Effect of signal-to-noise ratio on directional microphone benefit and preference

This study examined speech intelligibility and preferences for omnidirectional and directional microphone hearing aid processing across a range of signal-to-noise ratios (SNRs). A primary motivation for the study was to determine whether SNR might be used to represent distance between talker and listener in automatic directionality algorithms based on scene analysis. Participants were current hearing aid users who either had experience with omnidirectional microphone hearing aids only or with manually switchable omnidirectional/directional hearing aids. Using IEEE/Harvard sentences from a front loudspeaker and speech-shaped noise from three loudspeakers located behind and to the sides of the listener, the directional advantage (DA) was obtained at 11 SNRs ranging from -15 dB to +15 dB in 3 dB steps. Preferences for the two microphone modes at each of the 11 SNRs were also obtained using concatenated IEEE sentences presented in the speech-shaped noise. Results revealed that a DA was observed across a broad range of SNRs, although directional processing provided the greatest benefit within a narrower range of SNRs. Mean data suggested that microphone preferences were determined largely by the DA, such that the greater the benefit to speech intelligibility provided by the directional microphones, the more likely the listeners were to prefer that processing mode. However, inspection of the individual data revealed that highly predictive relationships did not exist for most individual participants. Few preferences for omnidirectional processing were observed. Overall, the results did not support the use of SNR to estimate the effects of distance between talker and listener in automatic directionality algorithms.     

Advantages of directional hearing aid microphones related to room acoustics.

In this study, two types of hearing aids were used. Both aids had the same frequency characteristics for frontal sound, but one employed an omnidirectional microphone and the other a directional microphone. The frequency characteristics of both hearing aids were measured for five azimuths on KEMAR and in situ in 12 normal-hearing subjects. For these subjects we also determined the speech reception threshold (SRT) with background noise in two rooms with different reverberation times. The direction of the speech stimuli was always frontal; the direction of the noise was varied. Additionally, directional hearing was measured with short noise bursts from eight loudspeakers surrounding the subject. In the less reverberant room, sounds coming from behind were less amplified by the hearing aid with the directional microphone than by the one with the omnidirectional microphone. In this room the monaural SRT values were largely determined by the level of the background noise. For the directional hearing aids there was an extra binaural advantage which depended on the direction of the background noise. Only for low-frequency noise bursts was directional hearing better with directional hearing aids. In the more reverberant room, no distinct differences between the frequency characteristics of the two hearing aid types were measured. However, a systematic difference between monaural SRT values measured through the two hearing aids was found. This difference was independent of noise azimuth. In conclusion, hearing aid(s) with a directional microphone showed no disadvantages and clear advantages under specific conditions.     

Improving speech intelligibility in background noise with an adaptive directional microphone

Omnidirectional, supercardioid, and adaptive directional microphones (ADM) were evaluated in combination with the ADRO amplification scheme for eight participants with moderate sloping hearing losses. The ADM produced better speech perception scores than the other two microphones in all noise conditions. Participants performed the Hearing in Noise Test sentences at -4.5 dB SNR or better, which is similar to the level achievable with normal hearing. The Speech, Spatial and Qualities of Hearing Scale indicated no disadvantages of using the ADM relative to the omnidirectional microphone in real-life situations. The ADM was preferred over the omnidirectional microphone in 54% of situations, compared to 17% preferences for the omnidirectional microphone, and 29% no preference. The combination of the ADM to improve SNR, and ADRO to keep the signal output comfortable and audible provided near-normal hearing performance for people with moderate hearing loss. The ADM is the recommended microphone configuration for ADRO hearing aids.     

The robustness of hearing aid microphone preferences in everyday listening environments

Automatic directionality algorithms currently implemented in hearing aids assume that hearing-impaired persons with similar hearing losses will prefer the same microphone processing mode in a specific everyday listening environment. The purpose of this study was to evaluate the robustness of microphone preferences in everyday listening. Two hearing-impaired persons made microphone preference judgments (omnidirectional preferred, directional preferred, no preference) in a variety of everyday listening situations. Simultaneously, these acoustic environments were recorded through the omnidirectional and directional microphone processing modes. The acoustic recordings were later presented in a laboratory setting for microphone preferences to the original two listeners and other listeners who differed in hearing ability and experience with directional microphone processing. The original two listeners were able to replicate their live microphone preferences in the laboratory with a high degree of accuracy. This suggests that the basis of the original live microphone preferences were largely represented in the acoustic recordings. Other hearing-impaired and normal-hearing participants who listened to the environmental recordings also accurately replicated the original live omnidirectional preferences; however, directional preferences were not as robust across the listeners. When the laboratory rating did not replicate the live directional microphone preference, listeners almost always expressed no preference for either microphone mode. Hence, a preference for omnidirectional processing was rarely expressed by any of the participants to recorded sites where directional processing had been preferred as a live judgment and vice versa. These results are interpreted to provide little basis for customizing automatic directionality algorithms for individual patients. The implications of these findings for hearing aid design are discussed.     

Using hearing aid adaptive directional microphones to enhance cochlear implant performance

The goal of this study was to investigate whether adaptive microphone directionality could enhance cochlear implant performance. Speech stimuli were created by fitting a digital hearing aid with programmable omnidirectional (OM), fixed directional (FDM), or adaptive directional (ADM) microphones to KEMAR, and recording the hearing aid output in three noise conditions. The first condition simulated a diffused field with noise sources from five stationary locations, whereas the second and third condition represented one or three non-stationary locations in the back hemifield of KEMAR. Speech was always presented to 0° azimuth and the overall signal-to-noise ratio (SNR) was +5 dB in the sound field. Eighteen postlingually deafened cochlear implant users listened to the recorded test materials via the direct audio input of their speech processors. Their speech recognition ability and overall sound quality preferences were assessed and the correlation between the amount of noise reduction and the improvement in speech recognition were calculated. The results indicated that ADM yielded significantly better speech recognition scores and overall sound quality preference than FDM and OM in all three noise conditions and the improvement in speech recognition scores was highly correlated with the amount of noise reduction. Factors influencing the noise level are discussed.     

Use of a digital hearing aid with directional microphones in school-aged children

The efficacy of a digital hearing aid with a directional microphone was examined in a school-aged population. Twenty children (9 with a mild-to-moderately-severe hearing loss and 11 with a moderate-to-severe hearing loss) between 7 1/2 and 13 2/3 years of age wore the study hearing aids binaurally for 30 days prior to the evaluation. The testing protocol included speech recognition tests using the CID W-22 word lists presented at 72 dB SPL, 65 dB SPL, and 52 dB SPL (at 0 degrees azimuth) in the presence of a 65 dB SPL party noise (180 degrees azimuth). Subjective rating of hearing aid efficacy in the classroom was examined using the Listening Inventory For Education (LIFE) questionnaire. Parental impression on hearing aid efficacy was also collected at the end of the study. The results showed improved speech recognition in noise with the digital directional hearing aid at all presentation levels. Preference for the digital directional hearing aids over the subjects' own omnidirectional analog hearing aids was also seen on the LIFE questionnaire and parental impression. The degree of hearing loss did not seem to have affected the benefits offered by the digital directional hearing aids. These results were compared to results from other studies on the use of directional microphones in hearing aids.     

Low-frequency gain compensation in directional hearing aids

Hearing aids currently available on the market with both omnidirectional and directional microphone modes often have reduced amplification in the low frequencies when in directional microphone mode due to better phase matching. The effects of this low-frequency gain reduction for individuals with hearing loss in the low frequencies was of primary interest. Changes in sound quality for quiet listening environments following gain compensation in the low frequencies was of secondary interest. Thirty participants were fit with bilateral in-the-ear hearing aids, which were programmed in three ways while in directional microphone mode: no-gain compensation, adaptive-gain compensation, and full-gain compensation. All participants were tested with speech in noise tasks. Participants also made sound quality judgments based on monaural recordings made from the hearing aid. Results support a need for gain compensation for individuals with low-frequency hearing loss of greater than 40 dB HL.     

Performance of a fully adaptive directional microphone to signals presented from various azimuths

The signal-to-noise ratio advantage of a directional microphone is achieved by reducing the sensitivity of the microphone to sounds from the sides and back. A fully adaptive directional microphone (one that automatically switches between an omnidirectional mode and various directional polar patterns) may allow the achievement of signal-to-noise (SNR) improvement with minimal loss on audibility to sounds that originate from the sides and back. To demonstrate such possibilities, this study compared the soundfield aided thresholds, speech in quiet at different input levels, and speech in noise performance of 17 hearing-impaired participants under three microphone modes (omnidirectional, fixed hypercardioid, and fully [or automatic] adaptive) as the stimuli were presented from 0 degrees to 180 degrees in 45 degrees intervals. The results showed a significant azimuth effect only with the fixed directional microphone. In quiet, the fully adaptive microphone performed similarly as the omnidirectional microphone at all frequencies, input levels, and azimuths. In noise, the fully adaptive microphone achieved similar SNR improvement as the fixed directional microphone. Clinical implications of the results of this study were discussed.     

Speech intelligibility in noisy environments with one- and two-microphone hearing aids

In this study speech intelligibility in background noise was evaluated with 10 binaural hearing-aid users for hearing aids with one omnidirectional microphone and a hearing aid with a two-microphone configuration (enabling an omnidirectional as well as a directional mode). Signal-to-noise ratio (SNR) measurements were carried out for three different types of background noise (speech-weighted noise, traffic noise and restaurant noise) and two kinds of speech material (bisyllabic word lists and sentences). The average SNR improvement of the directional microphone configuration relative to the omnidirectional one was 3.4 dB for noise presented from 90 degrees azimuth. This improvement was independent of the specific type of noise and speech material, indicating that one speech-in-noise condition may yield enough relevant information in the evaluation of directional microphones and speech understanding in noise.     

Predicting hearing aid microphone preference in everyday listening

Seventeen hearing-impaired adults were fit with omnidirectional/directional hearing aids, which they wore during a four-week trial. For each listening situation encountered in daily living during a total of seven days, participants selected the preferred microphone mode and described the listening situation in terms of five environmental variables, using a paper and pencil form. Results indicated that hearing-impaired adults typically spend the majority of their active listening time in situations with background noise present and surrounding the listener, and the signal source located in front and relatively near. Microphone preferences were fairly evenly distributed across listening situations but differed depending on the characteristics of the listening environment. The omnidirectional mode tended to be preferred in relatively quiet listening situations or, in the presence of background noise, when the signal source was relatively far away. The directional mode tended to be preferred when background noise was present and the signal source was located in front of and relatively near the listener. Results suggest that knowing only signal location and distance and whether background noise is present or absent, omnidirectional/directional hearing aids can be set in the preferred mode in most everyday listening situations. These findings have relevance for counseling patients when to set manually switchable omnidirectional/directional hearing aids in each microphone mode, as well as for the development of automatic algorithms for selecting omnidirectional versus directional microphone processing.     

Quantification of directional benefit across different polar response patterns

The purpose of this study was to assess the relationship between the directivity of a directional microphone hearing aid and listener performance. Hearing aids were fit bilaterally to 19 subjects with sensorineural hearing loss, and five microphone conditions were assessed: omnidirectional, cardioid, hypercardioid, supercardioid, and "monofit," wherein the left hearing aid was set to omnidirectional and the right hearing aid to hypercardioid. Speech perception performance was assessed using the Hearing in Noise Test (HINT) and the Connected Speech Test (CST). Subjects also assessed eight domains of sound quality for three stimuli (speech in quiet, speech in noise, and music). A diffuse soundfield system composed of eight loudspeakers forming the corners of a cube was used to output the background noise for the speech perception tasks and the three stimuli used for sound quality judgments. Results indicated that there were no significant differences in the HINT or CST performance, or sound quality judgments, across the four directional microphone conditions when tested in a diffuse field. Of particular interest was the monofit condition: Performance on speech perception tests was the same whether one or two directional microphones were used.     

Noise reduction technologies implemented in head-worn preprocessors for improving cochlear implant performance in reverberant noise fields

The purpose of this study was to investigate whether a multichannel adaptive directional microphone and a modulation-based noise reduction algorithm could enhance cochlear implant performance in reverberant noise fields. A hearing aid was modified to output electrical signals (ePreprocessor) and a cochlear implant speech processor was modified to receive electrical signals (eProcessor). The ePreprocessor was programmed to flat frequency response and linear amplification. Cochlear implant listeners wore the ePreprocessor-eProcessor system in three reverberant noise fields: 1) one noise source with variable locations; 2) three noise sources with variable locations; and 3) eight evenly spaced noise sources from 0° to 360°. Listeners' speech recognition scores were tested when the ePreprocessor was programmed to omnidirectional microphone (OMNI), omnidirectional microphone plus noise reduction algorithm (OMNI?+?NR), and adaptive directional microphone plus noise reduction algorithm (ADM?+?NR). They were also tested with their own cochlear implant speech processor (CI_OMNI) in the three noise fields. Additionally, listeners rated overall sound quality preferences on recordings made in the noise fields. Results indicated that ADM+NR produced the highest speech recognition scores and the most preferable rating in all noise fields. Factors requiring attention in the hearing aid-cochlear implant integration process are discussed.     

Full time directional versus user selectable microphone modes in hearing aids

OBJECTIVE: The purpose of this experiment was to systematically examine hearing aid benefit as measured by speech recognition and self-assessment methods across omnidirectional and directional hearing aid modes. These data were used to compare directional benefit as measured by speech recognition in the laboratory to hearing aid wearer's perceptions of benefit in everyday environments across full-time directional, full-time omnidirectional, and user selectable directional fittings. Identification of possible listening situations that resulted in different self reported hearing aid benefit as a function of microphone type was a secondary objective of this experiment. DESIGN: Fifteen adults with symmetrical, sloping sensorineural hearing loss were fitted bilaterally with in-the-ear (ITE) directional hearing aids. Measures of hearing aid benefit included the Profile of Hearing Aid Benefit (PHAB), the Connected Sentence Test (CST), the Hearing in Noise Test (HINT), and a daily use log. Additionally, two new subscales were developed for administration with the PHAB. These subscales were developed to specifically address situations in which directional hearing aids may provide different degrees of benefit than omnidirectional hearing aids. Participants completed these measures in three conditions: omnidirectional only (O), directional only with low-frequency gain compensation (D), and user-selectable directional/omnidirectional (DO). RESULTS: Results from the speech intelligibility in noise testing indicated significantly more hearing aid benefit in directional modes than omnidirectional. PHAB results indicated more benefit on the background noise subscale (BN) in the DO condition than in the O condition; however, this directional advantage was not present for the D condition. Although the reliability of the newly proposed subscales is as yet unknown, the data were interpreted as revealing a directional advantage in situations where the signal of interest was in front of the participant and a directional disadvantage in situations where the signal of interest was behind the listener or localization was required. CONCLUSIONS: Laboratory directional benefit is reflected in self-assessment measures that focus on listening in noise when the sound source of interest is in front of the listener. The use of a directional hearing aid mode; however, may have either a positive, a neutral, or a negative impact on hearing aid benefit measured in noisy situations, depending on the specific listening situation.     

Noise reduction results of an adaptive filtering technique for dual-microphone behind-the-ear hearing aids

OBJECTIVE: The performance of an adaptive beam-former in a 2-microphone, behind-the-ear hearing aid for speech understanding in noisy environments was evaluated. Physical and perceptual evaluations were carried out. This was the first large-scale test of a wearable real-time implementation of this algorithm. The main perceptual research questions of this study were related to the influence on the noise reduction performance of (1) the spectro-temporal character of the jammer sound, (2) the jammer sound scene, (3) hearing impairment, and (4) the basic microphone configuration in the hearing aid. Four different speech materials were used for the perceptual evaluations. All tests were carried out in an acoustical environment comparable to living room reverberation. DESIGN: The adaptive beamformer was implemented in Audallion, a small, body-worn processor, linked to a Danasound 2-microphone behind-the-ear aid. The strategy was evaluated physically in different acoustical environments. Using speech reception threshold (SRT) measurements, the processing was evaluated perceptually and the different research questions addressed with three groups of subjects. Groups I, II, and III consisted of 10 normal-hearing, 5 hearing-impaired, and 7 normal-hearing persons, respectively. The tests were carried out in three spectro-temporally different jammer sounds (unmodulated and modulated speech weighted noise, multitalker babble) and in three different noise scenarios (single noise source at 90 degrees, noise sources at 90 degrees and 270 degrees relative to speaker position, diffuse noise scene). Two microphone configurations were compared: a device equipped with two omnidirectional microphones and a device equipped with one hardware directional and one omnidirectional microphone. In each of these conditions, the adaptive beamformer and the directional and omnidirectional microphone configurations were tested. RESULTS: The improvement in signal-to-noise ratio from the use of the adaptive beamformer did not depend on the spectro-temporal character of the jammer sounds and the speech materials used, although the absolute levels of the SRTs varied appreciably for different speech-noise combinations. The performance of the adaptive noise reduction depended on the jammer sound scene. CONCLUSIONS: No difference in signal-to-noise ratio improvement was observed between hearing-impaired and normal-hearing listeners, although individual SRT levels may differ. On average, an SRT improvement of 7.7 and 3.9 dB for a single noise source at 90 degrees and 5.9 and 3.4 dB for two noise sources at 90 degrees and 270 degrees was obtained for both normal-hearing and hearing-impaired listeners, using the adaptive beamformer and the directional microphone, respectively, relative to the omnidirectional microphone signal. In diffuse noise, only small improvements were obtained.     

Comparison of benefits provided by different hearing aid technologies

The performance of 40 hearing-impaired adults with the GN ReSound digital BZ5 hearing instrument was compared with performance with linear hearing aids with input compression limiting (AGC-I) or two-channel analog wide dynamic range compression (WDRC) instruments. The BZ5 was evaluated with an omnidirectional microphone, dual-microphone directionality, and a noise reduction circuit in combination with dual-microphone directionality. Participants were experienced hearing aid users who were wearing linear AGC-I or analog WDRC instruments at the time of enrolment. Performance was assessed using the Connected Speech Test (CST) presented at several presentation levels and under various conditions of signal degradation and by the Profile of Hearing Aid Benefit (PHAB). Subjective ratings of speech understanding, listening comfort, and sound quality/naturalness were also obtained using 11-point interval scales. Small performance advantages were observed for WDRC over linear AGC-I, although WDRC did not have to be implemented digitally for these performance advantages to be realized. Substantial performance advantages for the dual microphones over the omnidirectional microphone were observed in the CST results in noise, but participants generally did not perceive these large advantages in everyday listening. The noise reduction circuit provided improved listening comfort but little change in speech understanding.     

Predicting directional hearing aid benefit for individual listeners

The fitting of directional microphone hearing aids is becoming increasingly more routine, and this fitting option has proven to be a successful method to improve speech intelligibility in many noisy listening environments. Data suggest, however, that some hearing-impaired listeners receive significantly more directional benefit than others. It is of interest, therefore, to determine if directional benefit is predictable from identifiable audiologic factors. In this report, we examined whether the slope of audiometric configuration, amount of high-frequency hearing loss, and/or the aided omnidirectional performance for a speech-in-noise intelligibility task could be used to predict the magnitude of directional hearing aid benefit. Overall results obtained from three separate investigations revealed no significant correlation between the slope of audiometric configuration or amount of high-frequency hearing loss and the benefit obtained from directional microphone hearing instruments. Although there was a significant, negative relationship between aided omnidirectional performance and the directional benefit obtained in one study, there was considerable variability among individual participants, and nearly all of the listeners with the best omnidirectional hearing aid performance still received significant additional benefit from directional amplification. These results suggest that audiologists should consider the use of directional amplification for patients regardless of audiogram slope, high-frequency hearing loss, or omnidirectional speech intelligibility score.     

Impact of compression and hearing aid style on directional hearing aid benefit and performance.

OBJECTIVE: To evaluate the impact of low-threshold compression and hearing aid style (in-the-ear [ITE] versus behind-the-ear [BTE]) on the directional benefit and performance of commercially available directional hearing aids. DESIGN: Forty-seven adult listeners with mild-to-moderate sensorineural hearing loss were fit bilaterally with one BTE and four different ITE hearing aids. Speech recognition performance was measured through the Connected Speech Test (CST) and Hearing in Noise Test (HINT) for a simulated noisy restaurant environment. RESULTS: For both the HINT and CST, speech recognition performance was significantly greater for subjects fit with directional in comparison with omnidirectional microphone hearing aids. Performance was significantly poorer for the BTE instrument in comparison with the ITE hearing aids when using omnidirectional microphones. No differences were found for directional benefit between compression and linear fitting schemes. CONCLUSIONS: No systematic relationship was found between the relative directional benefit and hearing aid style; however, the speech recognition performance of the subjects was somewhat predictable based on Directivity Index measures of the individual hearing aid models. The fact that compression did not interact significantly with microphone type agrees well with previously reported electroacoustic data.     

Directivity quantification in hearing aids: fitting and measurement effects

OBJECTIVE: To evaluate the impact of venting, microphone port orientation, and compression on the electroacoustically measured directivity of directional and omnidirectional behind-the-ear hearing aids. In addition, the average directivity provided across three brands of directional and omnidirectional behind-the-ear hearing aids was compared with that provided by the open ear. DESIGN: Three groups of hearing aids (four instruments in each group) representing three commercial models (a total of 12) were selected for electroacoustic evaluation of directivity. Polar directivity patterns were measured and directivity index was calculated across four different venting configurations, and for five different microphone port angles. All measurements were made for instruments in directional and omnidirectional modes. Single source traditional, and two-source modified front-to-back ratios were also measured with the hearing aids in linear and compression modes. RESULTS: The directivity provided by the open (Knowles Electronics Manikin for Acoustic Research) ear was superior to that of the omnidirectional hearing aids in this study. Although the directivity measured for directional hearing aids was significantly better than that of omnidirectional models, significant variability was measured both within and across the tested models both on average and at specific test frequencies. Both venting and microphone port orientation affected the measured directivity. Although compression reduced the magnitude of traditionally measured front-to-back ratios, no difference from linear amplification was noted using a modified methodology. CONCLUSIONS: The variation in the measured directivity both within and across the directional microphone hearing aid brands suggests that manufacturer's specification of directivity may not provide an accurate index of the actual performance of all individual instruments. The significant impact of venting and microphone port orientation on directivity indicate that these variables must be addressed when fitting directional hearing aids on hearing-impaired listeners. Modified front-to-back ratio results suggest that compression does not affect the directivity of hearing aids, if it is assumed that the signal of interest from one azimuth, and the competing signal from a different azimuth, occur at the same time.