Speech recognition thresholds are used for several clinical purposes, so it is important that they be accurate reflections of hearing ability. Variations in the acoustic signal may artificially decrease threshold scores, and such variations can result from being tested in a second dialect. Thirty-two native Mandarin-speaking subjects (sixteen from mainland China and sixteen from Taiwan) participated in speech recognition threshold testing in both dialects to see whether using non-native dialect test materials resulted in a significantly lower score. In addition, tests were scored by two interpreters, one from each dialect, to see whether the scorer's dialect resulted in a significantly different score. Talker dialect was found to be statistically significant, while scorer dialect was not. Factors explaining these findings, as well as clinical implications, are discussed.

Speech audiometry is the aspect of audiology that provides critical information on how individuals hear one of the most important sounds of daily life: speech. The speech recognition threshold (SRT) is a measure of speech audiometry that is widely used to provide information on an individual's capacity to hear speech. Over time, researchers and clinicians have worked to improve the SRT by developing and modifying a variety of word lists to be used during testing. Eventually, spondaic words were selected as the best stimuli for the SRT. The spondaic words had to meet four criteria: familiarity, phonetic dissimilarity, normal sampling of English sounds, and homogeneity with respect to audibility. This study examined the aspect of homogeneity with regard to slope of the psychometric function. Specifically, whether slope of the psychometric function had an effect on the number of words used to obtain the SRT, and thus reduce test time, as well as whether slope had an effect on the relationship between the SRT and the pure-tone average (PTA). It was hypothesized that words with a steep slope would significantly reduce test time and yield a close SRT-PTA agreement. Three word lists (steep, medium, and shallow sloping words), all recorded by a male talker, were used to obtain the SRT on 40 participants (ages 18-30 years). Statistical analysis showed significant differences in the number of words to obtain the SRT and the SRT-PTA agreement. However, when the differences were examined from a clinical perspective, the results were negligible. When compared with words with medium and steep slopes, words with shallow slope required an average of four extra words to obtain the SRT, which does not result in a meaningful reduction in test time. For clinical purposes, it appears that the slope of the psychometric function does not need to be taken into consideration for the SRT. Clinicians may use a variety of words as long as they meet the original four criteria for selection of spondees.

Speech audiometry has long been a component of a thorough audiological examination. The speech recognition threshold (SRT) measurement is perhaps the most widely used measurement in speech audiometry. For decades, researchers and clinicians have worked to create and fine-tune word lists that for use in SRT testing; their aim being to improve the accuracy for classifying a client's ability to hear and comprehend speech. Experts in the field have agreed to follow four tenets of speech audiometry when selecting word sets. This study examined whether improvement to stimulus lists for SRT measurement could be made in regards to the tenet of homogeneity with respect to audibility if the slope of the psychometric function were a selection consideration. The study was performed with the hypothesis that steeply sloping words would significantly reduce the number of words needed to obtain the SRT. Three word lists, all recorded by a female talker, comprising of steeply sloping words, medium sloping words, and shallow sloping words, were used in the study. Participants with normal hearing between the ages of 18 and 30 years provided data that was used to calculate SRT measurements for all three lists from each ear. The results showed a significant difference in the number of words needed to obtain the SRT when comparing the steep and shallow word sets and the shallow and medium word sets. Steeply sloping words required fewer words to obtain the SRT, M = 17.02. Shallow sloping words required the most words, M = 18.88, amounting to a difference of 1.86 words. While statistically different, a reduction by fewer than 2 words during the course of SRT testing will not equate to a substantial saving of time for the clinician. For clinical application, the slope of the psychometric function of the words used in SRT measurement need not be a primary consideration when developing stimulus lists.

While there is a clear and immediate need for reliable speech audiometry materials to evaluate the speech recognition threshold (SRT), these recorded materials are not available in Cebuano, a language of the Philippines with 15.8 million speakers. The purpose of this study was to develop, digitally record, evaluate, and psychometrically equate a set of Cebuano trisyllabic words for use in measuring the SRT. To create the SRT materials, common Cebuano trisyllabic words were digitally recorded by a male talker of Cebuano and presented for evaluation to 20 native speakers of Cebuano with normal hearing. Based on psychometric performance, a set of 21 trisyllabic words with a psychometric function slope >7%/dB that allowed threshold adjustments to the pure tone average were selected and digitally adjusted. The resulting mean psychometric function slopes at 50% for the 21 SRT trisyllabic materials was 10.2%/dB. The results of the current study are comparable to those found in other languages. Digital recordings of the trisyllabic words are available on compact disc.

The purpose of this study was to use previously recorded Spanish trisyllabic words tested on adults in the measurement of the speech recognition threshold of Spanish-speaking children in order to (a) determine the words' appropriateness when testing children and (b) compare psychometric functions between adults and children. A selection of 28 frequently used trisyllabic words was chosen from previously recorded samples of male and female adult native speakers of Spanish. These words were then presented to 20 native Spanish-speaking children with normal hearing between the ages of 4 and 8 years. The words were presented starting at -5 dB HL and ascended in 5 dB increments until the presentation level reached 15 dB HL. Using logistic regression, psychometric functions were calculated for each word. Resulting pediatric thresholds were found to be 8.7 dB higher for male talkers and 11.0 dB higher for female talkers than previously reported adult thresholds. These results indicate a clinically significant threshold difference between pediatric and adult populations. Future research should be conducted to measure the speech recognition threshold (SRT) in children of varying ages to determine the age at which the SRT approximates with adult performance.

For many years, speech recognition threshold (SRT) testing has been used as an indicator of audiologic health. However, with changing methods and technology, test-retest reliability has not been reviewed extensively with newer digitally recorded spondaic words which meet a published criterion of listener familiarity. This study examined the test-retest reliability of 33 high frequency usage and psychometrically equated spondaic words. The American Speech-Language-Hearing Association recommended method (2-dB decrements) was used to measure the left and right SRT of 40 participants using both male and female talker recordings. For each participant, four SRTs were found during the test condition and four SRTs were found during the retest condition. All of the SRT scores were analyzed and the averaged SRT values found using a male talker recording resulted in an average retest SRT to be 1.4 dB better than the average test SRT. The averaged SRT values found using a female talker recording resulted in an averaged retest SRT to be 1.2 dB better than the averaged test SRT. The SRT scores also showed high validity when compared to each participant's pure tone average (PTA). This study additionally found no significant interaction in using a male versus a female talker when using digitally recorded and psychometrically equated spondaic words.

Speech recognition threshold (SRT) is an important clinical measure that validates the pure-tone average (PTA), assists in diagnosis and prognosis of hearing and hearing impairment, and helps identify non-organic hearing impairment. Few published, recorded, and standardized materials exist in languages other than English, which results in audiologists testing individuals using materials developed in a non-native language. Research shows that this is problematic, as certain criterion for SRT testing are not met. Thus, performance may reflect test-language deficiency rather than hearing impairment. Currently, there are no known published materials for use in measuring the SRT in individuals whose native language is Tongan. The purpose of this project was to record and develop psychometrically equivalent words in Tongan for measuring the SRT. This study identified 28 trisyllabic words that were relatively homogenous in relation to audibility and psychometric function slope. The intensity of these 28 words was adjusted to equate 50% threshold performance for each word with the mean PTA (5.92 dB HL) for the twenty normally hearing participants. These materials were digitally recorded onto compact disc for distribution and use for SRT testing in Tongan.

Speech audiometry materials are essential for thorough audiological testing. One aspect of speech audiometry is evaluating an individual's speech recognition threshold (SRT). Recorded materials for SRT are available in many languages; however there are no widely published recorded SRT materials available in the Thai language. The goal of this study was to develop relatively psychometrically equivalent SRT materials for evaluating the hearing abilities of native speakers of the Thai language. To accomplish this, 90 commonly used bisyllabic Thai words were digitally recorded by a male and a female talker and evaluated by 20 native Thai listeners. Twenty-eight words with relatively steep and homogeneous psychometric function slopes were selected and adjusted to reduce threshold variability. These 28 selected words were digitally recorded onto compact disc to facilitate SRT testing for native Thai speakers.

INTRODUCTION. The Central Institute for the Deaf published Auditory Tests W-1 (CID W-1) spondaic wordlist was developed in the USA in 1947 and 1952. Certain American-English words contained in the wordlist are unfamiliar to many South Africans, even English first language (EFL) speakers, but particularly those who use English as a second language (ESL). Familiarity with spondaic words is one of the most important qualities of the test items used to determine Speech Recognition Threshold (SRT). OBJECTIVES. The aim of this study was to compare the SRT results obtained with the English South African Spondaic (SAS) wordlist developed by Durrant (2006) and the English CID W-1 spondaic wordlist when measuring the SRT of adult ESL speakers in South Africa. Method. Audiometric Pure Tone Average (PTA) and SRT measurements were obtained for 101 (197 ears) ESL participants with normal hearing or a minimal hearing loss <26 dBHL (mean age 33.3). PTA/SRT correlations were compared when using the SAS wordlist (groups one and two), as well as either the ‘less familiar’ CID W-1 (group one) or ‘more familiar’ CID W-1 (group two), in a mixed matched group design. RESULTS. A Pearson correlation analysis revealed a significant and positive correlation for all three wordlists. The Pearson correlation analysis revealed a strong PTA/SRT correlation when using the South African Spondaic (SAS) wordlist (right ear: 0.65; left ear 0.58) and the ‘more familiar’ words from the CID W-1 wordlist (right ear: 0.63; left ear: 0.56). The use of the ‘less familiar’ words from the CID W-1 wordlist revealed weak correlations (right ear: 0.30; left ear: 0.32). Paired sample T-tests indicated a statistically significantly stronger PTA/SRT correlation when the SAS wordlist was used, rather than either of the CID W-1 wordlists, at a 95% level of confidence. CONCLUSIONS. The use of the SAS wordlist yields a stronger PTA/SRT correlation than the use of the CID W-1 wordlist, when performing SRT testing as part of the speech audiometry battery on South African ESL speakers with normal hearing, or minimal hearing loss <26 dBHL. / Dissertation (MA)--University of Pretoria, 2014. / lk2014 / Speech-Language Pathology and Audiology / MA / Unrestricted

The speech recognition threshold (SRT) is an important measure, as it validates the pure-tone average (PTA), assists in the diagnosis and prognosis of hearing impairments, and aids in the identification of non-organic hearing impairments. Research has shown that in order for SRT testing to yield valid and reliable measures, testing needs to be performed in the patient's native language. There are currently no published materials for SRT testing in the Samoan language. As a result, audiologists are testing patients with English materials or other materials not of the patient's native language. Results produced from this manner of testing are confounded by the patient's vocabulary knowledge and may reflect a language deficit rather than a hearing loss. The present study is aimed at developing SRT materials for native speakers of Samoan to enable valid and reliable measures of SRT for the Samoan speaking population. This study selected 28 trisyllabic Samoan words that were found to be relatively homogeneous in regard to audibility and psychometric function slope. Data were gathered on 20 normal hearing native speakers of Samoan and the intensity of each selected word was adjusted to make the 50% performance threshold of each word equal to the mean PTA of the 20 research participants (5.33 dB HL). The final edited words were digitally recorded onto compact disc to allow for distribution and use for SRT testing in Samoan.