Speech Recognition in Noise by Children with Hearing Loss as a Function of Signal-to-Noise Ratio

As part of a larger study, the speech recognition in continuous and interrupted noise was measured for ten children with moderate-to-severe sensorineural hearing loss (HL), ages 6 to 16 years, at varying signal-to-noise ratios (SNRs). Children with bilateral amplification received 10 sentences at each of six SNRs with the 60 dBA noise at 180 degrees azimuth and the speech at 0 degrees azimuth. Sentences were randomly selected from a corpus of 1500 sentences taken from seven thematic categories. The continuous and interrupted speech-shaped noise was filtered to match the long-term average spectrum of the sentences. The average performance-intensity (PI) functions for the interrupted and continuous noise conditions were not significantly different. Children with HL received limited benefit from the interruptions in the noise and therefore might benefit from auditory training designed to take advantage of the silent intervals in noise. Based on the average PI function, an appropriate SNR to begin auditory training would be 6 dB