The Speech Intelligibility Index: Tutorial and Applications for Children Who Are Deaf and Hard of Hearing.

IF 1.4 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

American Journal of Audiology Pub Date : 2025-07-25 DOI:10.1044/2025_AJA-24-00267

Kathryn B Wiseman, Caitlin Sapp, Derek Stiles, Elizabeth A Walker, Ryan W McCreery

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引用次数: 0

Abstract

Purpose: Speech audibility refers to how much access a listener has to the acoustic cues that comprise spoken communication. The Speech Intelligibility Index (SII) is a measure of speech audibility that has had increasing use in pediatric audiology to quantify auditory access with and without hearing aids. This tutorial focuses on clinical applications of the SII in children who are deaf and hard of hearing (DHH).

Method: We discuss the calculation of the SII and the current clinical tools that calculate aided and unaided SII. We describe practical uses of the SII throughout the steps of audiologic care, including at diagnosis of hearing loss, hearing technology candidacy, hearing aid verification, and long-term management of children who are DHH. Common questions about clinical applications of the SII are addressed throughout the tutorial. Finally, we present three case studies that illustrate the application of SII to clinical decision making and counseling with children and their families.

Conclusions: The SII has multiple applications in pediatric audiology. Speech audibility can support device candidacy and management decisions for children who are DHH.

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语音清晰度指数：聋儿和听力障碍儿童的指导和应用。

目的：语音可听性是指听者能够接触到多少构成口语交流的声音线索。语音清晰度指数（SII）是一种言语可听性的测量方法，在儿科听力学中越来越多地用于量化有无助听器的听觉通道。本教程的重点是SII在聋儿和听障儿童（DHH）中的临床应用。方法：我们讨论了SII的计算方法以及目前计算辅助和非辅助SII的临床工具。我们描述了SII在整个听力学护理步骤中的实际应用，包括听力损失的诊断、听力技术候选、助听器验证和DHH儿童的长期管理。关于SII临床应用的常见问题将在本教程中讨论。最后，我们提出了三个案例研究来说明SII在临床决策和儿童及其家庭咨询中的应用。结论：SII在小儿听力学中有多种应用。语音可听性可以支持DHH患儿的设备候选资格和管理决策。

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

American Journal of Audiology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY

CiteScore

3.00

自引率

16.70%

发文量

163

审稿时长

>12 weeks

期刊介绍： Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.