SLPOtherTrends in hearing2024

Modeling the Intelligibility Benefit of Active Noise Cancelation in Hearing Devices That Improve Signal-to-Noise Ratio.

Andrew T Sabin, Dale McElhone, Daniel Gauger and 1 others

PMID 38831646

WHAT IT FOUND

Simulated hearing aids with active noise cancelation had higher speech-in-noise metric scores than standard aids, especially above 70 dB SPL and with at least 4 dB signal-to-noise improvement.

No people tested this.

Key findings

01In simulations, when environments exceeded about 70 dB SPL and the device provided at least 4 dB signal-to-noise increase, the ANC aid had a HASPIv2 score >30% (0.3 contour) higher and an eSTOI increase of 0.0675, a 3 dB SNR equivalent.

02The simulated ANC Benefit was small at 10 dB peak strength and substantially larger at 20 dB peak strength.

03Simulated eSTOI benefit decreased monotonically as hearing loss increased from N1 to N5, while HASPIv2 benefit increased from N1 to N3 and then declined strongly at N5.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

No human listeners were tested, so the results are modelled intelligibility metric differences, not measured speech understanding. The background noise was stationary speech-shaped noise, so real-world noises such as bass-heavy aircraft cabin noise or loud background music were not tested. The model assumed the same signal-to-noise ratio at the input to the direct and amplified paths, while real environments have different spatial relationships. The active noise cancelation filters were hypothetical, and the paper did not test actual products or all ear-tip venting options. HASPIv2 saturates at high signal-to-noise ratios, and eSTOI does not model hearing loss, so the two metrics can disagree across hearing-loss severity. The study tested only standard sloping hearing losses from very mild to severe, not other audiogram shapes. All authors are current or past employees of Bose Corporation, which is named as a maker of devices with active noise cancelation.

Declared interests

All authors are current or past employees of Bose Corporation. The paper states the authors received no financial support for the research, authorship, or publication.

The easy way to misread this

Do not conclude that active noise cancelation has been shown to improve speech understanding in patients. The paper reports simulated metric gains only, and no human perception test was performed.

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