Why do people fitted with hearing aids not wear them?

Objective: Age-related hearing loss is an increasingly important public health problem affecting approximately 40% of 55–74 year olds. The primary clinical management intervention for people with hearing loss is hearing aids, however, the majority (80%) of adults aged 55–74 years who would benefit from a hearing aid, do not use them. Furthermore, many people given a hearing aid do not wear it. The aim was to collate the available evidence as to the potential reasons for non-use of hearing aids among people who have been fitted with at least one. Design: Data were gathered via the use of a scoping study. Study sample: A comprehensive search strategy identified 10 articles reporting reasons for non-use of hearing aids. Results: A number of reasons were given, including hearing aid value, fit and comfort and maintenance of the hearing aid, attitude, device factors, financial reasons, psycho-social/situational factors, healthcare professionals attitudes, ear problems, and appearance. Conclusions: The most important issues were around hearing aid value, i.e. the hearing aid not providing enough benefit, and comfort related to wearing the hearing aid. Identifying factors that affect hearing aid usage are necessary for devising appropriate rehabilitation strategies to ensure greater use of hearing aids

Introduction. The perception of speech: from sound to meaning

Spoken language communication is arguably the most important activity that distinguishes humans from non-human species. This paper provides an overview of the review papers that make up this theme issue on the processes underlying speech communication. The volume includes contributions from researchers who specialize in a wide range of topics within the general area of speech perception and language processing. It also includes contributions from key researchers in neuroanatomy and functional neuro-imaging, in an effort to cut across traditional disciplinary boundaries and foster cross-disciplinary interactions in this important and rapidly developing area of the biological and cognitive sciences

Multimodal speech separation

The work of Bernstein and Benoît has confirmed that it is advantageous to use multiple senses, for example to employ both audio and visual modalities, in speech perception. As a consequence, looking at the speaker's face can be useful to better hear a speech signal in a noisy environment and to extract it from competing sources, as originally identified by Cherry, who posed the so-called "Cocktail Party" problem. To exploit the intrinsic coherence between audition and vision within a machine, the method of blind source separation (BSS) is particularly attractive. © 2010 Springer-Verlag