Cherri Dana, Ozmeral Erol J, Gallun Frederick J, Seitz Aaron R, Eddins David A
Department of Communication Sciences and Disorders, University of South Florida, Tampa.
School of Medicine, Oregon Health and Science University, Portland.
J Speech Lang Hear Res. 2025 Feb 4;68(2):719-739. doi: 10.1044/2024_JSLHR-23-00590. Epub 2024 Dec 19.
Auditory perceptual and cognitive tasks can be useful as a long-term goal in guiding rehabilitation and intervention strategies in audiology clinics that mostly operate at a faster pace and on strict timelines. The rationale of this study was to assess test-retest reliability of an abbreviated test battery and evaluate age-related auditory perceptual and cognitive effects on these measures.
Experiment 1 evaluated the test-retest repeatability of an abbreviated test battery and its use in an adverse listening environment. Ten participants performed two visits, each including four conditions: quiet, background noise, external noise, and background mixed with external noise. In Experiment 2, both auditory perceptual and cognitive assessments were collected from younger adults with normal hearing and older adults with and without hearing loss. The full test battery included measures of frequency selectivity, temporal fine structure and envelope processing, spectrotemporal and spatial processing and cognition, and an external measure of tolerance to background noise.
Results from Experiment 1 showed good test-retest repeatability and nonsignificant effects from background or external noise. In Experiment 2, effects of age and hearing loss were shown across auditory perceptual and cognitive measures, except in measures of temporal envelope perception and tolerance to background noise.
These data support the use of an abbreviated test battery in relatively uncontrolled listening environments such as clinic waiting rooms. With an efficient test battery, perceptual and cognitive deficits can be assessed with minimal resources and little clinician involvement due to the automated nature of the test and the use of consumer-grade technology.
听觉感知和认知任务作为长期目标,对于指导大多数工作节奏较快且时间紧迫的听力诊所的康复和干预策略可能是有用的。本研究的基本原理是评估简化测试组的重测信度,并评估年龄相关的听觉感知和认知对这些测量指标的影响。
实验1评估了简化测试组的重测可重复性及其在不利听力环境中的应用。10名参与者进行了两次测试,每次测试包括四种条件:安静、背景噪声、外部噪声以及背景噪声与外部噪声混合。在实验2中,从听力正常的年轻成年人以及有和没有听力损失的老年人中收集了听觉感知和认知评估数据。完整的测试组包括频率选择性、时间精细结构和包络处理、频谱时间和空间处理与认知的测量指标,以及对背景噪声耐受性的外部测量指标。
实验1的结果显示出良好的重测可重复性,并且背景或外部噪声的影响不显著。在实验2中,除了时间包络感知和对背景噪声耐受性的测量指标外,年龄和听力损失的影响在听觉感知和认知测量指标中均有体现。
这些数据支持在相对不受控制的听力环境(如诊所候诊室)中使用简化测试组。借助高效的测试组,由于测试的自动化性质和消费级技术的使用,只需最少的资源和临床医生参与,就可以评估感知和认知缺陷。