Clinical trial NCT06465979: Perception of Speech in Context by Listeners With Healthy and Impaired Hearing
Official title: Perception of Speech in Context by Listeners With Healthy and Impaired Hearing
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Hearing
Hearing Loss
Lead sponsor: University of Louisville
Sponsor class: OTHER
Collaborators: name: National Institute on Deafness and Other Communication Disorders (NIDCD)
First posted: 2024-06-20
Enrollment: 680
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: BASIC_SCIENCE

Brief summary: Recognition of speech sounds is accomplished through the use of adjacent sounds in time, in what is termed acoustic context. The frequency and temporal properties of these contextual sounds play a large role in recognition of human speech. Historically, most research on both speech perception and sound perception in general examine sounds out-of-context, or presented individually. Further, these studies have been conducted independently of each other with little connection across labs, across sounds, etc. These approaches slow the progress in understanding how listeners with hearing difficulties use context to recognize speech and how their hearing aids and/or cochlear implants might be modified to improve their perception. This research has three main goals. First, the investigators predict that performance in speech sound recognition experiments will be related when testing the same speech frequencies or the same moments in time, but that performance will not be related in further comparisons across speech frequencies or at different moments in time. Second, the investigators predict that adding background noise will make this contextual speech perception more difficult, and that these difficulties will be more severe for listeners with hearing loss. Third, the investigators predict that cochlear implant users will also use surrounding sounds in their speech recognition, but with key differences than healthy-hearing listeners owing to the sound processing done by their implants. In tandem with these goals, the investigators will use computer models to simulate how neurons respond to speech sounds individually and when surrounded by other sounds.

Detailed description: Participants in this study listen to speech played at a comfortable volume and respond by indicating what they heard, either in open-ended form or by choosing among a set of options displayed on a computer. They are seated inside a sound booth and complete the task at their own pace, with little intervention needed from the experimenter. Upon arrival at the lab, participants are given a brief description of the topic of the research (how earlier sounds influence our perception of later speech sounds) and are presented with a detailed informed consent form. Their demographic information is collected and then the experiment is demonstrated. Breaks are offered between testing blocks, which last about 10-15 minutes each.

The main differences in the protocol consist of the various stimulus manipulations, which are designed to specifically control aspect of the voice that the participant hears. For example, the sound can be manipulated to emphasize higher or lower frequencies, or be spoken relatively slowly or quickly, or manipulated to sound degraded, as if the participant has a hearing loss. In all occasions, the manipulations are signaled to the participant. The outcome measure typically consists of the pattern of word identification, and specifically how that pattern changes depending on acoustic properties of the sounds heard before the target word.

Additional comparison measurements are taken of the participant's ability to hear and repeat words or sentences in background noise.

Once an experiment is ready to launch, participants are randomly assigned to different testing conditions ("interventions"). But in most of the planned experiments, participants complete identical protocols, except that the specific ordering of many speech stimuli is randomized within the testing session. After the participant completes all of the testing blocks, they are debriefed about the full nature of the study, the hypotheses and the larger scope of the project in the context of speech communication.

Eligibility criteria: Inclusion Criteria:

* Be able to recognize spoken words in English
* Be a competent speaker of north American English
* Be an adult between the age of 18 to 65 years
* Have normal audiometric thresholds below 25 decibels hearing loss (dB HL) at frequencies between 250 and 8000 Hz OR have audiometric thresholds not exceeding 40 dB HL at frequencies between 250 and 8000 Hz OR have audiometric thresholds not exceeding 55 dB HL at frequencies between 250 and 8000 Hz OR use a cochlear implant
* Lack language-learning or other cognitive disabilities

Exclusion Criteria:

* Inability to recognize spoken words in English
* Not a competent speaker of north American English
* Be younger than 18 years of age
* Be older than 65 years of age
* Have normal audiometric thresholds exceeding 25 dB HL at frequencies between 250 and 8000 Hz OR have audiometric thresholds exceeding 40 dB HL at frequencies between 250 and 8000 Hz OR have audiometric thresholds exceeding 55 dB HL at frequencies between 250 and 8000 Hz
* Language-learning or other cognitive disabilities

Primary outcomes:
measure: Speech categorization
timeFrame: "Post-treatment" where "treatment" is the systematic manipulation of speech sounds. Speech categorization will be evaluated during the main part of the testing. Outcomes will be assessed and data reported through study completion, an average of 1 year
Secondary outcomes:
measure: Speech recognition
timeFrame: "Post-treatment" where "treatment" is the systematic manipulation of speech sounds. Word recognition will be evaluated during the main part of the testing. Outcomes will be assessed and data reported through study completion, an average of 1 year
measure: Audiometric threshold testing
timeFrame: Baseline
Other outcomes:
Locations:
city: Louisville
country: United States
facility: University of Louisville
state: Kentucky
city: Minneapolis
country: United States
facility: University of Minnesota
state: Minnesota
Study officials:
affiliation: University of Louisville
name: Christian Stilp, PhD
role: PRINCIPAL_INVESTIGATOR
References: