Home-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users

Speech-perception testing is essential for monitoring outcomes with a hearing aid or cochlear implant (CI). However, clinical care is time-consuming and often challenging with an increasing number of clients. A potential approach to alleviating some clinical care and possibly making room for other o...

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Autores principales:	Astrid van Wieringen, Sara Magits, Tom Francart, Jan Wouters
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	speech understanding in noise digits in noise phoneme identification in quiet CI users home testing Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/7dde6101c820431394f742b5794b4762
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id	oai:doaj.org-article:7dde6101c820431394f742b5794b4762
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spelling	oai:doaj.org-article:7dde6101c820431394f742b5794b47622021-12-01T18:47:50ZHome-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users1662-453X10.3389/fnins.2021.773427https://doaj.org/article/7dde6101c820431394f742b5794b47622021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnins.2021.773427/fullhttps://doaj.org/toc/1662-453XSpeech-perception testing is essential for monitoring outcomes with a hearing aid or cochlear implant (CI). However, clinical care is time-consuming and often challenging with an increasing number of clients. A potential approach to alleviating some clinical care and possibly making room for other outcome measures is to employ technologies that assess performance in the home environment. In this study, we investigate 3 different speech perception indices in the same 40 CI users: phoneme identification (vowels and consonants), digits in noise (DiN) and sentence recognition in noise (SiN). The first two tasks were implemented on a tablet and performed multiple times by each client in their home environment, while the sentence task was administered at the clinic. Speech perception outcomes in the same forty CI users showed that DiN assessed at home can serve as an alternative to SiN assessed at the clinic. DiN scores are in line with the SiN ones by 3–4 dB improvement and are useful to monitor performance at regular intervals and to detect changes in auditory performance. Phoneme identification in quiet also explains a significant part of speech perception in noise, and provides additional information on the detectability and discriminability of speech cues. The added benefit of the phoneme identification task, which also proved to be easy to administer at home, is the information transmission analysis in addition to the summary score. Performance changes for the different indices can be interpreted by comparing against measurement error and help to target personalized rehabilitation. Altogether, home-based speech testing is reliable and proves powerful to complement care in the clinic for CI users.Astrid van WieringenSara MagitsTom FrancartJan WoutersFrontiers Media S.A.articlespeech understanding in noisedigits in noisephoneme identification in quietCI usershome testingNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENFrontiers in Neuroscience, Vol 15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	speech understanding in noise digits in noise phoneme identification in quiet CI users home testing Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	speech understanding in noise digits in noise phoneme identification in quiet CI users home testing Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Astrid van Wieringen Sara Magits Tom Francart Jan Wouters Home-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users
description	Speech-perception testing is essential for monitoring outcomes with a hearing aid or cochlear implant (CI). However, clinical care is time-consuming and often challenging with an increasing number of clients. A potential approach to alleviating some clinical care and possibly making room for other outcome measures is to employ technologies that assess performance in the home environment. In this study, we investigate 3 different speech perception indices in the same 40 CI users: phoneme identification (vowels and consonants), digits in noise (DiN) and sentence recognition in noise (SiN). The first two tasks were implemented on a tablet and performed multiple times by each client in their home environment, while the sentence task was administered at the clinic. Speech perception outcomes in the same forty CI users showed that DiN assessed at home can serve as an alternative to SiN assessed at the clinic. DiN scores are in line with the SiN ones by 3–4 dB improvement and are useful to monitor performance at regular intervals and to detect changes in auditory performance. Phoneme identification in quiet also explains a significant part of speech perception in noise, and provides additional information on the detectability and discriminability of speech cues. The added benefit of the phoneme identification task, which also proved to be easy to administer at home, is the information transmission analysis in addition to the summary score. Performance changes for the different indices can be interpreted by comparing against measurement error and help to target personalized rehabilitation. Altogether, home-based speech testing is reliable and proves powerful to complement care in the clinic for CI users.
format	article
author	Astrid van Wieringen Sara Magits Tom Francart Jan Wouters
author_facet	Astrid van Wieringen Sara Magits Tom Francart Jan Wouters
author_sort	Astrid van Wieringen
title	Home-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users
title_short	Home-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users
title_full	Home-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users
title_fullStr	Home-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users
title_full_unstemmed	Home-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users
title_sort	home-based speech perception monitoring for clinical use with cochlear implant users
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/7dde6101c820431394f742b5794b4762
work_keys_str_mv	AT astridvanwieringen homebasedspeechperceptionmonitoringforclinicalusewithcochlearimplantusers AT saramagits homebasedspeechperceptionmonitoringforclinicalusewithcochlearimplantusers AT tomfrancart homebasedspeechperceptionmonitoringforclinicalusewithcochlearimplantusers AT janwouters homebasedspeechperceptionmonitoringforclinicalusewithcochlearimplantusers
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Home-Based Speech Perception Monitoring for Clinical Use With Cochlear Implant Users

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