Comput. Biol. Med. - A user-operated test of suprathreshold acuity in noise for adult hearing screening: The SUN (Speech Understanding in Noise) test.

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Resumo

A novel, user-operated test of suprathreshold acuity in noise for use in adult hearing screening (AHS) was developed. The Speech Understanding in Noise test (SUN) is a speech-in-noise test that makes use of a list of vowel-consonant-vowel (VCV) stimuli in background noise presented in a three-alternative forced choice (3AFC) paradigm by means of a touch sensitive screen. The test is automated, easy-to-use, and provides self-explanatory results (i.e., 'no hearing difficulties', or 'a hearing check would be advisable', or 'a hearing check is recommended'). The test was developed from its building blocks (VCVs and speech-shaped noise) through two main steps: (i) development of the test list through equalization of the intelligibility of test stimuli across the set and (ii) optimization of the test results through maximization of the test sensitivity and specificity. The test had 82.9% sensitivity and 85.9% specificity compared to conventional pure-tone screening, and 83.8% sensitivity and 83.9% specificity to identify individuals with disabling hearing impairment. Results obtained so far showed that the test could be easily performed by adults and older adults in less than one minute per ear and that its results were not influenced by ambient noise (up to 65dBA), suggesting that the test might be a viable method for AHS in clinical as well as non-clinical settings.

Resumo Limpo

novel useroper test suprathreshold acuiti nois use adult hear screen ah develop speech understand nois test sun speechinnois test make use list vowelconsonantvowel vcv stimuli background nois present threealtern forc choic afc paradigm mean touch sensit screen test autom easytous provid selfexplanatori result ie hear difficulti hear check advis hear check recommend test develop build block vcvs speechshap nois two main step develop test list equal intellig test stimuli across set ii optim test result maxim test sensit specif test sensit specif compar convent pureton screen sensit specif identifi individu disabl hear impair result obtain far show test easili perform adult older adult less one minut per ear result influenc ambient nois dba suggest test might viabl method ah clinic well nonclin set

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