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Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis, M.A. Brenda Hoover, M.A. Boys Town National Research Hospital Funded by a grant from NIH
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Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Dec 22, 2015

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Page 1: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Perceptual Weighting Strategies in Normal Hearing

and Hearing Impaired Children and Adults

Andrea Pittman, Ph.D.

Patricia Stelmachowicz, Ph.D.

Dawna Lewis, M.A.

Brenda Hoover, M.A.

Boys Town National Research Hospital

Funded by a grant from NIH

Page 2: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

How do hearing-impaired children learn to perceive speech?

• Hearing impaired: receive reduced speech signal

Hearing-Impaired Children

Hearing

Hearing-Impaired Adults

Normal-Hearing Children

Normal-Hearing Adults

Experience

• Children: less experience perceiving speech

Page 3: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

How do hearing-impaired children learn to perceive speech?

Page 4: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Subjects

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000

Frequency (Hz)

He

arin

g L

eve

l (d

B H

L)

Normal Hearing10 Adults (mean = 28 yrs, 20-44)

20 Children (mean = 6:8 yrs, 5-7)

Hearing Impaired10 Adults (mean = 59 yrs, 49-66)

10 Children (mean = 7:8 yrs, 5-10)

Page 5: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Subjects

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000

Frequency (Hz)

He

arin

g L

eve

l (d

B H

L)

Normal Hearing10 Adults (mean = 28 yrs, 20-44)

20 Children (mean = 6:8 yrs, 5-7)

Hearing Impaired10 Adults (mean = 59 yrs, 49-66)

10 Children (mean = 7:8 yrs, 5-10)

Page 6: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

StimuliSack Sock

Shack Shock

4 words – CVC– 2 vowels – 2 fricatives

Page 7: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

StimuliSack Sock

Shack Shock

2 conditions – w/ transition– w/o transition

Page 8: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

StimuliSack Sock

Shack Shock

2 conditions – w/ transition– w/o transition

Page 9: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

w/o transition

w/ transition 2 conditions – w/ transition– w/o transition

Page 10: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli 2 segments

– fricative – vowel

Sack Sock

Shack Shock

Page 11: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli 2 segments

– fricative – vowel

Sack Sock

Shack Shock

Page 12: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

vowel

fricative

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 13: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

vowel

fricative

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 14: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 15: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 16: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 17: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 18: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 19: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 20: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 21: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Stimuli

-20

0

20

40

60

80

500 2000 8000

vowel

fricative

Frequency (Hz)

Lev

el (

dB

SP

L)

5 levels– 5 to 12 dB steps– 20 to 48 dB range

Page 22: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Leve

l (dB

SP

L)

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Pe

rfo

rma

nce

Short-Term Audibility

Short-Term Audibility

Page 23: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Leve

l (dB

SP

L)

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Pe

rfo

rma

nce

Short-Term Audibility

Short-Term Audibility

Page 24: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Leve

l (dB

SP

L)

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Pe

rfo

rma

nce

Short-Term Audibility

Short-Term Audibility

Page 25: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Leve

l (dB

SP

L)

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Pe

rfo

rma

nce

Short-Term Audibility

Short-Term Audibility

Page 26: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Leve

l (dB

SP

L)

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Pe

rfo

rma

nce

Short-Term Audibility

Short-Term Audibility

Page 27: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

-20

0

20

40

60

80

500 2000 8000

Frequency (Hz)

Leve

l (dB

SP

L)

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Pe

rfo

rma

nce

Short-Term Audibility

Short-Term Audibility

Page 28: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Short-Term Audibility

Per

form

ance

Page 29: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Short-Term Audibility

Per

form

ance

Page 30: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Results

Page 31: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Normal-Hearing Adults

Short-Term Audibility

Pe

rfo

rma

nce

w/ transition

w/o transition

Page 32: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Normal-Hearing Adults

Short-Term Audibility

Pe

rfo

rma

nce

w/ transition

w/o transition

Page 33: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Hearing-Impaired Children

Short-Term Audibility

Pe

rfo

rma

nce

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Hearing-Impaired Adults

Short-Term Audibility

Pe

rfo

rma

nce

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Normal-Hearing Children

Short-Term Audibility

Pe

rfo

rma

nce

w/ transition

w/o transition

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Normal-Hearing Adults

Short-Term Audibility

Pe

rfo

rma

nce

Page 34: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Hearing-Impaired Children

Short-Term Audibility

Pe

rfo

rma

nce

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Hearing-Impaired Adults

Short-Term Audibility

Pe

rfo

rma

nce

w/ transition

w/o transition

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Normal-Hearing Adults

Short-Term Audibility

Pe

rfo

rma

nce

0

20

40

60

80

100

0 0.2 0.4 0.6 0.8 1

Normal-Hearing Children

Short-Term Audibility

Pe

rfo

rma

nce

Page 35: Perceptual Weighting Strategies in Normal Hearing and Hearing Impaired Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Dawna Lewis,

Conclusions• Experience

- Overall performance and use of the transition increased with age

• Hearing - HI adults showed significantly poorer

performance when the transition was removed Suggests that the transition was more important to perception in this group than in NH listeners

- HI children showed no difference in performance for words with and without a transition