Objective: To evaluate the effectiveness of an experimental pitch-coding strategy for improving recognition of Mandarin lexical tone in cochlear implant (CI) recipients.
Design: Adult CI recipients were tested on recognition of Mandarin tones in quiet and speech-shaped noise at a signal-to-noise ratio of +10 dB; Mandarin sentence speech-reception threshold (SRT) in speech-shaped noise; and pitch discrimination of synthetic complex-harmonic tones in quiet. Two versions of the experimental strategy were examined: (OPAL) linear (1:1) mapping of fundamental frequency (F0) to the coded modulation rate; and (OPAL+) transposed mapping of high F0s to a lower coded rate. Outcomes were compared to results using the clinical ACE™ strategy.
Study Sample: Five Mandarin speaking users of Nucleus® cochlear implants.
Results: A small but significant benefit in recognition of lexical tones was observed using OPAL compared to ACE in noise, but not in quiet, and not for OPAL+ compared to ACE or OPAL in quiet or noise. Sentence SRTs were significantly better using OPAL+ and comparable using OPAL to those using ACE. No differences in pitch discrimination thresholds were observed across strategies.
Conclusions: OPAL can provide benefits to Mandarin lexical tone recognition in moderately noisy conditions and preserve perception of Mandarin sentences in challenging noise conditions.
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http://dx.doi.org/10.1080/14992027.2016.1190872 | DOI Listing |
Alzheimers Dement
December 2024
NICM Health Research Institute, Western Sydney University, Sydney, NSW, Australia.
Background: People living with dementia and their carers, particularly those from culturally and linguistically diverse backgrounds, consistently demonstrate limited knowledge about and negative attitudes towards dementia. This can limit access to preventive and post-diagnostic care. Culturally sensitive dementia education is an inclusive and practical intervention that can be used in multicultural contexts to increase awareness and destigmatise the condition.
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December 2024
NICM Health Research Institute, Western Sydney University, Sydney, NSW, Australia.
Background: Many carers of people living with dementia display misperceptions and negative attitudes about dementia due to limited education. This stigma can impact care and the accessibility of appropriate support services. Culturally diverse people living with dementia and their carers remain underserviced and lack culturally inclusive resources despite having specialised dementia needs.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
University of Queensland, Brisbane, QLD, Australia.
Background: Dementia is highly stigmatised, misperceived as a mental illness, and considered a normal part of ageing by people from culturally and linguistically diverse backgrounds in Australia. There is a lack of valid and reliable scale to measure their dementia attitudes. This study aimed to cross-culturally translate and validate a dementia attitudes scale in Arabic, Vietnamese, Chinese, and Greek communities as they represent the main languages spoken throughout Western Sydney, Australia.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
George Mason University, Fairfax, VA, USA.
Background: The evaluation of mHealth interventions often lacks detailed process evaluation data. This study presents the design and results of a process evaluation for the Wellness Enhancement for Caregivers (WECARE) program, an mHealth intervention designed to improve caregiving skills and psychosocial wellbeing of Chinese American dementia caregivers. This evaluation focused on understanding the acceptance, engagement, and the barriers and facilitators influencing behavioral changes among participants, offering valuable feedback for program refinement and dissemination.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Otsuka America Pharmaceutical Inc., Princeton, NJ, USA.
Background: Language serves as a powerful tool in shaping perceptions and reinforcing societal norms. Current understanding suggests that the language used to describe dementia can impact how the condition is perceived, understood, and addressed within various cultural contexts. Further, language can play a pivot role in shaping caregiving practices, willingness to seek medical care, and the openness, or lack thereof, to speak about the condition.
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