{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:01:04Z","timestamp":1781143264766,"version":"3.54.1"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R01 DC009404"],"award-info":[{"award-number":["R01 DC009404"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R01 DC13117"],"award-info":[{"award-number":["R01 DC13117"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To investigate the trajectory of spectral resolution in adult cochlear implant (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ) recipients and determine whether early spectral resolution measures can predict later speech recognition outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Prospective, longitudinal study of 531 postlingually deafened adult\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      recipients. Spectral resolution (\n                      <jats:styled-content style=\"fixed-case\">EasyQSMD<\/jats:styled-content>\n                      ) and speech recognition (\n                      <jats:styled-content style=\"fixed-case\">CNC<\/jats:styled-content>\n                      words,\n                      <jats:styled-content style=\"fixed-case\">AzBio<\/jats:styled-content>\n                      sentences in quiet and noise) were evaluated from activation through 1\u2010year post\u2010activation. Growth curve models were fit to\n                      <jats:styled-content style=\"fixed-case\">EasyQSMD<\/jats:styled-content>\n                      thresholds across all timepoints to generate mode\u2010based estimates of early spectral resolution at 1\u2010month post\u2010activation. These model\u2010derived early thresholds were then used to predict later speech recognition outcomes (best of 6\u2010months and 1\u2010year) through linear regression analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">EasyQSMD<\/jats:styled-content>\n                      thresholds improved from activation to 1\u2010week post\u2010activation, then stabilized through the first year. Model\u2010derived early\n                      <jats:styled-content style=\"fixed-case\">EasyQSMD<\/jats:styled-content>\n                      thresholds significantly predicted later speech recognition outcomes, explaining 3%\u20138% of the variance in performance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Spectral resolution rapidly stabilizes, reaching asymptotic performance by 1\u2010week post\u2010activation. The EasyQSMD provides a non\u2010linguistic assessment tool that demonstrates significant predictive value for subsequent speech recognition outcomes. This early predictive capability enables the identification of poor performers during a critical window when speech recognition skills are still developing and the brain's neuroplasticity is at peak potential. Integrating spectral resolution assessment into early post\u2010activation clinical protocols could improve individualized realistic expectations counseling and guide targeted interventions\u2014potentially leading to improved overall CI adoption rates. The brief administration time and independence from linguistic content make the EasyQSMD particularly valuable for multilingual populations and during the earliest stages of auditory rehabilitation post\u2010CI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70383","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:12:31Z","timestamp":1772957551000},"page":"3155-3164","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Spectral Resolution Predicts Later Speech Recognition in Adult Cochlear Implant Recipients"],"prefix":"10.1002","volume":"136","author":[{"given":"Katelyn A.","family":"Berg","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jillian B.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Audiology, Hearts for Hearing Foundation  Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Z.","family":"Burchesky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Audiology Division University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9 H.","family":"Gifford","sequence":"additional","affiliation":[{"name":"Department of Audiology, Hearts for Hearing Foundation  Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e3182741aa7"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0048739"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/23312165211060983"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003513"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1179\/1467010013z.00000000076"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000895"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/14670100.2024.2376405"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/2024_AJA\u201024\u201000008"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.2701.62"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31822c2549"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000343189"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003968"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318171972f"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000264"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.90"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.5116009"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1084713807301379"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.1944567"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.3624820"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.3179670"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1179\/146701011X13001035753056"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10162\u2010007\u20100085\u20108"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31826709af"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10162\u2010012\u20100334\u20103"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2007.11.004"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003377"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.270.5234.303"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.3672705"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2013.851800"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000713"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000261"},{"key":"e_1_2_10_33_1","unstructured":"R Core Team \u201cR: A Language and Environment for Statistical Computing \u201d2021."},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000443"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.5092350"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1121\/10.0001316"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000004605"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003920"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002204"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/23312165211037525"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.4813802"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.413317"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10162\u2010018\u20100678\u20104"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70383","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70383","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70383","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T01:30:52Z","timestamp":1781141452000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70383"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,23]]},"references-count":42,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/lary.70383"],"URL":"https:\/\/doi.org\/10.1002\/lary.70383","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,23]]},"assertion":[{"value":"2025-06-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}