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

V Schirkonyer¹, A Keilmann², C Harmuth³

¹Technical University of Munich (TUM), Munich, Germany.

|January 10, 2020

Summary

A new German speech audiometry test effectively assesses speech perception in children aged three and older. This validated tool uses age-appropriate vocabulary and a picture-pointing method for reliable results.

Keywords:

Children MATCH German Pediatric audiology Speech test

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Area of Science:

Audiology
Speech-Language Pathology
Pediatric Hearing

Background:

Accurate speech audiometry is crucial for diagnosing hearing impairments in children.
Existing tests may not be suitable for young German-speaking children.
Developing age-appropriate tools enhances diagnostic accuracy and intervention planning.

Purpose of the Study:

To develop and validate a new, German, age-appropriate speech audiometry test for children.
To utilize a lexicon relevant to 2-year-olds for test item selection.
To implement a picture-pointing, four-option non-forced choice method.

Main Methods:

Standardized and validated the test with 179 children (aged 2;11 to 6;9 years), including 51 with bilateral hearing impairment.
Determined speech reception threshold (SRT) and psychometric function slopes across age groups.
Assessed test-retest reliability and correlation with pure-tone average (PTA).

Main Results:

The test's sound spectrum and phoneme distribution align with international standards and frequent German phonemes.
SRTs ranged from 24.6 ± 0.6 dB SPL (oldest group) to 29.3 ± 1.3 dB SPL (youngest group).
High correlations were found for test-retest reliability (r=0.89) and PTA-SRT (r=0.84).

Conclusions:

The Mainz speech-test effectively measures age-related speech perception in children from three years old.
The test demonstrates good reliability and validity for pediatric audiological assessment.
This tool provides a valuable resource for evaluating speech understanding in young German-speaking children.