Effects of Training on Adult Cochlear Implant Users

培训对成人人工耳蜗使用者的影响

• 批准号: 7315484
• 负责人: Qian-Jie Fu
• 金额: $ 39.53万
• 依托单位: HOUSE RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-05-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7315484
• 关键词: Adult; Area; Attention; Auditory; Cochlear Implants; Code; Condition; Cues; Doctor of Philosophy; Goals; Hearing; Home environment; Implant; Individual; Laboratories; Learning; Light; Measures; Music; Noise; Outcome; Patient Education; Patients; Perception; Performance; Personal Computers; Phonetics; Process; Protocols documentation; Rate; Rehabilitation therapy; Research; Research Personnel; Scheme; Simulate; Speech; Speech Perception; Stimulus; Techniques; Technology; Telephone; Testing; Time; Training; Translating; clinically significant; cost; experience; implantable device; improved; novel; programs; research study; simulation; speech processing; speech recognition; tool; virtual

DESCRIPTION (provided by applicant): The long-term goals of the present proposal are to develop individualized, efficient and effective training protocols and materials to maximize cochlear implant patient performance in real-world listening conditions. We hypothesize that targeted contrast training can greatly improve cochlear implant patients' performance for a variety of simulated real-world listening conditions, and that individualized training protocols and materials may be necessary to maximize training outcomes. We further hypothesize that passive learning may not allow cochlear implant patients to receive the full benefit of advanced coding strategies, and that targeted auditory training may help patients access the additional cues provided by novel processing schemes. There are three specific aims in the proposed research. First, we propose to measure the benefits of auditory training in simulated real-world listening conditions, including speech perception in noise, speech perception via telephone, and music perception. Second, we propose to develop individualized, efficient and effective training protocols and materials to maximize training outcomes. Third, we propose to quantify interactions between auditory training and changes to speech processor parameters. While the proposed experiments will evaluate different aspects of auditory training somewhat independently, there are areas of overlapping consideration that may be combined to advance auditory rehabilitation techniques for cochlear implant patients. These proposed experiments have great theoretical significance, as the results will shed light on auditory plasticity in electric hearing and the importance of training when evaluating experimental speech processor parameters. The experiments have even greater clinical significance, as the results will provide strong evidence of the benefits of auditory training, hopefully leading to affordable, efficient and effective rehabilitation that cochlear implant patients can perform at home, using personal computers. We expect that these training approaches, if successful in real-world simulations, will generalize to improved performance outside the lab. As recent advances in implant technology seem to be reaching the point of diminishing returns, auditory training may provide the most cost-effective approach for cochlear implant patients to maximize the benefit of the implant device.

描述（由申请人提供）：本提案的长期目标是开发个性化、高效和有效的培训方案和材料，以最大限度地提高人工耳蜗植入患者在真实听力条件下的表现。我们假设，有针对性的对比度训练可以大大提高人工耳蜗植入患者在各种模拟真实世界听力条件下的表现，并且个性化的训练方案和材料可能是最大限度地提高训练效果所必需的。我们进一步假设，被动学习可能无法让人工耳蜗植入患者获得高级编码策略的全部益处，而有针对性的听觉训练可能有助于患者获得新的处理方案提供的额外线索。在拟议的研究中有三个具体目标。首先，我们建议在模拟真实世界的听力条件下测量听觉训练的好处，包括噪音中的语音感知，通过电话的语音感知和音乐感知。其次，我们建议制定个性化、高效和有效的培训方案和材料，以最大限度地提高培训效果。第三，我们建议量化听觉训练和语音处理器参数变化之间的相互作用。虽然拟议的实验将评估不同方面的听觉训练有点独立，有重叠的考虑，可以结合起来，以推进人工耳蜗植入患者的听觉康复技术的领域。这些建议的实验具有重要的理论意义，因为结果将阐明听觉可塑性在电听觉和训练的重要性时，评估实验语音处理器参数。这些实验具有更大的临床意义，因为其结果将为听觉训练的益处提供强有力的证据，有望导致耳蜗植入患者可以在家中使用个人电脑进行负担得起的，高效和有效的康复。我们希望这些训练方法，如果在现实世界的模拟中取得成功，将推广到实验室之外的性能提高。随着植入技术的最新进展似乎达到了收益递减的地步，听觉训练可能为人工耳蜗植入患者提供最具成本效益的方法，以最大限度地发挥植入设备的优势。