Measuring the threshold for speech reception by adaptive variation of the signal bandwidth. II. Hearing-impaired listeners

In a previous study [Noordhoek et al., J. Acoust. Soc. Am. 105, 2895-2902 (1999)], an adaptive test was developed to determine the speech-reception bandwidth threshold (SRBT), i.e., the width of a speech band around 1 kHz required for a 50% intelligibility score. In this test, the band-filtered speech is presented in complementary bandstop-filtered noise. In the present study, the performance of 34 hearing-impaired listeners was measured on this SRBT test and on more common SRT (speech-reception threshold) tests, namely the SRT in quiet, the standard SRT in noise (standard speech spectrum), and the spectrally adapted SRT in noise (fitted to the individual's dynamic range). The aim was to investigate to what extent the performance on these tests could be explained simply from audibility, as estimated with the SII (speech intelligibility index) model, or require the assumption of suprathreshold deficits. For most listeners, an elevated SRT in quiet or an elevated standard SRT in noise could be explained on the basis of audibility. For the spectrally adapted SRT in noise, and especially for the SRBT, the data of most listeners could not be explained from audibility, suggesting that the effects of suprathreshold deficits may be present. Possibly, such a deficit is an increased downward spread of masking.     

Extended speech intelligibility index for the prediction of the speech reception threshold in fluctuating noise

The extension to the speech intelligibility index (SII; ANSI S3.5-1997 (1997)) proposed by Rhebergen and Versfeld [Rhebergen, K.S., and Versfeld, N.J. (2005). J. Acoust. Soc. Am. 117(4), 2181-2192] is able to predict for normal-hearing listeners the speech intelligibility in both stationary and fluctuating noise maskers with reasonable accuracy. The extended SII model was validated with speech reception threshold (SRT) data from the literature. However, further validation is required and the present paper describes SRT experiments with nonstationary noise conditions that are critical to the extended model. From these data, it can be concluded that the extended SII model is able to predict the SRTs for the majority of conditions, but that predictions are better when the extended SII model includes a function to account for forward masking.     

Relations between intelligibility of narrow-band speech and auditory functions, both in the 1-kHz frequency region

Relations between perception of suprathreshold speech and auditory functions were examined in 24 hearing-impaired listeners and 12 normal-hearing listeners. The speech intelligibility index (SII) was used to account for audibility. The auditory functions included detection efficiency, temporal and spectral resolution, temporal and spectral integration, and discrimination of intensity, frequency, rhythm, and spectro-temporal shape. All auditory functions were measured at 1 kHz. Speech intelligibility was assessed with the speech-reception threshold (SRT) in quiet and in noise, and with the speech-reception bandwidth threshold (SRBT), previously developed for investigating speech perception in a limited frequency region around 1 kHz. The results showed that the elevated SRT in quiet could be explained on the basis of audibility. Audibility could only partly account for the elevated SRT values in noise and the deviant SRBT values, suggesting that suprathreshold deficits affected intelligibility in these conditions. SII predictions for the SRBT improved significantly by including the individually measured upward spread of masking in the SII model. Reduced spectral resolution, reduced temporal resolution, and reduced frequency discrimination appeared to be related to speech perception deficits. Loss of peripheral compression appeared to have the smallest effect on the intelligibility of suprathreshold speech.     

Characterizing auditory processing and perception in individual listeners with sensorineural hearing loss

This study considered consequences of sensorineural hearing loss in ten listeners. The characterization of individual hearing loss was based on psychoacoustic data addressing audiometric pure-tone sensitivity, cochlear compression, frequency selectivity, temporal resolution, and intensity discrimination. In the experiments it was found that listeners with comparable audiograms can show very different results in the supra-threshold measures. In an attempt to account for the observed individual data, a model of auditory signal processing and perception [Jepsen et al., J. Acoust. Soc. Am. 124, 422-438 (2008)] was used as a framework. The parameters of the cochlear processing stage of the model were adjusted to account for behaviorally estimated individual basilar-membrane input-output functions and the audiogram, from which the amounts of inner hair-cell and outer hair-cell losses were estimated as a function of frequency. All other model parameters were left unchanged. The predictions showed a reasonably good agreement with the measured individual data in the frequency selectivity and forward masking conditions while the variation of intensity discrimination thresholds across listeners was underestimated by the model. The model and the associated parameters for individual hearing-impaired listeners might be useful for investigating effects of individual hearing impairment in more complex conditions, such as speech intelligibility in noise.     

Prediction of the influence of reverberation on binaural speech intelligibility in noise and in quiet

Reverberation usually degrades speech intelligibility for spatially separated speech and noise sources since spatial unmasking is reduced and late reflections decrease the fidelity of the received speech signal. The latter effect could not satisfactorily be predicted by a recently presented binaural speech intelligibility model [Beutelmann et al. (2010). J. Acoust. Soc. Am. 127, 2479-2497]. This study therefore evaluated three extensions of the model to improve its predictions: (1) an extension of the speech intelligibility index based on modulation transfer functions, (2) a correction factor based on the room acoustical quantity "definition," and (3) a separation of the speech signal into useful and detrimental parts. The predictions were compared to results of two experiments in which speech reception thresholds were measured in a reverberant room in quiet and in the presence of a noise source for listeners with normal hearing. All extensions yielded better predictions than the original model when the influence of reverberation was strong, while predictions were similar for conditions with less reverberation. Although model (3) differed substantially in the assumed interaction of binaural processing and early reflections, its predictions were very similar to model (2) that achieved the best fit to the data.     

Effect of multiple speechlike maskers on binaural speech recognition in normal and impaired hearing.

Speech-reception thresholds (SRT) were measured for 17 normal-hearing and 17 hearing-impaired listeners in conditions simulating free-field situations with between one and six interfering talkers. The stimuli, speech and noise with identical long-term average spectra, were recorded with a KEMAR manikin in an anechoic room and presented to the subjects through headphones. The noise was modulated using the envelope fluctuations of the speech. Several conditions were simulated with the speaker always in front of the listener and the maskers either also in front, or positioned in a symmetrical or asymmetrical configuration around the listener. Results show that the hearing impaired have significantly poorer performance than the normal hearing in all conditions. The mean SRT differences between the groups range from 4.2-10 dB. It appears that the modulations in the masker act as an important cue for the normal-hearing listeners, who experience up to 5-dB release from masking, while being hardly beneficial for the hearing impaired listeners. The gain occurring when maskers are moved from the frontal position to positions around the listener varies from 1.5 to 8 dB for the normal hearing, and from 1 to 6.5 dB for the hearing impaired. It depends strongly on the number of maskers and their positions, but less on hearing impairment. The difference between the SRTs for binaural and best-ear listening (the "cocktail party effect") is approximately 3 dB in all conditions for both the normal-hearing and the hearing-impaired listeners.     

The interpretation of speech reception threshold data in normal-hearing and hearing-impaired listeners: steady-state noise

Speech-in-noise-measurements are important in clinical practice and have been the subject of research for a long time. The results of these measurements are often described in terms of the speech reception threshold (SRT) and SNR loss. Using the basic concepts that underlie several models of speech recognition in steady-state noise, the present study shows that these measures are ill-defined, most importantly because the slope of the speech recognition functions for hearing-impaired listeners always decreases with hearing loss. This slope can be determined from the slope of the normal-hearing speech recognition function when the SRT for the hearing-impaired listener is known. The SII-function (i.e., the speech intelligibility index (SII) against SNR) is important and provides insights into many potential pitfalls when interpreting SRT data. Standardized SNR loss, sSNR loss, is introduced as a universal measure of hearing loss for speech in steady-state noise. Experimental data demonstrates that, unlike the SRT or SNR loss, sSNR loss is invariant to the target point chosen, the scoring method or the type of speech material.     

Measuring the threshold for speech reception by adaptive variation of the signal bandwidth. I. Normal-hearing listeners.

An adaptive test has been developed to determine the minimum bandwidth of speech that a listener needs to reach 50% intelligibility. Measuring this speech-reception bandwidth threshold (SRBT), in addition to the more common speech-reception threshold (SRT) in noise, may be useful in investigating the factors underlying impaired suprathreshold speech perception. Speech was bandpass filtered (center frequency: 1 kHz) and complementary bandstop filtered noise was added. To obtain reference values, the SRBT was measured in 12 normal-hearing listeners at four sound-pressure levels, in combination with three overall spectral tilts. Plotting SRBT as a function of sound-pressure level resulted in U-shaped curves. The most narrow SRBT (1.4 octave) was obtained at an A-weighted sound-pressure level of 55 dB. The required bandwidth increases with increasing level, probably due to upward spread of masking. At a lower level (40 dBA) listeners also need a broader band, because parts of the speech signal will be below threshold. The SII (Speech Intelligibility Index) model reasonably predicts the data, although it seems to underestimate upward spread of masking.     

Binaural speech intelligibility in noise for hearing-impaired listeners

The effect of head-induced interaural time delay (ITD) and interaural level differences (ILD) on binaural speech intelligibility in noise was studied for listeners with symmetrical and asymmetrical sensorineural hearing losses. The material, recorded with a KEMAR manikin in an anechoic room, consisted of speech, presented from the front (0 degree), and noise, presented at azimuths of 0 degree, 30 degrees, and 90 degrees. Derived noise signals, containing either only ITD or only ILD, were generated using a computer. For both groups of subjects, speech-reception thresholds (SRT) for sentences in noise were determined as a function of: (1) noise azimuth, (2) binaural cue, and (3) an interaural difference in overall presentation level, simulating the effect of a monaural hearing acid. Comparison of the mean results with corresponding data obtained previously from normal-hearing listeners shows that the hearing impaired have a 2.5 dB higher SRT in noise when both speech and noise are presented from the front, and 2.6-5.1 dB less binaural gain when the noise azimuth is changed from 0 degree to 90 degrees. The gain due to ILD varies among the hearing-impaired listeners between 0 dB and normal values of 7 dB or more. It depends on the high-frequency hearing loss at the side presented with the most favorable signal-to-noise (S/N) ratio. The gain due to ITD is nearly normal for the symmetrically impaired (4.2 dB, compared with 4.7 dB for the normal hearing), but only 2.5 dB in the case of asymmetrical impairment. When ITD is introduced in noise already containing ILD, the resulting gain is 2-2.5 dB for all groups. The only marked effect of the interaural difference in overall presentation level is a reduction of the gain due to ILD when the level at the ear with the better S/N ratio is decreased. This implies that an optimal monaural hearing aid (with a moderate gain) will hardly interfere with unmasking through ITD, while it may increase the gain due to ILD by preventing or diminishing threshold effects.     

Effects of fluctuating noise and interfering speech on the speech-reception threshold for impaired and normal hearing

The speech-reception threshold (SRT) for sentences presented in a fluctuating interfering background sound of 80 dBA SPL is measured for 20 normal-hearing listeners and 20 listeners with sensorineural hearing impairment. The interfering sounds range from steady-state noise, via modulated noise, to a single competing voice. Two voices are used, one male and one female, and the spectrum of the masker is shaped according to these voices. For both voices, the SRT is measured as well in noise spectrally shaped according to the target voice as shaped according to the other voice. The results show that, for normal-hearing listeners, the SRT for sentences in modulated noise is 4-6 dB lower than for steady-state noise; for sentences masked by a competing voice, this difference is 6-8 dB. For listeners with moderate sensorineural hearing loss, elevated thresholds are obtained without an appreciable effect of masker fluctuations. The implications of these results for estimating a hearing handicap in everyday conditions are discussed. By using the articulation index (AI), it is shown that hearing-impaired individuals perform poorer than suggested by the loss of audibility for some parts of the speech signal. Finally, three mechanisms are discussed that contribute to the absence of unmasking by masker fluctuations in hearing-impaired listeners. The low sensation level at which the impaired listeners receive the masker seems a major determinant. The second and third factors are: reduced temporal resolution and a reduction in comodulation masking release, respectively.     

Speech competition effects on synthetic stop-vowel perception by normal and hearing-impaired listeners

A triadic comparisons task and an identification task were used to evaluate normally hearing listeners' and hearing-impaired listeners' perceptions of synthetic CV stimuli in the presence of competition. The competing signals included multitalker babble, continuous speech spectrum noise, a CV masker, and a brief noise masker shaped to resemble the onset spectrum of the CV masker. All signals and maskers were presented monotically. Interference by competition was assessed by comparing Multidimensional Scaling solutions derived from each masking condition to that derived from the baseline (quiet) condition. Analysis of the effects of continuous maskers revealed that multitalker babble and continuous noise caused the same amount of change in performance, as compared to the baseline condition, for all listeners. CV masking changed performance significantly more than did brief noise masking, and the hearing-impaired listeners experienced more degradation in performance than normals. Finally, the velar CV maskers (g epsilon and k epsilon) caused significantly greater masking effects than the bilabial CV maskers (b epsilon and p epsilon), and were most resistant to masking by other competing stimuli. The results suggest that speech intelligibility difficulties in the presence of competing segments of speech are primarily attributable to phonetic interference rather than to spectral masking. Individual differences in hearing-impaired listeners' performances are also discussed.     

Effects of noise and distortion on speech quality judgments in normal-hearing and hearing-impaired listeners

Noise and distortion reduce speech intelligibility and quality in audio devices such as hearing aids. This study investigates the perception and prediction of sound quality by both normal-hearing and hearing-impaired subjects for conditions of noise and distortion related to those found in hearing aids. Stimuli were sentences subjected to three kinds of distortion (additive noise, peak clipping, and center clipping), with eight levels of degradation for each distortion type. The subjects performed paired comparisons for all possible pairs of 24 conditions. A one-dimensional coherence-based metric was used to analyze the quality judgments. This metric was an extension of a speech intelligibility metric presented in Kates and Arehart (2005) [J. Acoust. Soc. Am. 117, 2224-2237] and is based on dividing the speech signal into three amplitude regions, computing the coherence for each region, and then combining the three coherence values across frequency in a calculation based on the speech intelligibility index. The one-dimensional metric accurately predicted the quality judgments of normal-hearing listeners and listeners with mild-to-moderate hearing loss, although some systematic errors were present. A multidimensional analysis indicates that several dimensions are needed to describe the factors used by subjects to judge the effects of the three distortion types.     

Speech intelligibility of normal listeners and persons with impaired hearing in traffic noise

Speech intelligibility (PB words) in traffic-like noise was investigated in a laboratory situation simulating three common listening situations, indoors at 1 and 4 m and outdoors at 1 m. The maximum noise levels still permitting 75% intelligibility of PB words in these three listening situations were also defined. A total of 269 persons were examined. Forty-six had normal hearing, 90 a presbycusis-type hearing loss, 95 a noise-induced hearing loss and 38 a conductive hearing loss. In the indoor situation the majority of the groups with impaired hearing retained good speech intelligibility in 40 dB(A) masking noise. Lowering the noise level to less than 40 dB(A) resulted in a minor, usually insignificant, improvement in speech intelligibility. Listeners with normal hearing maintained good speech intelligibility in the outdoor listening situation at noise levels up to 60 dB(A), without lip-reading (i.e., using non-auditory information). For groups with impaired hearing due to age and/or noise, representing 8% of the population in Sweden, the noise level outdoors had to be lowered to less than 50 dB(A), in order to achieve good speech intelligibility at 1 m without lip-reading.     

Relations among some psychoacoustic parameters in normal and cochlearly impaired listeners

Frequency resolution (viz., masking by low-pass-filtered noise and broadband noise) and temporal resolution (viz., masking by interrupted noise) were compared with hearing thresholds and acoustic reflex thresholds for four normally hearing and 13 cochlearly impaired subjects. Two models, one for frequency resolution (model I) and one for temporal resolution (model II), were introduced, and these provided a means of predicting individual frequency and temporal resolution from hearing thresholds for both normal-hearing and hearing-impaired listeners. Model I is based on the assumption that the upward spread of masking increases in cochlearly impaired hearing with an amount proportional to the hearing threshold in dB HL. Model II is based on the assumption that the poststimulatory masked thresholds return to the level of the hearing threshold within a duration of 200 ms, independent of the level of the masker and the amount of cochlear hearing loss. Model parameters were determined from results from other studies. Although some discrepancies between measured and predicted values were observed, the model predictions generally agree with measurements. Thus, to a first-order approximation, it seems possible to predict individual frequency and temporal resolution of cochlearly hearing-impaired listeners solely on the basis of their hearing thresholds.     

The combined effects of reverberation and nonstationary noise on sentence intelligibility

Listening conditions in everyday life typically include a combination of reverberation and nonstationary background noise. It is well known that sentence intelligibility is adversely affected by these factors. To assess their combined effects, an approach is introduced which combines two methods of predicting speech intelligibility, the extended speech intelligibility index (ESII) and the speech transmission index. First, the effects of reverberation on nonstationary noise (i.e., reduction of masker modulations) and on speech modulations are evaluated separately. Subsequently, the ESII is applied to predict the speech reception threshold (SRT) in the masker with reduced modulations. To validate this approach, SRTs were measured for ten normal-hearing listeners, in various combinations of nonstationary noise and artificially created reverberation. After taking the characteristics of the speech corpus into account, results show that the approach accurately predicts SRTs in nonstationary noise and reverberation for normal-hearing listeners. Furthermore, it is shown that, when reverberation is present, the benefit from masker fluctuations may be substantially reduced.     

Prediction of speech intelligibility for normal-hearing and cochlearly hearing-impaired listeners

The word recognition ability of 4 normal-hearing and 13 cochlearly hearing-impaired listeners was evaluated. Filtered and unfiltered speech in quiet and in noise were presented monaurally through headphones. The noise varied over listening situations with regard to spectrum, level, and temporal envelope. Articulation index theory was applied to predict the results. Two calculation methods were used, both based on the ANSI S3.5-1969 20-band method [S3.5-1969 (American National Standards Institute, New York)]. Method I was almost identical to the ANSI method. Method II included a level- and hearing-loss-dependent calculation of masking of stationary and on-off gated noise signals and of self-masking of speech. Method II provided the best prediction capability, and it is concluded that speech intelligibility of cochlearly hearing-impaired listeners may also, to a first approximation, be predicted from articulation index theory.     

Measurements and calculations on the simple up-down adaptive procedure for speech-in-noise tests

The simple up-down adaptive procedure is a common method for measuring speech reception thresholds. It is used by the Dutch speech-in-noise telephone screening test [National Hearing test; Smits and Houtgast Ear Hear. 26, 89-95 (2005)]. The test uses digit triplets to measure the speech reception threshold in noise by telephone (SRTT(n)). About 66 000 people took this test within four months of its introduction and details were stored of all individual measurements. Analyses of this large volume of data have revealed that the standard deviation of SRTT(n) estimates increases with hearing loss. This paper presents a calculation model which--using an intelligibility function as input--can determine the standard deviation of SRTT(n) estimates and the bias for the simple up-down procedure. The effects of variations in the slope of the intelligibility function, the guess rate, the starting level, the heterogeneity of the speech material, and the possibilities of optimizing SRTT(n) measurements were all explored with this model. The predicted decrease in the standard deviation of SRTT(n) estimates as a result of optimizing the speech material was confirmed by measurements in 244 listeners. The paper concludes by discussing possibilities for optimizing the development of comparable tests.     

Compression and expansion of the temporal envelope: evaluation of speech intelligibility and sound quality.

Sensorineural hearing loss is accompanied by loudness recruitment, a steeper-than-normal rise of perceived loudness with presentation level. To compensate for this abnormality, amplitude compression is often applied (e.g., in a hearing aid). Alternatively, since speech intelligibility has been modeled as the perception of fast energy fluctuations, enlarging these (by means of expansion) may improve speech intelligibility. Still, even if these signal-processing techniques prove useful in terms of speech intelligibility, practical application might be hindered by unacceptably low sound quality. Therefore, both speech intelligibility and sound quality were evaluated for syllabic compression and expansion of the temporal envelope. Speech intelligibility was evaluated with an adaptive procedure, based on short everyday sentences either in noise or with a competing speaker. Sound quality was measured by means of a rating-scale procedure, for both speech and music. In a systematic setup, both the ratio of compression or expansion and the number of independent processing bands were varied. Individual hearing thresholds were compensated for by a listener-specific filter and amplification. Both listeners with normal hearing and listeners with sensorineural hearing impairment participated as paid volunteers. The results show that, on average, both compression and expansion fail to show better speech intelligibility or sound quality than linear amplification.     

Effective compression and noise reduction configurations for hearing protectors

The author proposed to adopt wide dynamic range compression and adaptive multichannel modulation-based noise reduction algorithms to enhance hearing protector performance. Three experiments were conducted to investigate the effects of compression and noise reduction configurations on the amount of noise reduction, speech intelligibility, and overall preferences using existing digital hearing aids. In Experiment 1, sentence materials were recorded in speech spectrum noise and white noise after being processed by eight digital hearing aids. When the hearing aids were set to 3:1 compression, the amount of noise reduction achieved was enhanced or maintained for hearing aids with parallel configurations, but reduced for hearing aids with serial configurations. In Experiments 2 and 3, 16 normal-hearing listeners' speech intelligibility and perceived sound quality were tested when they listened to speech recorded through hearing aids with parallel and serial configurations. Regardless of the configuration, the noise reduction algorithms reduced the noise level and maintained speech intelligibility in white noise. Additionally, the listeners preferred the parallel rather than the serial configuration in 3:1 conditions and the serial configuration in 1:1 rather than 3:1 compression when the noise reduction algorithms were activated. Implications for hearing protector and hearing aid design are discussed.     

Spectral integration of speech bands in normal-hearing and hearing-impaired listeners

This investigation examined whether listeners with mild-moderate sensorineural hearing impairment have a deficit in the ability to integrate synchronous spectral information in the perception of speech. In stage 1, the bandwidth of filtered speech centered either on 500 or 2500 Hz was varied adaptively to determine the width required for approximately 15%-25% correct recognition. In stage 2, these criterion bandwidths were presented simultaneously and percent correct performance was determined in fixed block trials. Experiment 1 tested normal-hearing listeners in quiet and in masking noise. The main findings were (1) there was no correlation between the criterion bandwidths at 500 and 2500 Hz; (2) listeners achieved a high percent correct in stage 2 (approximately 80%); and (3) performance in quiet and noise was similar. Experiment 2 tested listeners with mild-moderate sensorineural hearing impairment. The main findings were (1) the impaired listeners showed high variability in stage 1, with some listeners requiring narrower and others requiring wider bandwidths than normal, and (2) hearing-impaired listeners achieved percent correct performance in stage 2 that was comparable to normal. The results indicate that listeners with mild-moderate sensorineural hearing loss do not have an essential deficit in the ability to integrate across-frequency speech information.