The Relationship Between Speech Intelligibility and Comprehensibility for Children with Cochlear Implants

조음중증도에 따른 인공와우이식 아동들의 말명료도와 이해가능도의 상관연구

This study examined the relationship between speech intelligibility and comprehensibility for hearing impaired children with cochlear implants. Speech intelligibility was measured by orthographic transcription method for acoustic signal at the level of words and sentences. Comprehensibility was evaluated by examining listener's ability to answer questions about the contents of a narrative. Speech samples were collected from 12 speakers(age of 6~15 years) with cochlear implants. For each speaker, 4 different listeners(total of 48 listeners) completed 2 tasks: One task involved making orthographic transcriptions and the other task involved answering comprehension questions. The results of the study were as follows: (1) Speech intelligibility and comprehensibility scores tended to be increased by decreasing of severity. (2) Across all speakers, the relationship was significant between speech intelligibility and comprehensibility scores without considering severity. However, within severity groups, there was the significant relationship between comprehensibility and speech intelligibility only for moderate-severe group. These results suggest that speech intelligibility scores measured by orthographic transcription may not accurately reflect how well listener comprehend speech of children with cochlear implants and therefore, measures of both speech intelligibility and listener comprehension should be considered in evaluating speech ability and information-bearing capability in speakers with cochlear implants.