening-related fatigue. Finally, phasic effects of SNR on alpha power emerged only after a period of listening, suggesting that this measure of listening effort could depend on the development of listening-related fatigue.

Dual-Task Accuracy and Response Time Index Effects of Spoken Sentence Predictability and Cognitive Load on Listening Effort

A sequential dual-task design was used to assess the impacts of spoken sentence context and cognitive load on listening effort. Young adults with normal hearing listened to sentences masked by multitalker babble in which sentence-final words were either predictable or unpredictable. Each trial began with visual presentation of a short (low-load) or long (high-load) sequence of to-be-remembered digits. Words were identified more quickly and accurately in predictable than unpredictable sentence contexts. In addition, digits were recalled more quickly and accurately on trials on which the sentence was predictable, indicating reduced listening effort for predictable compared to unpredictable sentences. For word and digit recall response time but not for digit recall accuracy, the effect of predictability remained significant after exclusion of trials with incorrect word responses and was thus independent of speech intelligibility. In addition, under high cognitive load, words were identified more slowly and digits were recalled more slowly and less accurately than under low load. Participants’ working memory and vocabulary were not correlated with the sentence context benefit in either word recognition or digit recall. Results indicate that listening effort is reduced when sentences are predictable and that cognitive load affects the processing of spoken words in sentence contexts.

Early Postimplant Speech Perception and Language Skills Predict Long-Term Language and Neurocognitive Outcomes Following Pediatric Cochlear Implantation

Purpose

We sought to determine whether speech perception and language skills measured early after cochlear implantation in children who are deaf, and early postimplant growth in speech perception and language skills, predict long-term speech perception, language, and neurocognitive outcomes.

Method

Thirty-six long-term users of cochlear implants, implanted at an average age of 3.4 years, completed measures of speech perception, language, and executive functioning an average of 14.4 years postimplantation. Speech perception and language skills measured in the 1st and 2nd years postimplantation and open-set word recognition measured in the 3rd and 4th years postimplantation were obtained from a research database in order to assess predictive relations with long-term outcomes.

Results

Speech perception and language skills at 6 and 18 months postimplantation were correlated with long-term outcomes for language, verbal working memory, and parent-reported executive functioning. Open-set word recognition was correlated with early speech perception and language skills and long-term speech perception and language outcomes. Hierarchical regressions showed that early speech perception and language skills at 6 months postimplantation and growth in these skills from 6 to 18 months both accounted for substantial variance in long-term outcomes for language and verbal working memory that was not explained by conventional demographic and hearing factors.

Conclusion

Speech perception and language skills measured very early postimplantation, and early postimplant growth in speech perception and language, may be clinically relevant markers of long-term language and neurocognitive outcomes in users of cochlear implants.

Supplemental materials

https://doi.org/10.23641/asha.5216200.

Early effects of neighborhood density and phonotactic probability of spoken words on event-related potentials

All current models of spoken word recognition propose that sound-based representations of spoken words compete with, or inhibit, one another during recognition. In addition, certain models propose that higher probability sublexical units facilitate recognition under certain circumstances. Two experiments were conducted examining ERPs to spoken words and nonwords simultaneously varying in phonotactic probability and neighborhood density. Results showed that the amplitude of the P2 potential was greater for high probability-density words and nonwords, suggesting an early inhibitory effect of neighborhood density. In order to closely examine the role of phonotactic probability, effects of initial phoneme frequency were also examined. The latency of the P2 potential was shorter for words with high initial-consonant probability, suggesting a facilitative effect of phonotactic probability. The current results are consistent with findings from previous studies using reaction time and eye-tracking paradigms and provide new insights into the time-course of lexical and sublexical activation and competition.

The chemical origin of free radicals in coffee and other beverages

Sugars or carbohydrates are identified as the source of free radicals in coffees, ersatz coffees, a number of other food flavouring and colouring agents formed by processes involving heating, and in beers and stouts. The radicals are not derived from phenolic constituents, in contrast to those in wine, and are unlikely to be due solely to the occurrence of Maillard reactions.

Free radicals in red wine, but not in white?

By using Electron Spin Resonance (ESR) spectroscopy, we have detected free radicals in red wine, whether fermented on oak or not, and in white wine only when it has been fermented on oak. These radicals would appear to be associated with the phenolics, because the ESR signal from the residue of red wine treated with polyvinyl polypyrrolidone is reduced by approximately 80%. Any inhibition of lipid oxidation by red wine phenolics in vitro will take place in the presence of these radicals, which have a linewidth of 2.0 +/- 0.1 gauss and a g-value of 2.0038 +/- 0.0001.

Radiation induced EPR centers in foodstuffs and inorganic materials

EPR investigations of a variety of irradiated materials have provided the potential for useful dosimetry applications. Herbs and spices imported into Australia have been investigated to establish whether or not they have been irradiated. Post-irradiation studies have shown that there is more than one free radical species in most cases which decay rapidly with time. Changes to transition metal ion signals, e.g., Cu2+ or Fe3+, appear to be permanent against further irradiation. Thus if these signals change upon irradiation, the material almost certainly has not previously been irradiated. Power saturation studies of alanine, a favored dosimetry material, suggest two distinguishable types of behavior consistent with the presence of spin-flip transitions. Irradiation of vanadium doped beryl yields stable VO2+ ions which may provide a useful dosimetry material. Dosimetry applications would appear to demand low cost, user friendly, automated EPR spectrometers. A patented option based on a 2.5 GHz microstrip microwave bridge will be described briefly.

Estimation of the absorbed dose in radiation-processed food--1. Test of the EPR response function by a linear regression analysis

Free radicals produced in chicken bone tissue by 137Cs gamma-rays were measured using electron paramagnetic resonance spectroscopy. The yield of radicals was found to be proportional to the absorbed dose. Additive re-irradiation of previously irradiated bones is the basis of a method to estimate the absorbed dose in radiation-processed foods. The ability of the method to provide accurate dose assessments for a range of doses (0.5-7.4 kGy) is tested here. A linear fit to the data yields reasonable dose estimates for bone irradiated less than 2 kGy, but fails at the higher doses using a linear approximation to the dose response. These data and their implications are discussed.

Massive epistaxis from aneurysm of the carotid artery

The syndrome of massive and sometimes fatal epistaxis from an aneurysm of the internal carotid artery is reviewed. Two cases are reported in which exsanguination occurred with anterior and posterior gauze packing in place. The use of standard methods for controlling severe epistaxis in this syndrome was a futile exercise. This distressing and frustrating experience prompted the development of an emergency method to prevent exsanguination pending definitive surgical treatment. A description of this technique is presented and a proposal made for its use.

Epithelial surfaces of the upper gastrointestinal tract of the blue-tongues lizard, Tiliqua scincoides: a scanning electron microscope study

The surface epithelium of the oesophagus, stomach and small intestine of healty T. scincoides was examined by scanning electron microscopy and the findings confirmed by both light and transmission microscopy. The oesophagus was lined by ciliated, goblet and microvillous cells. Its topography appeared similar to the trachea and major bronchi of a number of mammals and birds. Throughout the length of the stomach microvillous cells were uniformly arranged on the gastric rugae. The cells were slightly convex and sparsely populated by microvilli, which appeared more numerous at intercellular margins. Swollen epithelial cells, approximately twice the size of the adjacent cells, were scattered throughout the gastric epithelium. Cells with focal apical erosions were found in isolated regions, being relatively more numerous in the distal stomach. The openings of the gastric glands were observed as invaginations of the epithelial surface and were most prominent near the tops of the gastric rugae. The small intestine was lined by epithelial cells covered by long, densely packed microvilli. Goblet cells were interspersed along the surface of the intestinal villi. Except for the oesophagus, the topography of the upper gastrointestinal tract of T. scincoides closely resembles that of homologous regions of the mammalian gut.

Effects of phototherapy on platelet counts in low-birthweight infants and on platelet production and life span in rabbits

The effects of conventional phototherapy on platelets in vivo were studied in rabbits and in low-birthweight infants. Rabbits were divided into three groups and individually treated continuously for 96 hours, with blue light, daylight, or no phototherapy. Incorporation of selenomethionine Se75 was used to evaluate platelet production and life span. Platelet turnover was significantly increased in the blue-light phototherapy group, and was also increased in the daylight group but to a lesser degree. Daily platelet counts and hematocrits were performed in infants weighing less than 2,000 gm at birth randomized at 24 +/- 12 hours of life to receive daylight phototherapy continuously for 96 hours (31 infants) or no phototherapy (26 infants). In 12 treated infants (38.7%) platelet counts fell below 150,000/cu mm whereas this occurred in only 3 (11.5%) of the controls. These two lower platelet count subgroups differed significantly in mean gestational age and birthweight with the phototherapy group being the more mature. Pre-phototherapy, the mean platelet count of these 12 infants was lower than the mean of the entire control group, suggesting that these infants had borderline marrow reserve before phototherapy was given. These results suggest that phototherapy increases the rate of platelet turnover. When bone marrow compensation is inadequate, the platelet count may fall.

Epithelial surfaces of the trachea and principal bronchi in the rat

The epithelial surfaces in the trachea and principal bronchi of healthy rats were examined by scanning electron microscopy. A system of four cell types, ciliated, microvillous, brush, and goblet cells, in this order of frequency, were found and intermediate type cells were not seen. An extensive area of the surface examined was covered by densely ciliated epithelium. The presence of other cell types beneath the cilia was confirmed by transmission electron microscopy. Areas up to 1 mm in diameter and randomly distributed were observed where microvillous cells predominated and only occasional ciliated cells were found. Most ciliated cells in these areas were adjacent to glandular openings or goblet cells. The larger microvilli of the brush cells were arranged in a coronal configuration elucidated by the scanning electron microscope. Preparatory techniques recently introduced for the examination of soft tissue in the scanning electron microscope facilitated the confirmation of cell types present and the microarchitecture of the epithelial surface.