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Speech audiometry in the young child.

S Jerger, J Jerger, S Abrams

    Ear and Hearing
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    This study developed a pediatric speech intelligibility (PSI) test for children aged 3-6 years. An algorithm was created to select age-appropriate sentence formats for accurate speech audiometry norms.

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    Area of Science:

    • Speech-language pathology
    • Audiology
    • Developmental psychology

    Background:

    • Developing accurate speech intelligibility (PSI) tests for young children is crucial for assessing auditory processing and language development.
    • Existing tests may not adequately account for developmental variations in children's language skills.

    Observation:

    • Word materials in the PSI test did not vary with chronological age (CA), vocabulary, or receptive language (RL) skills.
    • Sentence materials showed significant differences based on CA, vocabulary, and RL ability in children aged 3-6 years.

    Findings:

    • Two sentence formats (Format I and Format II) were developed, with performance differing significantly between them.
    • An algorithm was derived to select sentence formats based on a child's RL age, creating "language equivalent" norms for speech audiometry.

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  • PSI word materials were not influenced by RL skill differences, unlike sentence materials.

    • Implications:

    • This algorithm enables more precise speech audiometry for children by tailoring test materials to individual language development levels.
    • The findings support the development of norm-referenced PSI tests that are sensitive to developmental changes in children.
    • Reliability of the PSI test-retest measures was high (0.85-0.95) for both normal-hearing and hearing-impaired children.