Evidence map›Paper›PMID 30375282›Full record

ArticleTrends in hearing

Pupillometry Reveals That Context Benefit in Speech Perception Can Be Disrupted by Later-Occurring Sounds, Especially in Listeners With Cochlear Implants.

Matthew B Winn, Ashley N Moore

Abstract read
In one paragraph

Article in Trends in hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Decoupling speech processing from time.Trends in cognitive sciences · 2026
    Review
  4. Article
  5. The cingulate cortex facilitates auditory perception under challenging listening conditions.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Eye Movements Decrease during Effortful Speech Listening.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  10. Article
  11. Review
  12. Pupillometry to Assess Auditory Sensation in Guinea Pigs.Journal of visualized experiments : JoVE · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Matthew B Winn1 Department of Speech and Hearing Sciences, University of Washington, Seattle, WA, USA.
Ashley N Moore1 Department of Speech and Hearing Sciences, University of Washington, Seattle, WA, USA.

Funding

Measuring listening effort and spectral resolution in cochlear implant patientsR03DC014309 · NIDCD · UNIVERSITY OF WASHINGTON · PI WINN, MATTHEW BRANDON · 2016 to 2018
$455k
NIDCD NIH HHS R03 DC014309
6 · The paper itself

Abstract

Contextual cues can be used to improve speech recognition, especially for people with hearing impairment. However, previous work has suggested that when the auditory signal is degraded, context might be used more slowly than when the signal is clear. This potentially puts the hearing-impaired listener in a dilemma of continuing to process the last sentence when the next sentence has already begun. This study measured the time course of the benefit of context using pupillary responses to high- and low-context sentences that were followed by silence or various auditory distractors (babble noise, ignored digits, or attended digits). Participants were listeners with cochlear implants or normal hearing using a 12-channel noise vocoder. Context-related differences in pupil dilation were greater for normal hearing than for cochlear implant listeners, even when scaled for differences in pupil reactivity. The benefit of context was systematically reduced for both groups by the presence of the later-occurring sounds, including virtually complete negation when sentences were followed by another attended utterance. These results challenge how we interpret the benefit of context in experiments that present just one utterance at a time. If a listener uses context to "repair" part of a sentence, and later-occurring auditory stimuli interfere with that repair process, the benefit of context might not survive outside the idealized laboratory or clinical environment. Elevated listening effort in hearing-impaired listeners might therefore result not just from poor auditory encoding but also inefficient use of context and prolonged processing of misperceived utterances competing with perception of incoming speech.

Indexed as

Cochlear ImplantsCuesSpeech PerceptionAcoustic StimulationAdultAgedAged, 80 and overAudiometry, SpeechCase-Control StudiesCochlear ImplantationCognitionElectric StimulationFemaleHumansMaleMiddle Agedcochlear implantscontextlistening effortpupillometryspeech perception

Identifiers

PMID30375282
PMCPMC6207967

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.