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effect of the environment on communications for people with hearing loss

The environment in which communications is attempted has a large impact on the success of communications involving a person with hearing loss. The environment includes everything related to the physical area in which a conversation is occurring. The two most important factors are background noise and lighting.

Background Noise

The overwhelming physical environmental factor is the amount and characteristics of background noise. Hearing people are sometimes aware that background noise makes it difficult to understand speech. A loud sporting event or concert can provide an unwelcome reminder that we just can't hear with all that noise. A person with a hearing loss who is listening to spoken communication is in a similar situation to a normally hearing person at concert. They can see that that someone is talking to them, and they may even be able to hear some of the sounds, but they just can't make out the words.

How severely background noise degrades a person's ability to understand speech depends on many complex and related factors, and each person's residual hearing is different. Most people tend to have high frequency loss, so any high frequency noise that interferes with the slight amount of high frequency information they are picking up can really degrade understanding. Hard flat surfaces tend to reflect high frequency sounds, while soft, irregular tend to absorb them. For this reason, carpeted rooms, plush furniture, and textured walls and ceilings tend to improve the ability of many hard of hearing, late deafened, and oral deaf persons to understand speech. Conversely, wood floors, bare rooms, and flat walls and ceilings tend to degrade that ability.

Lighting

Lighting is an important factor for those people who rely partially on speech reading to understand spoken communication. EVERYONE relies partially on speech reading to understand spoken communication. Even normally hearing people understand better if they can clearly see a speaker's face. How much more important is it that a person with hearing loss can see well?

The two important lighting factors are the amount of lighting and the placement of the lighting. The best situation is to have several sources of light above and in front of the speaker. The goal is to illuminate the speaker with a soft, uniform light that does not promote shadows.

Of course, you will rarely be in a position to set up an ideal lighting environment, but you can generally do a lot in almost any situation. Two rules will go a long way to promote effective communication.

bulletNEVER have a light behind the speaker, as that light would be in the listener's eyes when they tried to speech read.
bulletHave plenty of light behind the hard of hearing, late deafened, or oral deaf person, directed on the speaker's face.

Putting it all together

Chances are pretty good that the person with hearing loss knows what works and doesn't work for them. They may want to sit at a certain table at a restaurant, have certain people sit in particular places, or have discussions in a specific place. They have good reasons for these choices, even if they can't explain them. If you want to promote communication, accommodate their environmental requests.