Related Experiment Video
Updated: Jun 25, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Development of the computerized Mandarin pediatric lexical tone and disyllabic-word picture identification test in
Kevin C P Yuen1, Lan Luan, Huan Li
1Institute of Human Communicative Research and Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong, Hong Kong SAR, China. kevinyuen@ent.cuhk.edu.hk
Abstract:
MAPPID-N was developed to assess the speech-recognition abilities in noise of Mandarin-speaking children on disyllabic words, and lexical tones in monosyllabic words, in a picture-identification test format. Twenty-six normal-hearing children aged four to nine years listened repeatedly to the test materials where noise was spatially mixed with or separated from speech, in different signal-to-noise (SNR) ratios, to obtain performance-SNR functions and SNR for 50% correct scores (SNR-50%). SNR-50% improved with age only when noise was spatially separated from speech but not when noise was mixed with speech, suggesting the improvement with age in the use of intensity and timing cues differences between the two ears. The homogeneity of the test items was improved by adjusting the intensity levels of individual test items to align their SNR-50% to the mean SNR-50% level.

