19th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 8-10, 2020 • Kansas City, MO

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 Speech Perception Abilities in Quiet and Noise in 3- to 5-year-old Children with Hearing Loss

Background: Earlier age of amplification is associated with improved speech perception outcomes. Nonetheless, children with hearing loss continue to experience greater difficulties perceiving speech in noise than their typically hearing peers. Although it is known that children with hearing loss require a more favorable SNR than normal hearing children, data on the extent to which speech perception is diminished by the effects of noise and presentation level is limited. Methods: Thirtythree 3- to 5-year-old children participated (21 bilateral hearing aids (HAs), 11 cochlear implants (CIs)). Speech perception was measured using the NU-CHIPS, PBK-50, and WIPI word recognition tests at 2 presentation levels (50 and 35dB SPL), in quiet or noise, and with or without a digital modulation (DM) system. The aims were to investigate the impact of noise and presentation level, speech perception test, age, listening device, and DM system on speech perception. Results: Speech perception scores did not differ significantly based on listening device, age, and speech perception test. In quiet, average scores on the NU-CHIPS and PBK-50 at 50dB SPL were above 90% correct, at 35dB SPL above 80% correct. On the WIPI, average scores at 50dB SPL reached above 80% correct, at 35dB SPL above 60% correct. Noise had a greater adverse effect on speech perception scores at 35dB SPL than at 50dB SPL. Use of the DM system improved speech perception scores in the presence of noise and at 35dB SPL. Conclusions: In this study, soft presentation level and noise adversely affected the speech perception abilities in preschool-aged children with hearing loss, regardless of listening device, speech perception test, or age. The effect of noise was most pronounced at the soft presentation level. Use of a DM system allowed children to recover their speech perception abilities in difficult listening conditions.

  • describe the impact of noise on speech perception in preschool-age children with hearing loss
  • describe the impact of soft presentation level on speech perception in preschool-age children with hearing loss
  • describe the impact of DM system use on speech perception in noise/soft level in preschool-age children with hearing loss

Poster:
21060_12817MonaOster.pdf


Presenter: Mona Oster

Mona Oster holds a M.A. in Early Intervention in Deaf Education from Fontbonne University (St. Louis, MO) and a Ph.D. in Developmental Psychoacoustics from the University of Washington (Seattle, WA). She currently works at Listen and Talk in Seattle, where she supports families of children with hearing loss and their teachers, as well as investigates hearing development in children with hearing loss.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Presenter: Yoko Ishii

Yoko Ishii has been working in the field of pediatric audiology since she received her Doctor of Audiology degree from the University of Washington in 2009. Since then, she worked at both clinical and educational settings, and she is combining the wide range of pediatric experiences to serve the children and their families at Listen and Talk.


ASHA DISCLOSURE:

Financial -
• Receives Salary for Employment from Listen and Talk.

Nonfinancial -
No relevant nonfinancial relationship exist.

Presenter: Nicholas Tan

Nicholas is a medical student at Creighton University. He is interested in specializing as an ENT and is interested in how the use of listening devices changes outcomes for listeners with hearing loss.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Presenter: Ashley Moore

Ashley Moore holds an Doctor of Audiology from the University of Louisville, KY. She has extensive experience as a research and pediatric audiologist.


ASHA DISCLOSURE:

Financial -

Nonfinancial -

Presenter: Son A Chang

Dr. Son A Chang has a teaching certificate with my bachelor’s degree from Yonsei University of South Korea. She has been dedicated to the field of special education and speech/hearing science along with her masters and doctoral degrees. She has been working as a speech pathologist and a clinical audiologist for people with hearing impairments in Korea and also has more than a decade of university teaching experience in an array of Speech-Language Pathology and Audiology courses at the undergraduate and graduate levels, as well as publishing 5 books and 25+ manuscripts. She also served as a visiting research scholar at the cochlear implant and tinnitus team of Iowa University Hospitals and Clinics. She has a certified listening and spoken language specialist and a special educator certificate in Washington.


ASHA DISCLOSURE:

Financial -

Nonfinancial -