This study examines how cochlear implant users understand and comprehend speech in realistic communication situations. Through six experiments measuring listening effort via pupillometry and discourse comprehension, we will investigate how linguistic context, cognitive demands, and processing time affect speech understanding in CI users, and in normal-hearing controls) to identify factors underlying communication resilience versus vulnerability and develop improved, ecologically valid assessment and rehabilitation strategies.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Percent correct Consonant-Nucleus-Consonant (CNC) words across experiments 1-3
Timeframe: End experiments 1-3 (up to 9 hours)
Percent correct AzBio sentences across experiments 1-3
Timeframe: End experiments 1-3 (up to 9 hours)
Error rates for word identification tasks across experiments 1-3
Timeframe: End experiments 1-3 (up to 9 hours)
Percentage of propositions recalled from narrative passages
Timeframe: End of experiment 4 (up to 3 hours)
Ratio of main idea recall to detail recall
Timeframe: End of experiment 4 (up to 3 hours)
Percentage of true/false statements identified
Timeframe: End of experiment 6 (up to 3 hours)
Percent correct increase from unstructured word lists to anomalous sentences (syntactic gain)
Timeframe: End of experiment 1 (up to 3 hours)
Percent correct increase from anomalous sentences to meaningful sentences (semantic gain).
Timeframe: End of experiment 1 (up to 3 hours)
Number semantically-driven misrecognitions in lure conditions
Timeframe: End of experiment 2 (up to 3 hours)
Frequency of semantically-driven misrecognitions in lure conditions
Timeframe: End of experiment 2 (up to 3 hours)
Difference in recall accuracy between single-sentence and two-sentence conditions
Timeframe: End of experiment 3 (up to 3 hours)
Difference in comprehension improvement (percentage of proposition's correctly recalled) with self-paced vs. continuous presentation
Timeframe: End of experiment 5 (up to 3 hours)