Evidence map›Paper›PMID 41445198›Full record

ArticleMilitary medicine2026

Detection and Discrimination of Auditory Alerts in Single- and Dual-Task Conditions: Use of a Free-Response Method.

Mabel L Cummins, Morgan Lindstead, Skylar Wechsler, Leslie R Bernstein, Michael Schutz, Joshua Shive, Joseph J Schlesinger

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In one paragraph

Article in Military medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mabel L CumminsVanderbilt University School of Medicine, Nashville, TN 37212, United States.ORCID 0000-0003-3875-4759
Morgan LindsteadDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37212, United States.
Skylar WechslerNorthwestern University Feinberg School of Medicine, Chicago, IL 60187, United States.
Leslie R BernsteinDepartments of Neuroscience and Surgery (Otolaryngology), University of Connecticut Health Center, Farmington, CT 06030, United States.
Michael SchutzSchool of the Arts, McMaster University, Hamilton, ON L8S 4M2, United States.
Joshua ShiveDepartment of Psychological Sciences and Counseling, Tennessee State University, Nashville, TN 37209, United States.
Joseph J SchlesingerDivision of Critical Care Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37212, United States.ORCID 0000-0003-3978-2647

Funding

Office of Naval Research N00014-22-1-2184
6 · The paper itself

Abstract

introductionIn military operations, the ability to detect, identify, and respond to auditory alerts in complex and dynamic environments is crucial for safety and mission success. Typical alert designs, however, often fail to account for characteristics of noisy and cognitively demanding conditions, so that the levels of alerts required to support desired levels of performance are minimized. To redress those shortcomings, we developed a pair of alerts, one having consonant harmony ("friendly"), the other dissonant harmony ("enemy"). Those alerts were placed strategically within the spectrum of the masker to minimize masking while maintaining high levels of detection and discrimination performance. MATERIALS AND

methodsThe detectability and discriminability of the "friendly" and "enemy" alerts was assessed as a function of signal-to-noise-masker ratio (S/N) while employing a masker consisting of continuous military "truck noise." Both of the alerts occupied a narrow spectral region within the masker around 500-Hz. Subjects (n = 20) performed an auditory detection/discrimination task in isolation or with a simultaneous visual "N-Back task." The N-Back task was also run in isolation. The auditory task employed a free-response vigilance paradigm with underlying temporal "trials" that were unknown to the subjects. They experienced temporal uncertainty regarding when an alert might be added to the masker. This approach afforded measures of "hit" and "false-alarm" rates and the computation of bias-free measures of sensitivity (d'). Trials were blocked by S/N with values of S/N visited via descending and ascending series. Stimuli were presented at an overall level of 70 dB SPL (in the absence of alerts) via Sennheiser HD 280 headphones.

resultsValues of d' (sensitivity) indicated that high levels of detection performance were obtained despite the harmonic "friendly" and inharmonic "enemy" alerts occupying a common spectral locus. That outcome likely occurred because subjects discriminated the alerts on the basis of perceived consonance or dissonance. Values of ß (response bias) revealed that subjects adopted conservative response criteria. Turning to discrimination performance, differences between obtained values of p(c) and p(c)max also indicated that subjects did not adopt neutral criteria. In the presence of a simultaneous, visual N-Back task (dual-task condition), auditory detection and discrimination performance was not degraded. In contrast, N-Back performance was poorer in the dual-task condition than when it was measured in isolation.

conclusionsThe results establish "proof of concept" regarding our approach to evaluating detection and discrimination of auditory alerts within a situationally realistic vigilance paradigm. The findings reveal the advantages of employing a Theory of Signal Detection (TSD)-based free-response paradigm to evaluate human performance in such a setting. In addition, the results highlight the potential advantages of employing alerts tailored to the specific spectral profile of the ambient acoustic environment. Overall, our findings can be applied to enhance both the performance and evaluation of practitioners who must respond appropriately to critical alerts in high-consequence settings. The potential enhancements extend beyond military applications, for example, to situations in which clinicians must monitor multiple metrics of patient status in environments with potentially distracting auditory and visual information.

Indexed as

Auditory PerceptionDiscrimination, PsychologicalMilitary PersonnelAcoustic StimulationDual-Task TestsHumansNoisePerceptual Masking

Identifiers

PMID41445198
PMCPMC13331487

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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.