Abstract
Purpose: In this study, the authors evaluated the effect of remote system and acoustic environment on speech perception via telehealth with cochlear implant recipients. Method: Speech perception was measured in quiet and in noise. Systems evaluated were Polycom visual concert (PVC) and a hybrid presentation system (HPS). Each system was evaluated in a sound-treated booth and in a quiet office. Results: For speech in quiet, there was a significant effect of environment, with better performance in the sound-treated booth than in the office; there was no effect of system (PVC or HPS). Speech in noise revealed a significant interaction between environment and system. Subjects' performance was poorer for PVC in the office, whereas performance in the sound-treated booth was not significantly different for the two systems. Results from the current study were compared to results for the same group of subjects from an earlier study; these results suggested that poorer performance at remote sites in the previous study was primarily due to environment, not system. Conclusions: Speech perception was best when evaluated in a sound-treated booth. HPS was superior for speech in noise in a reverberant environment. Future research should focus on modifications to non-sound-treated environments for telehealth service delivery in rural areas.
Original language | English (US) |
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Pages (from-to) | 1373-1386 |
Number of pages | 14 |
Journal | Journal of Speech, Language, and Hearing Research |
Volume | 55 |
Issue number | 5 |
DOIs | |
State | Published - Oct 1 2012 |
Keywords
- Cochlear implants
- Polycom
- Speech perception
- Telehealth
- Telepractice
ASJC Scopus subject areas
- Language and Linguistics
- Linguistics and Language
- Speech and Hearing