title: Measuring the threshold for speech reception by adaptive variation of the signal bandwidth. II. Hearing-impaired listeners.
abstract: In a previous study [Noordhoek et al., J. Acoust. Soc. Am. 105, 2895-2902 (1999)], an adaptive test was developed to determine the speech-reception bandwidth threshold (SRBT), i.e., the width of a speech band around 1 kHz required for a 50% intelligibility score. In this test, the band-filtered speech is presented in complementary bandstop-filtered noise. In the present study, the performance of 34 hearing-impaired listeners was measured on this SRBT test and on more common SRT (speech-reception threshold) tests, namely the SRT in quiet, the standard SRT in noise (standard speech spectrum), and the spectrally adapted SRT in noise (fitted to the individual's dynamic range). The aim was to investigate to what extent the performance on these tests could be explained simply from audibility, as estimated with the SII (speech intelligibility index) model, or require the assumption of suprathreshold deficits. For most listeners, an elevated SRT in quiet or an elevated standard SRT in noise could be explained on the basis of audibility. For the spectrally adapted SRT in noise, and especially for the SRBT, the data of most listeners could not be explained from audibility, suggesting that the effects of suprathreshold deficits may be present. Possibly, such a deficit is an increased downward spread of masking.
authors.affiliation: Department of Otolaryngology, University Hospital VU, Amsterdam, The Netherlands. ingridn@dds.nl
authors.forename: I M
authors.initials: IM
authors.lastname: Noordhoek
authors.forename: T
authors.initials: T
authors.lastname: Houtgast
authors.forename: J M
authors.initials: JM
authors.lastname: Festen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001309:Auditory Threshold; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010470:Perceptual Masking / Q000502:physiology; D013067:Speech Perception / Q000502:physiology*; D013069:Speech Reception Threshold Test / Q000379:methods*