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A Dynamic Speech Comprehension Test for Assessing Real-World Listening Ability.
Virginia Best1, Gitte Keidser2, Katrina Freeston2
1Department of Speech, Language and Hearing Sciences, Boston University, Boston, MA.
Journal of the American Academy of Audiology
|July 14, 2016
Summary
New speech tests were developed to assess multitalker communication difficulties in hearing loss. Performance was sensitive to signal-to-noise ratio but not the number of talkers, showing promise for predicting real-world abilities.
Area of Science:
- Audiology
- Speech processing
- Cognitive science
Background:
- Listeners with hearing loss struggle in multitalker environments.
- Current assessment tools do not accurately predict these difficulties.
Purpose of the Study:
- Develop novel speech tests for multitalker communication.
- Improve prediction of real-world communication abilities.
- Assess the impact of hearing aids on communication.
Main Methods:
- Extended an existing speech comprehension test.
- Incorporated naturalistic multi-talker conversations and reverberant backgrounds.
- Validated the test with 30 normal-hearing listeners.
Main Results:
- Developed four equivalent test passage sets with good reliability.
- Speech comprehension was sensitive to signal-to-noise ratio (SNR).
- Performance was not affected by an increasing number of talkers; age and working memory correlated with performance.
Conclusions:
- The dynamic speech comprehension test is valid for research.
- Further research will assess its clinical utility for predicting communication ability and hearing aid benefit.
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