Speech recognition threshold in noise: effects of hearing loss, frequency response, and speech materials.

Speech recognition threshold (SRT) was measured in quiet and in noise for normal-hearing subjects and subjects with high-frequency sensorineural hearing loss. For the hearing-impaired subjects, SRT in quiet approximated the amount of hearing loss in the frequency region of importance for each of two sets of speech materials--spondees and monosyllables. With changes in frequency response of the stimulus delivery system, SRT shifted differentially for spondees and monosyllables. The speed, reliability, and apparent sensitivity of the SRT in quiet and noise to frequency response characteristics make it a potentially useful tool for hearing aid evaluation if speech materials appropriate to both the hearing loss configuration and the frequency response of amplification are chosen.