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临床试验/NCT03468660
NCT03468660已完成不适用

Auditory Temporal Processes, Speech Perception and Aging

University of Maryland, College Park2 个研究点 分布在 1 个国家目标入组 82 人开始时间: 2018年1月18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
82
试验地点
2
主要终点
Recognition of accented speech stimuli used for training

研究概览

简要总结

Older people experience great difficulty understanding speech, especially accented English, and this problem is expected to increase with the influx of immigrants who provide services to the elderly population. The research examines the underlying factors that contribute to older listeners' difficulty understanding accented speech, including those associated with age-related hearing loss, changes in processing in auditory pathways in the brain, and general cognitive decline. The investigation also evaluates the efficacy of training strategies to improve understanding of accented English by older people. Outcomes of this research are expected to improve communication between senior citizens and those with whom they interact daily, and thereby improve quality of life for the older segment of the Nation's population.

详细描述

This research program in speech perception and auditory psychophysics examines the hypothesis that many of the predominant difficulties in speech understanding of elderly listeners are related to underlying problems in auditory temporal processing. One form of degraded speech that is particularly difficult for elderly listeners to perceive is accented English. Alterations of speech stress and timing with accent may be viewed as a form of degradation in temporal aspects of speech prosody, and this type of temporal distortion is the focus of investigation in the next project period. Moreover, psychoacoustic results demonstrate that large age-related difficulties in temporal processing exist for the perception of auditory tempo and rhythmic characteristics of sequential stimulus patterns featuring a stressed tone. Listener processing difficulty could be attributed to peripheral and/or central processing mechanisms, as well as various cognitive factors, including the degree of familiarity with prosodic features of different native languages. The project examines the relative contribution of peripheral hearing impairment, type of stimulus temporal complexity and cognitive demand, and the linguistic background experience of listeners on the processing of temporal prosody cues in speech and non-speech stimulus patterns. The project associated with this clinical trial examines the efficacy of auditory training paradigms with stimuli that feature temporal contrasts for improving perception of accented English and non-speech sequences by older people. The research described in this application seeks to address one goal outlined by the National Institute on Aging: to develop effective interventions to maintain health and function and prevent or reduce the burden of age-related diseases, disorders, and disabilities. The approach in this research program involves (a) an assessment of the problems encountered in daily activities by the elderly population, (b) an analysis of specific task demands in relation to individual capabilities, and (c) basic research on sensory and perceptual changes with age and on the ameliorating effects of emerging technologies (including rehabilitation). This three-dimensional approach is expected to further progress toward improving communication and health-related quality of life for senior citizens.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
None

入排标准

年龄范围
18 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age and hearing sensitivity:
  • Younger listeners (18-40 years) with normal hearing;
  • Older listeners (65-80 years) with normal hearing;
  • Older listeners (65-80 years) with bilateral, mild-to-moderate sensorineural hearing loss.
  • High School Diploma,
  • native speaker of English (based on self-report)
  • normal middle-ear function (based on tympanometry)
  • normal cognitive function (based on score on Montreal Cognitive Assessment)
  • good-to-excellent word recognition scores (based on Northwestern University Test # 6 word recognition scores presented in quiet at suprathreshold levels).

排除标准

  • non-native speaker of English,
  • motor and/or speech disorders that prevent participant from providing a time-locked response,
  • presence of middle ear disease or conductive hearing loss,
  • presence of severe or profound hearing loss,
  • presence of poor word recognition scores,
  • cognitive impairment.

结局指标

主要结局

Recognition of accented speech stimuli used for training

时间窗: 1 day

Scale: Accented words (n = 160) and accented sentences (n = 35 sentences) used in training; construct: measures percent correct recognition; minimum score = 0%, maximum score = 100%. Higher values are considered a better outcome

次要结局

  • Generalization of benefit in recognizing accented speech(1 day)
  • Retention of benefit in recognizing accented speech(through study completion, an average of two weeks)

研究者

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

Sandra Gordon Salant

Professor

University of Maryland, College Park

研究点 (2)

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