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1
Effect of Noise on Speech Intelligibility and Perceived Listening Effort in Head and Neck Cancer
In: Am J Speech Lang Pathol (2021)
Abstract: PURPOSE: This study (a) examined the effect of different levels of background noise on speech intelligibility and perceived listening effort in speakers with impaired and intact speech following treatment for head and neck cancer (HNC) and (b) determined the relative contribution of speech intelligibility, speaker group, and background noise to a measure of perceived listening effort. METHOD: Ten speakers diagnosed with nasal, oral, or oropharyngeal HNC provided audio recordings of six sentences from the Sentence Intelligibility Test. All speakers were 100% intelligible in quiet: Five speakers with HNC exhibited mild speech imprecisions (speech impairment group), and five speakers with HNC demonstrated intact speech (HNC control group). Speech recordings were presented to 30 inexperienced listeners, who transcribed the sentences and rated perceived listening effort in quiet and two levels (+7 and +5 dB SNR) of background noise. RESULTS: Significant Group × Noise interactions were found for speech intelligibility and perceived listening effort. While no differences in speech intelligibility were found between the speaker groups in quiet, the results showed that, as the signal-to-noise ratio decreased, speakers with intact speech (HNC control) performed significantly better (greater intelligibility, less perceived listening effort) than those with speech imprecisions in the two noise conditions. Perceived listening effort was also shown to be associated with decreased speech intelligibility, imprecise speech, and increased background noise. CONCLUSIONS: Speakers with HNC who are 100% intelligible in quiet but who exhibit some degree of imprecise speech are particularly vulnerable to the effects of increased background noise in comparison to those with intact speech. Results have implications for speech evaluations, counseling, and rehabilitation.
Keyword: Special Issue: Selected Papers From the 2020 Conference on Motor Speech—Clinical Science and Implications
URL: http://www.ncbi.nlm.nih.gov/pubmed/33630664
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702834/
https://doi.org/10.1044/2020_AJSLP-20-00149
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2
Acoustic Model of Perceived Overall Severity of Dysphonia in Adductor-Type Laryngeal Dystonia
In: J Speech Lang Hear Res (2020)
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3
Does the Presence or Location of Graphic Markers Affect Untrained Listeners' Ratings of Severity of Dysphonia?
In: Journal of voice. - Amsterdam [u.a.] : Elsevier 28 (2014) 4, 469-475
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4
Utility of Perceived Listener Effort as an Outcome Measure for Disordered Speech and Voice
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5
Utility of Perceived Listener Effort as an Outcome Measure for Disordered Speech and Voice
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6
The effect of noise on relationships between speech intelligibility and self-report measures in tracheoesophageal speakers
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7
Listener Impressions of Spasmodic Dysphonia: Symptom Severity and Disclosure of Diagnosis During a Job Interview
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8
Evaluating Speech Usage in Daily Activities in Typical Adults
Anderson, Laine. - 2013
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9
The levels of Speech Usage rating scale: comparison of client self-ratings with speech pathologist ratings
In: International journal of language & communication disorders. - Oxford : Wiley-Blackwell 47 (2012) 3, 333-344
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10
Developing auditory-perceptual judgment reliability in otolaryngology residents
In: Journal of voice. - Amsterdam [u.a.] : Elsevier 26 (2012) 3, 358-364
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11
Listener effort for highly intelligible tracheoesophageal speech
In: Journal of communication disorders. - New York, NY : Elsevier 45 (2012) 3, 235-245
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12
Does knowledge of medical diagnosis bias auditory-perceptual judgments of dysphonia?
In: Journal of voice. - Amsterdam [u.a.] : Elsevier 25 (2011) 4, 420-429
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13
The effect of musical background on judgments of dysphonia
In: Journal of voice. - Amsterdam [u.a.] : Elsevier 24 (2010) 1, 93-101
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14
The role of experience on judgments of dysphonia
In: Journal of voice. - Amsterdam [u.a.] : Elsevier 24 (2010) 5, 564-573
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15
Developing the Communicative Participation Item Bank: Rasch analysis results from a spasmodic dysphonia sample
In: Journal of speech, language, and hearing research. - Rockville, Md. : American Speech-Language-Hearing Association 52 (2009) 5, 1302-1320
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16
Influence of speaker gender on listener judgments of tracheoesophageal speech
In: Journal of voice. - Amsterdam [u.a.] : Elsevier 22 (2008) 1, 43-57
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17
Satisfaction with communicative participation as defined by adults with multiple sclerosis: a qualitative study
In: Journal of communication disorders. - New York, NY : Elsevier 40 (2007) 6, 433-451
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18
The Psychosocial Consequences of BOTOX Injections for Spasmodic Dysphonia: A Qualitative Study of Patients' Experiences
In: Journal of voice. - Amsterdam [u.a.] : Elsevier 21 (2007) 2, 231
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19
The effect of perceptual training on inexperienced listeners' judgments of dysphonic voice
In: Journal of voice. - Amsterdam [u.a.] : Elsevier 20 (2006) 4, 527-544
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20
Measuring Communicative Participation: A Review of Self-Report Instruments in Speech-Language Pathology
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