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Reference Data for a Quick Speech-in-Noise Hearing Test in the French Language.

Julie Bestel1, Daniel Pressnitzer2, Mathieu Robier3

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This study presents the French Vocale Rapide dans le Bruit (VRB) test for assessing speech-in-noise ability. The VRB test effectively identifies individuals with hearing difficulties in noisy environments, even with brief screenings.

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Area of Science:

  • Audiology
  • Speech Science
  • Hearing Impairment Research

Background:

  • Speech-in-noise (SiN) difficulty is a primary concern for individuals with hearing loss.
  • Standardized SiN tests are crucial for clinical audiology but require language-specific validation.
  • The French Vocale Rapide dans le Bruit (VRB) test offers a solution for French-speaking populations.

Purpose of the Study:

  • To present a reference dataset for the French VRB test.
  • To evaluate the VRB test's sensitivity, reliability, and clinical utility.
  • To establish the VRB test's effectiveness in identifying SiN impairments.

Main Methods:

  • A nationwide study involving 641 participants with normal hearing and varying degrees of hearing loss.
  • Presentation of everyday sentences in babble noise with increasing signal-to-noise ratios (SNRs).
  • Determination of the speech reception threshold (SRT) and comparison with audiometric measures.

Main Results:

  • The VRB test demonstrated high sensitivity and reliability, with steep psychometric functions and excellent test-retest consistency.
  • Audiometric measures explained 74% of SRT variance in the general cohort, but only 29% in normal-hearing individuals.
  • 18.4% of individuals not meeting criteria for hearing aid prescription based on other measures were identified as having impaired SRTs with the VRB test.

Conclusions:

  • The VRB test is a sensitive and reliable tool for identifying speech-in-noise impairments in French speakers.
  • The VRB test can identify individuals with significant SiN difficulties missed by traditional audiometric evaluations.
  • Even a brief, one-minute VRB screening effectively detects most cases of impaired SRTs.