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Journal of Speech and Hearing Research Vol.33 726-735 December 1990.
© American Speech-Language-Hearing Association
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Speech-Recognition Difficulties of the Hearing-Impaired Elderly

The Contributions of Audibility

Larry E. Humes 1
Lisa Roberts 1
1 Indiana University

The role that sensorineural hearing loss plays in the speech-recognition difficulties of the hearing-impaired elderly is examined. One approach to this issue was to make between-group comparisons of performance for three groups of subjects: (a) young normal-hearing adults; (b) elderly hearing-impaired adults; and (c) young normal-hearing adults with simulated sensorineural hearing loss equivalent to that of the elderly subjects produced by a spectrally shaped masking noise. Another approach to this issue employed correlational analyses to examine the relation between audibility and speech recognition within the group of elderly hearing-impaired subjects. An additional approach was pursued in which an acoustical index incorporating adjustments for threshold elevation was used to examine the role audibility played in the speech-recognition performance of the hearing-impaired elderly. A wide range of listening conditions was sampled in this experiment. The conclusion was that the primary determiner of speech-recognition performance in the elderly hearing-impaired subjects was their threshold elevation.

KEY WORDS: speech recognition, elderly, reverberation, binaural, hearing impaired

Submitted on January 17, 1990
Accepted on May 17, 1990


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