Johanna G Barry

• Researcher at Medical Research Council (UKRI)

Introduction Tinnitus is a common disorder of the auditory system. Questionnaires are essential tools for clinical assessment and research. Whilst many questionnaires are available to measure different aspects of tinnitus complaint in adults, there is currently no self-report questionnaire measure of tinnitus that has been developed for or is suita...

The Tinnitus Functional Index (TFI) was developed to be responsive to small treatment-related changes in the impact of tinnitus. Yet, no studies have integrated anchor-based and distribution-based techniques to produce a single Minimal Important Change (MIC) score. Here, we evaluated the responsiveness and interpretability of the TFI, determining f...

Background: Whilst evidence indicates many children experience troublesome tinnitus, specialist services for children are far less established than those available for adults. To date, there is limited understanding of how paediatric tinnitus is managed in the UK, and to what extent current practice reflects what is recommended. This service evalu...

Background: The reported prevalence of tinnitus in children is similar to that in adults. However, unlike adults, there is relatively little understanding of the tinnitus-related problems children experience. Knowledge of the problems experienced by adults has led to the development of numerous clinical questionnaires used by health professionals i...

Objective: To assess the capacity of two parental report questionnaires, OMQ-14 and ECLiPS, to support clinical-decision making in children affected by Otitis Media with Effusion (OME). Design: OMQ-14 and ECLiPS were administered twice to 90 children aged 2-12 years, three months apart, or 3 months after surgery to insert ventilation tubes (VT)....

Objectives: The primary aim of this research was to refine and validate the Social Participation Restrictions Questionnaire (SPaRQ). The SPaRQ is a hearing-specific, patient-reported outcome measure that was originally developed through consultation with adults with hearing loss, clinicians, and researchers. This research comprised two studies. St...

Objectives: Musicians appear to have an enhanced ability to perceive speech-in-noise, prompting suggestions that musical training could be used to help people who struggle to communicate in noisy environments. This study assessed the role of sensitivity to beat, rhythm, and melody in supporting speech-in-noise perception. Design: This is an expl...

(Central) auditory processing disorder ((C)APD) is a controversial diagnostic category which may be an artefact of referral route. Yet referral route must, to some extent, be influenced by a child’s profile of presenting symptoms. This study tested the hypothesis that parental perception of listening difficulty is associated with weaknesses in abil...

Objectives: Audiometric tests provide information about hearing in otitis media with effusion (OME). Questionnaires can supplement this information by supporting clinical history-taking as well as potentially providing a standardized and comprehensive assessment of the impact of the disease on a child. There are many possible candidate questionnai...

Objectives: The Tinnitus Functional Index (TFI) has been optimised as a diagnostic tool for quantifying the functional impact of tinnitus in US veteran and civilian groups. However, the TFI has not been fully evaluated for use in other English-speaking clinical populations despite its increasingly popular uptake. Here, a prospective multi-site lon...

Purpose Continuous performance tasks (CPTs) are used to measure individual differences in sustained attention. Many different stimuli have been used as response targets without consideration of their impact on task performance. Here, we compared CPT performance in typically developing adults and children to assess the role of stimulus processing on...

Introduction: Many different OME treatment trials have been published using different outcomes measures to evaluate the success of particular interventions. We set out to identify the variation in reporting of outcome measures in OME trials that exists at present. This has been achieved by reviewing published trials to determine which outcome meas...

Objective: This study explored the psychosocial experiences of adults with hearing loss using the self-regulatory model as a theoretical framework. The primary components of the model, namely cognitive representations, emotional representations, and coping responses, were examined. Design: Individual semi-structured interviews were conducted. Th...

Objectives: Questionnaires are essential for measuring tinnitus severity and intervention-related change but there is no standard instrument used routinely in research settings. Most tinnitus questionnaires are optimised for measuring severity but not change. However, the Tinnitus Functional Index (TFI) claims to be optimised for both. It has not...

In this study, the authors assessed the potential utility of a recently developed questionnaire (Evaluation of Children's Listening and Processing Skills [ECLiPS]) for supporting the clinical assessment of children referred for auditory processing disorder (APD). A total of 49 children (35 referred for APD assessment and 14 from mainstream schools)...

The results show that hearing loss can lead to participation difficulties in various social domains, including work, friendship and family. Most of the interviewees with hearing loss successfully participated in some social domains, but struggled in other social domains. This was particularly problematic when they struggled in the social domains th...

The speech-evoked auditory brainstem response (speech ABR) is widely considered to provide an index of the quality of neural temporal encoding in the central auditory pathway. The aim of the present study was to evaluate the extent to which the speech ABR is shaped by spectral processing in the cochlea. High-pass noise masking was used to record sp...

Background Developmental disorders of oral and written language have been linked to deficits in the processing of auditory information. However, findings have been inconsistent, both for behavioural and electrophysiological measures. Methods In this study, we examined event-related potentials (ERPs) in 20 6- to 14-year-old children with developmen...

Objective: There is growing interest in the concepts of listening effort and fatigue associated with hearing loss. However, the theoretical underpinnings and clinical meaning of these concepts are unclear. This lack of clarity reflects both the relative immaturity of the field and the fact that research studies investigating listening effort and f...

Efficient auditory processing is hypothesized to support language and literacy development. However, behavioral tasks used to assess this hypothesis need to be robust to non-auditory specific individual differences. This study compared frequency discrimination abilities in a heterogeneous sample of adults using two different psychoacoustic task des...

Attention modulates auditory perception, but there are currently no simple tests that specifically quantify this modulation. To fill the gap, we developed a new, easy-to-use test of attention in listening (TAIL) based on reaction time. On each trial, two clearly audible tones were presented sequentially, either at the same or different ears. The fr...

Sensitivity to lexical stress in adult German-speaking students with reading difficulty was investigated using minimal pair prepositional verbs whose meaning and syntax depend on the location of the stressed syllable. Two tests of stress perception were used: (i) a stress location task, where listeners indicated the location of the perceptually mos...

Nonword repetition, the ability to retain and repeat unfamiliar sequences of phonemes is usually impaired in children with specific language impairment (SLI), but it is unclear whether this explains slow language learning. Traditional nonword repetition tests involve a single presentation of nonwords for immediate repetition. Here we considered whe...

Are developmental language disorders caused by poor auditory discrimination? This is a popular theory, but behavioural evidence has been inconclusive. Here we studied children with specific language impairment, measuring the brain's electrophysiological response to sounds in a passive paradigm. We focused on the T-complex, an event-related peak tha...

Specific language impairment group activation for Speech and Reversed Speech (Reversed) against the silent baseline and Speech greater than Reversed Speech.

Typical group activation for Speech and Reversed Speech (Reversed) against the silent baseline and Speech greater than Reversed Speech.

Sibling group activation for Speech and Reversed Speech (Reversed) against the silent baseline and Speech greater than Reversed Speech.

We assessed the relationship between brain structure and function in 10 individuals with specific language impairment (SLI), compared to six unaffected siblings, and 16 unrelated control participants with typical language. Voxel-based morphometry indicated that grey matter in the SLI group, relative to controls, was increased in the left inferior f...

Verbal short-term memory (VSTM) is thought to play a critical role in language learning. It is indexed by the nonword repetition task where listeners are asked to repeat meaningless words like 'blonterstaping'. The present study investigated the effect on nonword repetition performance of differences in efficiency of functioning of some part of the...

Behavioural and electrophysiological studies give differing impressions of when auditory discrimination is mature. Ability to discriminate frequency and speech contrasts reaches adult levels only around 12 years of age, yet an electrophysiological index of auditory discrimination, the mismatch negativity (MMN), is reported to be as large in childre...

Poor discrimination of nonlinguistic sounds has been implicated in language-learning problems in children, but research evidence has been inconsistent. This study included 32 participants with specific language impairment (SLI) and 32 typically developing controls aged 7-16 years. Frequency discrimination thresholds were estimated in a task where p...

The ability to hear is only the first step towards making sense of the range of information contained in an auditory signal. Of equal importance are the abilities to extract and use the information encoded in the auditory signal. We refer to these as listening skills (or auditory processing AP). Deficits in these skills are associated with delayed...

Despite the apparent robustness of language learning in humans, a large number of children still fail to develop appropriate language skills despite adequate means and opportunity. Most cases of language impairment have a complex etiology, with genetic and environmental influences. In contrast, we describe a three-generation German family who prese...

Background: The ability to repeat polysyllabic nonwords such as "blonterstaping" has frequently been shown to correlate with language learning ability but it is not clear why such a correlation should exist. Three alternative explanations have been offered, stated in terms of differences in: (a) perceptual ability; (b) efficiency of phonological l...

Unlabelled: Some children with autism demonstrate poor nonword repetition--a deficit considered to be a psycholinguistic marker of specific language impairment (SLI). The present study examined whether there is an SLI subtype among children with autism. We compared the language abilities of children with SLI (n=34, M age=11;10 S.D.=2;3), and child...

This study explores associations between language ability and hand preference in children with Down syndrome. Compared to typically developing children of the same age, children with Down syndrome showed weaker hand preference, were less consistent in the hand they used and also less willing to reach to extreme positions in contralateral space. Wit...

In a previous behavioral study, we showed that parents of children with SLI had a subclinical deficit in phonological short-term memory. Here, we tested the hypothesis that they also have a deficit in nonverbal auditory sensory memory. We measured auditory sensory memory using a paradigm involving an electrophysiological component called the mismat...

Some individuals with autism spectrum disorders (ASD) experience linguistic difficulties similar to those found in individuals with specific language impairment (SLI). Whether these behaviours are indicative of a common underlying genetic cause or a superficial similarity is unclear. Standardised language assessments were administered to three part...

There is a strong genetic contribution to children's language and literacy impairments. The aim of this study was to determine which aspects of the phenotype are familial by comparing 34 parents of probands with language/literacy impairments and 33 parents of typically developing probands. The parents responded to questionnaires regarding previous...

This paper describes the development of vowel inventories in 12 pre-linguistically deafened Cantonese-speaking cochlear implant users. The aim of the research was to understand the role of linguistic, perceptual and articulatory factors in determining the rate and order of vowel acquisition in this population of children. Rate and order of vowel ac...

This paper reports on a methodology for acoustically analyzing tone production in Cantonese. F0 offset versus F0 onset are plotted for a series of tokens for each of the six tones in the language. These are grouped according to tone type into a set of six ellipses. Qualitative visual observations regarding the degree of differentiation of the ellip...

This study investigates phoneme acquisition in Cantonese-speaking children using a cochlear implant (aged from 2;03–6;09). It is shown that children acquire phonemes in the same order and at similar rates to normally-hearing children acquiring Cantonese. The rate of phoneme acquisition is faster than for Australian English-speaking children. The pa...

Tone discrimination testing with two groups of profoundly hearing-impaired children using a cochlear implant and one group of normally hearing children suggests that pitch level is perceptually more salient than pitch contour. In this paper, the discrimination results from these children are submitted to a multidimensional scaling analysis to deter...

Most tone perception tests for Cantonese-speaking cochlear implant users have been based on tone identification tasks which require significant cognitive development to be successfully completed. Results from such tests suggest that cochlear implant child users are performing at about chance level and may not be receiving much information about pit...

Conversational speech samples were analysed over a six-year period postoperatively for nine profoundly deaf children implanted with the Cochlear Limited 22-electrode cochlear implant between ages 2-5 years. Four years post-implant, at least 90% of all syllables produced by each child were intelligible, although only one of the children (who had suf...

Eighty-seven primary-school children with impaired hearing were evaluated using speech perception, production, and language measures over a 3-year period. Forty-seven children with a mean unaided pure-tone-average hearing loss of 106 dB HL used a 22-electrode cochlear implant, and 40 with a mean unaided puretone-average hearing loss of 78 dB HL wer...

Increases in the phonetic inventories of a group of 9 children in the fifth and sixth years of experience with a cochlear implant are reported, extending a previous 4-year study (T. A. Serry & P. J. Blamey, 1999). Thirty-six out of 44 phones in Australian English reached the criterion of 50% correct in the conversational samples of 5 or more childr...