title: Adaptation of the STARR test for adult Italian population: A speech test for a realistic estimate in real-life listening conditions.
abstract: OBJECTIVE
  To introduce the Italian adaptation of the STARR test based on a roving-level adaptive method to mimic challenging real-life listening conditions for use in people with auditory prostheses.
  
  
  METHODS
  Normative data were collected and interlist-variability, as well as learning effects, were investigated using a within-subject design with repeated measures.
  
  
  METHODS
  A group of 32 normal-hearing (NH) adults participated in the study.
  
  
  RESULTS
  The average speech reception threshold (SRT) for NH subjects was -8.4 dB SNR. The variability of mean SRTs across test lists was relatively small (≤1 dB for all test lists). The statistically significant differences between lists were eliminated after applying correction factors. On the basis of variability for the corrected SRTs within each subject, a difference of 2.8 dB in SRT was meaningful for outcome comparisons using one test list per condition and 2 dB using two lists per condition. Statistical analysis did not show any significant learning effects.
  
  
  CONCLUSIONS
  Findings in NH listeners suggested that the Italian STARR test could be a promising supplement to existing speech assessment tools. Further studies in populations with hearing impairment could contribute to cross-language studies.
authors.affiliation: a Department of Sensory Organs , Sapienza University of Rome , Rome , Italy.
authors.forename: Hilal
authors.initials: H
authors.lastname: Dincer D'Alessandro
authors.affiliation: a Department of Sensory Organs , Sapienza University of Rome , Rome , Italy.
authors.forename: Deborah
authors.initials: D
authors.lastname: Ballantyne
authors.affiliation: a Department of Sensory Organs , Sapienza University of Rome , Rome , Italy.
authors.forename: Elio
authors.initials: E
authors.lastname: De Seta
authors.affiliation: a Department of Sensory Organs , Sapienza University of Rome , Rome , Italy.
authors.forename: Angela
authors.initials: A
authors.lastname: Musacchio
authors.affiliation: a Department of Sensory Organs , Sapienza University of Rome , Rome , Italy.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Mancini
mesh_terms: D000161:Acoustic Stimulation; D000293:Adolescent; D000328:Adult; D001302:Audiometry, Speech / Q000379:methods*; D001309:Auditory Threshold; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D009622:Noise / Q000009:adverse effects; D010470:Perceptual Masking; D011237:Predictive Value of Tests; D021641:Recognition, Psychology; D015203:Reproducibility of Results; D013018:Sound Spectrography; D013065:Speech Intelligibility; D013067:Speech Perception; D013069:Speech Reception Threshold Test; D055815:Young Adult
keywords: Speech audiometry; cochlear implants; hearing aids; speech perception in noise; speech reception threshold (SRT)