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Marsja, E., Holmer, E., Stenbäck, V., Micula, A., Tirado, C., Danielsson, H. & Rönnberg, J. (2025). Fluid Intelligence Partially Mediates the Effect of Working Memory on Speech Recognition in Noise. Journal of Speech, Language and Hearing Research, 68(1), 399-410
Open this publication in new window or tab >>Fluid Intelligence Partially Mediates the Effect of Working Memory on Speech Recognition in Noise
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2025 (English)In: Journal of Speech, Language and Hearing Research, ISSN 1092-4388, E-ISSN 1558-9102, Vol. 68, no 1, p. 399-410Article in journal (Refereed) Published
Abstract [en]

Purpose: Although the existing literature has explored the link between cognitive functioning and speech recognition in noise, the specific role of fluid intelligence still needs to be studied. Given the established association between working memory capacity (WMC) and fluid intelligence and the predictive power of WMC for speech recognition in noise, we aimed to elucidate the mediating role of fluid intelligence.

Method: We used data from the n200 study, a longitudinal investigation into aging, hearing ability, and cognitive functioning. We analyzed two age-matched samples: participants with hearing aids and a group with normal hearing. WMC was assessed using the Reading Span task, and fluid intelligence was measured with Raven's Progressive Matrices. Speech recognition in noise was evaluated using Hagerman sentences presented to target 80% speech-reception thresholds in four-talker babble. Data were analyzed using mediation analysis to examine fluid intelligence as a mediator between WMC and speech recognition in noise.

Results: We found a partial mediating effect of fluid intelligence on the relationship between WMC and speech recognition in noise, and that hearing status did not moderate this effect. In other words, WMC and fluid intelligence were related, and fluid intelligence partially explained the influence of WMC on speech recognition in noise.

Conclusions: This study shows the importance of fluid intelligence in speech recognition in noise, regardless of hearing status. Future research should use other advanced statistical techniques and explore various speech recognition tests and background maskers to deepen our understanding of the interplay between WMC and fluid intelligence in speech recognition.

Place, publisher, year, edition, pages
American Speech-Language-Hearing Association, 2025
Keywords
Hearing impairment, speech recognition in noise, working memory, fluid intelligence, speech in noise
National Category
Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:liu:diva-210491 (URN)10.1044/2024_jslhr-24-00465 (DOI)001391132400027 ()2-s2.0-85214320566 (Scopus ID)
Funder
Swedish Research Council, 349-2007-8654Swedish Research Council, VR-2017-06092Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-1693
Note

Funding Agencies|William Demant Foundation [21-1640]

Available from: 2024-12-16 Created: 2024-12-16 Last updated: 2025-05-27Bibliographically approved
Stenbäck, V., Hällgren, M. & Marsja, E. (2025). Speech recognition under masking: Age, hearing, and machine learning classification. Acta Psychologica, 259, Article ID 105461.
Open this publication in new window or tab >>Speech recognition under masking: Age, hearing, and machine learning classification
2025 (English)In: Acta Psychologica, ISSN 0001-6918, E-ISSN 1873-6297, Vol. 259, article id 105461Article in journal (Refereed) Published
Abstract [en]

In this study, we seek to empirically evaluate whether maskers can be categorically grouped into energetic and informational using machine learning classification techniques. The study further aimed to examine how age and hearing ability affect speech reception thresholds (SRTs) using different speech materials and masker types (energetic vs. informational).Participants included young and older individuals with normal hearing, as well as older individuals with hearing impairments (HI). Two speech materials targeting different SRTs were used. Machine learning confirmed the classification of noises into energetic and informational maskersLinear mixed-effects modeling predicted signal-to-noise ratios (SNRs) in the Swedish Hearing in Noise Test (HINT) and Hagerman test based on group, SRTs, and Masker Type. Results showed that younger and older adults performed similarly in the HINT with informational maskers, which had significantly lower SNRs. Older HI individuals had higher SNRs in both Masker Types. Differences were noted in speech recognition criteria across the three groups in both tests.The findings indicated that machine learning supported the theoretical categorization of maskers. Furthermore, older and younger normally-hearing adults performed similarly regardless of speech recognition criteria or Masker Type, while HI individuals performed worse in all conditions. This suggests that normal-hearing older adults may use strategies to match younger adults' performance, and that peripheral hearing, rather than age, significantly impacts speech recognition in various conditions.

Place, publisher, year, edition, pages
Elsevier BV, 2025
Keywords
Speech recognition, Hearing impairment, Speech-in-noise, Energetic masking, Informational masking, Age-related hearing loss, Machine learning
National Category
Psychology (Excluding Applied Psychology)
Identifiers
urn:nbn:se:liu:diva-216973 (URN)10.1016/j.actpsy.2025.105461 (DOI)001561954600001 ()40865477 (PubMedID)2-s2.0-105013962767 (Scopus ID)
Note

Funding Agencies|Swedish Research Council [421-2009-1753]

Available from: 2025-08-26 Created: 2025-08-26 Last updated: 2025-09-26
Marsja, E., Signoret, C. & Stenbäck, V. (2025). The digital workplace and meeting accessibility: A qualitative study on listening effort in video meetings for employees with hearing loss. Work: A journal of Prevention, Assessment and rehabilitation, Article ID 10519815251398498.
Open this publication in new window or tab >>The digital workplace and meeting accessibility: A qualitative study on listening effort in video meetings for employees with hearing loss
2025 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, article id 10519815251398498Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

Hearing loss is a common workplace disability that presents communication challenges. While digital communication platforms can offer opportunities for flexibility and inclusion, they may also present barriers for individuals with hearing loss. More research is needed to understand how video meetings are experienced by these employees and how to create more inclusive and effective work environments.

Objective

This study aimed to explore the positive and negative aspects of video meetings for employees with hearing loss and identify strategies they use to enhance communication.

Methods

We conducted a qualitative study using an abductive approach to thematic analysis. Fourteen employees with hearing loss, aged 35 to 67 years, were interviewed. All participants used hearing aids except for one who had a cochlear implant. They were recruited through professional networks and audiology clinics.

Results

Listening effort emerged as the overarching theme, experienced as both physically and mentally demanding. Sub-themes included both positive and negative experiences, the effects on participation, and strategies for managing communication challenges. Participants emphasized the importance of high-quality audio, video, captioning, and structured turn-taking. Workplace support, technical solutions, and remote work opportunities were described as helpful in reducing listening effort and improving inclusion.

Conclusions

Employees with hearing loss report both benefits and challenges in video meetings. Based on participants’ experiences, workplace measures such as captioning, high-quality audio, and inclusive communication practices may support participation. Allowing remote work and structuring hybrid meetings with clear turn-taking rules may support well-being and participation. Future research should assess the effectiveness of these approaches.

Place, publisher, year, edition, pages
Sage Publications, 2025
Keywords
remote work, mental fatigue, videoconferencing, communication barriers, hearing aids, cochlear implants, telework, persons with hearing disabilities
National Category
Psychology (Excluding Applied Psychology)
Identifiers
urn:nbn:se:liu:diva-219916 (URN)10.1177/10519815251398498 (DOI)001632878300001 ()41359512 (PubMedID)
Funder
Hörselskadades Riksförbund, FA21-0012
Note

Funding Agencies|Hearing Research Fund (Hrselforskningsfonden, the Swedish Association of the Hard of Hearing) [FA21-0012]

Available from: 2025-12-08 Created: 2025-12-08 Last updated: 2026-01-22
Stenbäck, V., Marsja, E., Lindqvist, H. & Sundström, S. (2024). How’s school going?: Psychosocial health and peer relations in school for children who are deaf or hard of hearing. In: 7th International Conference on Cognitive Hearing Science for Communication: . Paper presented at 7th International Conference on Cognitive Hearing Science for Communication, June 9-12, 2024.
Open this publication in new window or tab >>How’s school going?: Psychosocial health and peer relations in school for children who are deaf or hard of hearing
2024 (English)In: 7th International Conference on Cognitive Hearing Science for Communication, 2024Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

The Education Act in both Sweden and Norway stipulates that schools must enable all pupils to develop the knowledge, skills and attitudes that form the basis for continued learning and active participation in working life and society (Opplæringslova, 1998; SFS 2010:800, 2010). 

In a report of Scandinavian research published between 2008–2017, Kermit (2018) concludes that children and adolescents with HL perform below peers in school, and that they often struggle with social relationships in kindergarten and school, thus running a higher risk of psychosocial problems compared to peers with typical hearing. It has been found that children and adolescents with HL are not involved in making decisions about their learning environment, including special needs education support.

We conducted a pilot study using the Strength and Difficulties Questionnaire (SDQ), investigating how psychosocial health in children who are deaf/hard-of-hearing (D/HH) in Norway, was related to peer relationships and educational support as reported by their guardians.

As a follow up to the surveys, we will conduct focus group interviews with teachers of children who D/HH to investigate their experiences of the educational support for, and psychosocial health of, these children.

Preliminary results from the surveys showed that guardians reported significantly higher SDQ scores (M= 10.5) than the normative data (M= 5.8). Descriptive data for our sample showed that children in compulsory integrated school scored higher on both internal (emotional, hyperactivity) (M=6.20) and external (peer problems, conduct) (M=5.12) scales than children attending school for hard-of-hearing (Internal M= 3.83, External M= 3.67). 

Additional statistical analysis will be presented and discussed within Bronfenbrenner’s Socio-Ecological Framework as a sensitizing concept. Further implications and future research will be discussed.

Keywords
special need education, hearing loss, education, disability research, psychosocial health, special needs support
National Category
Pedagogy Educational Sciences Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:liu:diva-206801 (URN)
Conference
7th International Conference on Cognitive Hearing Science for Communication, June 9-12, 2024
Projects
How's school going?
Note

This is a collaborative project between Linköping university, division of Education, Teaching and Learning, and the University of Oslo, Department of Special Needs Education.

Available from: 2024-08-22 Created: 2024-08-22 Last updated: 2025-09-15Bibliographically approved
Stenbäck, V., Marsja, E., Ellis, R. J. & Rönnberg, J. (2023). Relationships between behavioural and self-report measures in speech recognition in noise. International Journal of Audiology, 62(2), 101-109
Open this publication in new window or tab >>Relationships between behavioural and self-report measures in speech recognition in noise
2023 (English)In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 62, no 2, p. 101-109Article in journal (Refereed) Published
Abstract [en]

Objective

Using data from the n200-study, we aimed to investigate the relationship between behavioural (the Swedish HINT and Hagerman speech-in-noise tests) and self-report (Speech, Spatial and Qualities of Hearing Questionnaire (SSQ)) measures of listening under adverse conditions.

Design

The Swedish HINT was masked with a speech-shaped noise (SSN), the Hagerman was masked with a SSN and a four-talker babble, and the subscales from the SSQ were used as a self-report measure. The HINT and Hagerman were administered through an experimental hearing aid.

Study sample

This study included 191 hearing aid users with hearing loss (mean PTA4 = 37.6, SD = 10.8) and 195 normally hearing adults (mean PTA4 = 10.0, SD = 6.0).ResultsThe present study found correlations between behavioural measures of speech-in-noise and self-report scores of the SSQ in normally hearing individuals, but not in hearing aid users.

Conclusion

The present study may help identify relationships between clinically used behavioural measures, and a self-report measure of speech recognition. The results from the present study suggest that use of a self-report measure as a complement to behavioural speech in noise tests might help to further our understanding of how self-report, and behavioural results can be generalised to everyday functioning.

Place, publisher, year, edition, pages
Abingdon, Oxfordshire, United Kingdom: Taylor & Francis, 2023
Keywords
Speech perception, hearing loss, SSQ, age-related hearing loss
National Category
Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:liu:diva-183739 (URN)10.1080/14992027.2022.2047232 (DOI)000771248900001 ()35306958 (PubMedID)
Note

Funding: FORTE, Vetenskapsradet

Available from: 2022-03-21 Created: 2022-03-21 Last updated: 2023-11-21Bibliographically approved
Stenbäck, V., Marsja, E., Hällgren, M., Lyxell, B. & Larsby, B. (2022). Informational masking and listening effort in speech recognition innoise: the role of working memory capacity and inhibitory control in older adults with and without hearing impairmen. Journal of Speech, Language and Hearing Research, 65(11), 4417-4428
Open this publication in new window or tab >>Informational masking and listening effort in speech recognition innoise: the role of working memory capacity and inhibitory control in older adults with and without hearing impairmen
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2022 (English)In: Journal of Speech, Language and Hearing Research, ISSN 1092-4388, E-ISSN 1558-9102, Vol. 65, no 11, p. 4417-4428Article in journal (Refereed) Published
Abstract [en]

Purpose: The study aimed to assess the relationship between 1) speech-recognition-in-noise, mask type, working memory capacity (WMC), inhibitory control, and 2) self-rated listening effort, speech material, and mask type, in older adults with and without hearing-impairment. It was of special interest to assess the relationship between WMC, inhibitory control, and speech-recognition-in-noise when informational maskers masked target speech.

Method: A mixed design was used. A group (N= 24) of older (mean age = 69.7 years) HI individuals, and a group of age-normal hearing adults (mean age = 59.3 years, SD = 6.5) participated in the study. The participants were presented with auditory tests in a sound attenuated room and the cognitive tests in a quiet office. The participants were asked to rate listening effort after being presented with energetic and informational background maskers in two different speech materials used in this study (i.e., Hearing in Noise Test and the Hagerman Test). Linear-Mixed Effects models were set up to assess the effect of the two different speech materials, energetic and informational maskers, hearing ability, WMC, inhibitory control, and self-rated listening effort.

Results: Results showed that WMC and inhibitory control was of importance for speech-recognition-in-noise, even when controlling for PTA4 (pure tone average 4) hearing thresholds and age, when the maskers were informational. Concerning listening effort, on the other hand,  the results suggest that hearing ability, but not cognitive abilities, is important for self-rated listening effort in speech-recognition-in-noise.

Conclusion: Speech-in-noise recognition is more dependent on WMC for older adults in informational maskers than in energetic maskers. Hearing ability is a stronger predictor than cognition for self-rated listening effort.

Place, publisher, year, edition, pages
AMER SPEECH-LANGUAGE-HEARING ASSOC, 2022
Keywords
speech-in-noise, hearing impairment, presbycusis, working memory capacity, inhibition, listening effort, speech recognition
National Category
Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:liu:diva-187061 (URN)10.1044/2022_JSLHR-21-00674 (DOI)000891439000028 ()36283680 (PubMedID)
Funder
Swedish Research Council, 421-2009-1753
Note

Funding: Swedish Research Council [421-2009-1753]

Available from: 2022-09-09 Created: 2022-09-09 Last updated: 2022-12-20
Marsja, E., Stenbäck, V., Moradi, S., Danielsson, H. & Rönnberg, J. (2022). Is Having Hearing Loss Fundamentally Different?: Multigroup Structural Equation Modeling of the Effect of Cognitive Functioning on Speech Identificatio. Ear and Hearing, 43(5), 1437-1446
Open this publication in new window or tab >>Is Having Hearing Loss Fundamentally Different?: Multigroup Structural Equation Modeling of the Effect of Cognitive Functioning on Speech Identificatio
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2022 (English)In: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 43, no 5, p. 1437-1446Article in journal (Refereed) Published
Abstract [en]

Objectives: Previous research suggests that there is a robust relationship between cognitive functioning and speech-in-noise performance for older adults with age-related hearing loss. For normal-hearing adults, on the other hand, the research is not entirely clear. Therefore, the current study aimed to examine the relationship between cognitive functioning, aging, and speech-in-noise, in a group of older normal-hearing persons and older persons with hearing loss who wear hearing aids.

Design: We analyzed data from 199 older normal-hearing individuals (mean age = 61.2) and 200 older individuals with hearing loss (mean age = 60.9) using multigroup structural equation modeling. Four cognitively related tasks were used to create a cognitive functioning construct: the reading span task, a visuospatial working memory task, the semantic word-pairs task, and Raven’s progressive matrices. Speech-in-noise, on the other hand, was measured using Hagerman sentences. The Hagerman sentences were presented via an experimental hearing aid to both normal hearing and hearing-impaired groups. Furthermore, the sentences were presented with one of the two background noise conditions: the Hagerman original speech-shaped noise or four-talker babble. Each noise condition was also presented with three different hearing processing settings: linear processing, fast compression, and noise reduction.

Results: Cognitive functioning was significantly related to speech-in-noise identification. Moreover, aging had a significant effect on both speech-in-noise and cognitive functioning. With regression weights constrained to be equal for the two groups, the final model had the best fit to the data. Importantly, the results showed that the relationship between cognitive functioning and speech-in-noise was not different for the two groups. Furthermore, the same pattern was evident for aging: the effects of aging on cognitive functioning and aging on speech-in-noise were not different between groups.

Conclusion: Our findings revealed similar cognitive functioning and aging effects on speech-in-noise performance in older normal-hearing and aided hearing-impaired listeners. In conclusion, the findings support the Ease of Language Understanding model as cognitive processes play a critical role in speech-in-noise independent from the hearing status of elderly individuals.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2022
Keywords
Aging; Cognitive functioning; Ravens; Speech in noise; Structural equation modeling; Working memory
National Category
Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:liu:diva-182150 (URN)10.1097/aud.0000000000001196 (DOI)000843475700006 ()34983896 (PubMedID)
Funder
Swedish Research Council, 349-2007-8654Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-1693Swedish Research Council, VR-2017-06092
Note

Funding: Linnaeus Centre HEAD excellence center grant from the Swedish Research Council [349-2007-8654]; FORTE [2012-1693]; Swedish Research Council [VR-2017-06092]

Available from: 2022-01-07 Created: 2022-01-07 Last updated: 2022-09-05Bibliographically approved
Stenbäck, V., Sandén, P. & Larsson Abbad, G. (2022). Post-covid support of teachers’ and students’ learning communities in higher education. In: : . Paper presented at NU2022, Stockholm.
Open this publication in new window or tab >>Post-covid support of teachers’ and students’ learning communities in higher education
2022 (English)Conference paper, Oral presentation only (Refereed)
National Category
Educational Sciences
Identifiers
urn:nbn:se:liu:diva-203197 (URN)
Conference
NU2022, Stockholm
Available from: 2024-05-03 Created: 2024-05-03 Last updated: 2025-08-18Bibliographically approved
Stenbäck, V., Schminder, J., Söderström, A., Sandén, P. & Larsson Abbad, G. (2022). Support and inclusion in post-covid higher education – student perception on support and learning during digital teaching.. In: EuroSoTL 2022 Proceedings: . Paper presented at EuroSoTL 2022, 16-17 June, 2022 (pp. 203-208). Manchester, Great Britain
Open this publication in new window or tab >>Support and inclusion in post-covid higher education – student perception on support and learning during digital teaching.
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2022 (English)In: EuroSoTL 2022 Proceedings, Manchester, Great Britain, 2022, p. 203-208Conference paper, Oral presentation only (Refereed)
Abstract [en]

The presentation aims to discuss students' perceptions of support from peers and teachers, organising and planning studies in distance learning, perceptions of students' own learning, and perceptions of inclusion in digital teaching. The discussion will be grounded in survey results from a pilot project and in relation to Universal Design for Learning, where inclusion is a key element.

Place, publisher, year, edition, pages
Manchester, Great Britain: , 2022
Keywords
Universal Design for Learning, Distance learning, Inclusion in digital teaching
National Category
Educational Sciences Pedagogy Educational Sciences Pedagogical Work
Identifiers
urn:nbn:se:liu:diva-189425 (URN)
Conference
EuroSoTL 2022, 16-17 June, 2022
Funder
Linköpings universitet
Available from: 2022-10-21 Created: 2022-10-21 Last updated: 2025-02-18Bibliographically approved
Stenbäck, V., Hällgren, M., Lyxell, B. & Larsby, B. (2015). Cognitive inhibition, WMC, and speech-recognition-in-noise. In: 3rd International conference in Cognitive Hearing Science and Communication, Linköping 14-17 June, 2015.: . Paper presented at Cognitive Hearing SCience and Communication, Linköping 14-17 June, 2015.
Open this publication in new window or tab >>Cognitive inhibition, WMC, and speech-recognition-in-noise
2015 (English)In: 3rd International conference in Cognitive Hearing Science and Communication, Linköping 14-17 June, 2015., 2015Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Cognitive abilities are important for a number of human attributes, such as making sense of communication, holding information active in memory, and making decisions. When it is the goal to focus on a single target voice, and resist intrusions from irrelevant information, cognitive inhibition can aid us in our endeavour. Cognitive inhibition is thought to support and co-operate with working memory. Abilities such as cognitive inhibition and working memory are also important for speech processing, even more so when listening to speech under adverse conditions. In order to assess different difficulties that can arise in every day listening situations, it´s of importance to have solid methods for measuring cognitive abilities. In the present study we present a task assessing cognitive inhibition, and how it relates to individual working memory capacity (WMC), and speech-recognition-in-noise. Forty-six young normally-hearing individuals were presented with a cognitive test battery, as well as a speech-in-noise test. Our results suggest that individuals with high WMC, also exhibit good cognitive inhibition. The results also indicate that those who perform well in the cognitive inhibition task need less favourable signal-to-noise-ratios in the speech-recognition task. Our findings indicate that capacity to resist semantic interference can be used to predict performance in speech-recognition tasks when listening under adverse conditions. 

Keywords
speech in noise, working memory, inhibition, normal hearing, working memory capacity
National Category
Psychology
Identifiers
urn:nbn:se:liu:diva-126356 (URN)
Conference
Cognitive Hearing SCience and Communication, Linköping 14-17 June, 2015
Projects
Tal som störning vid språklig kommunikation
Funder
Swedish Research Council, 8723111202
Available from: 2016-03-22 Created: 2016-03-22 Last updated: 2016-04-11Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0369-3354

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