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Description
A multitude of individuals across the globe suffer from hearing loss and that number continues to grow. Cochlear implants, while having limitations, provide electrical input for users enabling them to "hear" and more fully interact socially with their environment. There has been a clinical shift to the

A multitude of individuals across the globe suffer from hearing loss and that number continues to grow. Cochlear implants, while having limitations, provide electrical input for users enabling them to "hear" and more fully interact socially with their environment. There has been a clinical shift to the bilateral placement of implants in both ears and to bimodal placement of a hearing aid in the contralateral ear if residual hearing is present. However, there is potentially more to subsequent speech perception for bilateral and bimodal cochlear implant users than the electric and acoustic input being received via these modalities. For normal listeners vision plays a role and Rosenblum (2005) points out it is a key feature of an integrated perceptual process. Logically, cochlear implant users should also benefit from integrated visual input. The question is how exactly does vision provide benefit to bilateral and bimodal users. Eight (8) bilateral and 5 bimodal participants received randomized experimental phrases previously generated by Liss et al. (1998) in auditory and audiovisual conditions. The participants recorded their perception of the input. Data were consequently analyzed for percent words correct, consonant errors, and lexical boundary error types. Overall, vision was found to improve speech perception for bilateral and bimodal cochlear implant participants. Each group experienced a significant increase in percent words correct when visual input was added. With vision bilateral participants reduced consonant place errors and demonstrated increased use of syllabic stress cues used in lexical segmentation. Therefore, results suggest vision might provide perceptual benefits for bilateral cochlear implant users by granting access to place information and by augmenting cues for syllabic stress in the absence of acoustic input. On the other hand vision did not provide the bimodal participants significantly increased access to place and stress cues. Therefore the exact mechanism by which bimodal implant users improved speech perception with the addition of vision is unknown. These results point to the complexities of audiovisual integration during speech perception and the need for continued research regarding the benefit vision provides to bilateral and bimodal cochlear implant users.
ContributorsLudwig, Cimarron (Author) / Liss, Julie (Thesis advisor) / Dorman, Michael (Committee member) / Azuma, Tamiko (Committee member) / Arizona State University (Publisher)
Created2015
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Description
In the noise and commotion of daily life, people achieve effective communication partly because spoken messages are replete with redundant information. Listeners exploit available contextual, linguistic, phonemic, and prosodic cues to decipher degraded speech. When other cues are absent or ambiguous, phonemic and prosodic cues are particularly important

In the noise and commotion of daily life, people achieve effective communication partly because spoken messages are replete with redundant information. Listeners exploit available contextual, linguistic, phonemic, and prosodic cues to decipher degraded speech. When other cues are absent or ambiguous, phonemic and prosodic cues are particularly important because they help identify word boundaries, a process known as lexical segmentation. Individuals vary in the degree to which they rely on phonemic or prosodic cues for lexical segmentation in degraded conditions.

Deafened individuals who use a cochlear implant have diminished access to fine frequency information in the speech signal, and show resulting difficulty perceiving phonemic and prosodic cues. Auditory training on phonemic elements improves word recognition for some listeners. Little is known, however, about the potential benefits of prosodic training, or the degree to which individual differences in cue use affect outcomes.

The present study used simulated cochlear implant stimulation to examine the effects of phonemic and prosodic training on lexical segmentation. Participants completed targeted training with either phonemic or prosodic cues, and received passive exposure to the non-targeted cue. Results show that acuity to the targeted cue improved after training. In addition, both targeted attention and passive exposure to prosodic features led to increased use of these cues for lexical segmentation. Individual differences in degree and source of benefit point to the importance of personalizing clinical intervention to increase flexible use of a range of perceptual strategies for understanding speech.
ContributorsHelms Tillery, Augusta Katherine (Author) / Liss, Julie M. (Thesis advisor) / Azuma, Tamiko (Committee member) / Brown, Christopher A. (Committee member) / Dorman, Michael F. (Committee member) / Utianski, Rene L. (Committee member) / Arizona State University (Publisher)
Created2015
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Description
Otoacoustic emissions (OAEs) are soft sounds generated by the inner ear and can be recorded within the ear canal. Since OAEs can reflect the functional status of the inner ear, OAE measurements have been widely used for hearing loss screening in the clinic. However, there are limitations in current clinical

Otoacoustic emissions (OAEs) are soft sounds generated by the inner ear and can be recorded within the ear canal. Since OAEs can reflect the functional status of the inner ear, OAE measurements have been widely used for hearing loss screening in the clinic. However, there are limitations in current clinical OAE measurements, such as the restricted frequency range, low efficiency and inaccurate calibration. In this dissertation project, a new method of OAE measurement which used a swept tone to evoke the stimulus frequency OAEs (SFOAEs) was developed to overcome the limitations of current methods. In addition, an in-situ calibration was applied to equalize the spectral level of the swept-tone stimulus at the tympanic membrane (TM). With this method, SFOAEs could be recorded with high resolution over a wide frequency range within one or two minutes. Two experiments were conducted to verify the accuracy of the in-situ calibration and to test the performance of the swept-tone SFOAEs. In experiment I, the calibration of the TM sound pressure was verified in both acoustic cavities and real ears by using a second probe microphone. In addition, the benefits of the in-situ calibration were investigated by measuring OAEs under different calibration conditions. Results showed that the TM pressure could be predicted correctly, and the in-situ calibration provided the most reliable results in OAE measurements. In experiment II, a three-interval paradigm with a tracking-filter technique was used to record the swept-tone SFOAEs in 20 normal-hearing subjects. The test-retest reliability of the swept-tone SFOAEs was examined using a repeated-measure design under various stimulus levels and durations. The accuracy of the swept-tone method was evaluated by comparisons with a standard method using discrete pure tones. Results showed that SFOAEs could be reliably and accurately measured with the swept-tone method. Comparing with the pure-tone approach, the swept-tone method showed significantly improved efficiency. The swept-tone SFOAEs with in-situ calibration may be an alternative of current clinical OAE measurements for more detailed evaluation of inner ear function and accurate diagnosis.
ContributorsChen, Shixiong (Author) / Bian, Lin (Thesis advisor) / Yost, William (Committee member) / Azuma, Tamiko (Committee member) / Dorman, Michael (Committee member) / Arizona State University (Publisher)
Created2012
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Description
The increase of Traumatic Brain Injury (TBI) cases in recent war history has increased the urgency of research regarding how veterans are affected by TBIs. The purpose of this study was to evaluate the effects of TBI on speech recognition in noise. The AzBio Sentence Test was completed for signal-to-noise

The increase of Traumatic Brain Injury (TBI) cases in recent war history has increased the urgency of research regarding how veterans are affected by TBIs. The purpose of this study was to evaluate the effects of TBI on speech recognition in noise. The AzBio Sentence Test was completed for signal-to-noise ratios (S/N) from -10 dB to +15 dB for a control group of ten participants and one US military veteran with history of service-connected TBI. All participants had normal hearing sensitivity defined as thresholds of 20 dB or better at frequencies from 250-8000 Hz in addition to having tympanograms within normal limits. Comparison of the data collected on the control group versus the veteran suggested that the veteran performed worse than the majority of the control group on the AzBio Sentence Test. Further research with more participants would be beneficial to our understanding of how veterans with TBI perform on speech recognition tests in the presence of background noise.
ContributorsCorvasce, Erica Marie (Author) / Peterson, Kathleen (Thesis director) / Williams, Erica (Committee member) / Azuma, Tamiko (Committee member) / Barrett, The Honors College (Contributor) / Department of Speech and Hearing Science (Contributor)
Created2015-05
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Description
Working memory and cognitive functions contribute to speech recognition in normal hearing and hearing impaired listeners. In this study, auditory and cognitive functions are measured in young adult normal hearing, elderly normal hearing, and elderly cochlear implant subjects. The effects of age and hearing on the different measures are investigated.

Working memory and cognitive functions contribute to speech recognition in normal hearing and hearing impaired listeners. In this study, auditory and cognitive functions are measured in young adult normal hearing, elderly normal hearing, and elderly cochlear implant subjects. The effects of age and hearing on the different measures are investigated. The correlations between auditory/cognitive functions and speech/music recognition are examined. The results may demonstrate which factors can better explain the variable performance across elderly cochlear implant users.
ContributorsKolberg, Courtney Elizabeth (Author) / Luo, Xin (Thesis director) / Azuma, Tamiko (Committee member) / Department of Speech and Hearing Science (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
The purpose of this research project was to assess the self-perceptions of academic and social success in bilingual college students, with a special comparison between students who did not speak English as their first language and students who did speak English as their first language. The bilingual participants were primarily

The purpose of this research project was to assess the self-perceptions of academic and social success in bilingual college students, with a special comparison between students who did not speak English as their first language and students who did speak English as their first language. The bilingual participants were primarily recruited from Arizona State University (ASU) classes and international student organizations. In the survey, participants identified the languages they speak and provided ratings for the following: their English language proficiency, their preference and comfort level in various academic situations (e.g., visiting professors during office hours, studying for exams), their preference and comfort level in various social situations (e.g., making friends at college, language preference with friends), and their testing format preferences (e.g., multiple choice, essay). Participants also were asked to provide their opinions on tools that could be added to Canvas to assist students who do not speak English as their first language (e.g., translation dictionary). Results revealed that academic and social preferences were influenced by students’ level of English proficiency and reflect differences in confidence across settings. The summary findings will be utilized to create a list of recommendations for college faculty instructors and peer counselors to help mitigate the challenges faced by college bilingual students.
ContributorsLood, Adrienne (Author) / Azuma, Tamiko (Thesis director) / Rodriguez, Norma (Committee member) / Barrett, The Honors College (Contributor)
Created2023-05
ContributorsLood, Adrienne (Author) / Azuma, Tamiko (Thesis director) / Rodriguez, Norma (Committee member) / Barrett, The Honors College (Contributor)
Created2023-05
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ContributorsLood, Adrienne (Author) / Azuma, Tamiko (Thesis director) / Rodriguez, Norma (Committee member) / Barrett, The Honors College (Contributor)
Created2023-05
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Description
The bilingual experience is an often-studied multivariate phenomenon with a heterogeneous population that is often described using subtypes of bilingualism. “Bilingualism” as well as its subtypes lack consistent definitions and often share overlapping features, requiring researchers to measure a number of aspects of the bilingual experience. Different variables have been

The bilingual experience is an often-studied multivariate phenomenon with a heterogeneous population that is often described using subtypes of bilingualism. “Bilingualism” as well as its subtypes lack consistent definitions and often share overlapping features, requiring researchers to measure a number of aspects of the bilingual experience. Different variables have been operationalized to quantify the language proficiencies, use, and histories of bilinguals, but the combination of these variables and their contributions to these subtypes often vary between studies on bilingualism. Research supports that these variables have an influence not only on bilingual classification, but also on non-linguistic outcomes including perceptions of self-worth and bicultural identification. To date, there is a lack of research comparing the quantification of these bilingual subtypes and these non-linguistic outcomes, despite research supporting the need to address both. Person-centered approaches such as latent profile analysis (LPA) and fuzzy set qualitative comparative analysis (fsQCA) have been applied to describe other multivariate constructs with heterogeneous populations, but these applications have yet to be used with bilingualism. The present study integrates models of bilingualism with these analytic methods in order to quantitatively identify latent profiles of bilinguals, describe the sets of conditions that define these subtypes, and to characterize the subjective experiences that differentiate these subtypes. The first study uses an existing data set of participants who completed the Language and Social Background Questionnaire (LSBQ) and performs LPA and fsQCA, identifying latent profiles and the sets of conditions that these subtypes. The following studies use a second set of bilinguals who also completed the LSBQ as well as a supplementary questionnaire, characterizing their identification with biculturalism and their feelings of self-worth. The analyses are repeated with these data to describe the profiles within these data and the subjective experiences in common. Finally, all analyses are repeated with the combined datasets to develop a final model of bilingual subtypes, describing the differences in language use and history within each subtype. Results demonstrate that latent models can be used to consistently characterize bilingual subtypes, while also providing additional information about the relationship between individual bilingual history and attitudes towards cultural identification.
ContributorsMcGee, Samuel (Author) / Azuma, Tamiko (Thesis advisor) / Gray, Shelley (Committee member) / Roscoe, Rod (Committee member) / Grimm, Kevin (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Adults with a history of traumatic brain injury (TBI) often show deficits in executive functioning, which include the ability to inhibit, switch, and attend to task relevant information. These abilities are also essential for language processing in bilinguals, who constantly inhibit and switch between languages. Currently, there is no data

Adults with a history of traumatic brain injury (TBI) often show deficits in executive functioning, which include the ability to inhibit, switch, and attend to task relevant information. These abilities are also essential for language processing in bilinguals, who constantly inhibit and switch between languages. Currently, there is no data regarding the effect of TBI on executive function and language processing in bilinguals. This study used behavioral and eye-tracking measures to examine the effect of mild traumatic brain injury (mTBI) on executive function and language processing in Spanish-English bilinguals. In Experiment 1, thirty-nine healthy bilinguals completed a variety of executive function and language processing tasks. The primary executive function and language processing tasks were paired with a cognitive load task intended to simulate mTBI. In Experiment 2, twenty-two bilinguals with a history of mTBI and twenty healthy control bilinguals completed the same executive function measures and language processing tasks. The results revealed that bilinguals with a history of mTBI show deficits in specific executive functions and have higher rates of language processing deficits than healthy control bilinguals. Additionally, behavioral and eye-tracking data suggest that these language processing deficits are related to underlying executive function abilities. This study also identified a subset of bilinguals who may be at the greater risk of language processing deficits following mTBI. The findings of this study have a direct impact on the identification of executive function deficits and language processing deficits in bilinguals with a history mTBI.
ContributorsRatiu, Ileana (Author) / Azuma, Tamiko (Thesis advisor) / Goldinger, Stephen D (Committee member) / Liss, Julie M (Committee member) / Arizona State University (Publisher)
Created2015