SLPOtherTrends in hearing2022

Revealing Perceptional and Cognitive Mechanisms in Static and Dynamic Cocktail Party Listening by Means of Error Analyses.

Moritz Wächtler, Josef Kessler, Martin Walger and 1 others

PMID 35849353

WHAT IT FOUND

In a three-talker listening test, older adults with mild-to-moderate hearing loss made more errors than younger normal-hearing adults, especially while monitoring unpredictable talkers.

Switching talkers increased errors for all groups, regardless of age or hearing.

Key findings

01In the static condition, older listeners with hearing loss had significantly higher random and confusion error rates than both normal-hearing groups.

02In the dynamic condition, error increases were larger on switch trials than on trials before switches, and switch trials showed no significant group differences.

03After a target switch, confusion errors did not differ significantly between the previous target talker and the other competing talker.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study used simultaneous sentences from three loudspeakers in a sound-treated booth, so it may not capture everyday conversations with movement, room noise, or different languages. The sample included only mild-to-moderate symmetrical hearing loss and no hearing aid users, so the results do not show what happens with different hearing thresholds or with hearing aids. All participants passed a dementia screening test, so the findings do not address people with diagnosed cognitive impairment. Confusion errors were very small in the static condition and may have been affected by floor effects. The dynamic analysis used only switch trials and the trials before switches, and the model did not show a significant interaction between trial type and group. The group difference on non-switch trials came from a follow-up comparison. The lack of a previous-target bias may be due to short target periods of 2 to 5 trials, so it does not prove that attention disengagement is unaffected in longer conversations.

Declared interests

The authors declared no potential conflicts of interest. They disclosed receipt of financial support for the research, authorship, and/or publication, and the article is listed as supported by non-U.S. government research.

The easy way to misread this

Do not conclude that older adults with mild-to-moderate hearing loss have a specific problem switching attention. The largest group difference was on trials before a switch, when the target was unpredictable, and there were no significant group differences on switch trials.

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