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Purpose:Telepractice is a growing service model that delivers aural rehabilitation to deaf and hard-of hearing children via telecommunications technology. Despite known benefits of telepractice, this delivery approach may increase patients' listening effort (LE) characterized as an allocation of cognitive resources toward an auditory task. The study tested techniques for collecting physiological measures of LE in normal-hearing (NH) children during remote (referred to as tele-) and in-person communication using the wearable Empatica E4 wristband. Method:Participants were 10 children (age range: 9–12 years old) who came to two tele- and two in-person weekly sessions, order counterbalanced. During each session, the children heard a short passage read by the clinical provider, completed an auditory passage comprehension task, and self-rated their effort as a part of the larger study. Measures of electrodermal activity and blood volume pulse amplitude were collected from the child E4 wristband. Results:No differences in child subjective, physiological measures of LE or passage comprehension scores were found between in-person sessions and telesessions. However, an effect of treatment duration on subjective and physiological measures of LE was identified. Children self-reported a significant increase in LE over time. However, their physiological measures demonstrated a trend indicating a decrease in LE. A significant association between subjective measures and the passage comprehension task was found suggesting that those children who reported more effort demonstrated a higher proportion of correct responses. Conclusions:The study demonstrated the feasibility of collection of physiological measures of LE in NH children during remote and in-person communication using the E4 wristband. The results suggest that measures of LE are multidimensional and may reflect different sources of, or cognitive responses to, increased listening demand. Supplemental Material:https://doi.org/10.23641/asha.27122064 

Previous research suggests that learning to use a phonetic property [e.g., voice-onset-time, (VOT)] for talker identity supports a left ear processing advantage. Specifically, listeners trained to identify two “talkers” who only differed in characteristic VOTs showed faster talker identification for stimuli presented to the left ear compared to that presented to the right ear, which is interpreted as evidence of hemispheric lateralization consistent with task demands. Experiment 1 ( n =  97) aimed to replicate this finding and identify predictors of performance; experiment 2 ( n =  79) aimed to replicate this finding under conditions that better facilitate observation of laterality effects. Listeners completed a talker identification task during pretest, training, and posttest phases. Inhibition, category identification, and auditory acuity were also assessed in experiment 1. Listeners learned to use VOT for talker identity, which was positively associated with auditory acuity. Talker identification was not influenced by ear of presentation, and Bayes factors indicated strong support for the null. These results suggest that talker-specific phonetic variation is not sufficient to induce a left ear advantage for talker identification; together with the extant literature, this instead suggests that hemispheric lateralization for talker-specific phonetic variation requires phonetic variation to be conditioned on talker differences in source characteristics.