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J Am Acad Audiol 2024; 35(05/06): 135-143
DOI: 10.1055/a-2257-2985
Research Article

The Influence of the Stimulus Level Used to Prescribe Nonlinear Frequency Compression on Speech Perception

Marc A. Brennan
1   Special Education and Communication Disorders, University of Nebraska-Lincoln, Lincoln, Nebraska
,
Daniel M. Rasetshwane
2   Hearing and Speech Perception Research, Boys Town National Research Hospital, Omaha, Nebraska
,
Judy G. Kopun
2   Hearing and Speech Perception Research, Boys Town National Research Hospital, Omaha, Nebraska
,
Ryan W. McCreery
2   Hearing and Speech Perception Research, Boys Town National Research Hospital, Omaha, Nebraska
› Author Affiliations
Funding This research was supported by the National Institutes of Health, National Institute on Deafness and Other Communication Disorders (NIH-NIDCD) grants R03 DC013982, P20 GM109023, and P30 DC4662.
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Abstract

Background Nonlinear frequency compression (NFC) is a signal processing technique designed to lower high-frequency inaudible sounds for a listener to a lower frequency that is audible. Because the maximum frequency that is audible to a listener with hearing loss will vary with the input speech level, the input level used to set NFC could impact speech recognition.

Purpose The purpose of this study was to determine the influence of the input level used to set NFC on nonsense syllable recognition.

Research Design Nonsense syllable recognition was measured for three NFC fitting conditions—with NFC set based on speech input levels of 50, 60, and 70 dB SPL, respectively, as well as without NFC (restricted bandwidth condition).

Study Sample Twenty-three adults (ages 42–80 years old) with hearing loss.

Data Collection and Analysis Data were collected, monaurally, using a hearing aid simulator. The start frequency and frequency compression ratios were set based on the SoundRecover Fitting Assistant. Speech stimuli were 657 consonant–vowel–consonant nonwords presented at 50, 60, and 70 dB SPL and mixed with steady noise (6 dB signal-to-noise ratio) and scored based on entire word, initial consonant, vowel, and final consonant. Linear mixed effects examined the effects of NFC fitting condition, presentation level, and scoring method on percent correct recognition. Additional predictor variables of start frequency and frequency–compression ratio were examined.

Results Nonsense syllable recognition increased as presentation level increased. Nonsense syllable recognition for all presentation levels was highest when NFC was set based on the 70 dB SPL input level and decreased significantly when set based on the 60 and 50 dB SPL inputs. Relative to consonant recognition, there was a greater reduction in vowel recognition. Nonsense syllable recognition between NFC fitting conditions improved with increases in the start frequency, where higher start frequencies led to better nonsense word recognition.

Conclusion Nonsense syllable recognition was highest when setting NFC based on a 70 dB SPL presentation level and suggest that a high presentation level should be used to determine NFC parameters for an individual patient.

Keywords

hearing aids - hearing loss - deafness - speech perception

Previous Presentation

A portion of this work was presented at the International Hearing Aid Research Conference, Lake Tahoe, 2016.




Publication History

Received: 21 March 2023

Accepted: 28 January 2024

Accepted Manuscript online:
30 January 2024

Article published online:
12 December 2024

© 2024. American Academy of Audiology. This article is published by Thieme.

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