Music-Remixing Preferences of Prelingual and Postlingual Cochlear Implant Users

The poor spectral and temporal resolution of cochlear implants (CIs) limit their users’ music enjoyment. Remixing music by boosting vocals while attenuating spectrally complex instruments has been shown to benefit music enjoyment of postlingually deaf CI users. However, the effectiveness of music remixing in prelingually deaf CI users is still unknown. This study compared the music-remixing preferences of nine postlingually deaf, late-implanted CI users and seven prelingually deaf, early-implanted CI users, as well as their ratings of song familiarity and vocal pleasantness. Twelve songs were selected from the most streamed tracks on Spotify for testing. There were six remixed versions of each song: Original, Music-6 (6-dB attenuation of all instruments), Music-12 (12-dB attenuation of all instruments), Music-3-3-12 (3-dB attenuation of bass and drums and 12-dB attenuation of other instruments), Vocals-6 (6-dB attenuation of vocals), and Vocals-12 (12-dB attenuation of vocals). It was found that the prelingual group preferred the Music-6 and Original versions over the other versions, while the postlingual group preferred the Vocals-12 version over the Music-12 version. The prelingual group was more familiar with the songs than the postlingual group. However, the song familiarity rating did not significantly affect the patterns of preference ratings in each group. The prelingual group also had higher vocal pleasantness ratings than the postlingual group. For the prelingual group, higher vocal pleasantness led to higher preference ratings for the Music-12 version. For the postlingual group, their overall preference for the Vocals-12 version was driven by their preference ratings for songs with very unpleasant vocals. These results suggest that the patient factor of auditory experience and stimulus factor of vocal pleasantness may affect the music-remixing preferences of CI users. As such, the music-remixing strategy needs to be customized for individual patients and songs.