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[The new Mainz speech test for children aged 3-7 years (MATCH) : Design, standardization, and validation. German

V Schirkonyer1, A Keilmann2, C Harmuth3

  • 1Technische Universität München, München, Deutschland.

HNO
|November 30, 2019
PubMed
Summary

A new German speech audiometry test effectively assesses speech perception in children as young as 2 years and 11 months. This validated tool uses common nouns and a picture-pointing method for reliable results in pediatric audiology.

Keywords:
AudiologyGermanPediatric audiologySpeech audiometrySpeech reception threshold

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Area of Science:

  • Pediatric Audiology
  • Speech Perception Assessment
  • Developmental Linguistics

Background:

  • Early speech perception is crucial for language development.
  • Existing speech audiometry tests may not be suitable for very young children.
  • A need exists for a standardized German test for toddlers.

Purpose of the Study:

  • To develop and validate a new German speech audiometry test for children aged 2 years and 11 months and older.
  • To assess age-related speech perception abilities.
  • To establish the reliability and validity of the new test.

Main Methods:

  • A picture-pointing speech test was created using 26 common German nouns for 2-year-olds.
  • 179 children (2y 11m to 6y 9m), including 51 with hearing impairment, were tested.
  • Standardization involved determining speech reception threshold (SRT) and intelligibility slopes; validation included test-retest reliability and correlation with pure-tone average (PTA).

Main Results:

  • The test's sound spectrum aligns with international standards and German phoneme distribution.
  • SRT ranged from 24.6 ± 0.6 dB SPL (oldest group) to 29.3 ± 1.3 dB SPL (youngest group).
  • High test-retest reliability (r=0.89) and strong correlation between PTA and SRT (r=0.84) were observed.

Conclusions:

  • The new German speech audiometry test is effective for measuring age-related speech perception in children from 2 years 11 months.
  • The test demonstrates good reliability and validity for use in pediatric audiology.
  • This tool aids in the early identification and management of speech perception difficulties in young children.