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临床试验/NCT03087045
NCT03087045已完成不适用

Behavioral Manifestations of Listening Effort

University of Miami1 个研究点 分布在 1 个国家目标入组 12 人开始时间: 2017年3月13日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
12
试验地点
1
主要终点
Identify correlations in Listening effort measured using Pupillometry

研究概览

简要总结

The purpose of this investigation is to investigate the behavioral manifestations of listening effort. Quantifying listening effort based on an easy to measure behavioral metric would allow for better understanding of the effort that goes into processing conversational speech. The investigators hypothesize that the behavior modifications required to improve the signal to noise ratio in increasingly complex listening environments significantly deviates from quiet listening environments. Further, the investigators hypothesize that this directly contributes to increased listening effort and reduced ability to accurately monitor content for everyday conversation.

详细描述

Listening Effort has been described as a reflection of the cognitive resources necessary for speech understanding. Measures can broadly be classified into Subjective, Physiological and Behavioral measures of Listening Effort (LE). Subjective measures of LE involve the listener rating or answering a questionnaire on the presented auditory stimuli. Some examples of Subjective measures are the multidimensional speech, spatial and qualities (SSQ) scale and Listening effort rating scale. However, these measures suffer from individual bias, for example, what one person might find takes more effort, another might not.

Physiological measures establish relationships between changes in the central and/or autonomic nervous system activity and LE. Effect of LE on central nervous system activity include methods such as using Functional Magnetic Resonance Imaging (fMRI) to compare processing of noise vocoded versus clear sentence stimuli and using Electroencephalography (EEG) to monitor memory/cognitive load. Some methods of measuring effects on Autonomic Nervous system are through Pupillometry and Skin Conductance. Research has found that fluctuating pupil size may be an indicator of mental task load and/or attention, stress and memory. Furthermore, Pupillometric methods have been used to correlate changing measures like pupil size and listening tasks. There are some drawbacks of using pupillometry to measure LE- Absolute pupil size and change in pupil size for presented speech change according to the age of the listener. For instance, Older adults have been found to have smaller absolute pupil size and show lesser change in pupil size when moving from difficult to easier listening conditions. These drawbacks can be accounted for by normalizing the pupil size.

Behavioral measures take into account that the there is a decline in cognitive functions over prolonged mental effort used an auditory dual task paradigm where the primary task was word recognition and the secondary tasks were memory recall and Visual Response times. Apart from the Dual tasks, participants were also asked to assign a subjective rating based on SSQ. Findings revealed 1) that there is empirical evidence linking repeated instances of effortful listening and subsequent cognitive failure and 2) self- report measures did not show the same changes as the behavioral measures. It has been suggested that this may indicate that subjective (self-report) measures and behavioral measures assess separate aspects of fatigue. It may also be due to subjective measures having individual biases.

As mentioned above, there are numerous studies of subjective, objective and behavioral measures of LE, yet, there are no studies of the actual behavior employed by listeners to reduce listening effort. Further, researchers do not understand how these behaviors influence the ability of the listener to monitor and maintain conversational speech. Listeners must rely on both peripheral and central auditory mechanisms to process speech. As the auditory signal increases in complexity, likewise there is an increase in the auditory processing required to understand speech. The effort that the auditory system must put forth to process complex signals is even greater if the signal degraded or imbedded in competing signals such as background noise. This requires increased exertion and mental effort on the part of the listener, and results in a reduction in ability to maintain focus and an increase in fatigue. These issues are further amplified in the presence of a peripheral hearing disorder as listeners do not have the mechanisms required to properly process even simple and unchallenged auditory signals. Research has demonstrated decreasing word recognition accuracy with decreasing Signal to Noise Ratio (SNR) and demonstrated an increase in listening effort when speech was presented in increasingly negative SNRs. Numerous studies have reported on the increase in listening effort required for individuals with hearing loss.

The purpose of this investigation is quantify listening effort based subjective, objective and behavioral measures at different Signal to Noise Ratios (SNR).

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 40 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Normal Hearing

排除标准

  • Do not meet inclusion criteria
  • Pregnant women
  • Prisoners
  • Does not speak English
  • Those displaying cognitive impairment (Potential study subjects will be screened for potential cognitive impairments that may negatively influence control data. We will use the validated mini mental exam)

结局指标

主要结局

Identify correlations in Listening effort measured using Pupillometry

时间窗: One hour

Pupillometry has been shown to be an accurate objective measure of listening effort. We will compare the behavioral responses of increased listening effort to physiologic response as measured by change in pupil size

Evaluate behavior modifications employed by listeners to optimize the signal to noise ratio and decrease listening effort in complex listening environments.

时间窗: One hour

We will evaluate compensatory strategies required by listeners to optimize listening in negative signal to noise ratios

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Hillary A Snapp

Assistant Professor

University of Miami

研究点 (1)

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