Need of speech-in-noise testing to assess listening difficulties in older adults (Record no. 2424)
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fixed length control field | 03345nam a22002537a 4500 |
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control field | OSt |
005 - DATE AND TIME OF LATEST TRANSACTION | |
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 |
245 ## - TITLE STATEMENT | |
Title | Need of speech-in-noise testing to assess listening difficulties in older adults |
520 3# - SUMMARY, ETC. | |
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. |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name as entry element | older adults, |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name as entry element | aging, |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name as entry element | pure tone audiometry, |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name as entry element | speech-in-noise tests, |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name as entry element | auditory function, |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name as entry element | cognition, |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name as entry element | listening effort |
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Personal name | Doris-Eva Bamiou2 |
773 0# - HOST ITEM ENTRY | |
Relationship information | 2015; Early Online: 1–12 |
Title | Hearing, Balance and Communication, |
856 ## - ELECTRONIC LOCATION AND ACCESS | |
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> |
942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Source of classification or shelving scheme | Universal Decimal Classification |
Koha item type | Journal article |
No items available.