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. 2012 Mar 1;4(2):2–25. doi: 10.5539/gjhs.v4n2p2

Table S4. Auditory presentation guidelines

VARIABLE ACCOMMODATION PREFERENCE PRESENTATION CHOICES
SOUND INTENSITY BETTER • Sound signals should be at least 60 dB at the ear of the listener. (Conversational speech is 50 dB.)
• Allow for volume adjustments. Use simple instructions and controls with simple movement (e.g. back and forth along graduated level rather than turning knob)

SOUND FREQUENCY BETTER • Use sound alerts within frequency range of 500 to 2000 Hz.
• Male voices are better than female for announcements.
WORSE • High frequencies (avoid frequencies above 4000 Hz)
• Artificial (synthesized) speech

DISCRIMINATION OF SOUND CUES BETTER • Maximize pitch, spectral or location differences of individual sound cues.

SOUND LOCATION BETTER • If you must signal sound location at high frequency (>2000 Hz), use longer duration (>0.5 s)

AUDITORY ATTENTION BETTER • Provide redundant cueing through cross-sensory channels (e.g. augment a sound signal [cell phone ring] with vibration; sound alarm with light.)
• Provide headphone sets for focused work during group training.

WORSE • Background noise or reverberation. (Need to maintain high “signal-to-noise” ratio)

SPEECH RECOGNITION BETTER • Reasonable pace
• Predictable linguistic structure
• Pauses at grammatical boundaries (after phrases, end of sentences)
WORSE • Synthesized or robotic speech patterns
• Over-exaggerated and patronizing simplicity
(‘elderspeak’; ‘mother-ese’)