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Automated screening for high-frequency hearing loss.

Marcel S M G Vlaming1, Robert C MacKinnon, Marije Jansen

  • 11National Institute for Health Research, Nottingham Hearing Biomedical Research Unit, Nottingham, UK; 2ENT-Audiology, VU University Medical Center, Amsterdam, The Netherlands; 3MRC Institute of Hearing Research, Nottingham, UK; and 4Communication Sciences Research Center, Cincinnati Children's Hospital, Cincinnati, USA.

Ear and Hearing
|August 16, 2014
PubMed
Summary
This summary is machine-generated.

Two new speech-based hearing screening tests, the high-frequency digit triplet (HF-triplet) and consonant-vowel-consonant (HF-CVC) tests, accurately detect high-frequency hearing loss. The HF-triplet test is recommended for its superior performance and simplicity in early hearing impairment detection.

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Area of Science:

  • Audiology
  • Speech-language pathology
  • Hearing science

Background:

  • High-frequency hearing loss can be an early indicator of broader hearing impairment.
  • Perceptual difficulties often arise from deficits in high-frequency sound detection.

Purpose of the Study:

  • To develop and validate two novel English speech-based hearing screening tests.
  • To specifically target the detection of hearing loss above 2000 Hz.

Main Methods:

  • Internet-delivered speech-in-noise tests using digit triplets or CVC words.
  • Low-pass filtered noise masker to enhance sensitivity to high-frequency loss.
  • Adaptive procedure to determine speech reception threshold (SRT) in noise.
  • Validation with normal-hearing and hearing-impaired listeners against audiometric data.

Main Results:

  • Both HF-triplet and HF-CVC tests showed high correlation with high-frequency hearing loss and ASL test results.
  • SRT increased nearly three times faster with hearing loss compared to the broadband digit triplet test.
  • Intraindividual variability was significantly lower for HF-triplet and HF-CVC tests.
  • Sensitivity for detecting average high-frequency hearing loss (≥20 dB) was 87% true-positive and 7% false-positive.

Conclusions:

  • The HF-triplet and HF-CVC tests offer a sensitive and accurate method for identifying high-frequency hearing loss.
  • These tests can serve as early indicators of developing hearing impairment.
  • The HF-triplet test is preferred due to its lower learning effect, error rate, and greater simplicity.