Pediatric speech-in-noise audiometry tests with standardized background noise: Systematic review of the literature
M Mazet1, F Enzler2, K Strelnikov3
1Université Toulouse 3-Paul Sabatier, 118, route de Narbonne, 31062 Toulouse, France.
Purpose:
To facilitate the implementation of France's 2018 '100% santé' reform, requiring speech-in-noise (SPIN) audiometry for all ages, and building upon existing adult test reviews, this study surveyed pediatric tests for potential French adaptation.
Method:
A systematic literature review of PubMed, Acoustical Society of America, and ScienceDirect databases used keywords related to speech, audiometry, children, and noise. Articles were screened, and data extracted via a reading grid, detailing test criteria: age, materials, conditions, SNR, administration, scoring, duration, translations, references, and evidence level. Tests were then scored for clinical use.
Results:
From 4605 articles, 27 tests were identified, with 6 available in French for a pediatric population (FRA-SIMAT, VRB, DTT, HINT-C, SSI-ICM, and TMB). For screening, VRB, FRA-SIMAT, DTT, TMB and SSI-ICM offer accessible options for children aged five and above. For hearing aid applications, VRB and HINT-C were deemed most comprehensive.
Conclusion:
Developing French pediatric speech-in-noise audiometry standards, considering age-related effects, is crucial. Out of the 6 pediatric SPIN tests (available in French) found in this review, the DTT (headphones) is optimal for screening, and HINT-C (free field) for hearing aid use. In France, the VRB could be a promising solution for both screening and for auditory rehabilitation.
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