Threshold Estimation and Speech Perception Under Hearing Loss Simulation: Examination of the Immersive Hearing Loss and Prosthesis Simulator.

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Title: Threshold Estimation and Speech Perception Under Hearing Loss Simulation: Examination of the Immersive Hearing Loss and Prosthesis Simulator.
Authors: Roman, Aaron M.1,2 aroman2@salus.edu, Pratt, Sheila R.2,3, Zhen, Leslie Q.2,3
Source: American Journal of Audiology. Mar2024, Vol. 33 Issue 1, p275-282. 8p.
Subject Terms: *Speech perception, *Simulation methods in education, *Comparative studies, *Hearing disorders, Recognition (Psychology), Hearing levels, Confidence intervals, Pearson correlation (Statistics), Descriptive statistics, Prosthesis design & construction, Data analysis software
Abstract: Purpose: Hearing loss simulation (HLS) has been recommended for clinical teaching and counseling of patients and their families, so that they can experience hearing impairment. However, few validated procedures for simulating hearing loss are available to instructors and practicing clinicians. The aim of this study was to assess the accuracy of the Immersive Hearing Loss and Prosthesis Simulator (I-HeLPS) on reducing hearing sensitivity and word recognition to determine its adequacy for educational and clinical use. Method: Thirty-seven young adults with normal hearing completed hearing threshold and word recognition testing under normal and simulated hearing losses. The accuracy of the nominal hearing threshold settings within the I-HeLPS software was assessed with behavioral detection of frequency-modulated pure tones presented in a calibrated sound field, while listeners wore I-HeLPS headphones. The impact of the HLSs on speech perception was measured using the California Consonant Test. Hearing thresholds, word identification accuracy, and sound confusions were compared across listening conditions. Results: Hearing thresholds increased systematically with worse simulated hearing loss. Performance on the California Consonant Test worsened, and the number of phoneme confusions increased with simulated hearing loss severity. Most of the confusions were place confusions with near neighbors and manner confusions increased as a function of increasing severity of simulated hearing loss. Conclusions: The I-HeLPS accurately elevated hearing thresholds with increasing HLS severity and impacted word recognition in a manner consistent with sensorineural hearing loss. The simulations were considered reasonable for educational and clinical purposes. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Threshold Estimation and Speech Perception Under Hearing Loss Simulation: Examination of the Immersive Hearing Loss and Prosthesis Simulator.
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Mar2024, Vol. 33 Issue 1, p275-282. 8p.
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  Data: *<searchLink fieldCode="DE" term="%22Speech+perception%22">Speech perception</searchLink><br />*<searchLink fieldCode="DE" term="%22Simulation+methods+in+education%22">Simulation methods in education</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Hearing+disorders%22">Hearing disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Recognition+%28Psychology%29%22">Recognition (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+levels%22">Hearing levels</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Pearson+correlation+%28Statistics%29%22">Pearson correlation (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Prosthesis+design+%26+construction%22">Prosthesis design & construction</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
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  Label: Abstract
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  Data: Purpose: Hearing loss simulation (HLS) has been recommended for clinical teaching and counseling of patients and their families, so that they can experience hearing impairment. However, few validated procedures for simulating hearing loss are available to instructors and practicing clinicians. The aim of this study was to assess the accuracy of the Immersive Hearing Loss and Prosthesis Simulator (I-HeLPS) on reducing hearing sensitivity and word recognition to determine its adequacy for educational and clinical use. Method: Thirty-seven young adults with normal hearing completed hearing threshold and word recognition testing under normal and simulated hearing losses. The accuracy of the nominal hearing threshold settings within the I-HeLPS software was assessed with behavioral detection of frequency-modulated pure tones presented in a calibrated sound field, while listeners wore I-HeLPS headphones. The impact of the HLSs on speech perception was measured using the California Consonant Test. Hearing thresholds, word identification accuracy, and sound confusions were compared across listening conditions. Results: Hearing thresholds increased systematically with worse simulated hearing loss. Performance on the California Consonant Test worsened, and the number of phoneme confusions increased with simulated hearing loss severity. Most of the confusions were place confusions with near neighbors and manner confusions increased as a function of increasing severity of simulated hearing loss. Conclusions: The I-HeLPS accurately elevated hearing thresholds with increasing HLS severity and impacted word recognition in a manner consistent with sensorineural hearing loss. The simulations were considered reasonable for educational and clinical purposes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1044/2023_AJA-23-00155
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      – Code: eng
        Text: English
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      – SubjectFull: Speech perception
        Type: general
      – SubjectFull: Simulation methods in education
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      – SubjectFull: Comparative studies
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      – SubjectFull: Hearing disorders
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      – SubjectFull: Recognition (Psychology)
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      – SubjectFull: Hearing levels
        Type: general
      – SubjectFull: Confidence intervals
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      – SubjectFull: Pearson correlation (Statistics)
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Prosthesis design & construction
        Type: general
      – SubjectFull: Data analysis software
        Type: general
    Titles:
      – TitleFull: Threshold Estimation and Speech Perception Under Hearing Loss Simulation: Examination of the Immersive Hearing Loss and Prosthesis Simulator.
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            NameFull: Roman, Aaron M.
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              Text: Mar2024
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              Y: 2024
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