Speech Mapping

Speech Mapping allows you to illustrate to your patient how the hearing aid is processing speech or any other input in real-time by capturing curves and displaying them for easy understanding and verifying performance. It also allows you to provide counseling, fitting, and troubleshooting support during the initial fitting and follow-up fittings. A copy of up to 7 captured curves can be printed for reference.

Speech Mapping is only available during a live fitting. Curves can be captured via Speech Mapping or any Fitting screen with a graphical view except Frequency Lowering, Hearing Aid Test, and Verify Comfort. The options to capture, manage, pause/play, and select the desired views are available via both. Once Speech Mapping is activated, the frequency response graph changes to display the real-time information of the hearing aid(s) via bars or lines for speech input. In addition, Tinnitus Stimulus is temporarily disabled in all enabled programs while in this screen.

Audio FilesAudio Files

1. Connect and select the desired hearing aid(s) to capture via Connect.
2. Click Connect.
3. Click Speech Mapping from the Left Navigation Menu or click Speech Mapping from select Fitting screens.

   Note:  Regardless of the selected graphical view, Real Ear Response output and Input Type: Speech always displays on the fitting graph while Speech Mapping is activated. In addition, Acoustics is hidden and replaced with a panel of Speech Mapping buttons (e.g., , , etc.).

4. Click on the specific program to capture if applicable.

   Note:  This feature is not available for Telecoil, Autocoil, Loop, or tinnitus stimulus only enabled programs, and for the Music program, the standard fitting graph, rather than the music equalizer graph, displays. Custom programs created in the My Starkey mobile application can be adjusted during a live fitting. See Adjusting Custom Programs During a Live Fitting for more information.

5. Pro Fit automatically defaults to a binaural  view if applicable. To capture only the right or left hearing aid, click  or .

   Note:  If fitting CROS/BiCROS devices, only the receiver aid can be captured; therefore, the side cannot be selected.

6. Click here here for recommended stimuli, display, capture, and adjustments based on the patient's issue. Please refer to this table when completing steps 7-13.

   Category	Patient's Issue	Recommended Stimuli	Recommended Display and Capture	Recommended Adjustments
   Loudness	Overall Too Loud Voices too loud All sounds too loud Harsh/Too loud	Live Voice at a conversational level (65 dB) Media Player Audio Files	Max Output, Loud, and Moderate Target/Responses Capture Average Response and compare to targets	Decrease gain
   	Overall Too Soft Voices too soft All sounds too soft Hearing aid(s) too soft	Live Voice - especially that of family/friend (familiar voices - best while reading) Media Player Audio Files	Max Output, Moderate and Soft Target/Responses Capture Average Response and compare to targets	Gradually increase gain in the frequencies falling below the target
   	Loudness Comfort Sounds are painful Clattering dishes Running water Other environmental sounds are too loud	Live simulation of offensive sounds (e.g., rattle dishes/pans, run water, etc.) Media Player Audio Files	Max Output and Loud Target/Responses Capture Single Response and attempt to capture peaks in response	Gradually decrease response at frequencies corresponding to peaks
   Feedback	Hearing Aids Whistle Chirping	Attempt to elicit feedback or chirping artifact	Loud or Moderate Target/Responses Capture Single Response and attempt to capture peaks in response	Gradually decrease gain at frequencies corresponding to peaks
   Sound Quality	Noisy Hearing aid(s) is noisy Refrigerator hum too loud Hearing aid(s) is noisy in quiet environments	Determine if the noise source is internal or external to the hearing aid Internal - Soft Response with low or no input External - Media Player Audio Files (e.g., Refrigerator Noise, Computer Fan, etc.)	Soft Target/Response Capture Average Response	Gradually decrease the response in the frequencies exceeding targets
   	Pumping Hearing aid(s) cuts in and out Hearing aid(s) cut out when the patient speaks Loud sounds fade in and out	Live Voice Media Player Audio Files Use sounds that elicit a “pumping” response	Max Output and Loud Target/Responses - confirm output reduction in response to certain inputs (pumping) Capture Average Response	Make adjustments to the appropriate noise management feature (see Troubleshooting for more information) via Sound Manager Adjust settings for Maximum Adaptation for the appropriate feature via Sound Manager
   	Shutting Down Hearing aid(s) shut down with loud sounds Hearing aid(s) cut out when the patient speaks Loud sounds fade in and out	Patient's voice Live, loud sounds (e.g., clapping, loud talking, etc.) Media Player Audio Files	Max Output and Loud Target/Responses - confirm output reduction in response to certain inputs Capture Average Response	Gradually increase Maximum Output to allow use of a full Dynamic Range Adjust settings for Maximum Adaptation for the appropriate feature via Sound Manager
   	Sounds Sharp Tinny	Live Voice Media Player Audio Files	Max Output, Loud, and Moderate Target/Responses Capture Average Response and compare to targets	Gradually decrease gain in the frequencies exceeding targets
   Noise	Difficulty Understanding speech in background noise	Live, loud sounds (e.g., people talking with background noise/music, etc.) Media Player Audio Files	Max Output, Loud, and Moderate Target/Responses Capture Average Response and compare to targets	Gradually increase gain in speech frequencies
   	Too Much Noise Low tolerance for noise Background noise is too loud	Live, loud sounds (e.g., people talking with background noise/music, etc.) Media Player Audio Files	Max Output, Loud, and Moderate Target/Responses Capture Average Response	Gradually decrease Maximum Output until the patient reports improvements in comfort

7. Check or uncheck the curves to display or hide on the fitting graph in the Display section on the Speech Mapping screen or click Display.

   Note:  If None is selected for any target level via Target Preferences, that option is disabled. Regardless of the curves selected, only the Audiometric Thresholds display (if checked) for the Music program.

8. Select the real-time views to display on the fitting graph in the Display section on the Speech Mapping screen or click Display.

   Note:  The default views are Input + Gain and Bars. Input is represented in gold bars or lines, and Gain/Output is represented in red or blue. If Bars is selected, peak-level indicators will be displayed for each band and adjusted as the real-time display increases or decreases. If Frequency Lowering is enabled in the selected program, Frequency Lowering precedes the word Input and, if selected, displays the input to multichannel expansion compression output.

9. Start the stimuli (e.g., talking, clapping, playing an audio file via Media Player, etc.).
10. Click  to capture the average response over time. Click  to capture a single response and a curve of the same color displays on the fitting graph.

    Tip:  The average response capture automatically stops recording after 10 seconds. To record less than 10 seconds, click  to stop the recording at any time. Once the average response capture is complete, a curve encased in a shaded region of the same color is displayed on the fitting graph.

11. Manage the curve in the Captures Captures section on the Speech Mapping screen or click Captures.

    Note:  Pro Fit automatically assigns the curve color in a pre-determined sequence (e.g., black, green, etc.); therefore, based on the number of curves captured previously, determines the color assigned. However, any curve color can be changed by clicking on the color swatch (e.g., , , etc.).

    Field Name	Description	Details
    View	Denotes whether or not to display the captured curve on the fitting graph.	To display all captures, click View All.
    , , or	Icon representing the ear side and view captured (Input, Input + Gain, or Output).	= Input  = Input + Gain  = Output
    Curve Label	Describes the captured curve. The color, program (in parenthesis), and time of the capture automatically default.	Select the text to change, if desired, and type the new label. This label will be printed on the Verification Report.
    Color Swatch	Changes the color of the captured curve.	Click on the color swatch (e.g., , , etc.) and a color palette will display. Click on the desired color.
    Delete	Deletes the captured curve.	Click  to delete the captured curve. To remove all captured curves, click Delete All. To reverse any deletions, see Undo.

    Note:  The curve label is highlighted and displayed in a tooltip when pointing to the captured curve on the fitting graph.

12. Click to pause the real-time display or to make adjustments.

    Note:  Adjustments cannot be made on the Speech Mapping screen but can be made in any view graphically by dragging and dropping points on the frequency response curve or via buttons/sliders on select Fitting screens when the real-time display is playing or paused.

    Tip:  The button changes to . Click to resume the real-time display.

13. Make adjustments if necessary.
14. Click  to the right of Speech Mapping from select Fitting screens to stop Speech Mapping.
15. Click File from the Menu Bar and click Print to print and/or preview the Verification Report if desired.