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Effectiveness of Television Streaming on Cochlear Implant User Performance and Satisfaction in Quiet and in Noise.

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Title: Effectiveness of Television Streaming on Cochlear Implant User Performance and Satisfaction in Quiet and in Noise.
Authors: Plyler, Patrick N.1 pplyler@uthsc.edu, Wade, Megan1, Dimlich, Alayna1, Hausladen, Jennifer1, Humphrey, Elizabeth1
Source: American Journal of Audiology. Jun2025, Vol. 34 Issue 2, p270-280. 11p.
Subject Terms: *Data analysis, *Audiometry, *Speech perception, *Auditory perception, Cochlear implants, Statistical power analysis, Repeated measures design, Noise, T-test (Statistics), Statistical significance, Sensorineural hearing loss, Pilot projects, Questionnaires, Television, Acoustic localization, Chi-squared test, Descriptive statistics, Loudness, Statistics, Data analysis software, Customer satisfaction, Transducers
Geographic Terms: Tennessee
Abstract: Purpose: The purpose of this study was to determine the effectiveness of television (TV) streaming on cochlear implant (CI) user performance and satisfaction in quiet and in noise. Method: Sixteen CI users (15 bilateral) were evaluated in quiet and in noise (5 dB SNR) under three CI conditions: CI only, streaming with CI microphones attenuated by 6 dB, and streaming with CI microphones muted. The audiovisual Connected Speech Test served as the signal, and the ipsilateral competing message from the SSI-ICM served as the noise. Measures of speech understanding, satisfaction with sound quality and clarity, and preference were obtained. Results: In quiet, speech understanding and speech clarity ratings were significantly better for the streaming with CI microphones muted condition than the CI only and streaming with CI microphones attenuated conditions; however, sound quality ratings were significantly better for streaming with CI microphones muted than the CI microphones attenuated condition. In noise, speech understanding, speech clarity ratings, and sound quality ratings were significantly different across all conditions with CI only being the poorest, followed by streaming with CI microphones attenuated then by CI microphones muted being the best. In quiet, streaming with CI microphones muted was preferred over CI only. In noise, both streaming options were preferred to CI only. Overall, streaming with CI microphones attenuated was preferred to CI only. Conclusions: CI users benefited from TV streaming in both quiet and in noise. CI users should be counseled on the benefits of adjusting CI microphone settings when using a TV streamer. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Effectiveness of Television Streaming on Cochlear Implant User Performance and Satisfaction in Quiet and in Noise.
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  Data: <searchLink fieldCode="AR" term="%22Plyler%2C+Patrick+N%2E%22">Plyler, Patrick N.</searchLink><relatesTo>1</relatesTo><i> pplyler@uthsc.edu</i><br /><searchLink fieldCode="AR" term="%22Wade%2C+Megan%22">Wade, Megan</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Dimlich%2C+Alayna%22">Dimlich, Alayna</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Hausladen%2C+Jennifer%22">Hausladen, Jennifer</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Humphrey%2C+Elizabeth%22">Humphrey, Elizabeth</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Jun2025, Vol. 34 Issue 2, p270-280. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Tennessee%22">Tennessee</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The purpose of this study was to determine the effectiveness of television (TV) streaming on cochlear implant (CI) user performance and satisfaction in quiet and in noise. Method: Sixteen CI users (15 bilateral) were evaluated in quiet and in noise (5 dB SNR) under three CI conditions: CI only, streaming with CI microphones attenuated by 6 dB, and streaming with CI microphones muted. The audiovisual Connected Speech Test served as the signal, and the ipsilateral competing message from the SSI-ICM served as the noise. Measures of speech understanding, satisfaction with sound quality and clarity, and preference were obtained. Results: In quiet, speech understanding and speech clarity ratings were significantly better for the streaming with CI microphones muted condition than the CI only and streaming with CI microphones attenuated conditions; however, sound quality ratings were significantly better for streaming with CI microphones muted than the CI microphones attenuated condition. In noise, speech understanding, speech clarity ratings, and sound quality ratings were significantly different across all conditions with CI only being the poorest, followed by streaming with CI microphones attenuated then by CI microphones muted being the best. In quiet, streaming with CI microphones muted was preferred over CI only. In noise, both streaming options were preferred to CI only. Overall, streaming with CI microphones attenuated was preferred to CI only. Conclusions: CI users benefited from TV streaming in both quiet and in noise. CI users should be counseled on the benefits of adjusting CI microphone settings when using a TV streamer. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=185663055
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2024_AJA-24-00204
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      – Code: eng
        Text: English
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      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Audiometry
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      – SubjectFull: Speech perception
        Type: general
      – SubjectFull: Auditory perception
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      – SubjectFull: Cochlear implants
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      – SubjectFull: Statistical power analysis
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      – SubjectFull: Repeated measures design
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      – SubjectFull: Noise
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      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Television
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      – SubjectFull: Acoustic localization
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      – SubjectFull: Loudness
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      – SubjectFull: Customer satisfaction
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      – SubjectFull: Tennessee
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      – TitleFull: Effectiveness of Television Streaming on Cochlear Implant User Performance and Satisfaction in Quiet and in Noise.
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              Text: Jun2025
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