Speech discrimination and word identification with a consumer-level bone-conduction headset and remote microphone for children with normal hearing.

Objective: This study investigated the use of bone-conduction headsets paired to a wireless, remote microphone on speech discrimination and word identification for children with normal hearing.
Design: Children were tested with and without the headset, using the McCormick speech discrimination test in quiet and in speech-shaped noise to measure word-discrimination thresholds. Additionally, open-set word identification in noise was assessed while children were simultaneously engaged in a visual-monitoring task.
Study Sample: Twenty normal-hearing children, aged 4-11 years.
Results: Median word-discrimination threshold in quiet ( n  = 20) was 20.5 dB(A) without a headset and 11.5 dB(A) with a headset (Z = -3.826, p = 0.0001). In noise, the median word-discrimination threshold ( n  = 20) was 52 dB(A) without a headset and 40.5 dB(A) with a headset (Z = -3.926, p < 0.0001). For open-set word identification ( n  = 11), children performed significantly better with a headset than without it, with an average improvement of 23 percentage points ( t (10) = -5.227, p  = 0.0004, two tailed).
Conclusions: A bone-conduction headset paired to a Bluetooth microphone improved discrimination of distant speech in quiet and in noise and open-set word identification in noise.