The S-SH Confusion Test and the Effects of Frequency Lowering
Publication: Journal of Speech, Language, and Hearing Research
Volume 62, Number 5
Pages 1486-1505
Abstract
Purpose
Frequency lowering in hearing aids can cause listeners to perceive [s] as [ʃ]. The S-SH Confusion Test, which consists of 66 minimal word pairs spoken by 6 female talkers, was designed to help clinicians and researchers document these negative side effects. This study's purpose was to use this new test to evaluate the hypothesis that these confusions will increase to the extent that low frequencies are altered.
Method
Twenty-one listeners with normal hearing were each tested on 7 conditions. Three were control conditions that were low-pass filtered at 3.3, 5.0, and 9.1 kHz. Four conditions were processed with nonlinear frequency compression (NFC): 2 had a 3.3-kHz maximum audible output frequency (MAOF), with a start frequency (SF) of 1.6 or 2.2 kHz; 2 had a 5.0-kHz MAOF, with an SF of 1.6 or 4.0 kHz. Listeners' responses were analyzed using concepts from signal detection theory. Response times were also collected as a measure of cognitive processing.
Results
Overall, [s] for [ʃ] confusions were minimal. As predicted, [ʃ] for [s] confusions increased for NFC conditions with a lower versus higher MAOF and with a lower versus higher SF. Response times for trials with correct [s] responses were shortest for the 9.1-kHz control and increased for the 5.0- and 3.3-kHz controls. NFC response times were also significantly longer as MAOF and SF decreased. The NFC condition with the highest MAOF and SF had statistically shorter response times than its control condition, indicating that, under some circumstances, NFC may ease cognitive processing.
Conclusions
Large differences in the S-SH Confusion Test across frequency-lowering conditions show that it can be used to document a major negative side effect associated with frequency lowering. Smaller but significant differences in response times for correct [s] trials indicate that NFC can help or hinder cognitive processing, depending on its settings.
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Information & Authors
Information
Published In
Journal of Speech, Language, and Hearing Research
Volume 62 • Number 5 • May 2019
Pages: 1486-1505
PubMed: 31063023
Copyright
Copyright © 2019 American Speech-Language-Hearing Association.
History
- Received: Jun 29, 2018
- Revised: Oct 24, 2018
- Accepted: Nov 27, 2018
- Published online: May 6, 2019
- Published in issue: May 21, 2019
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