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Hearing loss commonly causes difficulties in understanding speech in the presence of background noise. The benefits of hearing-aids in terms of speech intelligibility in challenging listening scenarios remain limited. The present study investigated if phoneme-in-noise discrimination training improves phoneme identification and sentence intelligibility in noise in hearing-aid users. Two groups of participants received either a two-week training program or a control intervention. Three phoneme categories were trained: onset consonants (C1), vowels (V) and post-vowel consonants (C2) in C1-V-C2-/i/ logatomes from the Danish nonsense word corpus (DANOK). Phoneme identification test and hearing in noise test (HINT) were administered before and after the respective interventions and, for the training group only, after three months. Twenty 63-to-79 years old individuals with a mild-to-moderate sensorineural hearing loss and at least one year of experience using hearing-aids. The training provided an improvement in phoneme identification scores for vowels and post-vowel consonants, which was retained over three months. No significant performance improvement in HINT was found. The study demonstrates that the training induced a robust refinement of auditory perception at a phoneme level but provides no evidence for the generalisation to an untrained sentence intelligibility task. [ABSTRACT FROM AUTHOR]

This study investigated whether music specially written for people with cochlear implants (CIs) could be used to better pinpoint how the music listening experience for a CI was different to a normal hearing listener (NH). After the specially arranged live concert, focus groups were formed from audience volunteers (two groups each of CIs, NHs and a range of hearing assistant devices). The theme of musical features (MF) was reported most frequently for both NHs and CIs. Valence analysis identified no significant difference in positive comments about MF by CIs than NHs for the specially commissioned works. Spatialization, although reported infrequently, was considered important by some CI, NH and bimodal listeners (who use a cochlear implant and a hearing aid). Rhythm was enjoyed by both NH and CI groups, and percussion instruments liked more than other musical instruments, but more so by CIs. Bilateral and bimodal CIs expressed interest in optimizing the hearing assistance settings, but on several occasions, the optimization ended with turning the contralateral hearing aid off. The study identifies the possible critical role of familiarity in music enjoyment. [ABSTRACT FROM AUTHOR]

Although the perception of music is generally poor in cochlear implant users, there are a few excellent performers. Objective: The aim of this study was the assessment of different aspects of music perception in one exceptional cochlear implant user. Design: The assessments included pitch direction discrimination, melody and timbre recognition, relative and absolute pitch judgment, and consonance rating of musical notes presented through the sound processor(s). Study sample: An adult cochlear implant user with musical background who lost her hearing postlingually, and five normally-hearing listeners with musical training participated in the study. Results: The CI user discriminated pitch direction for sounds differing by one semitone and recognized melody with nearly 100% accuracy. Her results in timbre recognition were better than average published data for cochlear implant users. Her consonance rating, and relative and absolute pitch perception were comparable to normally-hearing listeners with musical training. Conclusion: The results in this study showed that excellent performance is possible on musical perception tasks including pitch perception using present day cochlear implant technologies. Factors that may explain this user's exceptional performance are short duration of deafness, pre- and post-deafness musical training, and perfect pitch abilities before the onset of deafness. [ABSTRACT FROM AUTHOR]

AbstractObjectiveDesignStudy sampleResultsConclusionThe study investigated how auditory training affects effort exerted by hearing-impaired listeners in speech-in-noise task.Pupillometry was used to characterise listening effort during a hearing in noise test (HINT) before and after phoneme-in-noise identification training. Half of the study participants completed the training, while the other half formed an active control group.Twenty 63-to-79 years old experienced hearing-aid users.Higher peak pupil dilations (PPDs) were obtained at the end of the study compared to the beginning in both groups of the participants. The analysis of pupil dilation in an extended time window revealed, however, that the magnitude of pupillary response increased more in the training than in the control group. The effect of training on effort was observed in pupil responses even when no improvement in HINT was found.The results demonstrate that using a listening effort metric adds additional insights into the effectiveness of auditory training compared to the situation when only speech-in-noise performance is considered. Trends observed in pupil responses suggested increased effort—both after the training and the placebo intervention—most likely reflecting the effect of the individual’s motivation. [ABSTRACT FROM AUTHOR]