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

IF 1.6 4区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Audiology and Neuro-Otology Pub Date : 2024-01-01 Epub Date: 2024-03-18 DOI:10.1159/000537768

Julie Bestel, Daniel Pressnitzer, Mathieu Robier, Frédéric Rembaud, Christian Renard, François Leclercq, Christophe Vincent

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引用次数: 0

Abstract

Introduction: Difficulty in understanding speech in noise is the most common complaint of people with hearing impairment. Thus, there is a need for tests of speech-in-noise ability in clinical settings, which have to be evaluated for each language. Here, a reference dataset is presented for a quick speech-in-noise test in the French language (Vocale Rapide dans le Bruit, VRB; Leclercq, Renard, & Vincent, 2018).

Methods: A large cohort (N = 641) was tested in a nationwide multicentric study. The cohort comprised normal-hearing individuals and individuals with a broad range of symmetrical hearing losses. Short everyday sentences embedded in babble noise were presented over a spatial array of loudspeakers. Speech level was kept constant, while noise level was progressively increased over a range of signal-to-noise ratios. The signal-to-noise ratio for which 50% of keywords could be correctly reported (speech reception threshold, SRT) was derived from psychometric functions. Other audiometric measures were collected for the cohort, such as audiograms and speech-in-quiet performance.

Results: The VRB test was both sensitive and reliable, as shown by the steep slope of the psychometric functions and by the high test-retest consistency across sentence lists. Correlation analyses showed that pure tone averages derived from the audiograms explained 74% of the SRT variance over the whole cohort, but only 29% for individuals with clinically normal audiograms. SRTs were then compared to recent guidelines from the French Society of Audiology [Eur Ann Otorhinolaryngol Head Neck Dis. 2022;139(1):21-7]. Among individuals who would not have qualified for hearing aid prescription based on their audiogram or speech intelligibility in quiet, 18.4% were now eligible as they displayed SRTs in noise impaired by 3 dB or more. For individuals with borderline audiograms, between 20 dB HL and 30 dB HL, the prevalence of impaired SRTs increased to 71.4%. Finally, even though five lists are recommended for clinical use, a minute-long screening using only one VRB list detected 98.6% of impaired SRTs.

Conclusion: The reference data suggest that VRB testing can be used to identify individuals with speech-in-noise impairment.

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法语快速噪声言语听力测试参考数据。

简介难以理解噪声中的言语是听力障碍患者最常抱怨的问题。因此，有必要在临床环境中进行噪声语言能力测试，而且必须针对每种语言进行评估。在此，我们提供了一个法语噪声中快速言语测试的参考数据集（Vocale Rapide dans le Bruit, VRB; Leclercq, Renard & Vincent, 2018）：在一项全国范围的多中心研究中，对一大批人（N=641）进行了测试。研究对象包括听力正常者和各种对称性听力损失者。在扬声器的空间阵列中播放嵌入咿呀噪音的日常短句。在不同的信噪比范围内，语音水平保持不变，而噪声水平则逐渐增加。50%的关键词能被正确报告的信噪比（语音接收阈值，SRT）是根据心理测量函数得出的。此外，还收集了其他听力测量数据，如听力图和安静时的语音表现：VRB 测试既灵敏又可靠，这体现在心理测量函数的陡峭斜率和不同句子列表之间的测试重复一致性很高。相关性分析表明，从听力图中得出的纯音平均值可以解释整个队列中 74% 的 SRT 变异，但对于临床听力图正常的个体而言，SRT 变异的解释率仅为 29%。然后将 SRT 与法国听力学学会的最新指南（Joly 等人，2021 年）进行比较。根据听力图或安静环境下的言语清晰度，原本不符合助听器处方条件的人中，有 18.4% 现在符合条件，因为他们在噪声环境下的 SRT 值受损 3 分贝或更多。对于听力图介于 20 dB HL 和 30 dB HL 之间的边缘人群，SRT 受损的比例增加到 71.4%。最后，尽管临床上推荐使用五份清单，但仅使用一份 VRB 清单进行一分钟的筛查，就能检测出 98.6% 的 SRT 受损：参考数据表明，VRB 测试可用于识别有噪声言语障碍的人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Audiology and Neuro-Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： ''Audiology and Neurotology'' provides a forum for the publication of the most-advanced and rigorous scientific research related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear. This journal seeks submission of cutting edge research opening up new and innovative fields of study that may improve our understanding and treatment of patients with disorders of the auditory and vestibular systems, their central connections and their perception in the central nervous system. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines.