Predicting speech intelligibility in hearing-impaired listeners using a physiologically inspired auditory model.

• Across-frequency fluctuation profiles predict speech intelligibility in noise • Model predicts effects of level and different noise types, incl. masking release • Model predicts effects of individual hearing loss • Plausible effects of inner- and outer-hair-cell impairment This study presents a major update and full evaluation of a speech intelligibility (SI) prediction model previously introduced by Scheidiger, Carney, Dau, and Zaar [(2018), Acta Acust. United Ac. 104 , 914-917]. The model predicts SI in speech-in-noise conditions via comparison of the noisy speech and the noise-alone reference. The two signals are processed through a physiologically inspired nonlinear model of the auditory periphery, for a range of characteristic frequencies (CFs), followed by a modulation analysis in the range of the fundamental frequency of speech. The decision metric of the model is the mean of a series of short-term, across-CF correlations between population responses to noisy speech and noise alone, with a sensitivity-limitation process imposed. The decision metric is assumed to be inversely related to SI and is converted to a percent-correct score using a single data-based fitting function. The model performance was evaluated in conditions of stationary, fluctuating, and speech-like interferers using sentence-based speech-reception thresholds (SRTs) previously obtained in 5 normal-hearing (NH) and 13 hearing-impaired (HI) listeners. For the NH listener group, the model accurately predicted SRTs across the different acoustic conditions (apart from a slight overestimation of the masking release observed for fluctuating maskers), as well as plausible effects in response to changes in presentation level. For HI listeners, the model was adjusted to account for the individual audiograms using standard assumptions concerning the amount of HI attributed to inner-hair-cell (IHC) and outer-hair-cell (OHC) impairment. HI model results accounted remarkably well for elevated individual SRTs and reduced masking release. Furthermore, plausible predictions of worsened SI were obtained when the relative contribution of IHC impairment to HI was increased. Overall, the present model provides a useful tool to accurately predict speech-in-noise outcomes in NH and HI listeners, and may yield important insights into auditory processes that are crucial for speech understanding. [ABSTRACT FROM AUTHOR]