A Preliminary Study of the Effects of Attentive Music Listening on Cochlear Implant Users’ Speech Perception, Quality of Life, and Behavioral and Objective Measures of Frequency Change Detection

The goal of this study was to create and validate a new set of sentence lists that could be used to evaluate the speech perception abilities of hearing-impaired listeners and cochlear implant (CI) users. Our intention was to generate a large number of sentence lists with an equivalent level of difficulty for the evaluation of performance over time and across conditions. The AzBio sentence corpus includes 1000 sentences recorded from two female and two male talkers. The mean intelligibility of each sentence was estimated by processing each sentence through a five-channel CI simulation and calculating the mean percent correct score achieved by 15 normal-hearing listeners. Sentences from each talker were sorted by percent correct score, and 165 sentences were selected from each talker and were then sequentially assigned to 33 lists, each containing 20 sentences (5 sentences from each talker). List equivalency was validated by presenting all lists, in random order, to 15 CI users. Using sentence scores from the CI simulation study produced 33 lists of sentences with a mean score of 85% correct. The results of the validation study with CI users revealed no significant differences in percent correct scores for 29 of the 33 sentence lists. However, individual listeners demonstrated considerable variability in performance on the 29 lists. The binomial distribution model was used to account for the inherent variability observed in the lists. This model was also used to generate 95% confidence intervals for one and two list comparisons. A retrospective analysis of 172 instances where research subjects had been tested on two lists within a single condition revealed that 94% of results were accurately contained within these confidence intervals. The use of a five-channel CI simulation to estimate the intelligibility of individual sentences allowed for the creation of a large number of sentence lists with an equivalent level of difficulty. The results of the validation procedure with CI users found that 29 of 33 lists allowed scores that were not statistically different. However, individual listeners demonstrated considerable variability in performance across lists. This variability was accurately described by the binomial distribution model and was used to estimate the magnitude of change required to achieve statistical significance when comparing scores from one and two lists per condition. Fifteen sentence lists have been included in the AzBio Sentence Test for use in the clinical evaluation of hearing-impaired listeners and CI users. An additional eight sentence lists have been included in the Minimum Speech Test Battery to be distributed by the CI manufacturers for the evaluation of CI candidates.

A growing body of research suggests that musical training has a beneficial impact on speech processing (e.g., hearing of speech in noise and prosody perception). As this research moves forward two key questions need to be addressed: 1) Can purely instrumental musical training have such effects? 2) If so, how and why would such effects occur? The current paper offers a conceptual framework for understanding such effects based on mechanisms of neural plasticity. The expanded OPERA hypothesis proposes that when music and speech share sensory or cognitive processing mechanisms in the brain, and music places higher demands on these mechanisms than speech does, this sets the stage for musical training to enhance speech processing. When these higher demands are combined with the emotional rewards of music, the frequent repetition that musical training engenders, and the focused attention that it requires, neural plasticity is activated and makes lasting changes in brain structure and function which impact speech processing. Initial data from a new study motivated by the OPERA hypothesis is presented, focusing on the impact of musical training on speech perception in cochlear-implant users. Suggestions for the development of animal models to test OPERA are also presented, to help motivate neurophysiological studies of how auditory training using non-biological sounds can impact the brain's perceptual processing of species-specific vocalizations. This article is part of a Special Issue entitled . Copyright © 2013 Elsevier B.V. All rights reserved.

To develop and evaluate a 12-item version of the Speech, Spatial and Qualities of Hearing scale for use in clinical research and rehabilitation settings, and provide a formula for converting scores between the full (SSQ49) and abbreviated (SSQ12) versions. Items were selected independently at the three centres (Eriksholm Research Centre, MRC Institute of Hearing Research, University of New England) to be representative of the complete scale. A consensus was achieved after discussion. The data set (n = 1220) used for a factor analysis (Akeroyd et al, submitted) was re-analysed to compare original SSQ scores (SSQ49) with scores on the short version (SSQ12). A scatter-plot of SSQ12 scores against SSQ49 scores showed that SSQ12 score was about 0.6 of a scale point lower than the SSQ49 (0-10 scale) in the re-analysis of the Akeroyd et al data. SSQ12 scores lay on a slightly steeper slope than scores on the SSQ49. The SSQ12 provides similar results to SSQ49 in a large clinical research sample. The slightly lower average SSQ12 score and the slightly steeper slope reflect the composition of this short form relative to the SSQ49.