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IntroductionObjectively predicting speech intelligibility is important in both telecommunication and human-machine interaction systems. The classic method relies on signal-to-noise ratios (SNR) to successfully predict speech intelligibility. One exception is clear speech, in which a talker intentionally articulates as if speaking to someone who has hearing loss or is from a different language background. As a result, at the same SNR, clear speech produces higher intelligibility than conversational speech. Despite numerous efforts, no objective metric can successfully predict the clear speech benefit at the sentence level.MethodsWe proposed a Syllable-Rate-Adjusted-Modulation (SRAM) index to predict the intelligibility of clear and conversational speech. The SRAM used as short as 1 s speech and estimated its modulation power above the syllable rate. We compared SRAM with three reference metrics: envelope-regression-based speech transmission index (ER-STI), hearing-aid speech perception index version 2 (HASPI-v2) and short-time objective intelligibility (STOI), and five automatic speech recognition systems: Amazon Transcribe, Microsoft Azure Speech-To-Text, Google Speech-To-Text, wav2vec2 and Whisper.ResultsSRAM outperformed the three reference metrics (ER-STI, HASPI-v2 and STOI) and the five automatic speech recognition systems. Additionally, we demonstrated the important role of syllable rate in predicting speech intelligibility by comparing SRAM with the total modulation power (TMP) that was not adjusted by the syllable rate.DiscussionSRAM can potentially help understand the characteristics of clear speech, screen speech materials with high intelligibility, and convert conversational speech into clear speech.

This paper investigates the impact of two non-technical speech feedback perturbations outside the auditory modality: topical application of commercially-available benzocaine to reduce somatosensory feedback from speakers' lips and tongue tip, and the presence of a mirror to provide fully-detailed visual self-feedback. In experiment 1, speakers were recorded under normal quiet conditions (i.e., baseline), then again with benzocaine application plus auditory degradation, and finally with the addition of mirror feedback. Speech produced under normal and both feedback-altered conditions was assessed via naïve listeners' intelligibility discrimination judgments. Listeners judged speech produced under bisensory degradation to be less intelligible than speech from the un-degraded baseline, and with a greater degree of difference than previously observed with auditory-only degradation. The introduction of mirror feedback, however, did not result in relative improvements in intelligibility. Experiment 2, therefore, assessed the effect of a mirror on speech intelligibility in isolation with no other sensory feedback manipulations. Speech was recorded at baseline and then again in front of a mirror, and relative intelligibility was discriminated by naïve listeners. Speech produced with mirror feedback was judged as less intelligible than baseline tokens, indicating a negative impact of visual self-feedback in the absence of other sensory manipulations. The results of both experiments demonstrate that relatively accessible manipulations of non-auditory sensory feedback can produce speech-relevant effects, and that those effects are perceptible to naïve listeners. [ABSTRACT FROM AUTHOR]

Cochlear implants (CIs) are a well-established treatment for severe to profound hearing loss, particularly in young children. The success of CIs is influenced by various factors, including the age of implantation and the quality and duration of post-operative rehabilitation, such as Auditory Verbal Therapy (AVT). AVT plays a crucial role in developing listening and spoken language skills in children with CIs. However, the impact of AVT duration on long-term outcomes remains unclear. This study aimed to investigate the impact of AVT duration on the long-term auditory and speech outcomes of children who received CIs between 9 and 12 months of age. Specifically, we compared the outcomes of children who received AVT for one year, one and a half years, and two years after implantation. This descriptive cohort study included 45 children diagnosed with severe to profound hearing loss who received unilateral CIs and completed at least one year of AVT. Participants were divided into three groups based on AVT duration (Group A: 1 year, Group B: 1.5 years, Group C: 2 years). Their auditory perception, speech intelligibility, receptive and expressive language, and speech production skills were assessed using standardized tests five years post-implantation.. Children who received AVT for two years (Group C) demonstrated significantly better outcomes in auditory perception and speech intelligibility compared to those who received AVT for one year (Group A). Group C also exhibited higher scores in expressive language and speech production, while both groups achieved similar results in receptive language. These findings suggest a positive correlation between AVT duration and long-term language and speech development. Early cochlear implantation, coupled with continuous AVT for at least two years, significantly enhances auditory and speech abilities in children with severe to profound hearing loss. This study underscores the importance of extended AVT duration to maximize the long-term benefits of cochlear implants and enable children to reach their full communication potential. [ABSTRACT FROM AUTHOR]

Prosody is an essential component of speech naturalness and improves speech intelligibility. Prosodic deficits are notably prevalent among children with hearing impairment (CwHI). Speech Language Pathologists (SLPs) are service providers responsible for identification and intervention of disorders of prosody. So far, there are limited published reports on the awareness and competence of SLPs in prosody intervention. The present study aimed to understand the knowledge and perspectives on prosody of SLPs working among CwHI through an online survey. A 10-item questionnaire was developed and utilized for this purpose. Additionally, information on the clinical service delivery of the respondents was also collected. A total of 130 SLPs responded to the survey (response rate = 65%). Although most respondents (93.1%) agreed that prosodic impairment impacted speech intelligibility of CwHI, 76.2% never provided intervention for prosodic deficits in CwHI. Several respondents (74.6%) opined of not receiving adequate training on assessment and intervention of prosodic impairments in CwHI. 82.3% of respondents were unaware of prosody assessment or treatment materials for CwHI. More than half of respondents (56.9%) felt that prosody is usually a low priority when considering the speech and language needs for CwHI. Nevertheless, 73% of respondents believed that it is necessary to target prosody as early as possible along with conventional speech and language interventions. The findings from this survey identify a clinical area largely ignored by SLPs among CwHI. Addressing these could lead to more comprehensive clinical care for CwHI, ultimately improving speech intelligibility and communication outcomes. [ABSTRACT FROM AUTHOR]

A sound source that mimics the acoustics characteristics of a human talker is required in objective assessments of speech intelligibility in person-to-person speech communications (PP) scenarios. The few special speech test sources available that meet the strict specifications of the relevant standards are costly and can be inaccessible to practitioners. This can prevent investigations or can lead to non-special and more affordable loudspeakers to be used as alternative sources without knowledge of their suitability. This study evaluates the validity of non-special loudspeakers in PP assessments and supplements a previous preliminary examination by consolidating and expanding early findings. Speech Transmission Index Public Address (STIPA) assessments were conducted employing three representative non-special loudspeakers and one standardized reference speech test source under laboratory conditions. Absolute errors of STIPA measurements were analysed and evaluated against two just perceivable difference (JND) threshold levels. The mean absolute errors obtained for all non-special loudspeakers for almost all scenarios were within one JND of any of the two JND levels. The striking and consistent low level of error found validated the proposition that non-special and affordable loudspeakers may be used as suitable speech sources in pilot or survey-grade speech intelligibility assessments in place of a special standardized speech source when that source is not available, or in full investigations when the relevant standard to adhere to allows the use of those alternative speech sources. [ABSTRACT FROM AUTHOR]

Background and Objective: One of the challenges patients with cleft palate face is the production of intelligible speech. Though instrumental assessment of velopharyngeal function is required, there is a need to correlate the results obtained with speech outcome. The objective of this study is to correlate the Golding-Kushner scale scoring system for velopharyngeal defects as observed on nasoendoscopy with patients' speech intelligibility. Method: The design is an observational cross-sectional study conducted from December 2022 to May 2023. This study was carried out at the orofacial cleft clinic of a tertiary hospital. Participants: The study included English-speaking patients with cleft palate who had palatorrhaphy done at least 6 months before recruitment. Intervention: Speech intelligibility was measured using a simple analog scale that ranged from 0 to 5 (0—worst speech intelligibility possible, 5—best speech intelligibility). The Golding-Kushner scale is used to measure gap size (defect) in nasoendoscopy. Main outcome measures : The primary outcome is to correlate the score of speech intelligibility with the Golding-Kushner score during nasoendoscopy. Results: A total of 40 people participated in the study, with a median age of 11 years (IQR: 6.25-21.75 years). There is a moderately negative correlation between velopharyngeal gap size and speech intelligibility (correlation coefficient = −0.6, P <.01). Only the size of the size of the gap is a significant predictor of speech intelligibility after cleft palate repair. Conclusion: There is a significant, moderate correlation between velopharyngeal gap size and speech intelligibility. [ABSTRACT FROM AUTHOR]

Introduction: Hearing aid (HA) manufacturers have introduced behind-the-ear (BTE) models where the microphone is positioned in the ear canal, which could impact auditory performance by distorting the pinna's acoustic cues. This study aimed to compare two different BTE HAs with varying microphone positions: the receiver in the ear (RITE) and the transducer in the ear (TIE). Methods: The study involved 10 participants who had never used HAs before. They used both RITE and TIE HAs bilaterally for 3 weeks. Auditory performance was assessed through free field hearing assessments (hearing thresholds, speech recognition threshold, and speech discrimination score), the Turkish Matrix Sentence Test (TURMatrix), a sound localization test, and the Satisfaction with Amplification in Daily Living (SADL) questionnaire. Results: There was no significant difference between TIE and RITE in the free field hearing assessments. However, TIE outperformed RITE in non-adaptive TURMatrix scores in quiet, adaptive TURMatrix scores in noise, and sound localization accuracy at various angles. SADL sub-scores (Positive Effect, Service and Cost, and Personal Image) and overall satisfaction scores were significantly better for TIE. Discussion: The microphone position in HAs can influence auditory performance. This study demonstrated that TIE provided better speech intelligibility, localization accuracy, and user satisfaction compared to RITE. [ABSTRACT FROM AUTHOR]

Background: Automatic speech recognition (ASR) can potentially help older adults and people with disabilities reduce their dependence on others and increase their participation in society. However, maxillectomy patients with reduced speech intelligibility may encounter some problems using such technologies. Objectives: To investigate the accuracy of three commonly used ASR platforms when used by Japanese maxillectomy patients with and without their obturator placed. Methods: Speech samples were obtained from 29 maxillectomy patients with and without their obturator and 17 healthy volunteers. The samples were input into three speaker‐independent speech recognition platforms and the transcribed text was compared with the original text to calculate the syllable error rate (SER). All participants also completed a conventional speech intelligibility test to grade their speech using Taguchi's method. A comprehensive articulation assessment of patients without their obturator was also performed. Results: Significant differences in SER were observed between healthy and maxillectomy groups. Maxillectomy patients with an obturator showed a significant negative correlation between speech intelligibility scores and SER. However, for those without an obturator, no significant correlations were observed. Furthermore, for maxillectomy patients without an obturator, significant differences were found between syllables grouped by vowels. Syllables containing /i/, /u/ and /e/ exhibited higher error rates compared to those containing /a/ and /o/. Additionally, significant differences were observed when syllables were grouped by consonant place of articulation and manner of articulation. Conclusion: The three platforms performed well for healthy volunteers and maxillectomy patients with their obturator, but the SER for maxillectomy patients without their obturator was high, rendering the platforms unusable. System improvement is needed to increase accuracy for maxillectomy patients. [ABSTRACT FROM AUTHOR]

AbstractPurposeMethodResultConclusionThe purpose of this review was to map speech intelligibility measures used for assessing d/Deaf and hard-of-hearing children onto the International Classification of Functioning, Disability and Health.This review considered perceptual speech intelligibility measures (Articulation functions b320) used to assess deaf and hard-of-hearing children aged 12 years and younger. The following electronic databases were searched: CINAHL; ERIC (ProQuest); Linguistic, Language, and Behaviour Abstracts; Scopus; Medline via PubMed; CENTRAL via Ovid; Cochrane via Ovid; and Joanna Briggs via Ovid. Data were extracted describing the article, participant, listener, study, speech intelligibility, and psychometric characteristics from the 245 included studies.Speech intelligibility was measured as articulation functions (b320) through speaking (d330) in all studies. Other Body Functions frequently measured were speech discrimination (b2304; 28%) and mental functions of language (b167; 27%). Activities and Participation factors other than speaking d330 were generally not considered. Speech intelligibility was most often measured in the context of health services (e5800; 66%).Previous research on the speech intelligibility of deaf and hard-of-hearing children has largely lacked a broader perspective of functioning. Clinicians and educators of deaf and hard-of-hearing children should consider Activities and Participation, Environmental, and Personal Factors when assessing speech intelligibility. [ABSTRACT FROM AUTHOR]

A major goal of hearing-device provision is to improve communication in daily life. However, there is still a large gap between the user's daily-life aided listening experience and hearing-aid benefit as assessed with established speech reception measurements in the laboratory and clinical practice. For a more realistic assessment, hearing-aid provision needs to be tested in suitable acoustic environments. In this study, using virtual acoustics, we developed complex acoustic scenarios to measure speech-intelligibility and listening-effort benefit obtained from hearing-aid amplification and signal enhancement strategies. Measurements were conducted using the participants' own devices and a research hearing aid, the Portable Hearing Laboratory (PHL). On the PHL, in addition to amplification, a monaural and a binaural directional filter, as well as a spectral filter were employed. We assessed the benefit from different signal enhancement strategies at the group and the individual level. At the group level, signal enhancement including directional filtering provided a higher hearing-aid benefit in challenging acoustic scenarios in terms of speech intelligibility compared to amplification alone or combined with spectral filtering. However, no difference between monaural and binaural signal enhancement occurred. On an individual level, we found large differences in hearing-aid benefit between participants. While some benefitted from signal-enhancement algorithms, others benefitted from amplification alone, but additional signal enhancement had a detrimental effect. This shows the importance of an individual selection of signal enhancement strategies as a part of the hearing-aid fitting process. [ABSTRACT FROM AUTHOR]

In current age of technology, artificial intelligence is used in the medical field to improve the quality and accuracy in patient care and achieve better clientele satisfaction. The use of artificial intelligence in the field of hearing rehabilitation and cochlear implantation has an immense scope and it enhances the accuracy in placement of electrode array, forecasting site of surgical location and optimization of speech processing. This study aims to compare the audiological outcomes of conventional versus artificial intelligence technology enabled cochlear implant speech processors. Additionally, it compares the individual performance and satisfaction level with use of both types of speech processors. All children who underwent upgradation of their cochlear implant speech processors at a tertiary care cochlear implant centre with artificial intelligence enabled speech processors were included in the study. The comparison of audiological outcomes of conventional versus artificial intelligence integrated speech processors were assessed by using Aided Audiometry, Categories of Auditory Perception Score and Speech Intelligibility Rating scale. Children using the basic model cochlear implant speech processor which was provided at the time of implantation are referred as conventional cochlear implant speech processor user. Their speech processors were subsequently upgraded with current generation artificial intelligence integrated speech processors which is referred here as artificial intelligence upgraded cochlear implant speech processor. During the study, a total of thirty-four (34) patients underwent upgradation of cochlear implant speech processors. The mean categories of auditory perception score were 11.58 and 11.94 using conventional and artificial intelligence upgraded speech processor respectively. The mean speech intelligibility rating score was 4.5 and 4.6 respectively. The audiological outcomes of conventional speech processors are comparable with those using artificial intelligence enabled speech processors. However, the clientele satisfaction in respect to quality of sound, ease of listening in difficult listening environment, smart connectivity options for both phone and television is available and better with the artificial intelligence enabled cochlear implant speech processor. This also has the advantages of auto switching of programming with change in ambient noise, better signal to noise ratio and better 360* hearing. [ABSTRACT FROM AUTHOR]

When investigating unobservable, complex traits, data collection and aggregation processes can introduce distinctive features to the data such as boundedness, measurement error, clustering, outliers, and heteroscedasticity. Failure to collectively address these features can result in statistical challenges that prevent the investigation of hypotheses regarding these traits. This study aimed to demonstrate the efficacy of the Bayesian beta-proportion generalized linear latent and mixed model (beta-proportion GLLAMM) (Rabe-Hesketh et al., Psychometrika, 69(2), 167–90, 2004a, Journal of Econometrics, 128(2), 301–23, 2004c, 2004b; Skrondal and Rabe-Hesketh 2004) in handling data features when exploring research hypotheses concerning speech intelligibility. To achieve this objective, the study reexamined data from transcriptions of spontaneous speech samples initially collected by Boonen et al. (Journal of Child Language, 50(1), 78–103, 2023). The data were aggregated into entropy scores. The research compared the prediction accuracy of the beta-proportion GLLAMM with the normal linear mixed model (LMM) (Holmes et al., 2019) and investigated its capacity to estimate a latent intelligibility from entropy scores. The study also illustrated how hypotheses concerning the impact of speaker-related factors on intelligibility can be explored with the proposed model. The beta-proportion GLLAMM was not free of challenges; its implementation required formulating assumptions about the data-generating process and knowledge of probabilistic programming languages, both central to Bayesian methods. Nevertheless, results indicated the superiority of the model in predicting empirical phenomena over the normal LMM, and its ability to quantify a latent potential intelligibility. Additionally, the proposed model facilitated the exploration of hypotheses concerning speaker-related factors and intelligibility. Ultimately, this research has implications for researchers and data analysts interested in quantitatively measuring intricate, unobservable constructs while accurately predicting the empirical phenomena. [ABSTRACT FROM AUTHOR]

In this study, the passive acoustic performance of Necmettin Erbakan University Köyceğiz Campus Masjid was investigated. Designed as the largest masjid of the city with a capacity of 15,000 people and a volume of 43,200 m3, the masjid, which has traces of Seljuk, Ottoman and Modern architecture. is built as a complex at a location overlooking the city in the Meram District of Konya City, Turkiye. The aim of the study is to determine the acoustic comfort conditions by considering all the activities in the masjids as a whole. Within the scope of the study, the acoustic performance of the masjid was evaluated by determining different source and receiver points for each mode of activity. As a method, the chosen masjid was simulated with ODEON Room Acoustics Software Ver. 14.04 software. Objective room acoustic parameters were analysed in three groups. These are sound energy ratio parameters (reverberation time (RT), early decay time (EDT), clarity (C50, C80), lateral fraction (LF80)), speech intelligibility parameters (definition (D50), speech transmission index (STI)) and sound strength parameters (strength (G)). The results obtained were compared with precedent studies in the literature. In comparison with the acoustic values obtained in other masjid/mosque buildings, it was reported that, while the speech intelligibility of other masjids/mosques was at a satisfactory level, the masjid under consideration was at a poor level in both fully occupied and unoccupied conditions. In the analysis made for reverberation time, it was seen that the masjid discussed in this study showed similar characteristics to other masjids/mosques globally. As a result, it was determined that the dimensions of the surfaces forming the mihrab, the minbar design and the depths of the mahfil overhangs are effective regarding the acoustics of the masjid, and the design of curved surfaces should be carried out in a way that does not cause focusing problems. In addition, suggestions that can give guidelines to modern masjid designs have been put forward. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to analyse the relationship between automatic vowel articulation index (aVAI) and direct magnitude estimation (DME) among speakers with Parkinson's disease (PD) and healthy controls. We further analysed the potential of aVAI to serve as an objective measure of speech impairment in the clinical setting. Method: Speech samples from native Finnish speakers were utilised. Expert raters utilised DME to scale the intelligibility of speech samples. aVAI scores for PD speakers and healthy control speakers were analysed in relationship to DME speech intelligibility ratings and, among PD speakers, disease stage utilising nonparametric statistical analysis. Result: Mean DME intelligibility ratings were lower among PD speakers compared to healthy controls. Mean aVAI scores were nearly the same between speaker groups. DME intelligibility ratings and aVAI were strongly correlated within the PD speaker group. aVAI and DME intelligibility ratings were moderately correlated with disease stage as measured by the Hoehn and Yahr scale. Conclusion: aVAI was observed to be a promising tool for analysing vowel articulation in PD speakers. Further research is warranted on the application of aVAI as an objective measure of severity of speech impairment in the clinical setting, with varying patient populations and speech samples. [ABSTRACT FROM AUTHOR]

Introduction: Orthognathic surgery results in the positional change of the maxilla and mandible that may affect speech. The present study evaluated the effect of combined maxillary advancement and mandibular setback surgery on articulation proficiency and speech intelligibility in patients with non-syndromic skeletal Class III malocclusion. Methods: In this prospective study, twenty-five patients with skeletal class III malocclusion and consecutively treated with Lefort-1 maxillary advancement and mandibular setback (BSSO) orthognathic surgery were included in this study. The speech sample was recorded with a digital audio tape recorder one day before surgery and at 3, 6, 9, 12 and 18 months after surgery. Three qualified and experienced speech and language pathologists evaluated articulation errors and intelligibility of speech samples. Repeated One-way analysis of variance was used to compare articulation proficiency and speech intelligibility at different time intervals. Results: The substitution, omission, distortion and addition errors showed no significant changes at 3 months and 6 months. The total articulation errors decreased to zero at 9 months and no significant increase was observed till 18 months (P

In speech audiometry, the speech-recognition threshold (SRT) is usually established by adjusting the signal-to-noise ratio (SNR) until 50% of the words or sentences are repeated correctly. However, these conditions are rarely encountered in everyday situations. Therefore, for a group of 15 young participants with normal hearing and a group of 12 older participants with hearing impairment, speech-recognition scores were determined at SRT and at four higher SNRs using several stationary and fluctuating maskers. Participants' verbal responses were recorded, and participants were asked to self-report their listening effort on a categorical scale (self-reported listening effort, SR-LE). The responses were analyzed using an Automatic Speech Recognizer (ASR) and compared to the results of a human examiner. An intraclass correlation coefficient of r =.993 for the agreement between their corresponding speech-recognition scores was observed. As expected, speech-recognition scores increased with increasing SNR and decreased with increasing SR-LE. However, differences between speech-recognition scores for fluctuating and stationary maskers were observed as a function of SNR, but not as a function of SR-LE. The verbal response time (VRT) and the response speech rate (RSR) of the listeners' responses were measured using an ASR. The participants with hearing impairment showed significantly lower RSRs and higher VRTs compared to the participants with normal hearing. These differences may be attributed to differences in age, hearing, or both. With increasing SR-LE, VRT increased and RSR decreased. The results show the possibility of deriving a behavioral measure, VRT, measured directly from participants' verbal responses during speech audiometry, as a proxy for SR-LE. [ABSTRACT FROM AUTHOR]

Recently, noise pollution has become a considerable environmental concern, with extended exposure linked to numerous health problems, including sleep disturbances, elevated blood pressure, psychological health, and hormone levels. This research delves into the effects of road traffic noise on the cognitive growth of school-aged children, a group particularly sensitive to environmental stressors. The study measured ambient noise levels using two sound level meters and assessed students' performance in cognitive tasks in both prevailing and controlled quiet environments. Cognitive assessments were employed to determine the influence of noise on learning outcomes, and a survey was conducted to investigate both the direct and indirect effects of noise pollution on their health and mental well-being. Results indicate that the observed noise levels significantly surpassed the limit of 35 dB(A) (inside the classroom) set by the World Health Organization (WHO), highlighting a critical level of noise pollution exposure among students. A comparison of student performance showed marked improvements in a controlled, quiet environment compared to the prevailing conditions. Statistical analyses, including paired t-tests, confirmed these findings in most classes. Exposure condition changes significantly decreased by 8.5 dB(A) and 13.6 dB(A) in noise levels at schools A and B, respectively. Additionally, evaluation of cognitive scores pointed to a more pronounced effect of noise pollution on female students than male students. Perception surveys showed severe exposure to noise-induced annoyance and speech intelligibility in the classroom. The study emphasizes the urgent need for effective noise reduction measures in schools to protect children's health and enhance their cognitive development. [ABSTRACT FROM AUTHOR]

Adding occupants to an enclosed space often leads to perceptible changes in the sound field and, therefore, speech intelligibility; however, this issue has not yet been examined in automotive cabins. This study investigated the effect of occupants in an automotive cabin on SI. Binaural room impulse responses (BRIRs) were measured in an automotive cabin with an artificial mouth and dummy head under different speaker–listener position configurations and occupancy modes. Based on the measured BRIRs, the speech transmission index (STI) was determined, and subjective speech–reception thresholds (SRTs) in Mandarin Chinese were assessed. The results indicate that speech intelligibility mostly decreased slightly after adding additional occupants. In most cases, the occupants did not significantly affect speech intelligibility, with STI variations of no more than the just-noticeable difference and SRT variation within 1 dB. When the listener was in the back-right seat, the effect of the occupants on speech intelligibility could not be ignored, with STI variations of up to 0.07 and an SRT variation of 2 dB under different occupancy modes. In addition, the influence of front-row passengers on the speech intelligibility of rear-row listeners was extremely small, and vice versa. Furthermore, altering the distribution of occupants had an effect comparable to changing the number of occupants. [ABSTRACT FROM AUTHOR]

One of the dysarthria features is inaccurate articulation of consonants and vowels, which is the main cause of speech unintelligibility. However, it is not clear what acoustic measures are more related to speech intelligibility in dysarthria. On the other hand, the number of vowels, their articulation and acoustic characteristics are various in different languages. As far as we know, no study investigated vowels articulation in developmental dysarthria in Persian, so there is not enough information about movement details which make their inaccuracies articulation. Hence, the present study aimed to investigate some acoustic measures including vowel formants, vowel space area (VSA), formant centralization ratio (FCR) and vowel articulation index (VAI) and aim to study their correlation with speech intelligibility in Persian speaking children with dysarthria due to spastic cerebral palsy. In this cross ـ sectional study, 11 monolingual children with dysarthria aged 3 ـ 9 years and their typically developing matched peers were selected through convenience sampling. For each of the six Persian vowels, two monosyllable words were acoustically analyzed using PRAAT software. To determine intelligibility of words and vowels, the percentage of correct detected ones was calculated. Results showed a significant difference between the two groups in the third formant of the vowels /a/ and /u/ and the second formant of the vowel /o/. The vowel space area and intelligibility were significantly reduced in dysarthria. VAS was more correlated with intelligibility and is a good acoustic measurement to assess speech intelligibility in dysarthria. However all three studied acoustic indices had moderate significant correlation with intelligibility. [ABSTRACT FROM AUTHOR]

During the COVID‐19 epidemic, the effect of mask wearing on communication has been questioned and explored. However, the study on the impact of face mask wearing on L2 speech is still limited. The main goal of the present study was to explore the extent to which face masks affect interlocutors' L2 speech perception. Factors that varied were face mask (no mask, transparent mask, and disposable face mask), presentation mode (audio only vs. audiovisual), and speaking style (conversational vs. clear). The relationship between these three variables on the L2 processing was also investigated. Fifty‐three Thai undergraduates who were L2 learners of English participated in an Internet‐based perceptual task. They listened to 60 English sentences and typed the sentences they heard over an online form. The results showed that the participants did well when the L2 communication was in clear speech regardless of type of face mask and presentation mode. The improvement of the L2 perception of clear speech occurred even when the speaker produced sentences with disposable face mask as opposed to conversational speech suggesting that clear speech could enhance intelligibility in communication. As expected, the perceptual score was the lowest when the speech was in audio‐only mode with conversational style and disposable face mask. These results suggest that in L2 classroom contexts, speaking clearly could lessen the negative effects of the face mask and unavailability of visual information of the speaker. [ABSTRACT FROM AUTHOR]

Speech-recognition tests are widely used in both clinical and research audiology. The purpose of this study was the development of a novel speech-recognition test that combines concepts of different speech-recognition tests to reduce training effects and allows for a large set of speech material. The new test consists of four different words per trial in a meaningful construct with a fixed structure, the so-called phrases. Various free databases were used to select the words and to determine their frequency. Highly frequent nouns were grouped into thematic categories and combined with related adjectives and infinitives. After discarding inappropriate and unnatural combinations, and eliminating duplications of (sub-)phrases, a total number of 772 phrases remained. Subsequently, the phrases were synthesized using a text-to-speech system. The synthesis significantly reduces the effort compared to recordings with a real speaker. After excluding outliers, measured speech-recognition scores for the phrases with 31 normal-hearing participants at fixed signal-to-noise ratios (SNR) revealed speech-recognition thresholds (SRT) for each phrase varying up to 4 dB. The median SRT was −9.1 dB SNR and thus comparable to existing sentence tests. The psychometric function's slope of 15 percentage points per dB is also comparable and enables efficient use in audiology. Summarizing, the principle of creating speech material in a modular system has many potential applications. [ABSTRACT FROM AUTHOR]

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BACKGROUND: People with single-sided deafness (SSD) or asymmetric hearing loss (AHL) have particular difficulty understanding speech in noisy listening situations and in sound localization. The objective of this multicenter study is to evaluate the effect of a cochlear implant (CI) in adults with single-sided deafness (SSD) or asymmetric hearing loss (AHL), particularly regarding sound localization and speech intelligibility with additional interest in electric-acoustic pitch matching. METHODS: A prospective longitudinal study at 7 European tertiary referral centers was conducted including 19 SSD and 16 AHL subjects undergoing cochlear implantation. Sound localization accuracy was investigated in terms of root mean square error and signed bias before and after implantation. Speech recognition in quiet and speech reception thresholds in noise for several spatial configurations were assessed preoperatively and at several post-activation time points. Pitch perception with CI was tracked using pitch matching. Data up to 12 months post activation were collected. RESULTS: In both SSD and AHL subjects, CI significantly improved sound localization for sound sources on the implant side, and thus overall sound localization. Speech recognition in quiet with the implant ear improved significantly. In noise, a significant head shadow effect was found for SSD subjects only. However, the evaluation of AHL subjects was limited by the small sample size. No uniform development of pitch perception with the implant ear was observed. CONCLUSION: The benefits shown in this study confirm and expand the existing body of evidence for the effectiveness of CI in SSD and AHL. Particularly, improved localization was shown to result from increased localization accuracy on the implant side. [ABSTRACT FROM AUTHOR]

Objectives: When there is a difference in hearing on both ears, where to perform the first cochlear implantation (CI) becomes an important issue. The purpose of the study was to evaluate which ear should be chosen for the first implantation in sequential bilateral CI with a long inter-implant period. Methods: The study population consisted of 34 severe-to-profound sensorineural hearing loss pediatrics with the inter-implant period of ≥3 years between the first CI (CI-1) and the second CI (CI-2) before the age of 19 (mean of inter-implant period: 7.1-year). The patients were classified into Group A (CI-1 was performed on the ear with better hearing), Group B (CI-1 on the ear with worse hearing), or Group C (symmetrical hearing in both ears). Speech intelligibility test results were compared between the groups. Results: The monosyllabic word scores of CI-1 were excellent in Groups A (91.7±7.9%) and B (92.5±3.6%) but slightly lower in Group C (85.7±14.9%) before the second implantation (P =.487). At 3 years after the second implantation, all groups demonstrated excellent scores in the bilateral CI condition (95.9±3.0% in Group A; 99.1±.8% in Group B; 97.5±2.9% in Group C, P =.600). However, when the patients were tested in using CI-2 only in Groups A and B after using bilateral CI for 3 years, the scores were inconsistent in Group A (79.6±23.9%; range: 22.2-94.4%), while those were higher and more constant in Group B (92.9±4.8%; 86.8-100.0%). Conclusions: The first CI is strongly recommended to perform on a worse hearing ear if they had different hearing levels between ears. Even with the first CI on a worse hearing ear, its performance never deteriorates. In addition, if they receive the second CI several years later, it will be likely that the second one functions better. [ABSTRACT FROM AUTHOR]

Background: Perceptual measures such as speech intelligibility are known to be biased, variant and subjective, to which an automatic approach has been seen as a more reliable alternative. On the other hand, automatic approaches tend to lack explainability, an aspect that can prevent the widespread usage of these technologies clinically. Aims: In the present work, we aim to study the relationship between four perceptual parameters and speech intelligibility by automatically modelling the behaviour of six perceptual judges, in the context of head and neck cancer. From this evaluation we want to assess the different levels of relevance of each parameter as well as the different judge profiles that arise, both perceptually and automatically. Methods and Procedures: Based on a passage reading task from the Carcinologic Speech Severity Index (C2SI) corpus, six expert listeners assessed the voice quality, resonance, prosody and phonemic distortions, as well as the speech intelligibility of patients treated for oral or oropharyngeal cancer. A statistical analysis and an ensemble of automatic systems, one per judge, were devised, where speech intelligibility is predicted as a function of the four aforementioned perceptual parameters of voice quality, resonance, prosody and phonemic distortions. Outcomes and Results: The results suggest that we can automatically predict speech intelligibility as a function of the four aforementioned perceptual parameters, achieving a high correlation of 0.775 (Spearman's ρ). Furthermore, different judge profiles were found perceptually that were successfully modelled automatically. Conclusions and Implications: The four investigated perceptual parameters influence the global rating of speech intelligibility, showing that different judge profiles emerge. The proposed automatic approach displayed a more uniform profile across all judges, displaying a more reliable, unbiased and objective prediction. The system also adds an extra layer of interpretability, since speech intelligibility is regressed as a direct function of the individual prediction of the four perceptual parameters, an improvement over more black box approaches. WHAT THIS PAPER ADDS: What is already known on this subject: Speech intelligibility is a clinical measure typically used in the post‐treatment assessment of speech affecting disorders, such as head and neck cancer. Their perceptual assessment is currently the main method of evaluation; however, it is known to be quite subjective since intelligibility can be seen as a combination of other perceptual parameters (voice quality, resonance, etc.). Given this, automatic approaches have been seen as a more viable alternative to the traditionally used perceptual assessments. What this study adds to existing knowledge: The present work introduces a study based on the relationship between four perceptual parameters (voice quality, resonance, prosody and phonemic distortions) and speech intelligibility, by automatically modelling the behaviour of six perceptual judges. The results suggest that different judge profiles arise, both in the perceptual case as well as in the automatic models. These different profiles found showcase the different schools of thought that perceptual judges have, in comparison to the automatic judges, that display more uniform levels of relevance across all the four perceptual parameters. This aspect shows that an automatic approach promotes unbiased, reliable and more objective predictions. What are the clinical implications of this work?: The automatic prediction of speech intelligibility, using a combination of four perceptual parameters, show that these approaches can achieve high correlations with the reference scores while maintaining a certain degree of explainability. The more uniform judge profiles found on the automatic case also display less biased results towards the four perceptual parameters. This aspect facilitates the clinical implementation of this class of systems, as opposed to the more subjective and harder to reproduce perceptual assessments. [ABSTRACT FROM AUTHOR]

Orthognathic surgery results in the positional change of the maxilla and mandible that may affect speech. The present study evaluated the effect of combined maxillary advancement and mandibular setback surgery on articulation proficiency and speech intelligibility in patients with non-syndromic skeletal Class III malocclusion. In this prospective study, twenty-five patients with skeletal class III malocclusion and consecutively treated with Lefort-1 maxillary advancement and mandibular setback (BSSO) orthognathic surgery were included in this study. The speech sample was recorded with a digital audio tape recorder one day before surgery and at 3, 6, 9, 12 and 18 months after surgery. Three qualified and experienced speech and language pathologists evaluated articulation errors and intelligibility of speech samples. Repeated One-way analysis of variance was used to compare articulation proficiency and speech intelligibility at different time intervals. The substitution, omission, distortion and addition errors showed no significant changes at 3 months and 6 months. The total articulation errors decreased to zero at 9 months and no significant increase was observed till 18 months (P < 0.05). Speech intelligibility showed statistically non-significant improvement at any time interval. Cephalometric skeletal parameters SNA and N ḻ A°. were significantly correlated with addition and total articulation errors at 18 months follow up. The ortho-surgical treatment improves speech (decreases. articulation errors) in most of the patients usually 6–9 months post-surgery. Speech intelligibility is not affected by bimaxillary orthognathic surgery in skeletal class III patients. The articulation errors were correlated to changes in position of maxilla. [Display omitted] [ABSTRACT FROM AUTHOR]

Although the telephone bandwidth is 0-4 kHz, the speaker specific information is not evenly distributed within this range but extends beyond 4 kHz. This is because the hypopharynx, especially the piriform fossa, affects the higher frequency region and contributes more to inter-speaker variation. By effectively shifting the higher bands to a lower frequency region, where speaker specific information is reduced, an effective 4 kHz bandwidth can be constructed to enhance speaker recognition performance. To achieve this a method was already proposed, which is extended in this paper to experimentally demonstrate and validate with more experiments. Furthermore, this paper defines the theoretically possible frequency space for which the frequency shifting method can be applied. To validate the method for different combinations of bands, possible bands were shifted in various directions in small steps. Speaker recognition experiments were conducted at each step to compare the performance against the baseband without any frequency shifting. Using the results of these extensive experiments, an approximate frequency space was defined where this frequency shifting performed better than the conventional baseband of 0-4 kHz signal. A simplified frequency shifting method was also investigated. Finally, the speech intelligibility of the frequency shifted narrow band speech signal was analyzed using objective speech quality measures. This showed that intelligibility was not significantly affected by the frequency shifting method. [ABSTRACT FROM AUTHOR]

This paper investigates the impact of two non-technical speech feedback perturbations outside the auditory modality: topical application of commercially-available benzocaine to reduce somatosensory feedback from speakers’ lips and tongue tip, and the presence of a mirror to provide fully-detailed visual self-feedback. In experiment 1, speakers were recorded under normal quiet conditions (i.e., baseline), then again with benzocaine application plus auditory degradation, and finally with the addition of mirror feedback. Speech produced under normal and both feedback-altered conditions was assessed via naïve listeners’ intelligibility discrimination judgments. Listeners judged speech produced under bisensory degradation to be less intelligible than speech from the un-degraded baseline, and with a greater degree of difference than previously observed with auditory-only degradation. The introduction of mirror feedback, however, did not result in relative improvements in intelligibility. Experiment 2, therefore, assessed the effect of a mirror on speech intelligibility in isolation with no other sensory feedback manipulations. Speech was recorded at baseline and then again in front of a mirror, and relative intelligibility was discriminated by naïve listeners. Speech produced with mirror feedback was judged as less intelligible than baseline tokens, indicating a negative impact of visual self-feedback in the absence of other sensory manipulations. The results of both experiments demonstrate that relatively accessible manipulations of non-auditory sensory feedback can produce speech-relevant effects, and that those effects are perceptible to naïve listeners.

Abstract In this letter, an improved gated linear unit (GLU) structure for end‐to‐end (E2E) speech enhancement is proposed. In the U‐Net structure, which is widely used as the foundational architecture for E2E deep neural network‐based speech denoising, the input noisy speech signal undergoes multiple layers of encoding and is compressed into essential potential representative information at the bottleneck. The latent information is then transmitted to the decoder stage for the restoration of the target clean speech. Among these approaches, CleanUNet, a prominent state‐of‐the‐art (SOTA) method, enhances temporal attention in latent space by employing multi‐head self‐attention. However, unlike the approach of applying the attention mechanism to the potentially compressed representative information of the bottleneck layer, the proposed method instead assigns the attention module to the GLU of each encoder/decoder block layer. The proposed method is validated by measuring short‐term objective speech intelligibility and sound quality. The objective evaluation results indicated that the proposed method using residual‐attention GLU outperformed existing methods using SOTA models such as FAIR‐denoiser and CleanUNet across signal‐to‐noise ratios ranging from 0 to 15 dB.

IntroductionHearing aid (HA) manufacturers have introduced behind-the-ear (BTE) models where the microphone is positioned in the ear canal, which could impact auditory performance by distorting the pinna’s acoustic cues. This study aimed to compare two different BTE HAs with varying microphone positions: the receiver in the ear (RITE) and the transducer in the ear (TIE).MethodsThe study involved 10 participants who had never used HAs before. They used both RITE and TIE HAs bilaterally for 3 weeks. Auditory performance was assessed through free field hearing assessments (hearing thresholds, speech recognition threshold, and speech discrimination score), the Turkish Matrix Sentence Test (TURMatrix), a sound localization test, and the Satisfaction with Amplification in Daily Living (SADL) questionnaire.ResultsThere was no significant difference between TIE and RITE in the free field hearing assessments. However, TIE outperformed RITE in non-adaptive TURMatrix scores in quiet, adaptive TURMatrix scores in noise, and sound localization accuracy at various angles. SADL sub-scores (Positive Effect, Service and Cost, and Personal Image) and overall satisfaction scores were significantly better for TIE.DiscussionThe microphone position in HAs can influence auditory performance. This study demonstrated that TIE provided better speech intelligibility, localization accuracy, and user satisfaction compared to RITE.

In this letter, an improved gated linear unit (GLU) structure for end‐to‐end (E2E) speech enhancement is proposed. In the U‐Net structure, which is widely used as the foundational architecture for E2E deep neural network‐based speech denoising, the input noisy speech signal undergoes multiple layers of encoding and is compressed into essential potential representative information at the bottleneck. The latent information is then transmitted to the decoder stage for the restoration of the target clean speech. Among these approaches, CleanUNet, a prominent state‐of‐the‐art (SOTA) method, enhances temporal attention in latent space by employing multi‐head self‐attention. However, unlike the approach of applying the attention mechanism to the potentially compressed representative information of the bottleneck layer, the proposed method instead assigns the attention module to the GLU of each encoder/decoder block layer. The proposed method is validated by measuring short‐term objective speech intelligibility and sound quality. The objective evaluation results indicated that the proposed method using residual‐attention GLU outperformed existing methods using SOTA models such as FAIR‐denoiser and CleanUNet across signal‐to‐noise ratios ranging from 0 to 15 dB. [ABSTRACT FROM AUTHOR]

Small conference rooms are often used for either face-to-face communication or for virtual meetings involving an electroacoustical link between a talker and a listener. The intelligibility of speech in such environments depends on a number of factors, one of which is the nature of the reverberant sound within the space. Treating such a room with sound-absorbing materials helps reduce the so-called “cognitive load” for people who are spaced some distance away from a talker or who are listening to monaural speech reproduced by a loudspeaker. This study describes an acoustical retrofit of a small conference room to attain the reverberation time criterion found in LEED version 4.1 ID+C. Several mathematical models were used to predict the reverberation time before and after adding soundabsorbing treatment. In addition, measurements were conducted to quantify the before and after room reverberation characteristics. We found that speech was always intelligible both before and after the retrofit; however, one’s cognitive load is noticeably reduced when listening to speech after installation of the treatment.

Background: Children with hearing impairment have difficulties affecting their ability to understand speech and general communication development. It is essential to understand the background of the factors affecting young children's speech intelligibility in the Pakistani setting. Objective: To explore the factors affecting speech intelligibility among children with hearing impairment. Methods: A total of n=107 individuals were selected for the 6-month study at GMT clinic, Siemens Hearing Clinic, Hearing and Speech Care Clinic, and RHS in Islamabad using non-probability convenience sampling. Children between the ages of 6 and 12 who had mild to profound sensorineural hearing loss and could express themselves at the phrase level met the inclusion criteria. Speech-impairing conditions and progressive or conductive hearing loss were included in the exclusion criteria. Using the Assessing Intelligibility Worksheet, data was collected, in which 17 utterances with 57 words spoken by the therapist participants were repeated and the responses were noted by the therapist. Multiple linear regression, descriptive statistics, and percentage distribution were all analyzed using SPSS 21. Results: A multiple regression model was run to predict intelligibility utterance from age, gender, type of hearing aid, technology of hearing aid, degrees of hearing loss, and talkativeness. This model significantly predicted speech intelligibility of hearing aid users {F (8, 98) = 42.905, p

The use of remote testing to collect behavioral data has been on the rise, especially after the COVID-19 pandemic. Here we present psychometric functions for a commonly used speech corpus obtained in remote testing and laboratory testing conditions on young normal hearing listeners in the presence of different types of maskers. Headphone use for the remote testing group was checked by supplementing procedures from prior literature using a Huggins pitch task. Results revealed no significant differences in the measured thresholds using the remote testing and laboratory testing conditions for all the three masker types. Also, the thresholds measured obtained in these two conditions were strongly correlated for a different group of young normal hearing listeners. Based on the results, excellent outcomes on auditory threshold measurements where the stimuli are presented both at levels lower than and above an individual’s speech-recognition threshold can be obtained by remotely testing the listeners.

Introduction: In Slovenia, as part of the health program of preventive examinations for children and adolescents, a preventive speech therapy examination is also provided for when the child is five years old. With this examination, we determine whether the child deviates in the area of speech and language development. If a deviation is detected, the child‘s parents are advised to continue speech therapy treatments. The success of the mentioned treatments depends on how the parents subjectively assess the child‘s understanding and whether they are aware of the presence of speech and language problems Material, subjects and methods: 64 monolingual children between the ages of 4 and 5 were included in the research, who attended a preventive speech therapy examination at the Nova Gorica Health Center between October 2022 and June 2023. The child‘s speech was recorded and transcribed, and the parents completed the Intelligibility in Context Scale (ICS) (1) and answered two additional questions. Purpose and results: The purpose is to show the importance of the connection between the subjective and objective assessment of the child’s speech. A low but positive correlation was found between the measure of comprehensibility and the subjective assessment of the parents (Pearson coefficient 0.352). Conclusion: Based on the results obtained, parents of children in the preschool period should be made even better aware of the importance of the intelligibility of the child’s speech and the possible presence of speech-language problems.

Abstract The use of face coverings can make communication more difficult by removing access to visual cues as well as affecting the physical transmission of speech sounds. This study aimed to assess the independent and combined contributions of visual and auditory cues to impaired communication when using face coverings. In an online task, 150 participants rated videos of natural conversation along three dimensions: (1) how much they could follow, (2) how much effort was required, and (3) the clarity of the speech. Visual and audio variables were independently manipulated in each video, so that the same video could be presented with or without a superimposed surgical-style mask, accompanied by one of four audio conditions (either unfiltered audio, or audio-filtered to simulate the attenuation associated with a surgical mask, an FFP3 mask, or a visor). Hypotheses and analyses were pre-registered. Both the audio and visual variables had a statistically significant negative impact across all three dimensions. Whether or not talkers’ faces were visible made the largest contribution to participants’ ratings. The study identifies a degree of attenuation whose negative effects can be overcome by the restoration of visual cues. The significant effects observed in this nominally low-demand task (speech in quiet) highlight the importance of the visual and audio cues in everyday life and that their consideration should be included in future face mask designs.

Cleft type affects speech outcomes, but exact relationships remain unclear as outcome measures vary. The primary aim was to investigate the relationship between cleft type and speech outcome using different measures in 4-to-6-year-olds with non-syndromic clefts. Secondary aims were to explore the relationships between (i) speech measures used; and (ii) parent perception of speech intelligibility and listener familiarity. Twenty-two pre-schoolers with clefts, plus one parent for each child, were recruited through a hospital outpatient clinic. Children with cleft lip and palate (CLP; n = 11) and those with cleft palate only (CP; n  = 11), matched on age and time of palate repair, were compared on Percentage Consonants Correct (PCC), clinician-reported speech intelligibility, and parent rating on the Intelligibility-in-Context Scale (ICS). Children with CLP had significantly lower PCC scores than children with CP (p = .020), but had no significant differences in their clinician- or parent-reported speech intelligibility. Clinician-reported speech intelligibility correlated significantly with both PCC (τ = .594, p < 0.01) and ICS (τ = .424, p  = 0.009). No significant correlation was found between PCC and ICS (τ =.197, p = 0.113). Overall, parents rated their child’s intelligibility higher for familiar compared to unfamiliar communication partners (τ  = 2.325, p = 0.001, r  = .76). Cleft type is crucial for intervention planning when objective measures are employed. Speech outcomes should be evaluated at impairment, activity, and participation levels, and by different communication partners, to comprehensively evaluate communicative effectiveness. [ABSTRACT FROM AUTHOR]

The use of remote testing to collect behavioral data has been on the rise, especially after the COVID-19 pandemic. Here we present psychometric functions for a commonly used speech corpus obtained in remote testing and laboratory testing conditions on young normal hearing listeners in the presence of different types of maskers. Headphone use for the remote testing group was checked by supplementing procedures from prior literature using a Huggins pitch task. Results revealed no significant differences in the measured thresholds using the remote testing and laboratory testing conditions for all the three masker types. Also, the thresholds measured obtained in these two conditions were strongly correlated for a different group of young normal hearing listeners. Based on the results, excellent outcomes on auditory threshold measurements where the stimuli are presented both at levels lower than and above an individual's speech-recognition threshold can be obtained by remotely testing the listeners. [ABSTRACT FROM AUTHOR]

The acoustic quality of learning spaces, such as classrooms, is a worldwide issue. Some countries have regulations or guidelines for these environments, which does not happen properly in Brazil. Beyond the lack of nationwide research related to classroom acoustics, Brazil has two standards with a few information related to classroom acoustics. One of them was written in 1992, having a single demand concerning an appropriate reverberation time for conference rooms at the 500 Hz frequency, without detailed requirement, in contrast to other national guidelines. Another one, updated in 2020, recommends the sound pressure levels for indoor environments, having classrooms in its list. The aim of this study is to analyze the acoustic quality of two Brazilian classrooms over a public university in the south part of Brazil. Several impulse responses were taken within the learning environments and then processed in Matlab with the ITA ToolBox. The classrooms were also modeled into RAVEN and I-SIMPA software aiming to identify different sound absorption schemes to improve their speech intelligibility. The findings showed that the classrooms had a bad acoustic environment, with a measured reverberation time of approximately 1. 60 s. However, the simulation suggested that implementing sound absorption strategies could reduce the reverberation effects by half, bringing it closer to optimal levels. The estimated costs for implementing sound absorbers were U S $ 7 , 500. 00 for Classroom 01 and U S $ 7 , 100. 00 for Classroom 02. [ABSTRACT FROM AUTHOR]

Purpose: The Oldenburg Sentence Test (OLSA) is a German matrix test designed to determine speech recognition thresholds (SRT). It is widely used for hearing-aids and cochlear implant fitting, but an age-adjusted standard is still lacking. In addition, knowing that the ability to concentrate is an important factor in OLSA performance, we hypothesized that OLSA performance would depend on the time of day it was administered. The aim of this study was to propose an age standardization for the OLSA and to determine its diurnal performance. Methods: The Gutenberg Health Study is an ongoing population-based study and designed as a single-centre observational, prospective cohort study. Participants were interviewed about common otologic symptoms and tested with pure-tone audiometry and OLSA. Two groups—subjects with and without hearing loss—were established. The OLSA was performed in two runs. The SRT was evaluated for each participant. Results were characterized by age in 5-year cohorts, gender and speech recognition threshold (SRT). A time stamp with an hourly interval was also implemented. Results: The mean OLSA SRT was − 6.9 ± 1.0 dB (group 1 male) and − 7.1 ± 0.8 dB (group 1 female) showing an inverse relationship with age in the whole cohort, whereas a linear increase was observed in those without hearing loss. OLSA-SRT values increased more in males than in females with increasing age. No statistical significance was found for the diurnal performance. Conclusions: A study with 2900 evaluable Oldenburg Sentence Tests is a novelty and representative for the population of Mainz and its surroundings. We postulate an age- and gender-standardized scale for the evaluation of the OLSA. In fact, with an intergroup standard deviation (of about 1.5 dB) compared to the age dependence of 0.7 dB/10 years, this age normalization should be considered as clinically relevant. [ABSTRACT FROM AUTHOR]

According to its cultural and spiritual importance, church acoustics are intensively investigated. These architectural marvels serve religious worship, community events, and cultural preservation. Preserving these sites' historical importance and acoustic comfort requires understanding their complex sound transmission dynamics. However, urban noise severely reduces sacred sites acoustically. In view of their proximity to airports, highways, and Metro, this study explores the acoustics of Chennai's medieval St Thomas Garrison Church. Reverberation times (RT) at 500 and 1000 Hz exceed the optimum value, especially for speech purposes. Day and night background noises over 60 dBA affect speech transmission index (STI) and sound pressure level (SPL) distribution. These findings are also examined in relation to potential service interventions, such as amplification systems, in places of worship. This study suggests that urban planners, architects, and others can help preserve and improve religious experiences by addressing urban noise and improving church acoustics. [ABSTRACT FROM AUTHOR]

Realistic outcome measures that reflect everyday hearing challenges are needed to assess hearing aid and cochlear implant (CI) fitting. Literature suggests that listening effort measures may be more sensitive to differences between hearing-device settings than established speech intelligibility measures when speech intelligibility is near maximum. Which method provides the most effective measurement of listening effort for this purpose is currently unclear. This study aimed to investigate the feasibility of two tests for measuring changes in listening effort in CI users due to signal-to-noise ratio (SNR) differences, as would arise from different hearing-device settings. By comparing the effect size of SNR differences on listening effort measures with test–retest differences, the study evaluated the suitability of these tests for clinical use. Nineteen CI users underwent two listening effort tests at two SNRs (+4 and +8 dB relative to individuals' 50% speech perception threshold). We employed dual-task paradigms—a sentence-final word identification and recall test (SWIRT) and a sentence verification test (SVT)—to assess listening effort at these two SNRs. Our results show a significant difference in listening effort between the SNRs for both test methods, although the effect size was comparable to the test–retest difference, and the sensitivity was not superior to speech intelligibility measures. Thus, the implementations of SVT and SWIRT used in this study are not suitable for clinical use to measure listening effort differences of this magnitude in individual CI users. However, they can be used in research involving CI users to analyze group data. [ABSTRACT FROM AUTHOR]

The use of face coverings can make communication more difficult by removing access to visual cues as well as affecting the physical transmission of speech sounds. This study aimed to assess the independent and combined contributions of visual and auditory cues to impaired communication when using face coverings. In an online task, 150 participants rated videos of natural conversation along three dimensions: (1) how much they could follow, (2) how much effort was required, and (3) the clarity of the speech. Visual and audio variables were independently manipulated in each video, so that the same video could be presented with or without a superimposed surgical-style mask, accompanied by one of four audio conditions (either unfiltered audio, or audio-filtered to simulate the attenuation associated with a surgical mask, an FFP3 mask, or a visor). Hypotheses and analyses were pre-registered. Both the audio and visual variables had a statistically significant negative impact across all three dimensions. Whether or not talkers' faces were visible made the largest contribution to participants' ratings. The study identifies a degree of attenuation whose negative effects can be overcome by the restoration of visual cues. The significant effects observed in this nominally low-demand task (speech in quiet) highlight the importance of the visual and audio cues in everyday life and that their consideration should be included in future face mask designs. [ABSTRACT FROM AUTHOR]

Noise-vocoded speech has long been used to investigate how acoustic cues affect speech understanding. Studies indicate that reducing the number of spectral channel bands diminishes speech intelligibility. Despite previous studies examining the channel band effect using earlier event-related potential (ERP) components, such as P1, N1, and P2, a clear consensus or understanding remains elusive. Given our hypothesis that spectral degradation affects higherorder processing of speech understanding beyond mere perception, we aimed to objectively measure differences in higher-order abilities to discriminate or interpret meaning. Using an oddball paradigm with speech stimuli, we examined how neural signals correlate with the evaluation of speech stimuli based on the number of channel bands measuring N2 and P3b components. In 20 young participants with normal hearing, we measured speech intelligibility and N2 and P3b responses using a one-syllable task paradigm with animal and nonanimal stimuli across four vocoder conditions with 4, 8, 16, or 32 channel bands. Behavioral data from word repetition clearly affected the number of channel bands, and all pairs were significantly different (p < 0.001). We also observed significant effects of the number of channels on the peak amplitude [F(2.006, 38.117) = 9.077, p < 0.001] and peak latency [F(3, 57) = 26.642, p < 0.001] of the N2 component. Similarly, the P3b component showed significant main effects of the number of channel bands on the peak amplitude [F(2.231, 42.391) = 13.045, p < 0.001] and peak latency [F(3, 57) = 2.968, p = 0.039]. In summary, our findings provide compelling evidence that spectral channel bands profoundly influence cortical speech processing, as reflected in the N2 and P3b components, a higher-order cognitive process. We conclude that spectrally degraded onesyllable speech primarily affects cortical responses during semantic integration. [ABSTRACT FROM AUTHOR]

Hearing aids and other hearing devices should provide the user with a benefit, for example, compensate for effects of a hearing loss or cancel undesired sounds. However, wearing hearing devices can also have negative effects on perception, previously demonstrated mostly for spatial hearing, sound quality and the perception of the own voice. When hearing devices are set to transparency, that is, provide no gain and resemble open-ear listening as well as possible, these side effects can be studied in isolation. In the present work, we conducted a series of experiments that are concerned with the effect of transparent hearing devices on speech perception in a collocated speech-in-noise task. In such a situation, listening through a hearing device is not expected to have any negative effect, since both speech and noise undergo identical processing, such that the signal-to-noise ratio at ear is not altered and spatial effects are irrelevant. However, we found a consistent hearing device disadvantage for speech intelligibility and similar trends for rated listening effort. Several hypotheses for the possible origin for this disadvantage were tested by including several different devices, gain settings and stimulus levels. While effects of self-noise and nonlinear distortions were ruled out, the exact reason for a hearing device disadvantage on speech perception is still unclear. However, a significant relation to auditory model predictions demonstrate that the speech intelligibility disadvantage is related to sound quality, and is most probably caused by insufficient equalization, artifacts of frequency-dependent signal processing and processing delays. [ABSTRACT FROM AUTHOR]

Aims: Digital noise reduction (DNR) minimizes the effect of noise on speech signals by continuously monitoring frequency bands in the presence of noise. In the present study, we explored the effect of DNR technology on speech intelligibility in individuals using hearing aids (HAs) and investigated implications for daily use. Methods and material: Eighteen participants with bilateral moderate sensorineural hearing loss (aged 16-45 years) were included. Bilateral receiver-in-the-ear HAs were fitted in the participants. The adaptive and nonadaptive (with a signal-to-noise ratio (SNR) of +5 and -5 dB, respectively) Turkish matrix sentence test (TURMatrix) in noise and freefield hearing assessments, including hearing thresholds with hearing aids, speech recognition thresholds (SRT), and speech discrimination scores, were conducted in two different conditions: HA in the DNR-on and DNR-off conditions. Results: No significant difference was observed between free-field hearing assessments with the HA in the DNR-off and DNR-on conditions (P > 0.05). Furthermore, the adaptive and nonadaptive TURMatrix revealed significant differences between the scores under the DNR-on and DNR-off conditions (P < 0.05). Nevertheless, under the DNR-on condition, there was no correlation between free-field hearing assessments with HA and TURMatrix results (P > 0.05). However, a significant correlation was observed between SRT scores with HA and TURMatrix scores (adaptive and nonadaptive, +5 and -5 dB SNR, respectively) under the DNR-off condition (P < 0.05). Conclusion: Our study findings suggest that DNR can improve speech intelligibility in noisy environments. Therefore, DNR can enhance an individual's auditory comfort by improving their capacity to grasp speech in background noise. [ABSTRACT FROM AUTHOR]