Identifying listeners with hearing loss at risk for exerting extra effort in speech perception

识别因在言语感知方面付出额外努力而面临听力损失风险的听众

• 批准号: 10268996
• 负责人: Steven P Gianakas
• 金额: $ 8.24万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-28 至 2023-09-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10268996
• 关键词: Address; Adult; Affect; Anxiety; Audiology; Auditory; Auditory Perception; Auditory system; Awareness; Back; Behavior assessment; Behavioral; Clinic; Clinical; Cochlear Implants; Cognitive; Communication; Cues; Data; Diagnostic Procedure; Environment; Equipment; Fatigue; Fire - disasters; Goals; Grant; Health; Healthcare; Hearing; Hearing Tests; Heart; Individual; Institution; Instruction; Intervention; Knowledge; Laboratories; Language; Lead; Letters; Linguistics; Link; Masks; Measurement; Measures; Mental Health; Mentorship; Methods; National Institute on Deafness and Other Communication Disorders; Noise; Patient-Centered Care; Patients; Perception; Performance; Persons; Physiological; Physiology; Procedures; Process; Prosthesis; Psyche structure; Pupil; Quality of life; Reaction Time; Recording of previous events; Research; Risk; Science; Sensorineural Hearing Loss; Sensory; Speech; Speech Intelligibility; Speech Perception; Speed; Statistical Data Interpretation; Techniques; Testing; Time; TimeLine; Training; Training Programs; Visual; Withdrawal; Work; behavior measurement; cognitive process; cost; cost effective; design; expectation; experience; feasibility testing; hearing impairment; hearing restoration; improved; interdisciplinary collaboration; language processing; neural prosthesis; novel; novel strategies; patient oriented; repaired; research clinical testing; response; social; social communication; speech in noise; standard measure; time interval

Project Summary / Abstract Over 460 million people worldwide have hearing loss (HL) that negatively impacts their ability to communicate (WHO, 2020). In the clinic, performance is measured by the percentage of words a listener repeats correctly. However, these scores reflect not only the health of the auditory system but also the listener’s ability to mentally repair misperceptions by using knowledge of the language and context (“cognitive repair”). Standard measures of speech perception cannot detect if a person used cognitive repair or if they accurately heard speech (with no need for repair). Detecting a person’s reliance on cognitive repair is important because while reliance on an extra moment to use context is helpful in the testing booth, it may break down in the real world as the next sentence would be heard before the previous sentence was fully processed. We hypothesize that continual need for cognitive repair is at the heart of what makes listening effortful, and what ultimately leads to increased fatigue (Edwards, 2017), anxiety (Morata et al., 2005), and social withdrawal (Hughes et al., 2018) for people with HL. The aims of this project are to (1) identify listener reliance on cognitive repair, (2) measure the timeline of cognitive repair and its interference with ongoing processing, and (3) measure the relief from effort resulting from advance knowledge of the topic of a sentence. The first aim will result in a clinically feasible test using behavioral measures that identifies when a listener uses cognitive repair. Importantly, this test will better identify patients with HL who use cognitive repair during clinical testing; this finding, can lead to improved individualized patient centered care. The second aim will use a dual-task paradigm to better identify the amount of time needed for cognitive repair after a sentence. During this time the listener would be to susceptible to interference from an upcoming sentence in real-world conversation. The third aim will use pupillometry to measure how listening effort is affected by topic awareness The long-term goals of this project are to improve our understanding of the cognitive repair process and its timeline, as well as to identify listeners who rely on effortful cognitive strategies to compensate for poor hearing. These goals directly address the NIDCD priority of increasing our knowledge of the mechanisms of auditory perception in more real-world conditions and their interaction with cognitive processes for successful communication. These studies will achieve this goal by examining these issues in people who use cochlear implants (neural prosthetic devices that can restore hearing) and people with moderate to moderately severe sensorineural HL. The training program involves extensive instruction in behavioral measures, pupillometry, and advanced statistical analysis relevant to the proposed research. This research will be conducted under the mentorship of leading experts in hearing, listening effort, and physiology at an institution with a strong track record of hearing loss research, where there is also a history of training grants and interdisciplinary collaboration in clinical sensory science.

项目摘要 /摘要 全球超过4.6亿人的听力损失（HL）对他们的交流能力产生负面影响 （WHO，2020）。在诊所中，性能是通过听众正确重复的单词百分比来衡量的。 但是，这些分数不仅反映了听觉系统的健康状况，还反映了听众的能力 通过使用对语言和上下文的知识（“认知修复”），可以在精神上修复误解。标准 语音感知的度量无法检测到一个人是否使用认知修复或准确听到 语音（不需要维修）。检测一个人对认知维修的缓解很重要，因为 依靠额外的时刻使用上下文有助于测试摊位，它可能会在现实世界中崩溃 正如下一个句子在上一句话完全处理之前会听到的那样。我们假设这一点 对认知维修的持续需求是使听力努力的核心，以及最终导致的原因 增加疲劳（Edwards，2017年），动画（Morata等，2005）和社交戒断（Hughes等，2018） 适用于HL的人。该项目的目的是（1）确定对认知维修的听众缓解，（2）测量 认知维修的时间表及其干扰正在进行的处理，（3） 提前了解句子主题而造成的努力。第一个目标将导致诊所 可行的测试，采用识别听众使用认知修复的行为度量。重要的是，这个 测试将更好地识别HL在临床测试期间使用认知修复的患者；这个发现，可能导致 改善了个性化患者中心护理。第二个目标将使用双任务范式来更好地识别 句子后认知修复所需的时间。在此期间，听众将是 在现实世界对话中即将到来的句子中受到干扰。第三个目标将使用 衡量主题意识影响听力努力的长期目标的长期目标的化学计量学的长期目标 是为了提高我们对认知维修过程及其时间表的理解，并确定听众 依靠有效的认知策略来弥补听力不佳的人。这些目标直接解决了 NIDCD优先考虑我们对更真实世界中听觉感知机制的了解 条件及其与成功交流的认知过程的互动。这些研究会 通过在使用人工耳蜗（神经假体设备）的人中检查这些问题来实现这一目标 这可以恢复听力）和中度至中度严重的感觉性HL的人。培训 程序涉及行为测量，化学计量法和高级统计分析的广泛指导 与拟议的研究有关。这项研究将在领先专家的指导下进行 听力，听力工作和生理学在具有强大听力损失研究记录的机构中， 还有临床感官科学方面的培训赠款和跨学科合作的历史。