Older adults often struggle to communicate in adverse listening situations, especially when they must understand one talker when there are other voices in the background. Current rehabilitation of older adults with hearing loss focuses primarily on restoring audibility via hearing aids. Unfortunately, this is of limited benefit in dificult listening environments because both speech and background noise are amplified. Restoring audibility is not enough to ensure successful communication in situations where listeners must ignore the distracting speech of other talkers. The long-term goal of this research is to develop evaluation and treatment methods that focus on both the sensory and cognitive age-related changes that mediate comprehension in these situations. The proposed experiments are designed to provide vital information about why older adults experience problems in the presence of more than one talker. Past research has yielded conflicting conclusions about the relative importance of age-related peripheral/sensory factors and age-related cognitive changes in explaining deficits in speech understanding. The studies in this proposal will help to clarify tis issue by examining how listener-related factors (specifically, working memory, processing speed, attention-switching, inhibitory control, and hearing loss) interact with stimulus-related factors to create problems understanding speech in multi-talker situations.
Two specific aims will be addressed: 1.) To understand why competing speech signals are so disruptive for older listeners, and how hearing loss and cognitive processing affect their ability to cope with this interference; and 2.) To determine the degree to which hearing loss and cognitive function impact speech recognition in more realistic communication situations. The proposed experiments use both established tasks (e.g., simultaneous speech-on-speech masking, ratings of effort) and innovative techniques (temporally interleaved speech, eye tracking, limitations on response time) to address these questions. The performance of middle-aged as well as older listeners will be measured in order to provide information about which functional abilities begin to decline early vs. later in the aging process. The end result of this project will be an enhanced understanding of the factors that limit older adults from fully participating in conversations in everyday listening conditions. This, in turn, may drive improvements in rehabilitative protocols that incorporate treatment of both bottom-up and top-down contributors to age-related speech understanding problems.

Public Health Relevance

Many older adults struggle to understand speech in adverse listening situations. The purpose of this project is to identify why they experience these problems. The long-term goal of this research is to develop effective and comprehensive rehabilitation programs aimed at improving older adults' functional communication ability in difficult listening environments.

National Institute of Health (NIH)
National Institute on Deafness and Other Communication Disorders (NIDCD)
Research Project (R01)
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Study Section
Auditory System Study Section (AUD)
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Donahue, Amy
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University of Massachusetts Amherst
Schools of Public Health
United States
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Helfer, Karen S; Freyman, Richard L; Merchant, Gabrielle R (2018) How repetition influences speech understanding by younger, middle-aged and older adults. Int J Audiol 57:695-702
Freyman, Richard L; Terpening, Jenna; Costanzi, Angela C et al. (2017) The Effect of Aging and Priming on Same/Different Judgments Between Text and Partially Masked Speech. Ear Hear 38:672-680
Helfer, Karen S; Merchant, Gabrielle R; Wasiuk, Peter A (2017) Age-Related Changes in Objective and Subjective Speech Perception in Complex Listening Environments. J Speech Lang Hear Res 60:3009-3018
Helfer, Karen S; Freyman, Richard L (2016) Age equivalence in the benefit of repetition for speech understanding. J Acoust Soc Am 140:EL371
Helfer, Karen S; Merchant, Gabrielle R; Freyman, Richard L (2016) Aging and the effect of target-masker alignment. J Acoust Soc Am 140:3844
Helfer, Karen S (2015) Competing Speech Perception in Middle Age. Am J Audiol 24:80-3
Helfer, Karen S; Jesse, Alexandra (2015) Lexical influences on competing speech perception in younger, middle-aged, and older adults. J Acoust Soc Am 138:363-76
Helfer, Karen S; Freyman, Richard L (2014) Stimulus and listener factors affecting age-related changes in competing speech perception. J Acoust Soc Am 136:748-59
Helfer, Karen S; Staub, Adrian (2014) Competing speech perception in older and younger adults: behavioral and eye-movement evidence. Ear Hear 35:161-70
Helfer, Karen S; Mason, Christine R; Marino, Christine (2013) Aging and the perception of temporally interleaved words. Ear Hear 34:160-7