# Development of the binaural intelligibility level difference for speech-in-speech recognition

**Authors:** Lori J. Leibold, Jenna Felder, Elizabeth Benson, Emily Buss

PMC · DOI: 10.1121/10.0039675 · Jasa Express Letters · 2025-10-21

## TL;DR

The study found that children's ability to understand speech in background speech improves by age ten, matching adult performance.

## Contribution

The study demonstrates that the binaural intelligibility level difference matures by age ten in speech-in-speech recognition.

## Key findings

- BILD estimates for children matured by ten years of age.
- Children's speech-in-speech recognition reached adult-like performance by age ten.
- Binaural processing develops similarly in speech-in-speech and speech-in-noise contexts.

## Abstract

This study aimed to characterize maturation of the binaural intelligibility level difference (BILD) for school-age children in the context of speech-in-speech recognition. Children (5–17 years) and adults completed an adaptive, open-set sentence recognition task in a two-talker masker in two binaural conditions: (1) target and masker speech in-phase across the two ears, and (2) target speech presented 180° out-of-phase across the two ears and masker speech presented in-phase. Estimates of the BILD, computed as the difference score between the two binaural conditions, were mature by ten years of age, consistent with previous data on the BILD for speech-in-noise recognition.

## Full-text entities

- **Diseases:** ear infections (MESH:D010031), lapses of attention (MESH:D001289), hearing loss (MESH:D034381), chronic otitis media (MESH:D010033), BILD (MESH:C538142)
- **Chemicals:** M0Tpi (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

44 references — full list in the complete paper: https://tomesphere.com/paper/PMC12548565/full.md

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Source: https://tomesphere.com/paper/PMC12548565