title: Preference judgments of artificial processed and hearing-aid transduced speech.
abstract: In order to assess the relative importance of various signal processing algorithms and distortions on hearing-aid preference, male and female speech was manipulated in a number of ways and subsequently presented to normal-hearing and hearing-impaired subjects (the latter having a mild sensorineural high-frequency hearing loss). Signal manipulations were artificial (e.g., filtering, compression, peak clipping, or adding noise) or were actual dummy-head recordings of five different hearing aids. Listeners judged the sounds in a pairwise-comparison format. Their task was to indicate the "hearing aid" they would prefer assuming they had to wear it all day. The data were analyzed with multidimensional scaling techniques; Principal Components Analysis revealed that the first two dimensions on which preference judgments were based, can be interpreted as (1) intelligibility or clarity, and (2) distinction between signal distortion and added background distortion. Furthermore, the results showed that normal-hearing subjects generally preferred the original signal, whereas hearing-impaired subjects were inclined to choose the signals with a high-frequency emphasis. Severe band-pass filtering or low-frequency emphasis were disliked, as was to be expected. Surprisingly, however, a soft background noise (S/N ratio of 25 dB) was often among the least preferred of all signals. The differences in preference between the five hearing aids were small, but consistent. For hearing-impaired subjects, hearing-aid ordering could be accounted for by the amount of low-frequency cutoff; for normal-hearing subjects both high- and low-frequency cutoff played a role. Results of a retest experiment with normal-hearing subjects, about one year later, showed that subjects' criteria remain remarkably stable.
authors.affiliation: Department of Otolaryngology, University Hospital VU, Amsterdam, The Netherlands.
authors.forename: N J
authors.initials: NJ
authors.lastname: Versfeld
authors.forename: J M
authors.initials: JM
authors.lastname: Festen
authors.forename: T
authors.initials: T
authors.lastname: Houtgast
mesh_terms: D000293:Adolescent; D000328:Adult; D002755:Choice Behavior; D003143:Communication Devices for People with Disabilities; D005260:Female; D006310:Hearing Aids; D006316:Hearing Loss, High-Frequency / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010469:Perceptual Distortion; D012016:Reference Values; D013018:Sound Spectrography; D013061:Speech Acoustics; D013067:Speech Perception