Department Communication Disorders & Sciences, Rush University Medical Center, Chicago, IL.
Department of Otolaryngology, The Ohio State University Wexner Medical Center, Columbus.
Am J Audiol. 2020 Sep 18;29(3S):577-590. doi: 10.1044/2020_AJA-19-00083.
Purpose Cochlear implant (CI) performance varies considerably across individuals and across domains of auditory function, but clinical testing is typically restricted to speech intelligibility. The goals of this study were (a) to develop a basic auditory skills evaluation battery of tests for comprehensive assessment of ecologically relevant aspects of auditory perception and (b) to compare CI listeners' performance on the battery when tested in the laboratory by an audiologist or independently at home. Method The battery included 17 tests to evaluate (a) basic spectrotemporal processing, (b) processing of music and environmental sounds, and (c) speech perception in both quiet and background noise. The battery was administered online to three groups of adult listeners: two groups of postlingual CI listeners and a group of older normal-hearing (ONH) listeners of similar age. The ONH group and one CI group were tested in a laboratory by an audiologist, whereas the other CI group self-tested independently at home following online instructions. Results Results indicated a wide range in the performance of CI but not ONH listeners. Significant differences were not found between the two CI groups on any test, whereas on all but two tests, CI listeners' performance was lower than that of the ONH participants. Principal component analysis revealed that four components accounted for 82% of the variance in measured results, with component loading indicating that the test battery successfully captures differences across dimensions of auditory perception. Conclusions These results provide initial support for the use of the basic auditory skills evaluation battery for comprehensive online assessment of auditory skills in adult CI listeners.
目的
人工耳蜗(CI)的性能在个体之间和听觉功能的各个领域差异很大,但临床测试通常仅限于言语可懂度。本研究的目的是:(a)开发一个基本的听觉技能评估测试电池,用于全面评估与听觉感知相关的生态方面;(b)比较在实验室由听力学家测试和在家中独立测试时,CI 使用者在该电池上的表现。
方法
该电池包括 17 项测试,用于评估:(a)基本的频谱时间处理;(b)音乐和环境声音的处理;(c)安静和背景噪声中的言语感知。该电池通过在线向三组成年听力受损者施测:两组后天性耳聋的 CI 使用者和一组年龄相近的老年正常听力(ONH)使用者。ONH 组和一个 CI 组由听力学家在实验室中进行测试,而另一个 CI 组则根据在线说明在家中独立进行自我测试。
结果
结果表明 CI 使用者的表现差异很大,但 ONH 使用者的表现则没有差异。在任何测试中,两个 CI 组之间均未发现显著差异,而除了两个测试外,CI 使用者的表现均低于 ONH 参与者。主成分分析表明,四个成分解释了测量结果中 82%的方差,成分负荷表明测试电池成功地捕捉到了听觉感知各个维度之间的差异。
结论
这些结果初步支持使用基本听觉技能评估电池对成人 CI 使用者的听觉技能进行全面在线评估。