Aging and speech perception in complex listening environments

复杂听力环境中的老化和语音感知

基本信息

批准号：
10197093
负责人：
Karen S Helfer
金额：
$ 38.81万
依托单位：
UNIVERSITY OF MASSACHUSETTS AMHERST
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-07-20 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10197093
关键词：
Acclimatization Acoustics Address Adult Affect Aging Amplifiers Appointment Audiology Auditory Binaural Clinical Communication Complex Dementia Development Devices Early treatment Elderly Environment Evaluation Foundations Goals Government Agencies Grant Hearing Hearing Aids Hearing problem High-Frequency Hearing Loss Home Impaired cognition Individual Intervention Knowledge Lead Masks Measures Memory Methods Nature Noise Occupational Outcome Patient Self-Report Peer Review Performance Population Presbycusis Process Psyche structure Reporting Research Risk Speech Speech Perception Techniques Technology Testing Time United States National Institutes of Health Walking Work age related cognitive load cost effectiveness evaluation experimental study hearing impairment improved instrument interest microphone middle age social sound speech recognition young adult

项目摘要

Summary Middle-aged adults often report problems understanding speech in adverse listening conditions, even though they typically demonstrate essentially normal results on routine audiological tests. The extent of these self- reported problems can be as great or greater than problems expressed by older adults with considerably more hearing loss. The disconnect between measured and self-perceived hearing problems in middle-aged adults could be due, at least in part, to listening being more effortful for them. Since their problems are not apparent using currently-available assessment measures, clinical audiology has little to offer these individuals in terms of identifying or addressing their hearing problems. The long-term goal of this research is to develop evaluation and treatment methods that focus on functional hearing early in the aging process. Treating hearing problems in midlife could help to reduce the negative outcomes associated with age-related hearing loss (such as cognitive decline and risk of incident dementia). The focus of the project described in this application is on quantifying cognitive load (i.e., effort) required for middle-aged adults to understand speech in the presence of different types of masking sounds. Cognitive load will be quantified using ecologically-valid measures: dual- task costs associated with listening-while-walking; memory for previously heard speech; and subjective ratings of listening effort. This project also will identify the impact of Personal Sound Amplifier (PSAPs) on functional hearing in middle-aged adults with mild hearing loss. These devices, which are sold over-the-counter, are more affordable than traditional hearing aids and so might be more acceptable to these individuals than are conventional hearing instruments. Experiments in the proposed project will determine the effectiveness of selected higher-end PSAPs (when used both binaurally and monaurally) for decreasing listening effort, and for improving speech understanding and spatial hearing ability, in middle-aged adults with mild hearing loss. Testing will be conducted before and after controlled field trials of monaural and binaural PSAP use in order to identify acclimatization effects. Outcomes of this project have the potential to alter when and how we evaluate and treat age-related hearing loss.

概括中年人经常报告在不利的聆听条件下理解言语的问题，即使他们通常在常规听力测试中表现出基本正常的结果。这些自我的程度所报告的问题可能与老年人所表达的问题一样严重，甚至更大。听力损失。中年成年人测量听力问题与自我感知听力问题之间的脱节可能至少部分是由于他们更加努力地倾听。因为他们的问题并不明显使用目前可用的评估措施，临床听力学无法为这些人提供什么帮助识别或解决他们的听力问题。本研究的长期目标是开发评估以及在衰老过程早期注重功能性听力的治疗方法。治疗听力问题中年时期可能有助于减少与年龄相关的听力损失相关的负面结果（例如认知能力下降和发生痴呆的风险）。本申请中描述的项目的重点是量化中年人在有其他人在场的情况下理解言语所需的认知负荷（即努力）不同类型的掩蔽声音。认知负荷将使用生态有效的措施进行量化：双与边走边听相关的任务成本；记忆以前听过的讲话；和主观评分倾听的努力。该项目还将确定个人声音放大器 (PSAP) 对功能的影响轻度听力损失的中年人的听力。这些设备在柜台销售，更便宜比传统助听器更便宜，因此这些人可能比传统助听器更容易接受传统助听器。拟议项目中的实验将确定其有效性选择更高端的 PSAP（双耳和单耳使用时）以减少聆听工作量，并改善轻度听力损失的中年人的言语理解和空间听力能力。将在单耳和双耳 PSAP 使用的受控现场试验之前和之后进行测试，以便确定适应效果。该项目的结果有可能改变我们评估的时间和方式并治疗与年龄相关的听力损失。