SLPOtherTrends in hearing2023

Capturing Visual Attention With Perturbed Auditory Spatial Cues.

Chiara Valzolgher, Mariam Alzaher, Valérie Gaveau and 6 others

PMID 37611181

WHAT IT FOUND

Lateral sounds helped normal-hearing, bilateral implant, and unilateral hearing-loss adults respond faster to visual targets.

Unilateral implant users and normal-hearing adults with one ear plugged showed little or no same-side benefit.

Key findings

01Normal-hearing adults responded faster when the sound and visual target appeared on the same side than on the opposite side (223 ± 53 ms vs. 243 ± 58 ms).

02The same-side response-time benefit was 17 ms for bilateral implant users and 14 ms for unilateral hearing-loss users, but only 2 ms and not significant for unilateral implant users.

03Temporarily plugging one ear in normal-hearing adults reduced the same-side response-time benefit to 7 ms, making it similar to unilateral implant users.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The normal-hearing group was younger than the hearing-loss groups, and age was not controlled. The sample size came from related training studies, not from a calculation for this audio-visual attention question. The unilateral cochlear implant group included 11 bimodal listeners and was not analysed separately by bimodal status. The plug condition was an acute change in normal-hearing adults, not a long-term unilateral hearing loss. The sound-localization task used longer sounds and allowed head movement, while the audio-visual cueing task used brief sounds and prevented head movement, so the two tasks did not match. The outcomes were laboratory response times and accuracy to visual targets, not speech recognition, listening effort, or everyday communication.

Declared interests

The authors declared no potential conflicts of interest. Funding included grants from the Agence Nationale de la Recherche, the Università Italo-Francese/Université Franco-Italienne, the Zegna Founder's Scholarship, Associazione Amici di Claudio Demattè, Foundation Medisite, Neurodis Foundation, the Italian Ministry for Research and University, Hospices Civils de Lyon, and IHU CeSaMe/Blind Touch.

The easy way to misread this

Do not read the 17 ms response-time benefit in bilateral implant users as evidence of better speech understanding. The task measured speed of judging a visual circle after sounds that were explicitly irrelevant, not speech recognition or communication outcomes.

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