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Original Articles

Can listeners hear the difference between children with normal hearing and children with a hearing impairment?

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Pages 316-333 | Received 13 Oct 2017, Accepted 15 Aug 2018, Published online: 06 Sep 2018
 

ABSTRACT

Acoustic measurements have shown that the speech of hearing-impaired (HI) children differs from that of normally hearing (NH) children, even after several years of device use. This study focuses on the perception of HI speech in comparison to NH children’s speech. The purpose of this study was to investigate whether adult listeners can identify the speech of NH and HI children. Moreover, it is studied whether listeners’ experience and the children’s length of device use play a role in that assessment. For this study, short utterances of 7 children with a cochlear implant (CI), 7 children with an acoustic hearing aid (HA) and 7 children with NH were presented to 90 listeners who were required to specify the hearing status of each speech sample. The judges had different degrees of familiarity with hearing disorders: there were 30 audiologists, 30 primary schoolteachers and 30 inexperienced listeners. The results show that the speech of children with NH and HI can reliably be identified. However, listeners do not manage to distinguish between children with CI and HA. Children with CI are increasingly identified as NH with increasing length of device use. For children with HA, there is no similar change with longer device use. Also, experienced listeners seem to display a more lenient attitude towards atypical speech, whereas inexperienced listeners are stricter and generally consider more utterances to be produced by children with HI.

Supplementary material

Supplemental data for this article can be accessed here.

Acknowledgments

This study was approved by the Ethics Committee for the Social Sciences and Humanities (SHW_15_37) of the University of Antwerp.

Declaration of interest

The authors declare no conflict of interest.

Additional information

Funding

This project was funded by a predoctoral research grant of the Research Foundation – Flanders (FWO) to N.B. [1100316N].

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