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Dynamic relation between working memory capacity and speech recognition in noise during the first six months of hearing aid use
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, The Swedish Institute for Disability Research. Linköping University, Faculty of Arts and Sciences. (HEAD)
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, The Swedish Institute for Disability Research. Linköping University, Faculty of Arts and Sciences.
Linköping University, The Swedish Institute for Disability Research. Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Linköping University, The Swedish Institute for Disability Research.
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2014 (English)In: Trends in Hearing, ISSN 2331-2165, Vol. 18, 1-10 p.Article in journal (Refereed) Published
Abstract [en]

The present study aimed to investigate the changing relationship between aided speech recognition and cognitive function during the first six months of hearing aid use. Twentyseven first-time hearing aid users with symmetrical mild to moderate sensorineural hearing loss were recruited. Aided speech recognition thresholds in noise (SRTs) were obtained in the hearing aid fitting session as well as at three and six months post-fitting. Cognitive abilities were assessed using a reading span test, which is a measure of working memory capacity, and a cognitive test battery. Results showed a significant correlation between reading span and SRT during the hearing aid fitting session. This relation was significantly weakened over the first six months of hearing aid use. Multiple regression analysis showed that reading span was the main predictor of SRT when hearing aids were first fitted, but that pure-tone average hearing threshold (PTA) was the main predictor six months later. This indicates that working memory capacity plays a more important role in speech recognition in noise before than after six months of use. We argue that new hearing aid users engage working memory capacity to recognize unfamiliar processed speech signals but that as familiarization proceeds, engagement of working memory capacity is reduced.

Place, publisher, year, edition, pages
Sage Publications, 2014. Vol. 18, 1-10 p.
Keyword [en]
Speech recognition, cognitive abilities, working memory, acclimatization, hearing aid
National Category
Health Sciences Other Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-98285DOI: 10.1177/2331216514558688ISI: 000354484700002OAI: oai:DiVA.org:liu-98285DiVA: diva2:653995
Available from: 2013-10-07 Created: 2013-10-07 Last updated: 2017-11-06Bibliographically approved
In thesis
1. Cognition in Hearing Aid Users: Memory for Everyday Speech
Open this publication in new window or tab >>Cognition in Hearing Aid Users: Memory for Everyday Speech
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Kognition hos hörapparatsanvändare : Att minnas talade vardagsmeningar
Abstract [en]

The thesis investigated the importance of cognition for speech understanding in experienced and new hearing aid users. The aims were 1) to develop a cognitive test (Sentence-final Word Identification and Recall, or SWIR test) to measure the effects of a noise reduction algorithm on processing of highly intelligible speech (everyday sentences); 2) to investigate, using the SWIR test, whether hearing aid signal processing would affect memory for heard speech in experienced hearing aid users; 3) to test whether the effects of signal processing on the ability to recall speech would interact with background noise and individual differences in working memory capacity; 4) to explore the potential clinical application of the SWIR test; and 5) to examine the relationship between cognition and speech recognition in noise in new users over the first six months of hearing aid use. Results showed that, for experienced users, noise reduction freed up cognitive resources and alleviated the negative  impact of noise on memory when speech stimuli were presented in a background of speech babble spoken in the listener’s native language. The possible underlying mechanisms are that noise reduction facilitates auditory stream segregation between target and irrelevant speech and reduces the attention captured by the linguistic information in irrelevant speech. The effects of noise reduction and SWIR performance were modulated by individual differences in working memory capacity. SWIR performance was related to the self-reported outcome of hearing aid use. For new users, working memory capacity played a more important role in speech recognition in noise before acclimatization to hearing aid amplification than after six months. This thesis demonstrates for the first time that hearing aid signal processing can significantly improve the ability of individuals with hearing impairment to recall highly intelligible speech stimuli presented in babble noise. It also adds to the literature showing the key role of working memory capacity in listening with hearing aids, especially for new users. By virtue of its relation to subjective measures of hearing aid outcome, the SWIR test can potentially be used as a tool in assessing hearing aid outcome.

Abstract [sv]

Avhandlingens övergripande mål var att studera kognitionens betydelse för talförståelse hos vana och nya hörapparatsanvändare. Syftena var att 1) utveckla ett kognitivt test (Sentence-final Word Identification and Recall, eller SWIR test) för att mäta en brusreducerande algoritms effekt på bearbetningen av tydligt tal (vardagsmeningar); 2) att med hjälp av SWIR testet undersöka huruvida hörapparatens signalbehandling påverkade återgivningen av uppfattat tal hos vana hörapparatsanvändare; 3) att utvärdera om effekten av signalbehandling på förmågan att komma ihåg tal påverkas av störande bakgrundsljud samt individuella skillnader i arbetsminnets kapacitet; 4) att undersöka den potentiella kliniska tillämpningen av SWIR testet och 5) att undersöka förhållandet mellan kognition och taluppfattning i störande bakgrundsljud hos nya hörapparatsanvändare under de första sex månaderna med hörapparater. Resultaten visade att för vana hörapparatsanvändare lindrade brusreduceringen det störande ljudets negativa inverkan på minnet när meningar presenterades i form av irrelevant tal på deltagarnas modersmål. De möjliga underliggande mekanismerna är att brusreducering underlättar diskriminering av de auditiva informationsflödena mellan det som ska uppfattas och det som är irrelevant, samt minskar graden av uppmärksamhet som fångas av den språkliga informationen i det irrelevanta talet. Effekterna av brusreducering och resultaten av SWIR var beroende av individuella skillnader i arbetsminnets kapacitet. Resultaten av SWIR har också samband med det självrapporterade utfallet av  hörapparatsanvändning. För nya användare spelar arbetsminnets kapacitet initialt en viktigare roll för taluppfattning i störande bakgrundsljud, innan anpassningen till hörapparatens förstärkning skett, än efter sex månader. Denna avhandling visar för första gången att hörapparatens signalbehandling kan signifikant förbättra möjligheten för individer med hörselnedsättning att minnas tydligt tal, som presenteras i störande bakgrundsljud. Avhandlingen bidrar till litteraturen med en diskussion om hur arbetsminnets kapacitet spelar roll i taluppfattning med hörapparat, i synnerhet för nya användare. Med stöd av dess samband med det självrapporterade utfallet, kan SWIR testet användas som redskap i bedömning av hörapparaters effekt.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2013. 61 p.
Series
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 593Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 53
Keyword
Hearing aid, working memory, free recall, noise reduction, speech recognition, Hörapparat, arbetsminne, återgivning, brusreducering, taluppfattning
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-98286 (URN)10.3384/diss.diva-98286 (DOI)978-91-7519-494-3 (ISBN)
Public defence
2013-10-29, I:101, Hus I, Campus Valla, Linköpings universietet, Linköping, 13:00 (English)
Opponent
Supervisors
Available from: 2013-10-07 Created: 2013-10-07 Last updated: 2013-10-07Bibliographically approved

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Ng, Hoi Ning, ElaineClasson, ElisabetLarsby, BirgittaArlinger, StigLunner, ThomasRudner, MaryRönnberg, Jerker

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