Icoz Ozlem, Isikhan Selen Yilmaz, Yucel Esra
Department of Audiology, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Department of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Brain Behav. 2025 Mar;15(3):e70301. doi: 10.1002/brb3.70301.
This study aimed to revise and investigate the validity and reliability of the Children's Auditory Perception Test (CIAT), which was developed to evaluate auditory perception skills.
The study included 100 cochlear implant (CI) users between the ages of 2 and 15, and 80 individuals with normal hearing. In the first session, participants underwent the Turkish Early Language Development Test (TELD-3) and audiometric assessments. The second session involved administering age-appropriate subtests from the CIAT battery. Subtest reliability was evaluated using internal consistency and test-retest methods. We measured the construct validity by examining the relationships between subcategories. Also, we evaluated known-group validity and predictive validity.
The reliability analysis of the CIAT indicated high internal consistency, with a Cronbach's alpha coefficient of 0.913 for all 17 tests. Subcategories demonstrated reliability ranging from acceptable to excellent (α = 0.741-0.973). Significant differences were observed in auditory perception scores between children with CI and those with normal hearing (p < 0.005), demonstrating the known-group validity of the test across different age groups. Multiple linear regression analysis revealed that factors such as age group, gender, special education duration, receptive and expressive language ages, CI duration, and usage status accounted for 78% of the variability in auditory perception scores (R = 0.78), thus testing the predictive reliability of the model.
A valid and reliable test battery that evaluates auditory perception skills at different difficulty levels across a wide age range (2-15 years) has been introduced to the literature. However, a notable limitation is that this battery does not include auditory processing assessments, such as speech-in-competition (noise/babble) tests, which could enhance the comprehensiveness of the evaluation.
本研究旨在修订并调查儿童听觉感知测试（CIAT）的有效性和可靠性，该测试旨在评估听觉感知技能。
本研究纳入了100名年龄在2至15岁之间的人工耳蜗（CI）使用者和80名听力正常的个体。在第一阶段，参与者接受了土耳其早期语言发展测试（TELD - 3）和听力评估。第二阶段涉及对CIAT测试组中适合年龄的子测试进行施测。使用内部一致性和重测方法评估子测试的可靠性。我们通过检查子类别之间的关系来测量结构效度。此外，我们评估了已知群体效度和预测效度。
CIAT的可靠性分析表明内部一致性较高，所有17项测试的Cronbach's α系数为0.913。子类别显示出从可接受到优秀的可靠性（α = 0.741 - 0.973）。在CI儿童和听力正常儿童的听觉感知分数上观察到显著差异（p < 0.005），表明该测试在不同年龄组中的已知群体效度。多元线性回归分析显示，年龄组、性别、特殊教育时长、接受性和表达性语言年龄、CI使用时长和使用状态等因素占听觉感知分数变异性的78%（R = 0.78），从而测试了模型的预测可靠性。
已向文献中引入了一个有效且可靠的测试组，可在广泛的年龄范围（2至15岁）内评估不同难度水平的听觉感知技能。然而，一个显著的局限性是该测试组不包括听觉处理评估，如竞争环境下的言语（噪声/嘈杂声）测试，而这些测试可以提高评估的全面性。
