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The digit triplet test: a scoping review.

Elien Van den Borre1, Sam Denys1, Astrid van Wieringen1

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|April 12, 2021
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Summary

Digit Triplet Tests (DTT) and digits-in-noise tests (DIN) are valuable tools for hearing screening. These tests show high precision and can be modified for improved accuracy and feasibility in diverse populations.

Keywords:
Digit triplet testdigits-in-noisehearing screeningspeech-in-noise screening

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Area of Science:

  • Audiology
  • Speech-Language Pathology

Background:

  • Digit Triplet Tests (DTT) and digits-in-noise tests (DIN) are widely used in audiological assessments.
  • Understanding their variations and psychometric properties is crucial for effective clinical application.

Purpose of the Study:

  • To review and synthesize existing literature on Digit Triplet Tests (DTT) and digits-in-noise tests (DIN).
  • To investigate the impact of variations in language, speech material, masking noise, and procedures on test validity, reliability, and feasibility.

Main Methods:

  • A scoping review methodology was employed.
  • Searches were conducted in Pubmed and Embase using "digit triplet test" and "digits in noise".
  • Citation scanning (backward and forward) was performed, resulting in the selection of 39 papers from 95 initial results.

Main Results:

  • DTT and DIN demonstrate psychometric reference curves with steep slopes and precise speech reception thresholds, correlating strongly with pure tone audiometry.
  • Test variants exhibit high sensitivity and specificity for detecting elevated pure tone thresholds.
  • Procedural modifications can enhance test performance, and large-scale application is feasible.

Conclusions:

  • Digit Triplet Tests (DTT) and digits-in-noise tests (DIN) are highly valuable for screening and diagnostics across diverse populations.
  • These tests offer a precise and sensitive method for assessing hearing function.