Multilevel Modelling of Gaze from Hearing-impaired Listeners following a Realistic Conversation

PurposeThere is a need for outcome measures that predict real-world communication abilities in hearing-impaired people. We outline a potential method for this and use it to answer the question of when, and how much, hearing-impaired listeners look towards a new talker in a conversation. MethodTwenty-two older hearing-impaired adults followed a pre-recorded two-person audiovisual conversation in the presence of babble noise. We compared their eye-gaze direction to the conversation in two multilevel logistic regression (MLR) analyses. First, we split the conversation into events classified by the number of active talkers within a turn or a transition, and we tested if these predicted the listeners gaze. Second, we mapped the odds that a listener gazed towards a new talker over time during a conversation transition. ResultsWe found no evidence that our conversation events predicted changes in the listeners gaze, but the listeners gaze towards the new talker during a silent-transition was predicted by time: The odds of looking at the new talker increased in an s-shaped curve from at least 0.4 seconds before to 1 second after the onset of the new talkers speech. A comparison of models with different random effects indicated that more variance was explained by differences between individual conversation events than by differences between individual listeners. ConclusionMLR modelling of eye-gaze during talker transitions is a promising approach to study a listeners perception of realistic conversation. Our experience provides insight to guide future research with this method.