Speech Processing to Improve the Perception of Speech in Background Noise for Children With Auditory Processing Disorder and Typically Developing Peers.
Sheila Flanagan, Tudor-Cătălin Zorilă, Yannis Stylianou and 1 others
PMID 29441834WHAT IT FOUND
Children understood more words when speech was processed with SSDRC than unprocessed.
The gain was 29.1 percentage points in speech-shaped noise and 7.3 percentage points with a competing speaker, and children with APD still did worse in that competing speaker.
Key findings
01SSDRC processing improved speech identification for both backgrounds, with a mean increase of 29.1 percentage points in speech-shaped noise and 7.3 percentage points with a competing speaker.
02Children with APD and control children scored almost the same in speech-shaped noise, but the control group scored significantly better than the APD group with a competing speaker.
03The APD group had poorer average pure-tone thresholds than the control group, and word recognition scores in the competing speaker were related to threshold values.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Only 18 children were tested, and the groups were small. The study measured keyword identification in a sound booth or audiometric room, not everyday classroom listening. Some APD children had borderline SCAN-3:C scores, and one child was described as having a moderate probability of dyslexia. The APD group had poorer audiometric thresholds than the control group, so subtle hearing loss may have contributed to group differences. Three APD children had an interaural threshold difference of 15 to 20 dB.
Declared interests
The supplied metadata lists non-U.S. government research support, but the article text does not name a funder or author disclosure. It says participants were paid for their time and travel expenses.
The easy way to misread this
Do not conclude that SSDRC processing solves speech-in-noise difficulty in classrooms. It improved word identification in the laboratory, especially in speech-shaped noise, but the mean gain was 7.3 percentage points with a competing speaker, and children with APD still performed worse than controls in that condition.