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Speech Comprehension Training and Auditory and Cognitive Processing in Older Adults
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Health Sciences.
Adv Hearing Concepts, CA USA .
2012 (English)In: AMERICAN JOURNAL OF AUDIOLOGY, ISSN 1059-0889, Vol. 21, no 2, 351-357 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To provide a brief history of speech comprehension training systems and an overview of research on auditory and cognitive aging as background to recommendations for future directions for rehabilitation. less thanbrgreater than less thanbrgreater thanMethod: Two distinct domains were reviewed: one concerning technological and the other concerning psychological aspects of training. Historical trends and advances in these 2 domains were interrelated to highlight converging trends and directions for future practice. less thanbrgreater than less thanbrgreater thanResults: Over the last century, technological advances have influenced both the design of hearing aids and training systems. Initially, training focused on children and those with severe loss for whom amplification was insufficient. Now the focus has shifted to older adults with relatively little loss but difficulties listening in noise. Evidence of brain plasticity from auditory and cognitive neuroscience provides new insights into how to facilitate perceptual (re-)learning by older adults. less thanbrgreater than less thanbrgreater thanConclusions: There is a new imperative to complement training to increase bottom-up processing of the signal with more ecologically valid training to boost top-down information processing based on knowledge of language and the world. Advances in digital technologies enable the development of increasingly sophisticated training systems incorporating complex meaningful materials such as music, audiovisual interactive displays, and conversation.

Place, publisher, year, edition, pages
American Speech-Language-Hearing Association , 2012. Vol. 21, no 2, 351-357 p.
Keyword [en]
aging, auditory rehabilitation, cognition, speech recognition, technology, hearing loss, amplification, hearing aids
National Category
Engineering and Technology
URN: urn:nbn:se:liu:diva-90215DOI: 10.1044/1059-0889(2012/12-0025)ISI: 000314455400023OAI: diva2:612336
Available from: 2013-03-21 Created: 2013-03-21 Last updated: 2013-03-21

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Pichora-Fuller, Kathleen M
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