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- Title
The Relationship Between Self-Perceived Hearing Ability and Binaural Speech-in-Noise Performance in Adults With Normal Pure-Tone Hearing.
- Authors
Roup, Christina M.; Custer, Amy; Powell, Julie
- Abstract
Purpose: This study examined the relationship between self-perceived hearing abilities and binaural speech-in-noise performance in young to middle-age adults with normal pure-tone hearing. Method: Sixty-six adults with normal hearing (thresholds ≤ 25 dB HL at 250--8000 Hz) participated. Self-perceived hearing abilities were assessed using the Adult Auditory Performance Scale (AAPS). The AAPS provides a single global score of self-perceived hearing abilities and individual subscale scores for six listening conditions, namely, Quiet, Ideal, Noise, Multiple Inputs, Auditory Memory, and Auditory Attention. Binaural speech-in-noise performance was measured with the Listening in Spatialized Noise--Sentences Test (LiSN-S). Results: Results revealed significant correlations between the AAPS and the LiSN-S. Listeners who scored higher on the AAPS (greater self-perceived hearing difficulty) performed poorer on the LiSN-S. The strongest correlations were observed between the AAPS Noise subscale score and the LiSN-S low- and high-cue conditions. Age was significantly correlated with both pure-tone hearing and the LiSN-S spatial advantage, with older participants exhibiting poorer thresholds and smaller spatial advantages. Pure-tone hearing was also significantly correlated with binaural speech-in-noise performance. Listeners with poorer thresholds performed poorer across multiple LiSN-S conditions. Linear regression revealed that a significant amount of the variance in LiSN-S performance was accounted for by pure-tone hearing as well as the AAPS global score and Noise subscale score. Conclusions: Results demonstrate a clear relationship between an individual's self-perceived hearing ability and their binaural speech-in-noise performance. In addition, minimal threshold elevation within the normal range and age (i.e., middle adulthood) had a negative impact on binaural speech-in-noise performance. The results support the inclusion of speech-in-noise testing for all patients, even those whose pure-tone hearing falls within the traditional normal range.
- Subjects
HEARING; STATISTICS; CONFIDENCE intervals; ANALYSIS of variance; NOISE; SELF-evaluation; REGRESSION analysis; T-test (Statistics); AUDIOMETRY; RESEARCH funding; DESCRIPTIVE statistics; REPEATED measures design; STATISTICAL correlation; DATA analysis; ADULTS
- Publication
Perspectives of the ASHA Special Interest Groups, 2021, Vol 6, Issue 5, p1085
- ISSN
2381-473X
- Publication type
Article
- DOI
10.1044/2021_PERSP-21-00032