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Reliability Analysis of the Arabic Speech Matrix Test.

Alia Asiri1, Fida Almuhawas1,2, Dalal Alrushaydan3

  • 1King Abdullah Ear Specialist Center (KAESC) King Saud University Medical City Riyadh Saudi Arabia.

Laryngoscope Investigative Otolaryngology
|April 21, 2025
PubMed
Summary

The Arabic Speech Matrix test shows reliable results for assessing speech understanding in noise. This hearing test is suitable for clinical use in various patient groups, including those with hearing aids and cochlear implants.

Keywords:
hearing impairmentreliability testingspeech in noise testspeech matrix tests

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Area of Science:

  • Audiology
  • Speech perception research

Background:

  • Speech matrix tests evaluate speech comprehension in noise, crucial for daily communication.
  • Pure tone audiometry primarily measures hearing sensitivity.

Purpose of the Study:

  • To determine the test-retest reliability of the Arabic Speech Matrix test.
  • To assess the utility of the Arabic Speech Matrix test in clinical audiology.

Main Methods:

  • Prospective cohort study with 75 participants (normal hearing, cochlear implant users, hearing aid users).
  • Test administered in two settings with varied noise presentation; re-administered after 7-14 days.
  • Reliability assessed using Intra-class Correlation Coefficient (ICC) and Bland-Altman plots.

Main Results:

  • Moderate to excellent test-retest reliability observed.
  • Higher consistency in reliability for cochlear implant and hearing aid users compared to normal hearing individuals.
  • Minor learning effects noted in the normal hearing group; better reliability in the left ear setting.

Conclusions:

  • The Arabic Speech Matrix test demonstrates strong overall test-retest reliability.
  • The test is a reliable tool for clinical audiological evaluations.
  • The findings support the integration of the Arabic Speech Matrix test into standard audiological practice.