title: Relations Between the Intelligibility of Speech in Noise and Psychophysical Measures of Hearing Measured in Four Languages Using the Auditory Profile Test Battery.
abstract: The aim of the present study was to determine the relations between the intelligibility of speech in noise and measures of auditory resolution, loudness recruitment, and cognitive function. The analyses were based on data published earlier as part of the presentation of the Auditory Profile, a test battery implemented in four languages. Tests of the intelligibility of speech, resolution, loudness recruitment, and lexical decision making were measured using headphones in five centers: in Germany, the Netherlands, Sweden, and the United Kingdom. Correlations and stepwise linear regression models were calculated. In sum, 72 hearing-impaired listeners aged 22 to 91 years with a broad range of hearing losses were included in the study. Several significant correlations were found with the intelligibility of speech in noise. Stepwise linear regression analyses showed that pure-tone average, age, spectral and temporal resolution, and loudness recruitment were significant predictors of the intelligibility of speech in fluctuating noise. Complex interrelationships between auditory factors and the intelligibility of speech in noise were revealed using the Auditory Profile data set in four languages. After taking into account the effects of pure-tone average and age, spectral and temporal resolution and loudness recruitment had an added value in the prediction of variation among listeners with respect to the intelligibility of speech in noise. The results of the lexical decision making test were not related to the intelligibility of speech in noise, in the population studied.
authors.affiliation: Academic Medical Centre, Amsterdam, The Netherlands.
authors.forename: T E M
authors.initials: TE
authors.lastname: Van Esch
authors.affiliation: Academic Medical Centre, Amsterdam, The Netherlands w.a.dreschler@amc.uva.nl.
authors.forename: W A
authors.initials: WA
authors.lastname: Dreschler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001301:Audiometry, Pure-Tone / Q000379:methods*; D001309:Auditory Threshold / Q000502:physiology; D015331:Cohort Studies; D005260:Female; D005858:Germany; D034381:Hearing Loss / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D038622:Internationality; D007802:Language; D016014:Linear Models; D008144:Loudness Perception / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009426:Netherlands; D009622:Noise / Q000517:prevention & control; D011601:Psychophysics / Q000379:methods*; D012720:Severity of Illness Index; D013018:Sound Spectrography / Q000379:methods; D013065:Speech Intelligibility / Q000502:physiology*; D013548:Sweden; D006113:United Kingdom; D055815:Young Adult
keywords: audiological diagnosis; auditory profile; clinical tests; hearing impaired; multicenter study; speech intelligibility