Recognition and Comprehension of “Narrow Focus” by Young Adults With Prelingual Hearing Loss Using Hearing Aids or Cochlear Implants Purpose The stressed word in a sentence (narrow focus [NF]) conveys information about the intent of the speaker and is therefore important for processing spoken language and in social interactions. The ability of participants with severe-to-profound prelingual hearing loss to comprehend NF has rarely been investigated. The purpose of this ... Research Article
Newly Published
Research Article  |   November 09, 2017
Recognition and Comprehension of “Narrow Focus” by Young Adults With Prelingual Hearing Loss Using Hearing Aids or Cochlear Implants
 
Author Affiliations & Notes
  • Osnat Segal
    Department of Communication Disorders, The Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Israel
  • Liat Kishon-Rabin
    Department of Communication Disorders, The Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Israel
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Liat Kishon-Rabin: lrabin@tauex.tau.ac.il
  • Editor: Frederick (Erick) Gallun
    Editor: Frederick (Erick) Gallun×
  • Associate Editor: Amy Lederberg
    Associate Editor: Amy Lederberg×
Article Information
Hearing Disorders / Hearing Aids, Cochlear Implants & Assistive Technology / Attention, Memory & Executive Functions / Newly Published / Research Article
Research Article   |   November 09, 2017
Recognition and Comprehension of “Narrow Focus” by Young Adults With Prelingual Hearing Loss Using Hearing Aids or Cochlear Implants
Journal of Speech, Language, and Hearing Research, Newly Published. doi:10.1044/2017_JSLHR-H-16-0342
History: Received September 1, 2016 , Revised May 31, 2017 , Accepted June 2, 2017
 
Journal of Speech, Language, and Hearing Research, Newly Published. doi:10.1044/2017_JSLHR-H-16-0342
History: Received September 1, 2016; Revised May 31, 2017; Accepted June 2, 2017

Purpose The stressed word in a sentence (narrow focus [NF]) conveys information about the intent of the speaker and is therefore important for processing spoken language and in social interactions. The ability of participants with severe-to-profound prelingual hearing loss to comprehend NF has rarely been investigated. The purpose of this study was to assess the recognition and comprehension of NF by young adults with prelingual hearing loss compared with those of participants with normal hearing (NH).

Method The participants included young adults with hearing aids (HA; n = 10), cochlear implants (CI; n = 12), and NH (n = 18). The test material included the Hebrew Narrow Focus Test (Segal, Kaplan, Patael, & Kishon-Rabin, in press), with 3 subtests, which was used to assess the recognition and comprehension of NF in different contexts.

Results The following results were obtained: (a) CI and HA users successfully recognized the stressed word, with the worst performance for CI; (b) HA and CI comprehended NF less well than NH; and (c) the comprehension of NF was associated with verbal working memory and expressive vocabulary in CI users.

Conclusions Most CI and HA users were able to recognize the stressed word in a sentence but had considerable difficulty understanding it. Different factors may contribute to this difficulty, including the memory load during the task itself and linguistic and pragmatic abilities.

Supplemental Material https://doi.org/10.23641/asha.5572792

Acknowledgments
We would like to thank Tal Adadi, Shiran Shochat, and Adina Morgenshtein from the Department of Communication Disorders, Sackler Faculty of Medicine, Tel-Aviv University, for their valuable assistance with data collection.
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