Voice disorders can reduce the speech intelligibility of affected speakers. This study evaluated the effect of noise, voice disorders, and room acoustics on vowel intelligibility, listening easiness, and the listener's reaction time. Three adult females with dysphonia and three adult females with normal voice quality recorded a series of nine vowels of American English in /h/-V-/d/ format (e.g., “had”). The recordings were convolved with two oral-binaural impulse responses acquired from measurements in two classrooms with 0.4 and 3.1 s of reverberation time, respectively. The stimuli were presented in a forced-choice format to 29 college students. The intelligibility and the listening easiness were significantly higher in quiet than in noisy conditions, when the speakers had normal voice quality compared to a dysphonic voice, and in low reverberated environments compared to high reverberated environments. The response time of the listener was significantly longer for speech presented in noisy conditions compared to quiet conditions and when the voice was dysphonic compared with healthy voice quality.

2.
American Speech-Language-Hearing Association
(
2021
). “
Voice disorders (practice portal)
,” www.asha.org/Practice-Portal/Clinical-Topics/Voice-Disorders/ (Last viewed July 28, 2021).
1.
ANSI
(
2010
). ANSI S12.60:
American National Standard Acoustical Performance Criteria, Design Requirements, and Guidelines for Schools
(
American National Standards Institute
,
New York
).
3.
Astolfi
,
A.
,
Bottalico
,
P.
, and
Barbato
,
G.
(
2012
). “
Subjective and objective speech intelligibility investigations in primary school classrooms
,”
J. Acoust. Soc. Am.
131
,
247
257
.
4.
Baayen
,
R. H.
, and
Milin
,
P.
(
2010
). “
Analyzing reaction times
,”
Int. J. Psychol. Res.
3
,
12
28
.
5.
Bates
,
D.
,
Mächler
,
M.
,
Bolker
,
B.
, and
Walker
,
S.
(
2015
). “
Fitting linear mixed-effects models using lme4
,”
J. Stat. Softw.
67
,
1
48
.
6.
Boersma
,
P.
(
2001
). “
Praat, a system for doing phonetics by computer
,”
Glot. Int.
5
(
9
),
341
345
.
7.
Bradley
,
J. S.
,
Reich
,
R. D.
, and
Norcross
,
S. G.
(
1999
). “
On the combined effects of signal-to-noise ratio and room acoustics on speech intelligibility
,”
J. Acoust. Soc. Am.
106
,
1820
1828
.
8.
Bradley
,
J. S.
, and
Sato
,
H.
(
2008
). “
The intelligibility of speech in elementary school classrooms
,”
J. Acoust. Soc. Am.
123
,
2078
2086
.
9.
Bradlow
,
A. R.
,
Torretta
,
G. M.
, and
Pisoni
,
D. B.
(
1996
). “
Intelligibility of normal speech I: Global and fine-grained acoustic-phonetic talker characteristics
,”
Speech Commun.
20
,
255
272
.
10.
Choi
,
Y. J.
(
2020
). “
Evaluation of acoustical conditions for speech communication in active university classrooms
,”
Appl. Acoust.
159
,
107089
.
11.
Cole
,
R. A.
,
Yonghong
,
Y.
,
Mak
,
B.
,
Fanty
,
M.
, and
Bailey
,
T.
(
1996
). “
The contribution of consonants versus vowels to word recognition in fluent speech
,” in
1996 IEEE International Conference on Acoustics, Speech, and Signal Processing Conference Proceedings
, Vol.
2
, pp.
853
856
.
12.
Crandell
,
C. C.
, and
Smaldino
,
J. J.
(
2000
). “
Classroom acoustics for children with normal hearing and with hearing impairment
,”
Lang. Speech. Hear. Ser.
31
,
362
370
.
13.
Evitts
,
P. M.
,
Starmer
,
H.
,
Teets
,
K.
,
Montgomery
,
C.
,
Calhoun
,
L.
,
Schulze
,
A.
,
MacKenzie
,
J.
, and
Adams
,
A.
(
2016
). “
The impact of dysphonic voices on healthy listeners: Listener reaction times, speech intelligibility, and listener comprehension
,”
Am. J. Speech Lang. Pathol.
25
,
561
575
.
14.
Fogerty
,
D.
, and
Kewley-Port
,
D.
(
2009
). “
Perceptual contributions of the consonant-vowel boundary to sentence intelligibility
,”
J. Acoust. Soc. Am.
126
,
847
857
.
15.
Hecker
,
M. H. L.
,
Stevens
,
K. N.
, and
Williams
,
C. E.
(
1966
). “
Measurements of reaction time in intelligibility tests
,”
J. Acoust. Soc. Am.
39
,
1188
1189
.
16.
Higgins
,
K. P.
, and
Smith
,
A. B.
(
2012
). “
Prevalence and characteristics of voice disorders in a sample of university teaching faculty
,”
Contemp. Issues Commun. Sci. Disorders
39
,
69
75
.
17.
Hillenbrand
,
J.
,
Getty
,
L. A.
,
Clark
,
M. J.
, and
Wheeler
,
K.
(
1995
). “
Acoustic characteristics of American English vowels
,”
J. Acoust. Soc. Am.
97
,
3099
3111
.
18.
Hothorn
,
T.
,
Bretz
,
F.
, and
Westfall
,
P.
(
2008
). “
Simultaneous inference in general parametric models
,”
Biom. J.
50
,
346
363
.
19.
Houtgast
,
T.
(
1981
). “
The effect of ambient noise on speech intelligibility in classrooms
,”
Appl. Acoust.
14
,
15
25
.
22.
Ishikawa
,
K.
,
Boyce
,
S.
,
Kelchner
,
L.
,
Powell
,
M. G.
,
Schieve
,
H.
,
de Alarcon
,
A.
, and
Khosla
,
S.
(
2017
). “
The effect of background noise on intelligibility of dysphonic speech
,”
J. Speech Lang. Hear. Res.
60
,
1919
1929
.
21.
Ishikawa
,
K.
,
Nudelman
,
C.
,
Park
,
S.
, and
Ketring
,
C.
(
2020
). “
Perception and acoustic studies of vowel intelligibility in dysphonic speech
,”
J. Voice
35
,
659.e11
659.e24
.
20.
ISO
(
2003
).
ISO 9921: Ergonomics—Assessment of Speech Communication
(
International Organization for Standardization
,
Geneva
).
23.
Isshiki
,
N.
,
Yanagihara
,
N.
, and
Morimoto
,
M.
(
1966
). “
Approach to the objective diagnosis of hoarseness
,”
Folia Phoniatr. Logop.
18
,
393
400
.
24.
Kewley-Port
,
D.
,
Burkle
,
T. Z.
, and
Lee
,
J. H.
(
2007
). “
Contribution of consonant versus vowel information to sentence intelligibility for young normal-hearing and elderly hearing-impaired listeners
,”
J. Acoust. Soc. Am.
122
,
2365
2375
.
25.
Kiliç
,
M. A.
, and
Ogüt
,
F.
(
2004
). “
The effect of the speaker gender on speech intelligibility in normal-hearing subjects with simulated high frequency hearing loss
,”
Rev. Laryngol. Otol. Rhinol.
125
,
35
38
.
26.
Kozak
,
K.
(
2015
).
Statistics Using Technology
, 2nd ed. (
Lulu.com
,
Morrisville, NC
).
27.
Kyriakou
,
K.
,
Petinou
,
K.
, and
Phinikettos
,
I.
(
2018
). “
Risk factors for voice disorders in university professors in Cyprus
,”
J. Voice
32
,
643.e1
643.e9
.
28.
Lecumberri
,
M. L. G.
,
Cooke
,
M.
, and
Cutler
,
A.
(
2010
). “
Non-native speech perception in adverse conditions: A review
,”
Speech Commun.
52
,
864
886
.
29.
Lo
,
S.
, and
Andrews
,
S.
(
2015
). “
To transform or not to transform: Using generalized linear mixed models to analyse reaction time data
,”
Front. Psychol.
6
,
1
16
.
30.
Lyberg-Åhlander
,
V.
,
Brännström
,
K. J.
, and
Sahlén
,
B. S.
(
2015
). “
On the interaction of speakers' voice quality, ambient noise and task complexity with children's listening comprehension and cognition
,”
Front. Psychol.
6
,
871
.
31.
Ma
,
E. P.-M.
, and
Yiu
,
E. M.-L.
(
2006
). “
Multiparametric evaluation of dysphonic severity
,”
J. Voice
20
,
380
390
.
32.
Mattys
,
S. L.
,
Davis
,
M. H.
,
Bradlow
,
A. R.
, and
Scott
,
S. K.
(
2012
). “
Speech recognition in adverse conditions: A review
,”
Lang. Cogn. Process.
27
,
953
978
.
33.
Morimoto
,
M.
,
Sato
,
H.
, and
Kobayashi
,
M.
(
2004
). “
Listening difficulty as a subjective measure for evaluation of speech transmission performance in public spaces
,”
J. Acoust. Soc. Am.
116
,
1607
1613
.
34.
Porcaro
,
C. K.
,
Evitts
,
P. M.
,
King
,
N.
,
Hood
,
C.
,
Campbell
,
E.
,
White
,
L.
, and
Veraguas
,
J.
(
2020
). “
Effect of dysphonia and cognitive-perceptual listener strategies on speech intelligibility
,”
J. Voice
34
,
806.e7
806.e18
.
35.
Pratt
,
R. L.
(
1981
). “
On the use of reaction time as a measure of intelligibility
,”
Brit. J. Audiol.
15
,
253
255
.
36.
Prodi
,
N.
,
Visentin
,
C.
, and
Farnetani
,
A.
(
2010
). “
Intelligibility, listening difficulty and listening efficiency in auralized classrooms
,”
J. Acoust. Soc. Am.
128
,
172
181
.
37.
Prodi
,
N.
,
Visentin
,
C.
, and
Feletti
,
A.
(
2013
). “
On the perception of speech in primary school classrooms: Ranking of noise interference and of age influence
,”
J. Acoust. Soc. Am.
133
,
255
268
.
38.
Roy
,
N.
,
Merrill
,
R. M.
,
Thibeault
,
S.
,
Parsa
,
R. A.
,
Gray
,
S. D.
, and
Smith
,
E. M.
(
2004
). “
Prevalence of voice disorders in teachers and the general population
,”
J. Speech Lang. Hear. Res.
47
,
281
293
.
39.
Salthouse
,
T. A.
(
2007
). “
Reaction time
,” in
Encyclopedia of Gerontology
, 2nd ed., edited by
J. E.
Birren
(
Elsevier
,
Amsterdam
), pp.
407
410
.
40.
Sato
,
H.
,
Bradley
,
J. S.
, and
Morimoto
,
M.
(
2005
). “
Using listening difficulty ratings of conditions for speech communication in rooms
,”
J. Acoust. Soc. Am.
117
,
1157
1167
.
41.
Sato
,
H.
,
Morimoto
,
M.
, and
Wada
,
M.
(
2012
). “
Relationship between listening difficulty rating and objective measures in reverberant and noisy sound fields for young adults and elderly persons
,”
J. Acoust. Soc. Am
131
(
6
),
4596
4605
.
42.
Sato
,
H.
,
Yoshino
,
H.
, and
Nagatomo
,
M.
(
1998
). “
Relationship between speech transmission index and easiness of speech perception in reverberatory fields
,”
J. Acoust. Soc. Am.
103
,
2999
.
43.
Schiller
,
I. S.
,
Morsomme
,
D.
,
Kob
,
M.
, and
Remacle
,
A.
(
2020
). “
Noise and a speaker's impaired voice quality disrupt spoken language processing in school-aged children: Evidence from performance and response time measures
,”
J. Speech Lang. Hear. Res.
63
,
2115
2131
.
44.
Schlittenlacher
,
J.
, and
Ellermeier
,
W.
(
2015
). “
Simple reaction time to the onset of time-varying sounds
,”
Atten. Percept. Psychophys.
77
,
2424
2437
.
45.
Visentin
,
C.
, and
Prodi
,
N.
(
2018
). “
A matrixed speech-in-noise test to discriminate favorable listening conditions by means of intelligibility and response time results
,”
J. Speech. Lang. Hear. Res.
61
,
1497
1516
.
46.
Whelan
,
R.
(
2008
). “
Effective analysis of reaction time data
,”
Psychol. Rec.
58
,
475
482
.
47.
Yang
,
D.
, and
Mak
,
C. M.
(
2018
). “
An investigation of speech intelligibility for second language students in classrooms
,”
Appl. Acoust.
134
,
54
59
.
48.
Yang
,
W.
, and
Bradley
,
J. S.
(
2009
). “
Effects of room acoustics on the intelligibility of speech in classrooms for young children
,”
J. Acoust. Soc. Am.
125
,
922
933
.
49.
Zraick
,
R. I.
,
Kempster
,
G. B.
,
Connor
,
N. P.
,
Thibeault
,
S.
,
Klaben
,
B. K.
,
Bursac
,
Z.
,
Thrush
,
C. R.
, and
Glaze
,
L. E.
(
2011
). “
Establishing validity of the consensus auditory-perceptual evaluation of voice (CAPE-V)
,”
Am. J. Speech Lang. Pathol.
20
,
14
22
.
You do not currently have access to this content.