{"title":"Quantifying Access to Speech in Children with Hearing Loss: The Influence of the Work of Pat Stelmachowicz on Measures of Audibility.","authors":"Kathryn B Wiseman, Ryan W McCreery","doi":"10.1055/s-0043-1764136","DOIUrl":null,"url":null,"abstract":"<p><p>This article reviews the research of Pat Stelmachowicz on traditional and novel measures for quantifying speech audibility (i.e., pure-tone average [PTA], the articulation/audibility index [AI], the speech intelligibility index, and auditory dosage) as predictors of speech perception and language outcomes in children. We discuss the limitations of using audiometric PTA as a predictor of perceptual outcomes in children and how Pat's research shed light on the importance of measures that characterize high-frequency audibility. We also discuss the AI, Pat's work on the calculation of the AI as a hearing aid outcome measure, and how this work led to the application of the speech intelligibility index as a clinically utilized measure of unaided and aided audibility. Finally, we describe a novel measure of audibility-auditory dosage-that was developed based on Pat's work on audibility and hearing aid use for children who are hard of hearing.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 Suppl 1","pages":"S17-S28"},"PeriodicalIF":0.0000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033202/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Hearing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0043-1764136","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/2/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Health Professions","Score":null,"Total":0}
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Abstract
This article reviews the research of Pat Stelmachowicz on traditional and novel measures for quantifying speech audibility (i.e., pure-tone average [PTA], the articulation/audibility index [AI], the speech intelligibility index, and auditory dosage) as predictors of speech perception and language outcomes in children. We discuss the limitations of using audiometric PTA as a predictor of perceptual outcomes in children and how Pat's research shed light on the importance of measures that characterize high-frequency audibility. We also discuss the AI, Pat's work on the calculation of the AI as a hearing aid outcome measure, and how this work led to the application of the speech intelligibility index as a clinically utilized measure of unaided and aided audibility. Finally, we describe a novel measure of audibility-auditory dosage-that was developed based on Pat's work on audibility and hearing aid use for children who are hard of hearing.
本文回顾了 Pat Stelmachowicz 就量化语言可听度的传统和新型测量方法（即纯音平均值 [PTA]、发音/可听度指数 [AI]、语言可懂度指数和听觉剂量）作为儿童语言感知和语言结果预测指标所做的研究。我们讨论了使用听力 PTA 作为儿童感知结果预测指标的局限性，以及 Pat 的研究如何揭示了表征高频可听度的测量方法的重要性。我们还讨论了听力理解指数、帕特将听力理解指数作为助听器结果测量指标的计算方法，以及这项工作如何促使听力理解指数作为无助听力和有助听力听力的临床测量指标。最后，我们将介绍一种新的听力测量方法--听觉剂量，它是根据帕特在听力和听障儿童助听器使用方面的研究成果开发出来的。
期刊介绍：
Seminars in Hearing is a quarterly review journal that publishes topic-specific issues in the field of audiology including areas such as hearing loss, auditory disorders and psychoacoustics. The journal presents the latest clinical data, new screening and assessment techniques, along with suggestions for improving patient care in a concise and readable forum. Technological advances with regards to new auditory devices are also featured. The journal"s content is an ideal reference for both the practicing audiologist as well as an excellent educational tool for students who require the latest information on emerging techniques and areas of interest in the field.
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