{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:52:31Z","timestamp":1789192351542,"version":"build-2803163510"},"reference-count":34,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>Background: When speaking while wearing a face mask, sound transmission is attenuated, and visual cues are lost due to the covered facial movements of the speaker. In this study, we investigated the extent to which different face masks alter speech intelligibility in individuals with different degrees of hearing impairment. Methods: A total of fifty participants were divided into four hearing status groups according to the degree of hearing loss: normal levels (16), mild (13), moderate (11), and severe (10). A modified version of the Audiovisual German Matrix Sentence Test (AV-OLSA) was used to assess speech perception in noise in five conditions (audiovisual, audio-only, visual-only, surgical mask, and FFP2 mask). Results: Our results show that acoustic attenuations of face masks cause a small but similar decrease in speech reception thresholds (SRTs) in listeners of different hearing statuses. The effect of visual cues (visual benefit) on SRTs was stronger than the effect of acoustic attenuation but also did not differ significantly between the different hearing status groups, with a median difference of 1.5 dB for mild hearing loss, 2.9 dB for moderate hearing loss, and 2.7 dB for severe hearing loss. The best-aided hearing status did not correlate with visual benefit. Conclusions: Our research confirms the importance of providing visual cues for speech reception in noisy environments, especially for individuals with impaired hearing, regardless of their degree of hearing loss.<\/jats:p>","DOI":"10.3390\/audiolres15010007","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T05:47:42Z","timestamp":1737438462000},"page":"7","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Visual and Acoustic Aspects of Face Masks Affect Speech Intelligibility in Listeners with Different Hearing Statuses"],"prefix":"10.3390","volume":"15","author":[{"given":"Pauline","family":"Rohner","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of Oldenburg, Steinweg 13-17, 26122 Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3574-7123","authenticated-orcid":false,"given":"Rasmus","family":"S\u00f6nnichsen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of Oldenburg, Steinweg 13-17, 26122 Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Hochmuth","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of Oldenburg, Steinweg 13-17, 26122 Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1881-4179","authenticated-orcid":false,"given":"Andreas","family":"Radeloff","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of Oldenburg, Steinweg 13-17, 26122 Oldenburg, Germany"},{"name":"Research Center Neurosensory Science, University of Oldenburg, K\u00fcpkersweg 74, 26129 Oldenburg, Germany"},{"name":"Cluster of Excellence \u201cHearing 4 All\u201d, University of Oldenburg, Carl-von-Ossietzky-Str 9-11, 26111 Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2023, July 23). World Report on Hearing. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240020481."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Healy, E.W., and Yoho, S.E. (2016, January 16\u201320). Difficulty understanding speech in noise by the hearing impaired: Underlying causes and technological solutions. Proceedings of the 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Orlando, FL, USA.","DOI":"10.1109\/EMBC.2016.7590647"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2677","DOI":"10.1121\/1.422788","article-title":"Auditory-visual speech recognition by hearing-impaired subjects: Consonant recognition, sentence recognition, and auditory-visual integration","volume":"103","author":"Grant","year":"1998","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2371","DOI":"10.1121\/10.0002279","article-title":"Acoustic effects of medical, cloth, and transparent face masks on speech signals","volume":"148","author":"Corey","year":"2020","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Rahne, T., Fr\u00f6hlich, L., Plontke, S., and Wagner, L. (2021). Influence of surgical and N95 face masks on speech perception and listening effort in noise. PLoS ONE, 16.","DOI":"10.21203\/rs.3.rs-343284\/v1"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2878","DOI":"10.1121\/10.0002450","article-title":"Effect of masks on speech intelligibility in auralized classrooms","volume":"148","author":"Bottalico","year":"2020","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.joto.2022.04.004","article-title":"Effect of face masks on speech understanding: A clinical perspective during speech audiometry","volume":"17","author":"Kumar","year":"2022","journal-title":"J. Otol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/MAO.0000000000003458","article-title":"How Face Masks Interfere with Speech Understanding of Normal-Hearing Individuals: Vision Makes the Difference","volume":"43","author":"Hochmuth","year":"2022","journal-title":"Otol. Neurotol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"23312165221134378","DOI":"10.1177\/23312165221134378","article-title":"Challenging Times for Cochlear Implant Users\u2014Effect of Face Masks on Audiovisual Speech Understanding during the COVID-19 Pandemic","volume":"26","author":"Hohmann","year":"2022","journal-title":"Trends Hear."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"58","DOI":"10.3766\/jaaa.15151","article-title":"The Effect of Conventional and Transparent Surgical Masks on Speech Understanding in Individuals with and without Hearing Loss","volume":"28","author":"Atcherson","year":"2017","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1080\/09638288.2023.2176553","article-title":"The influence of facemasks on communication in healthcare settings: A systematic review","volume":"46","author":"Francis","year":"2024","journal-title":"Disabil. Rehabil."},{"key":"ref_12","first-page":"25","article-title":"Effects of Different Types of Face Coverings on Speech Acoustics and Intelligibility","volume":"9","author":"Llamas","year":"2008","journal-title":"York Pap. Linguist. Ser."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Moon, I.J., Jo, M., Kim, G.Y., Kim, N., Cho, Y.S., Hong, S.H., and Seol, H.Y. (2022). How Does a Face Mask Impact Speech Perception?. Healthcare, 10.","DOI":"10.3390\/healthcare10091709"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1080\/14992027.2021.1952490","article-title":"The impact of face masks on the communication of adults with hearing loss during COVID-19 in a clinical setting","volume":"61","author":"Homans","year":"2022","journal-title":"Int. J. Audiol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1097\/AUD.0000000000001458","article-title":"Auditory, Visual, and Cognitive Abilities in Normal-Hearing Adults, Hearing Aid Users, and Cochlear Implant Users","volume":"45","author":"Ceuleers","year":"2024","journal-title":"Ear Hear."},{"key":"ref_16","unstructured":"Wagener, K., Hochmuth, S., Ahrlich, M., Zokoll, M.A., and Kollmeier, B. (2014, January 12\u201315). Der weibliche oldenburger satztest. The female version of the oldenburg sentence test. [Conference Session]. Proceedings of the 2014 CD-ROM, Oldenburg, Germany."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3109\/14992027.2015.1020971","article-title":"The multilingual matrix test: Principles, applications, and comparison across languages: A review","volume":"54","author":"Kollmeier","year":"2015","journal-title":"Int. J. Audiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1080\/14992027.2021.1930205","article-title":"Development and evaluation of video recordings for the OLSA matrix sentence test","volume":"61","author":"Llorach","year":"2022","journal-title":"Int. J. Audiol."},{"key":"ref_19","unstructured":"Llorach, G., Kirschner, F., Grimm, G., and Hohmann, V. (2020). Video recordings for the female German Matrix Sentence Test (OLSA). Zenodo."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1080\/14992027.2022.2045366","article-title":"The effect of wearing face mask on speech intelligibility in listeners with sensorineural hearing loss and normal hearing sensitivity","volume":"62","author":"Alkharabsheh","year":"2023","journal-title":"Int. J. Audiol."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Gieseler, A., Rosemann, S., Tahden, M., Wagener, K.C., Thiel, C., and Colonius, H. (Preprint, 2020). Linking Audiovisual Integration to Audiovisual Speech Recognition in Noise, Preprint.","DOI":"10.31219\/osf.io\/46caf"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1097\/AUD.0b013e31812f7185","article-title":"Audiovisual integration and lipreading abilities of older adults with normal and impaired hearing","volume":"28","author":"Sommers","year":"2007","journal-title":"Ear Hear."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1044\/1092-4388(2007\/080)","article-title":"Enhanced visual speech perception in individuals with early-onset hearing impairment","volume":"50","author":"Auer","year":"2007","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1590\/s2317-17822014000100008","article-title":"Speechreading as a communication mediator","volume":"26","author":"Oliveira","year":"2014","journal-title":"Codas"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"267","DOI":"10.3109\/01050399609074966","article-title":"Audio-visual speechreading in a group of hearing aid users. The effects of onset age, handicap age, and degree of hearing loss","volume":"25","author":"Tillberg","year":"1996","journal-title":"Scand. Audiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1044\/2018_JSLHR-S-18-0153","article-title":"Enhanced Speechreading Performance in Young Hearing Aid Users in China","volume":"62","author":"Lei","year":"2019","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2099","DOI":"10.1111\/jgs.13649","article-title":"Self-Reported Hearing Loss, Hearing Aids, and Cognitive Decline in Elderly Adults: A 25-Year Study","volume":"63","author":"Amieva","year":"2015","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"7295","DOI":"10.1073\/pnas.0609419104","article-title":"Evidence that cochlear-implanted deaf patients are better multisensory integrators","volume":"104","author":"Rouger","year":"2007","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1037\/0033-295X.103.3.403","article-title":"The processing-speed theory of adult age differences in cognition","volume":"103","author":"Salthouse","year":"1996","journal-title":"Psychol. Rev."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1037\/0882-7974.17.2.299","article-title":"Models of visuospatial and verbal memory across the adult life span","volume":"17","author":"Park","year":"2002","journal-title":"Psychol. Aging"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1037\/pag0000094","article-title":"Lipreading and audiovisual speech recognition across the adult lifespan: Implications for audiovisual integration","volume":"31","author":"Spehar","year":"2016","journal-title":"Psychol. Aging"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"ENEURO.0258-21.2021","DOI":"10.1523\/ENEURO.0258-21.2021","article-title":"Treatment of Age-Related Hearing Loss Alters Audiovisual Integration and Resting-State Functional Connectivity: A Randomized Controlled Pilot Trial","volume":"8","author":"Rosemann","year":"2021","journal-title":"eNeuro"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Burkhardt, P., M\u00fcller, V., Meister, H., Weglage, A., Lang-Roth, R., Walger, M., and Sandmann, P. (2022). Age effects on cognitive functions and speech-in-noise processing: An event-related potential study with cochlear-implant users and normal-hearing listeners. Front. Neurosci., 16.","DOI":"10.3389\/fnins.2022.1005859"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.neuroimage.2018.04.023","article-title":"Audio-visual speech processing in age-related hearing loss: Stronger integration and increased frontal lobe recruitment","volume":"175","author":"Rosemann","year":"2018","journal-title":"Neuroimage"}],"container-title":["Audiology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4349\/15\/1\/7\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:32:33Z","timestamp":1759919553000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4349\/15\/1\/7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,21]]},"references-count":34,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["audiolres15010007"],"URL":"https:\/\/doi.org\/10.3390\/audiolres15010007","relation":{},"ISSN":["2039-4349"],"issn-type":[{"value":"2039-4349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,21]]}}}