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Evaluation of the Computer-assisted Speech Perception Assessment Test (CASPA).

C L Mackersie1, A Boothroyd, D Minniear

  • 1Department of Communicative Disorders, San Diego State University, California 92182, USA.

Journal of the American Academy of Audiology
|October 16, 2001
PubMed
Summary

The Computer-Assisted Speech Perception Assessment (CASPA) Test shows a small practice effect, which can be managed with a brief warm-up list. Some word lists demonstrated higher scores, suggesting minor interlist differences.

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Area of Science:

  • Audiology
  • Speech-Language Pathology
  • Psychometrics

Background:

  • The Computer-Assisted Speech Perception Assessment (CASPA) Test is a tool used to evaluate speech perception.
  • Understanding interlist equivalency and practice effects is crucial for accurate assessment results.
  • Previous research has not fully detailed these specific effects for the CASPA Test's recorded stimuli.

Purpose of the Study:

  • To evaluate interlist equivalency of recorded word lists for the CASPA Test.
  • To assess short-term practice effects associated with repeated administration of CASPA Test lists.
  • To determine the impact of these factors on the reliability of speech perception scores.

Main Methods:

  • Twenty lists of 10 consonant-vowel-consonant words were administered to 20 normal-hearing adults.
  • Stimuli were presented at 50 dB SPL (Leq) amidst spectrally matched steady-state noise (55 dB SPL Leq).
  • Phoneme recognition scores were analyzed to identify practice effects and interlist differences.

Main Results:

  • A small practice effect was observed, with scores increasing from the first to subsequent lists.
  • Four specific lists (3, 6, 7, and 16) showed significantly higher scores (approx. 10 percentage points) than the others.
  • Excluding interlist differences reduced the 95% confidence interval for a single list score from 18.4 to 16.1 percentage points.

Conclusions:

  • A single practice list can mitigate the observed short-term practice effect in the CASPA Test.
  • While interlist differences are small, excluding specific lists (3, 6, 7, 16) may enhance score precision for some clinicians.
  • The CASPA Test demonstrates good reliability, with minor adjustments improving score interpretation.