National Acoustic Laboratories Library

Need of speech-in-noise testing to assess listening difficulties in older adults (Record no. 2424)

MARC details
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control field 20150508155355.0
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fixed length control field 150508b xxu||||| |||| 00| 0 eng d
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Transcribing agency National Acoustic Laboratories
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Personal name Chrysa Spyridakou1
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Title Need of speech-in-noise testing to assess listening difficulties in older adults
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Summary, etc Abstract<br/>Objective: To assess the need of including speech-in-noise tests in the audiological test battery in older adults and the key<br/>factors that affect performance in these tests. Older adults complain significantly more than other age groups regarding<br/>difficulties in hearing speech in noise, even in the presence of a normal audiogram. Hearing speech in noise is a very<br/>complex function underpinned by high-level, cognitive and analytic processing along with low-level sensory processing.<br/>Study design: The design reflected an overview of the effect of aging in the auditory system and the acoustic and cognitive<br/>resources required for hearing speech in noise. In addition, a review of key clinical studies of speech-in-noise tests was<br/>conducted in older adults. Results: Age affects the peripheral and central auditory system but also the entire brain at a<br/>structural, functional and neurochemical level. Listening to speech in noise requires complex and multimodal processing<br/>in auditory, linguistic, cognitive and other domains via multiple brain interconnections that are not yet fully understood.<br/>There are several different theories and models proposed to explain age related declines in speech-in-noise performance.<br/>Listeners may give different scores in speech-in-noise tests depending on the parameters of these tests, e.g. type of speech<br/>stimulus (words vs. sentences) and masker (noise, multi-talker babbler). Speech recognition in noise depends on the<br/>degree of direct interaction of the target and masker at the cochlear level (energetic masking) and on how well speech<br/>can be dissociated from the masker (informational masking). Studies show more pronounced effects of informational<br/>masking and of lexical interference in older adults, who also show poorer use of auditory sensory type cues, and require<br/>greater listening effort in order to perform speech-in-noise tasks. Conclusion: Assessing older adults with pure tone<br/>audiometry only and addressing these difficulties with hearing amplification may not be enough to address older adults’<br/>hearing needs, as this approach does not take into account the higher level impairments contributing to hearing and<br/>listening problems. Careful audiological assessment with appropriately chosen speech-in-noise tests, together with<br/>audiometry and potentially additional tests, are thus required in order to identify and characterize hearing difficulties in<br/>older adults, in order to inform their management plan.
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Topical term or geographic name as entry element older adults,
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Topical term or geographic name as entry element aging,
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Topical term or geographic name as entry element pure tone audiometry,
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Topical term or geographic name as entry element speech-in-noise tests,
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Topical term or geographic name as entry element auditory function,
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Topical term or geographic name as entry element cognition,
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Topical term or geographic name as entry element listening effort
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Personal name Doris-Eva Bamiou2
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Relationship information 2015; Early Online: 1–12
Title Hearing, Balance and Communication,
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Uniform Resource Identifier <a href="http://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/163/Need%20of%20speech.pdf?sequence=1&isAllowed=y">http://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/163/Need%20of%20speech.pdf?sequence=1&isAllowed=y</a>
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Source of classification or shelving scheme Universal Decimal Classification
Koha item type Journal article

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