The Influence of Noise Type and Semantic Predictability on Word Recall in Older Listeners and Listeners With Hearing Impairment

Abstract

Purpose: A dual-task paradigm was implemented to investigate how noise type and sentence context may interact with age and hearing loss to impact word recall during speech recognition. Method: Three noise types with varying degrees of temporal/spectrotemporal modulation were used: speech-shaped noise, speech-modulated noise, and three-talker babble. Participant groups included younger listeners with normal hearing (NH), older listeners with near-normal hearing, and older listeners with sensorineural hearing loss. An adaptive measure was used to establish the signal-to-noise ratio approximating 70% sentence recognition for each participant in each noise type. A word-recall task was then implemented while matching speech-recognition performance across noise types and participant groups. Random-intercept linear mixed-effects models were used to determine the effects of and interactions between noise type, sentence context, and participant group on word recall. Results: The results suggest that noise type does not significantly impact word recall when word-recognition performance is controlled. When data from noise types were pooled and compared with quiet, and recall was assessed: older listeners with near-normal hearing performed well when either quiet backgrounds or high sentence context (or both) were present, but older listeners with hearing loss performed well only when both quiet backgrounds and high sentence context were present. Younger listeners with NH were robust to the detrimental effects of noise and low context. Conclusions: The general presence of noise has the potential to decrease word recall, but type of noise does not appear to significantly impact this observation when overall task difficulty is controlled. The presence of noise as well as deficits related to age and/or hearing loss appear to limit the availability of cognitive processing resources available for working memory during conversation in difficult listening environments. The conversation environments that impact these resources appear to differ depending on age and/or hearing status.