Journal of Speech Language and Hearing Research最新文献

Purpose: This study aims to help researchers design observational measurement systems that yield sufficiently stable scores for estimating caregiver talk among caregivers of infant siblings of autistic and non-autistic children. Stable estimates minimize error introduced by facets of the measurement system, such as variability between coders or measurement sessions.

Method: Analyses of variance were used to partition error variance between coder and session and to derive g coefficients. Decision studies determined the number of sessions and coders over which scores must be averaged to achieve sufficiently stable g coefficients (0.80). Twelve infants at elevated likelihood of an autism diagnosis and 12 infants with population-level likelihood of autism diagnosis participated in two semistructured observation sessions when the children were 12-18 months of age and again 9 months later. Caregiver follow-in talk was coded from these sessions.

Results: Two sessions and one coder were needed to achieve sufficient stability for follow-in talk and follow-in comments for both groups of infants at both time points. However, follow-in directives did not reach sufficient stability for any combination of sessions or coders for the population-level likelihood group at either time point, or for the elevated likelihood group at Time 2.

Conclusion: Researchers should plan to collect at least two sessions to derive sufficiently stable estimates of caregiver talk in infants at elevated and general population-level likelihood for autism.

Supplemental material: https://doi.org/10.23641/asha.27996875.

Purpose: This report compares device use in a cohort of Spanish-English bilingual and English monolingual children who are deaf and hard of hearing, including children fitted with traditional hearing aids, cochlear implants (CIs), and/or bone-conduction hearing devices.

Method: Participants were 84 Spanish-English bilingual children and 85 English monolingual children from clinical sites across the United States. The data represent a subset obtained in a larger clinical trial. Device use obtained via data logging was modeled as a function of language group, device type, child age, sex, and parental education.

Results: Among children with traditional hearing aids, bilingual children wore their devices significantly fewer hours per day than monolingual children, but this group difference was not observed for children with CIs or bone-conduction hearing devices. In the monolingual group, older children wore their devices significantly more hours than younger children, but this effect of age was not present in the bilingual group. Parent report was consistent with data logging for bilingual and monolingual children.

Conclusions: Spanish-English bilingual hearing aid users wore their devices less than their English monolingual peers, particularly among older children. This group effect was not observed for children with CIs or bone-conduction hearing devices. Additional studies are needed to identify factors that contribute to device use among bilingual children with hearing aids.

Purpose: The Digits-in-Noise (DIN) test is used widely in research and, increasingly, in remote hearing screening. The reported study aimed to provide basic evaluation data for browser-based DIN software, which allows remote testing without installation of an app. It investigated the effects of test language (Arabic vs. English) and test environment (lab vs. home) on DIN thresholds and test-retest reliability. It also examined the effects of test language on the correlations between DIN and audiometric thresholds.

Method: Fifty-two bilingual adults with normal hearing aged 18-35 years completed Arabic and English diotic DIN tests (two sessions in the lab and two sessions at home via the web). Effects of language and environment on DIN thresholds were assessed via paired t tests, while intraclass and Pearson's/Spearman's correlation coefficients quantified test-retest reliability and relations to audiometric thresholds.

Results: DIN thresholds were 0.74 dB higher (worse) for Arabic than English stimuli. Thresholds were 0.52 dB lower in the lab than at home, but the effect was not significant after correction for multiple comparisons. Intraclass and Pearson's correlation coefficients were too low for meaningful analysis due to the use of a normal-hearing sample with low between-subject variability in DIN and audiometric thresholds. However, exploratory analysis showed that absolute test-retest differences were low (< 1.2 dB, on average) for both languages and both test environments.

Conclusions: Arabic DIN thresholds were a little higher than English thresholds for the same listeners. Employing home-based rather than lab-based testing may slightly elevate DIN thresholds, but the effect was marginal. Nonetheless, both factors should be considered when interpreting DIN data. Test-retest differences were low for both languages and environments. To support hearing screening, subsequent research in audiometrically diverse listeners is required, testing the reliability of DIN thresholds and relations to hearing loss.

Purpose: The aim of this study was to determine whether amplification of key words in discourse helped to memorize the words.

Method: We tested the effect of 135 participants' memory for key words in the discourse after intensity amplification (0, 5, 7, 9, and 11 dB), and we also tested physiological indicators to measure attention levels in another 30 participants. Adobe Audition was used to modulate the intensity of key words, whereas E-prime technology was used to present speech stimuli and test the accuracy of the memory of the participants.

Results: The results showed that amplifying key word intensity by 9 dB led to a significant enhancement in memory, whereas there was no difference in self-reported naturalness between amplification of key word intensity in the 9 dB and nonamplified groups. Heart rate and skin conductance level of the subjects decreased with amplification of key word intensity in the 9-dB group, which indicated that this promoted the memory effect by enhancing attention.

Conclusions: Our results demonstrate that amplifying the intensity of the key words by 9 dB is an effective strategy for promoting memory. This research provides a theoretical basis for optimizing the acoustic parameters of audio learning materials to achieve better teaching effects.

Supplemental material: https://doi.org/10.23641/asha.27902643.

Purpose: This study aimed to investigate infants' neural responses to changes in emotional prosody in spoken words. The focus was on understanding developmental changes and potential sex differences, aspects that were not consistently observed in previous behavioral studies.

Method: A modified multifeature oddball paradigm was used with emotional deviants (angry, happy, and sad) presented against neutral prosody (standard) within varying spoken words during a single electroencephalography recording session. The reported data included 34 infants (18 males, 16 females; age range: 3-12 months, average age: 7 months 26 days).

Results: Infants exhibited distinct patterns of mismatch responses (MMRs) to different emotional prosodies in both early (100-200 ms) and late (300-500 ms) time windows following the speech onset. While both happy and angry prosodies elicited more negative early MMRs than the sad prosody across all infants, older infants showed more negative early MMRs than their younger counterparts. The distinction between early MMRs to angry and sad prosodies was more pronounced in younger infants. In the late time window, angry prosody elicited a more negative late MMR than the sad prosody, with younger infants showing more distinct late MMRs to sad and angry prosodies compared to older infants. Additionally, a sex effect was observed as male infants displayed more negative early MMRs compared to females.

Conclusions: These findings demonstrate the feasibility of the modified multifeature oddball protocol in studying neural sensitivities to emotional speech in infancy. The observed age and sex effects on infants' auditory neural responses to vocal emotions underscore the need for further research to distinguish between acoustic and emotional processing and to understand their roles in early socioemotional and language development.

Supplemental material: https://doi.org/10.23641/asha.27914553.

Purpose: The aims of this exploratory study were (a) to assess common terms used to describe cochlear implant (CI) sound quality by patients fit with conventional CIs and (b) to compare those descriptors to previously obtained acoustic matches to CI sound quality created by single-sided deaf (SSD) patients for their normal-hearing ear.

Method: CI patients fit with Advanced Bionics (AB; n = 89), Cochlear Corporation (n = 86), and MED-EL (n = 80) implants were the participants. The patients filled out a questionnaire about CI sound quality for two time points: For the time near activation (T1) from memory and at the time of filling out the questionnaire (T2). The mean CI experience at T2 for the three groups ranged from 4 to 8 years. The questionnaire was composed of 25 adjectives describing sound quality.

Results: For T1, the most commonly used descriptors were Computer-like, Treble-y, Metallic, and Mickey Mouse-like. A superordinate category of HiPitched (High Pitched) gathered significantly more responses from patients with shorter electrode arrays (AB and Cochlear) than patients with longer arrays (MED-EL). At T2, the most common descriptor was Clear and was chosen by approximately two thirds of the patients. The between-group differences in responses to items in the HiPitched category, present at T1, were absent at T2.

Conclusions: The questionnaire data from conventional CI patients differs from previous sound matching data collected from SSD-CI patients. Alterations to the spectral composition of the signal are less salient to experienced conventional patients than to experienced SSD-CI patients. This is likely due to the absence, for conventional patients, of an exemplar in an NH ear against which to judge CI sound quality.

Purpose: This study compared the occurrence of different types of generalization (within-class, across-class, and total generalization) following motor-phonetic speech therapy and linguistic-phonological speech therapy in children with a cleft palate ± cleft lip (CP ± L).

Method: Thirteen children with a CP ± L (M_age = 7.50 years) who previously participated in a block-randomized, sham-controlled design comparing motor-phonetic therapy (n = 7) and linguistic-phonological therapy (n = 6) participated in this study. Speech samples consisting of word imitation and sentence imitation were collected on different data points before and after therapy and perceptually assessed using the Dutch translation of the Cleft Audit Protocol for Speech-Augmented. The percentages within-class, across-class, and total generalization were calculated for the different target consonants. Generalization in the two groups was compared over time using linear mixed models (LMMs).

Results: LMM revealed significant Time × Group interactions for the percentage within-class generalization in sentence imitation and total generalization in sentence imitation tasks indicating that these percentages were significantly higher in the group of children who received linguistic-phonological intervention. No Time × Group interactions were found for the percentages across-class generalization.

Conclusions: Generalization can occur following both motor-phonetic intervention as well as linguistic-phonological intervention. A linguistic-phonological approach, however, was observed to result in larger percentages of within-class and total generalization scores. As children with a CP ± L often receive yearlong intervention to eliminate cleft-related speech sound errors, these findings on the superior generalization effects of linguistic-phonological intervention are important to consider in clinical practice.

Purpose: The Language ENvironment Analysis (LENA) technology uses automated speech processing (ASP) algorithms to estimate counts such as total adult words and child vocalizations, which helps understand children's early language environment. This ASP has been validated in North American English and other languages in predominantly monolingual contexts but not in a multilingual context like India. Thus, the current study aims to validate the classification accuracy of the LENA algorithm specifically focusing on speaker recognition of adult segments (AdS) and child segments (ChS) in a sample of bi/multilingual families from India.

Method: Thirty neurotypical children between 6 and 24 months (M = 12.89, SD = 4.95) were recruited. Participants were growing up in bi/multilingual environment hearing a combination of Kannada, Tamil, Malayalam, Telugu, Hindi, and/or English. Daylong audio recordings were collected using LENA and processed using the ASP to automatically detect segments across speaker categories. Two human annotators manually annotated ~900 min (37,431 segments across speaker categories). Performance accuracy (recall and precision) was calculated for AdS and ChS.

Results: The recall and precision for AdS were 0.62 (95% confidence interval [CI] [0.61, 0.63]) and 0.83 (95% CI [0.8, 0.83]), respectively. This indicated that 62% of the segments identified as AdS by the human annotator were also identified as AdS by the LENA ASP algorithm and 83% of the segments labeled by the LENA ASP as AdS were also labeled by the human annotator as AdS. Similarly, the recall and precision for ChS were 0.65 (95% CI [0.64, 0.66]) and 0.55 (95% CI [0.54, 0.56]), respectively.

Conclusions: This study documents the performance of the ASP in correctly classifying speakers as adult or child in a sample of families from India, indicating recall and precision that is relatively low. This study lays the groundwork for future investigations aiming to refine the algorithm models, potentially facilitating more accurate performance in bi/multilingual societies like India.

Supplemental material: https://doi.org/10.23641/asha.27910710.

Purpose: The aim of this study was to investigate the balance performances of young adults with unilateral cochlear implants (CIs) in a dual-task condition.

Method: Fifteen young adults with unilateral CIs and 15 healthy individuals were included in the study. The balance task was applied using the Sensory Organization Test via Computerized Dynamic Posturography. The Backward Digit Recall task was applied as an additional concurrent cognitive task. In the balance task, participants completed four different conditions, which gradually became more difficult: Condition 1: fixed platform, eyes open; Condition 3: fixed platform, eyes open and visual environment sway; Condition 4: platform sway, eyes open; Condition 6: platform sway, eyes open and visual environment sway. To evaluate the dual-task condition performance, participants were given cognitive and motor tasks simultaneously.

Results: Visual (p = .016), vestibular (p < .001), and composite balance scores (p < .001) of CI users were statistically significantly lower than the control group. Condition 3 (p = .003), Condition 4 (p = .007), and Condition 6 (p < .001) balance scores of CI users in the single-task condition were statistically significantly lower than controls. Condition 6 (p < .001) balance scores of CI users in the dual-task condition were statistically significantly lower than the control group. Condition 1 score (p = .002) of the CI users in the dual-task condition showed a statistically significant decrease compared to the balance score in the single-task condition, while the Condition 6 score (p = .011) in the dual-task condition was statistically significantly higher than the balance score in the single-task condition.

Conclusions: The balance performance of individuals with CIs in the dual-task condition was worse than typical healthy individuals. It can be suggested that dual-task performances should be included in the vestibular rehabilitation process in CI users in the implantation process in terms of balance abilities in multitasking conditions and risk of falling.

Introduction: We currently lack speech testing materials faithful to broader aspects of real-world auditory scenes such as speech directivity and extended high frequency (EHF; > 8 kHz) content that have demonstrable effects on speech perception. Here, we describe the development of a multidirectional, high-fidelity speech corpus using multichannel anechoic recordings that can be used for future studies of speech perception in complex environments by diverse listeners.

Design: Fifteen male and 15 female talkers (21.3-60.5 years) recorded Bamford-Kowal-Bench (BKB) Standard Sentence Test lists, digits 0-10, and a 2.5-min unscripted narrative. Recordings were made in an anechoic chamber with 17 free-field condenser microphones spanning 0°-180° azimuth angle around the talker using a 48 kHz sampling rate.

Results: Recordings resulted in a large corpus containing four BKB lists, 10 digits, and narratives produced by 30 talkers, and an additional 17 BKB lists (21 total) produced by a subset of six talkers.

Conclusions: The goal of this study was to create an anechoic, high-fidelity, multidirectional speech corpus using standard speech materials. More naturalistic narratives, useful for the creation of babble noise and speech maskers, were also recorded. A large group of 30 talkers permits testers to select speech materials based on talker characteristics relevant to a specific task. The resulting speech corpus allows for more diverse and precise speech recognition testing, including testing effects of speech directivity and EHF content. Recordings are publicly available.