Development of Bisyllabic Speech Audiometry Word Lists for Adult Malay Speakers

Standardised speech audiometry material is essential in assessing hearing for speech; however, material in Malay language, particularly for speech reception threshold test, is limited and not thoroughly validated. This thesis examines the development of standardised, phonemically-balanced bisyllabic Malay speech reception threshold (SRT) test word lists for Malay-speaking adults. The effect of having a mixture of familiar and nonsense words on speech recognition is also explored. The processes of developing the word lists include selecting and compiling the words using content analysis research method, testing for homogeneity and consistency and validating the acoustic content, both using correlational research method, and assessing the clinical validity using concurrent validity method. The familiar words were selected from a corpus of familiar words extracted from daily newspapers while the nonsense words were formed based on linguistic properties of Malay. The preliminary set consisted of fifteen lists with 10 familiar words and 5 nonsense words in each. The analyses of the findings show consistency of speech discrimination using the word lists using Friedman test to have statistically no significant difference in correct scores achieved using any of the word lists, Χ2 = 19.584, p>0.05. Homogeneity test for all lists using Cronbach’s alpha showed a value of 0.78, indicating a strong agreement and good homogeneity among the lists. When five lists with inter-item correlation ≤0.8 were excluded from the homogeneity analysis, the alpha value for the remaining 10 lists increased to 0.88. Consistency analysis of acoustic content using repeated measures ANOVA showed no significant difference between the list and the LTASS, F=1.229, p>0.05. All 15 lists were then tested for clinical validity. Two versions of list content were assessed, an all-words version (AWL) containing all 15 words each list, and a meaningful-words only version (MWL) containing 10 meaningful words for each list. Correlation analyses between half peak level (HPL) of the speech recognition curve and pure tone (PT) thresholds showed that, in consideration of both normal hearing and hearing impaired listeners, the HPL correlated best with PT average of 250, 500, 1000, 2000 and 4000 Hz for both AWL (r = 0.67 to 0.95) and MWL (r = 0.65 to 0.95). A comparison between HPL and PT average of 250, 500, 1000, 2000 and 4000 Hz showed mean differences of 4 dB (SD = 3) and 3 dB (SD = 4) with the range of tolerance (95% confidence) of ±7 dB and ±8 dB for AWL and MWL respectively. Sensitivity, specificity, and positive and negative predictive values, when set at tolerance level of ±10 dB, were mostly >0.90 for normal hearing and hearing loss listeners using either versions. It was concluded that the addition of nonsense words does not significantly affect SRT. The correlation between the SRT obtained using the bisyllabic Malay word lists and the PT thresholds suggested that the word lists were robust enough to be used in assessing speech hearing clinically. In conclusion, the current study has achieved to develop and produce a standardised, phonemically balanced bisyllabic Malay speech audiometry (BMSA) word lists for assessing speech reception threshold and discrimination in adult Malay speakers

Models and analysis of vocal emissions for biomedical applications

This book of Proceedings collects the papers presented at the 3rd International Workshop on Models and Analysis of Vocal Emissions for Biomedical Applications, MAVEBA 2003, held 10-12 December 2003, Firenze, Italy. The workshop is organised every two years, and aims to stimulate contacts between specialists active in research and industrial developments, in the area of voice analysis for biomedical applications. The scope of the Workshop includes all aspects of voice modelling and analysis, ranging from fundamental research to all kinds of biomedical applications and related established and advanced technologies

The importance of "scaffolding" in clinical approach to deafness across the lifespan

Throughout the present work of thesis, the concept of scaffolding will be used as a fil rouge through the chapters. What I mean for “scaffolding approach”, therefore, is an integrated and multidisciplinary clinical and research methodology to hearing impairments that could take into account persons as a whole; an approach that needs to be continuously adapted and harmonized with the individuals, pursuant to their progress, their limits and resources, in consideration of their audiological, cognitive, emotional, personal, and social characteristics. The following studies of our research group will be presented: A study (2020) designed to assess the effects of parent training (PT) on enhancing children’s communication development (chapter two); Two studies of our research group (2016; 2020) concerning variables influencing comprehension of emotions and nuclear executive functions in deaf children with cochlear implant (chapter three and chapter four) In chapter five a presentation and description of our Mind-Active Communication program, main topics and aims, multidisciplinary organizations of group and individual sessions with a description of used materials and methodology is given. Finally, a preliminary evaluation to explore the use of this multidisciplinary rehabilitative program on quality of life, psychological wellbeing, and hearing abilities in a sample of cochlear implanted elderly persons is reported

The development of the Arabic lexical neighbourhood test

Speech perception is a primary outcome measure in children using cochlear implants (CI). Saudi Arabia has a high prevalence of hearing loss, however, there are no appropriate measures to assess communication skills in these children post cochlear implantation. This thesis describes the development and application of an Arabic version of the Lexical Neighbourhood Test (Kirk, Pisoni, & Osberger, 1995) for children using CIs in Saudi Arabia. Study 1 consisted of language sampling and developing the Arabic Lexical Neighbourhood Test (ALNT) word lists. Study 2 examined performance of normal hearing (NH) children on the ALNT in two conditions: in noise and in quiet via vocoded speech simulating a CI. Study 3 investigated the performance of CI children on the ALNT in quiet over time, with 3 measurements made over a period of approximately 18 months. In general, results indicated that the ALNT was a reliable speech perception test. Both CI and NH children consistently scored higher on the easy words than the hard words which is consistent with the effects of the lexical factors of word frequency and neighbourhood density on speech perception. Another factor that was also explored was whether repeated administration of test items affected performance. In NH children, when time intervals between first and second administration was 2-4 weeks, repetition effects were evident. In CI children however, when the test intervals between repeated administrations was 6-9 months apart, repetition effects were not evident. This demonstrates that the ALNT can be used repeatedly without affecting speech perception performance. Finally, the sensitivity of the ALNT to change in performance over time was compared to a nonsense CV test that was also administered to CI children over three sessions. The CV test was found to be more sensitive to change over time than the ALNT

On The Way To Linguistic Representation: Neuromagnetic Evidence of Early Auditory Abstraction in the Perception of Speech and Pitch

The goal of this dissertation is to show that even at the earliest (non-invasive) recordable stages of auditory cortical processing, we find evidence that cortex is calculating abstract representations from the acoustic signal. Looking across two distinct domains (inferential pitch perception and vowel normalization), I present evidence demonstrating that the M100, an automatic evoked neuromagnetic component that localizes to primary auditory cortex is sensitive to abstract computations. The M100 typically responds to physical properties of the stimulus in auditory and speech perception and integrates only over the first 25 to 40 ms of stimulus onset, providing a reliable dependent measure that allows us to tap into early stages of auditory cortical processing. In Chapter 2, I briefly present the episodicist position on speech perception and discuss research indicating that the strongest episodicist position is untenable. I then review findings from the mismatch negativity literature, where proposals have been made that the MMN allows access into linguistic representations supported by auditory cortex. Finally, I conclude the Chapter with a discussion of the previous findings on the M100/N1. In Chapter 3, I present neuromagnetic data showing that the re-sponse properties of the M100 are sensitive to the missing fundamental component using well-controlled stimuli. These findings suggest that listeners are reconstructing the inferred pitch by 100 ms after stimulus onset. In Chapter 4, I propose a novel formant ratio algorithm in which the third formant (F3) is the normalizing factor. The goal of formant ratio proposals is to provide an explicit algorithm that successfully "eliminates" speaker-dependent acoustic variation of auditory vowel tokens. Results from two MEG experiments suggest that auditory cortex is sensitive to formant ratios and that the perceptual system shows heightened sensitivity to tokens located in more densely populated regions of the vowel space. In Chapter 5, I report MEG results that suggest early auditory cortical processing is sensitive to violations of a phonological constraint on sound sequencing, suggesting that listeners make highly specific, knowledge-based predictions about rather abstract anticipated properties of the upcoming speech signal and violations of these predictions are evident in early cortical processing

Models and Analysis of Vocal Emissions for Biomedical Applications

The MAVEBA Workshop proceedings, held on a biannual basis, collect the scientific papers presented both as oral and poster contributions, during the conference. The main subjects are: development of theoretical and mechanical models as an aid to the study of main phonatory dysfunctions, as well as the biomedical engineering methods for the analysis of voice signals and images, as a support to clinical diagnosis and classification of vocal pathologies