Objective-While numerous studies have investigated the effects of single-microphone digital noise reduction algorithms for adults with hearing loss, similar studies have not been conducted with young hearing-impaired children. The goal of this study was to examine the effects of a commonlyused digital noise reduction scheme (spectral subtraction) in children with mild-moderately severe sensorineural hearing losses. It was hypothesized that the process of spectral subtraction may alter or degrade speech signals in some way. Such degradation may have little influence on the perception of speech by hearing-impaired adults who are likely to use contextual information under such circumstances. For young children who are still developing various language skills, however, signal degradation may have a more detrimental effect on the perception of speech.Design-Sixteen children (eight 5-7 year olds and eight 8-10 year olds) with mild-moderately severe hearing loss participated in this study. All participants wore binaural behind-the-ear hearing aids where noise reduction processing was performed independently in 16 bands with center frequencies spaced 500 Hz apart up to 7500 Hz. Test stimuli were nonsense syllables, words, and sentences in a background of noise. For all stimuli, data were obtained with noise reduction on and off.Results-In general, performance improved as a function of SNR for all three speech materials. The main effect for stimulus type was significant and post hoc comparisons of stimulus type indicated Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. 5 In previous studies, we have found that young children will occasionally respond with a phoneme that is not part of the stimulus set.To document these instances, we elected to include an "other" category. In the analysis of both overall performance and phonetic features "other" responses were assumed to be incorrect.
NIH Public AccessAuthor Manuscript Ear Hear. Author manuscript; available in PMC 2011 June 1.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript that speech recognition was higher for sentences than for both nonsense syllables and words, but no significant differences were observed between nonsense syllables and words. The main effect for noise reduction and the two-way interaction between noise reduction and stimulus type were not significant. Significant age group effects were observed, but the two-way interaction between NR and age group was not significant.Conclusions-Consistent with previous findings from studies with adults, results suggest that the form of noise r...