Cochlear Hearing Loss
Conditions
Brief summary
The goal of this interventional study is to describe how people with cochlear implants perceive the perceive speech in noise and their sound environment on adults who are native French speakers with typical hearing or with cochlear implant(s). The measures and strategies developed in this project could benefit all current and future cochlear implant wearers by improving their perception of the sound environment and their quality of life on a daily basis. Researchers will compare normal hearing participant and participants with cochlear implant to describe the speech in noise and their perception of the sound environment. Participants will perform audiological tests to assess their perception of the sound environment, with and without speech enhancement.
Interventions
Speech in noise comprehension tests consisting of listening to a speech source and one or more competing sources (noise, speech or sound cues) simultaneously. The volunteers will have to repeat the speech source in order to assess intelligibility for each situation, as a function of the intensity ratio of the two sources (SNR).
Tests of perception of the sound environment consisting of listening to a source of noise, sound cues and a competing source of speech simultaneously. The volunteers will have to identify sound cues in order to assess the ability to perceive the sound environment for each situation, depending on the intensity ratio of the different sources.
Tests of perception of the sound environment consisting of listening to a source of noise, sound cues and a competing source of speech simultaneously. Using a simple interface, the volunteers will have to identify the intensity ratio of the sources that they consider to be the best compromise between understanding speech and perceiving the sound environment.
Sponsors
Study design
Eligibility
Inclusion criteria
For all participants: * 18 years of age or over, * Native French speaker, * Having given their consent to take part in the research. For cochlear implant patients: * Adult implanted and declaring that they have been using the implant for at least 18 months, * Normal speech audiometry in silence For controls reporting normal hearing: * Normal tonal audiometry (defined as a mean tonal loss not exceeding 30 decibel (dB) HL) * Normal speech audiometry in noise (SNR between -8 dB and -4dB inclusive)
Exclusion criteria
* Be under guardianship or curatorship, * deprived of liberty by judicial or administrative decision, or subject to legal protection, * Non- native French speaker.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| percentage of environmental sound cues correctly identified when presented simultaneously with other signals | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| the percentages of words correctly repeated by participants using non-personalised speech enhancement strategies | 2 years |
| percentages of words correctly repeated by participants using personalised speech enhancement strategies | 2 years |
| comparison of the percentages of correctly identified sound cues and the SNR corresponding to the subjective trade-off | 2 years |
| comparison of the percentages of correctly identified environmental sound cues obtained objectively and deduced from the signal-to-noise ratio corresponding to the trade-off indicated by the participant | 2 years |
| percentages of sound cues correctly identified by the participants using personalised speech enhancement strategies | 2 years |
| comparison of percentages of words correctly repeated | 2 years |
| percentages of sound cues correctly identified by the participants using non-personalised speech enhancement strategies | 2 years |
Countries
France