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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

Assessment methods for determining small changes in hearing performance over time.

Douglas S Brungart¹, LaGuinn P Sherlock², Stefanie E Kuchinsky¹

¹Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Building 19, Floor 5, 4954 North Palmer Road, Bethesda, Maryland 20889, USA.

The Journal of the Acoustical Society of America

|July 1, 2022

Summary

This summary is machine-generated.

Assessing hearing over time using speech-in-noise tests is valuable but challenging due to variability. Integrating non-speech auditory tests alongside traditional audiograms can improve longitudinal hearing assessment reliability.

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Area of Science:

Audiology
Hearing Science
Speech Perception

Background:

The pure-tone threshold audiogram is the standard for hearing loss quantification.
Speech understanding in noise is crucial for quality of life but poorly correlated with audiograms.
Speech-in-noise metrics are promising for longitudinal hearing assessment.

Purpose of the Study:

To review the benefits and limitations of speech-understanding metrics for longitudinal hearing assessment.
To identify sources of variability in speech-in-noise tests.
To recommend strategies for reliable longitudinal hearing assessment.

Main Methods:

Review of existing literature on speech-in-noise testing and longitudinal hearing assessment.
Analysis of factors contributing to variability in speech-in-noise measures.
Discussion of the integration of non-speech auditory tests.

Main Results:

Speech-in-noise assessments offer greater quality-of-life relevance than pure-tone audiometry.
Variability in speech-in-noise tests stems from learning effects, item difficulty, and individual differences in effort and motivation.
Pure-tone audiograms and speech-in-noise tests have limitations for detecting small, longitudinal changes.

Conclusions:

Speech-in-noise metrics are valuable but require careful management of variability for longitudinal assessment.
Integrating non-speech auditory tests with reduced variability can enhance the reliability of hearing assessments.
A combined approach using traditional audiograms, speech tests, and non-speech tests is recommended for comprehensive longitudinal hearing health monitoring.