Graham Naylor

University of Nottingham | Notts · Hearing Sciences - Scottish Section

Ecological momentary assessment (EMA) is a way to evaluate experiences in everyday life. It is a powerful research tool but can be complex and challenging for beginners. Application of EMA in audiological research brings with it opportunities and challenges that differ from other research disciplines. This tutorial discusses important consideration...

Research investigating the complex interplay of cognitive mechanisms involved in speech listening for people with hearing loss has been gaining prominence. In particular, linguistic context allows the use of several cognitive mechanisms that are not well distinguished in hearing science, namely those relating to "postdiction", "integration", and "p...

Purpose Almost 40 years after its development, in this article, we reexamine the relevance and validity of the ubiquitously used Revised Speech Perception in Noise (R-SPiN) sentence corpus. The R-SPiN corpus includes “high-context” and “low-context” sentences and has been widely used in the field of hearing research to examine the benefit derived f...

Listening effort and fatigue are common experiences when conversing in noisy environments. Much research has investigated listening effort in relation to listening demand using the speech-in-noise paradigm. Recent conceptualizations of listening effort postulate that mental fatigue should result in decreased arousal and a reluctance to invest furth...

Longitudinal electronic health records from a large sample of new hearing-aid (HA) recipients in the US Veterans Affairs healthcare system were used to evaluate associations of fitting laterality with long-term HA use persistence as measured by battery order records, as well as with short-term HA use and satisfaction as assessed using the Internati...

Introduction Due to having to work with an impoverished auditory signal, cochlear-implant (CI) users may experience reduced speech intelligibility and/or increased listening effort in real-world listening situations, compared to their normally-hearing (NH) peers. These two challenges to perception may be usefully integrated in a measure of listenin...

About one-third of all recently published studies on listening effort have used at least one physiological measure, providing evidence of the popularity of such measures in listening effort research. However, the specific measures employed, as well as the rationales used to justify their inclusion, vary greatly between studies, leading to a literat...

The clarity enhancement challenges (CECs) seek to facilitate development of novel processing techniques for improving the intelligibility of speech in noise for hearing-aid users through a series of signal-processing challenges. Each challenge provides entrants with a set of stimuli for development and testing of their algorithms. The performance o...

Children with hearing loss appear to experience greater fatigue than children with normal hearing (CNH). Listening-related fatigue is often associated with an increase in effortful listening or difficulty in listening situations. This has been observed in children with bilateral hearing loss (CBHL) and, more recently, in children with unilateral he...

Objective speech intelligibility metrics are used to reduce the need for time consuming listening tests. They are used in the design of audio systems; room acoustics and signal processing algorithms. Most published speech intelligibility metrics have been developed using young adults with so-called 'normal hearing', and therefore do not work well f...

Objectives Hearing-aid use may reduce risk of dementia, but cognitive impairment makes use more challenging. An observed association between reduced hearing-aid use and incident dementia could reflect either or both of these causal paths. The objective was to examine the effects of each path while minimising contamination between paths. Methods He...

Objective Despite previous research into the psychosocial impact of hearing loss, little detail is known regarding the hearing and hearing-aid-related emotional states experienced by adults with hearing loss in everyday life, and how they occur. Design Individual remote semi-structured interviews were audio-recorded, transcribed verbatim and quali...

Objective: The concept of conversation success is undefined, although prior work has variously related it to accurate exchange of information, alignment between interlocutors, and good management of misunderstandings. This study aimed (1) to identify factors of conversation success and (2) to explore the importance of these factors in one-to-one v...

This paper presents the Clarity Speech Corpus, a publicly available, forty speaker British English speech dataset. The corpus was created for the purpose of running listening tests to gauge speech intelligibility and quality in the Clarity Project, which has the goal of advancing speech signal processing by hearing aids through a series of challeng...

For most of human history, face-to-face interactions have been the primary and most fundamental way to build social relationships, and even in the digital era they remain the basis of our closest bonds. These interactions are built on the dynamic integration and coordination of verbal and non-verbal information between multiple people. However, the...

Objectives: Listening effort and fatigue are common complaints among individuals with hearing impairment (HI); however, the underlying mechanisms, and relationships between listening effort and fatigue are not well understood. Recent quantitative research suggests that the peak pupil dilation (PPD), which is commonly measured concurrent to the perf...

Objective Despite previous research into the psychosocial impact of hearing loss, little detail is known regarding the hearing and hearing-aid related emotional states experienced by people with hearing loss, and how they occur.DesignIndividual remote semi-structured interviews were conducted and thematically analysed.Study sampleSeventeen particip...

Objectives In the personalisation of hearing-aid fittings, gain is often adjusted to suit patient preferences using live speech. When using brief sentences as stimuli, the minimum gain adjustments necessary to elicit consistent preferences (“preference thresholds”) were previously found to be much greater than typical adjustments in current practic...

People with hearing loss experience fatigue, and it is unknown whether this is alleviated by treatment with hearing aids. The objective of this study was to address this issue and to investigate the possible concomitant effect of hearing-aid fitting on activity levels. An intervention group ( n = 53) who were due to be fitted with their first-ever...

Objectives Hearing-aid use may reduce risk of dementia, but cognitive impairment makes hearing-aid use more challenging. These two causal pathways may both manifest as an association between reduced hearing-aid use and incident dementia. This study examined the effects of each pathway separately, through a unique combination of longitudinal data re...

In recent years, rapid advances in speech technology have been made possible by machine learning challenges such as CHiME, REVERB, Blizzard, and Hurricane. In the Clarity project, the machine learning approach is applied to the problem of hearing aid processing of speech-in-noise, where current technology in enhancing the speech signal for the hear...

Objectives: Current hearing aids have a limited bandwidth, which limits the intelligibility and quality of their output, and inhibits their uptake. Recent advances in signal processing, as well as novel methods of transduction, allow for a greater useable frequency range. Previous studies have shown a benefit for this extended bandwidth in consona...

People with hearing loss experience fatigue, and it is unknown whether this is alleviated by treatment with hearing aids. The objective of this study was to address this issue, and to investigate the possible concomitant effect of hearing-aid fitting on activity levels. An intervention group (n=53) who were due to be fitted with their first ever he...

Objective: We describe the construction of a hearing aid long-term use persistence measure based on battery reorder data. The measure is derived from the notion that hearing aid users keep using their devices for some time after placing a battery order. Design: A hearing aid user is defined as persistent at time T if they placed a battery order...

Objectives In the personalisation of hearing aid fittings, gain is often clinically adjusted to patient preferences using live speech. When using brief sentences as stimuli, the minimum gain adjustments necessary to elicit preferences ('preference thresholds') were previously found to be much greater than typical adjustments in current practice. Th...

BACKGROUND Smartphone app-based ecological momentary assessment (EMA) without face-to-face contact between researcher and participant (‘non-contact EMA’) has enjoyed increasing application in recent years, and provides a valuable data collection tool when geographical, time, and situational factors (eg, the COVID-19 pandemic) place constraints on i...

Background Smartphone app–based ecological momentary assessment (EMA) without face-to-face contact between researcher and participant (app-based noncontact EMA) potentially provides a valuable data collection tool when geographic, time, and situational factors (eg, COVID-19 restrictions) place constraints on in-person research. Nevertheless, little...

Objective Well-being is influenced by the activities we undertake. Hearing loss may reduce well-being directly through increased listening-related fatigue due to cognitive and emotional strain in challenging situations. Hearing loss and hearing device use may also indirectly impact fatigue and well-being by altering the frequency and type of daily-...

Objectives: This article presents a summary of audiological, general health, and hearing aid (HA) outcome data in a large sample of U.S. Veterans receiving HAs. The current article also provides the foundation for a series of papers that will explore relationships between a wide range of factors and HA outcomes. Design: The patient sample is all...

Ecological validity is a relatively new concept in hearing science. It has been cited as relevant with increasing frequency in publications over the past 20 years, but without any formal conceptual basis or clear motive. The sixth Eriksholm Workshop was convened to develop a deeper understanding of the concept for the purpose of applying it in hear...

Many conversations in our day-to-day lives are held in noisy environments – impeding comprehension, and in groups – taxing auditory attention-switching processes. These situations are particularly challenging for older adults in cognitive and sensory decline. In noisy environments, a variety of extra-linguistic strategies are available to speakers...

No PDF available ABSTRACT Recent advances in machine learning raise the prospect of radically improving how hearing devices deal with speech in noise and so improve many aspects of health and well-being for an aging population. In many other aspects of speech processing, rapid transformations have been enabled by a research tradition of “open chall...

Purpose The clinical data stored in electronic health records (EHRs) provide unique opportunities for audiological clinical research. In this article, we share insights from our experience of working with a large clinical database of over 730,000 cases. Method Under a framework outlining the process from patient care to researcher data use, we des...

Objectives: The aim of this study was to explore the perceived effects of coronavirus disease 2019 (Covid-19) social distancing restrictions and safety measures on people with hearing loss. Design: Participants were 129 adults (48.1% female, mean age 64.4 years) with an audiometric hearing loss, living in Glasgow, Scotland. A rapidly deployed 24...

Objectives: To conduct a systematic review to address two research questions: (Q1) Does hearing loss have an effect on fatigue? (Q2) Does hearing device fitting have an effect on fatigue? It was hypothesized that hearing loss would increase fatigue (H1), and hearing device fitting would reduce fatigue (H2). Design: Systematic searches were under...

In the Clarity project, we will run a series of machine learning challenges to revolutionise speech processing for hearing devices. Over five years, there will be three paired challenges. Each pair will consist of a competition focussed on hearing-device processing (“enhancement”) and another focussed on speech perception modelling (“prediction”)....

In the Clarity project, we will run a series of machine learning challenges to revolutionise speech processing for hearing devices. Over five years, there will be three paired challenges. Each pair will consist of a competition focussed on hearing-device processing ("enhancement") and another focussed on speech perception modelling ("prediction")....

Objectives: Previous research has indicated an association between hearing impairment (HI) and daily-life fatigue. However, the temporal and contextual correlates of such fatigue are largely unexplored. The present study used ecological momentary assessment (EMA) to examine (1) whether people with HI are more fatigued than people with normal heari...

In the Clarity project, we will run a series of machine learning challenges to revolutionise speech processing for hearing devices. Over five years, there will be three paired challenges. Each pair will consist of a challenge focussed on hearing-device processing and another focussed on speech perception modelling. The series of processing challeng...

Superdirectional acoustic beamforming technology provides a high signal-to-noise ratio, but potential speech intelligibility benefits to hearing aid users are limited by the way the users move their heads. Steering the beamformer using eye gaze instead of head orientation could mitigate this problem. This study investigated the intelligibility of t...

Objective: Hearing impairment is linked to increased fatigue, yet little is known about the real-world impact of this fatigue. This qualitative study investigated the experience of daily-life fatigue in people with a hearing impairment. Design: Individual face-to-face semi-structured interviews were conducted. Thematic analysis was then used to ana...

Recently, the measurement of the pupil dilation response has been applied in many studies to assess listening effort. Meanwhile, the mechanisms underlying this response are still largely unknown. We present the results of a method that separates the influence of the parasympathetic and sympathetic branches of the autonomic nervous system on the pup...

In recent years, the fields of Audiology and Cognitive Sciences have seen a burgeoning of research focusing on the assessment of the effort required during listening. Among approaches to this question, the pupil dilation response has shown to be an informative nonvolitional indicator of cognitive processing during listening. Currently, pupillometry...

Objectives Pupil light reflex (PLR) has been widely used as a method for evaluating parasympathetic activity. The first aim of the present study is to develop a PLR measurement using a computer screen set-up and compare its results with the PLR generated by a more conventional setup using light-emitting diode (LED). The parasympathetic nervous syst...

Danish translated NfR questionnaire. (DOCX)

Baseline-corrected average PLRs of the pilot study. (TIF)

Recent studies have shown that activating the noise reduction scheme in hearing aids results in a smaller peak pupil dilation (PPD), indicating reduced listening effort, at 50% and 95% correct sentence recognition with a 4-talker masker. The objective of this study was to measure the effect of the noise reduction scheme (on or off) on PPD and sente...

This study aimed to determine the predictors of entering a hearing aid evaluation period (HAEP) using a prospective design drawing on the health belief model and the transtheoretical model. In total, 377 older persons who presented with hearing problems to an ENT-specialist (n = 110) or a hearing aid dispenser (n = 267) filled in a baseline questio...

Objective: People with hearing impairment are likely to experience higher levels of fatigue because of effortful listening in daily communication. This hearing-related fatigue might not only constrain their work performance but also result in withdrawal from major social roles. Therefore, it is important to understand the relationships between fat...

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the effects of bilateral versus unilateral hearing aids in adults with a bilateral hearing impairment. © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Previous research has reported effects of masker type and signal-to-noise ratio (SNR) on listening effort, as indicated by the peak pupil dilation (PPD) relative to baseline during speech recognition. At about 50% correct sentence recognition performance, increasing SNRs generally results in declining PPDs, indicating reduced effort. However, the d...

Objectives: To undertake a systematic review of available evidence on the effect of hearing impairment and hearing aid amplification on listening effort. Two research questions were addressed: Q1) does hearing impairment affect listening effort? and Q2) can hearing aid amplification affect listening effort during speech comprehension? Design: En...

The minimum audible movement angle (MAMA) increases as a function of azimuth. This study examined a potential consequence of this: if this change in resolution across azimuth is not perceptually compensated for it would suggest that a sound rotating at a constant angular velocity around the head would not appear to do so but would appear to move fa...

Natural auditory scenes typically include some motion. When this motion is the result of a moving listener, as is often the case, an accurate spatial percept requires that the listener be able to: 1) determine sound source location over time, 2) determine the extent and characteristics of his/her own motion, and 3) integrate these two pieces of inf...

Fatigue is common in individuals with a variety of chronic health conditions and can have significant negative effects on quality of life. Although limited in scope, recent work suggests persons with hearing loss may be at increased risk for fatigue, in part due to effortful listening that is exacerbated by their hearing impairment. However, the me...

The Fifth Eriksholm Workshop on "Hearing Impairment and Cognitive Energy" was convened to develop a consensus among interdisciplinary experts about what is known on the topic, gaps in knowledge, the use of terminology, priorities for future research, and implications for practice. The general term cognitive energy was chosen to facilitate the broad...

Background: Adaptive Speech Reception Threshold in noise (SRTn) measurements are often used to make comparisons between alternative hearing aid (HA) systems. Such measurements usually do not constrain the signal-to-noise ratio (SNR) at which testing takes place. Meanwhile, HA systems increasingly include nonlinear features that operate differently...

Context: Although the pupil light reflex has been widely used as a clinical diagnostic tool for autonomic nervous system dysfunction, there is no systematic review available to summarize the evidence that the pupil light reflex is a sensitive method to detect parasympathetic dysfunction. Meanwhile, the relationship between parasympathetic function...