Esta página se tradujo automáticamente y no se garantiza la precisión de la traducción. por favor refiérase a versión inglesa para un texto fuente.

Spatial Cues, Task Demands, and Auditory Selective Attention

10 de agosto de 2026 actualizado por: Christopher Brown, University of South Florida

How Spatial Cues Support Communication: Interactions Between Auditory Spatial Features and Task Demands Across Cortical Networks

Understanding speech in restaurants and other noisy environments is the most common complaint from the more than 60 million Americans with hearing impairment. Succeeding in such environments requires a listener to first segregate sound sources and then selectively attend to the source of interest. This study examines how individual auditory spatial cues (interaural time differences and interaural level differences) support spatial selective attention, the cortical processes that underlie this ability, and how these processes are modulated by task demands. Participants with normal hearing and participants who use bilateral cochlear implants will perform listening tasks while brain and physiological responses are recorded (electroencephalography, functional near-infrared spectroscopy, pupillometry, and, for normal-hearing participants only, functional magnetic resonance imaging). The findings will provide new insights into the mechanisms of spatial selective attention and help guide clinical solutions for cochlear implant users, individuals with hearing impairment more generally, and older normal-hearing adults who have difficulty understanding speech in noisy environments.

Descripción general del estudio

Estado

Reclutamiento

Condiciones

Intervención / Tratamiento

Descripción detallada

This study will examine the contributions of spatial cues (interaural level differences and interaural time differences) and task demands on spatial selective attention. Aim 1 will simultaneously collect functional near infrared spectroscopy (fNIRS), electroencephalography (EEG), pupillometry, and behavioral data in normal-hearing (NH) participants, while they perform tasks designed to probe various aspects of spatial selective attention. We will make every effort to include as many Aim 1 participants in Aim 2 as possible. Aim 2 will record functional magnetic resonance imaging (fMRI) during the same tasks. Aim 3 will essentially replicate Aim 1 in bilateral CI users. We will not record fMRI with CI users due to safety concerns.

Paradigm 1. The paradigm will require listeners to hold information in working memory. We will measure effects of task demands and auditory spatial cues on cognitive and sensory responses to a single stream of stimuli. Stimuli will be a set of recorded "crash" sound effects with a broadband frequency profile, ideal for spatialization (important because a main goal of ours is to compare measures when spatialization is achieved with either interaural time differences (ITDs), which dominate spatial perception in the low-frequency region, or interaural level differences (ILDs), which dominate in the high-frequency region). Taxing working memory is an important component to the paradigm because it will allow us to influence listening effort, a critical factor in our hypotheses, and because it will ensure engagement of prefrontal cortex, which we hypothesize drives lateralization of activity in auditory cortex.

Paradigm 2. The paradigm asks listeners to attend to either the Location or the Pitch of a single speech token, hold that value in memory while a diffuse noise masker is presented, and compare the remembered location or pitch to a subsequent probe token. The noise masker will ensure that listeners cannot rely on echoic memory. We will examine the effects of task demands and spatial cues on auditory cortex spatial selectivity. As with Paradigm 1 (and for the same reasons), the choice to force listeners to use working memory to perform the task was deliberate. Here, the main goal is to force listeners to have to map a perceived location to exogenous space, which is the only way to hold a location in memory. This should allow us to observe auditory cortical tuning with much more precision.

Paradigm 3. This paradigm will present listeners with an ongoing, isochronous stream of words, which can be spoken by either a male or a female, and which will be spatialized to come from either the left or right. There are two tasks. The first is to attend to a given talker (male or female), and ignore location, and the second is to attend to a given location and ignore talker. On each trial, subjects must count the number of occurrences of a particular word that match the feature that they are asked to attend. The goal here is to force participants to use either space or to use another cue (voice pitch) to perform the task.

Neuroimaging Approach 1. We will use EEG to record event-related potentials, which will allow us to observe changes in encoding and lateralization of sounds, which should increase as spatial cue quality increases. fNIRS will allow us to measure prefrontal cortical activity during task engagement, which has been linked to cognitive effort. Pupillometry will provide a more traditional, well-defined measure of overall effort. Behavior will provide an indication of the summative contributions of each factor.

Neuroimaging Approach 2. We will use fMRI to look at stimulus-induced lateralization and spatial receptive fields in auditory cortex. We will also look for particular activity in prefrontal cortex indicating recruitment of visually-biased regions, associated with spatial processing. These regions have particular importance to our hypotheses, because they are only engaged when space is required to perform an auditory task.

We propose nine experiments. Six experiments will test NH listeners, and will each leverage one of the three paradigms and one of the two neuroimaging approaches. The three additional experiments will test bilateral CI users, and we will use only neuroimaging approach 1 (fNIRS/EEG/Pupillometry), due to safety concerns regarding their medical devices and the MRI scanner.

Tipo de estudio

Intervencionista

Inscripción (Estimado)

80

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

  • Nombre: Christopher A Brown, PhD
  • Número de teléfono: 412-670-2772
  • Correo electrónico: cb43@usf.edu

Ubicaciones de estudio

    • Florida
      • Tampa, Florida, Estados Unidos, 33620
        • Reclutamiento
        • University of South Florida, PCD Building, Room 3008A
        • Contacto:
          • Christopher A Brown, PhD
          • Número de teléfono: 412-670-2772
          • Correo electrónico: cb43@usf.edu

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto
  • Adulto Mayor

Acepta Voluntarios Saludables

Sí

Descripción

Inclusion Criteria:

  • Adults with normal hearing, confirmed by audiometric assessment (thresholds within 20 dB HL of normal through 8 kHz), OR adults with bilateral cochlear implants who have used their implants for at least one year
  • Native speakers of American English
  • Normal or corrected-to-normal vision

Exclusion Criteria:

  • Known neurological disorders
  • For fMRI sessions (normal-hearing participants only): contraindications to MRI scanning; cochlear implant users do not complete MRI sessions

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Ciencia básica
  • Asignación: No aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Otro: Bilateral Cochlear Implant Users
Adults with existing bilateral cochlear implants (implanted and using their devices for at least one year). Participants complete the discrimination and selective-attention auditory paradigms with manipulated spatial cues while combined EEG, fNIRS, and pupillometry are recorded. No fMRI is collected in this arm due to device safety concerns.
Participants in this arm are recruited from a population who have existing bilateral cochlear implants. The implants are the participants' own clinical devices, used as clinically programmed; no investigational device or modification is provided by the study. Auditory attention tasks are presented with manipulated spatial cues (interaural time differences, interaural level differences, or HRTFs).
Otro: Normal Hearing Controls
Adults with audiometrically confirmed normal hearing (thresholds within 20 dB HL of normal through 8 kHz). Participants complete three auditory attention paradigms (working memory, discrimination, selective attention) with manipulated spatial cues, under combined EEG, fNIRS, and pupillometry sessions and fMRI sessions.
Control group recruited from the normal hearing population. Participants perform the same auditory attention tasks with manipulated spatial cues (interaural time differences, interaural level differences, or HRTFs) under EEG/fNIRS/pupillometry and fMRI.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
EEG
Periodo de tiempo: 2 hours
EEG data acquired using 32 Ag-Ag/Cl electrodes embedded in an elastic cap (Brain Products), impedances below 20 kOhms, locations per the extended 10-20 system, recorded at 5 kHz from 0.1-100 Hz. Event-related potentials (including attentional modulation of the N1) and parietal alpha lateralization are compared across spatial-cue and task-demand conditions.
2 hours
NIRS
Periodo de tiempo: 2 hours
Functional near-infrared spectroscopy collected with a montage targeting bilateral superior temporal gyrus (STG) and bilateral prefrontal cortex, using a NIRSport 2 8x8 channel system (NIRx) with long- and short-distance channel probes; 3D structural head scanning registers probe placement. Optical signals recorded at 10 Hz with an average source-detector distance of 35 mm. Oxygenated and deoxygenated hemoglobin responses are compared across conditions.
2 hours
Pupillometry
Periodo de tiempo: 2 hours
Pupil dilation from both eyes recorded with the EyeLink 1000 at a sampling rate of 1000 Hz, normalized to each participant pupillary dynamic range, as an index of listening effort across conditions.
2 hours
MRI
Periodo de tiempo: 2 hours
Data acquired on a 3 Tesla Siemens Prisma MRI scanner (64-channel head coil). High-resolution (0.8 mm iso) T1-weighted multi-echo MP-RAGE and T2-weighted SPACE images collected for cortical reconstruction (FreeSurfer); functional MRI measures stimulus-induced lateralization and spatial receptive fields in auditory cortex. Normal-hearing arm only.
2 hours
Discrimination (DISCR)
Periodo de tiempo: 2 hours
Behavioral discrimination performance for spatialized sounds. HRTFs span +/- 90 degrees, broadband ILDs span +/- 20 dB, and broadband ITDs span +/- 800 microseconds; values chosen to roughly equate perceived lateral range across cues.
2 hours

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Colaboradores

Investigadores

  • Investigador principal: Christopher A Brown, PhD, University of South Florida

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

22 de octubre de 2025

Finalización primaria (Estimado)

1 de abril de 2030

Finalización del estudio (Estimado)

1 de julio de 2030

Fechas de registro del estudio

Enviado por primera vez

10 de agosto de 2026

Primero enviado que cumplió con los criterios de control de calidad

10 de agosto de 2026

Publicado por primera vez (Actual)

14 de agosto de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

14 de agosto de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

10 de agosto de 2026

Última verificación

1 de agosto de 2026

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • STUDY008767
  • R01DC022699 (Subvención/contrato del NIH de EE. UU.)

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

De-identified individual participant data for all primary measures (behavioral, EEG, fNIRS, pupillometry, and MRI) will be publicly shared in BIDS-compliant format, per the NIH Data Management and Sharing Plan for this award. Smaller datasets (demographics, behavioral scores) will be shared as text/CSV files via GitHub and permanently archived on Zenodo; larger neuroimaging datasets will be shared on Zenodo directly, with permanent DOIs. Custom acquisition and analysis software will also be shared via GitHub and archived on Zenodo.

Marco de tiempo para compartir IPD

Data supporting each publication will be shared no later than the time of publication, and retained permanently (Zenodo provides permanent archiving with DOIs).

Criterios de acceso compartido de IPD

Publicly available with no access restrictions.

Tipo de información de apoyo para compartir IPD

  • CÓDIGO_ANALÍTICO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .