Efficient estimation of auditory sensitivity and cognitive status using spoken-digit tests.

使用口语数字测试有效估计听觉敏感性和认知状态。

• 批准号: 10482408
• 负责人: GARY R KIDD
• 金额: $ 43.73万
• 依托单位: COMMUNICATION DISORDERS TECHNOLOGY, INC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10482408
• 关键词: Address; Adult; Android; Auditory; Awareness; Businesses; Car Phone; Cellular Phone; Charge; Child; Clinic; Cognition; Cognitive; Computers; Country; Data; Development; Digit structure; Elderly; Electronic Mail; FDA approved; Familiarity; Family; Frequencies; Functional Hearing Loss; Goals; Health; Health Services; Hearing; Hearing Aids; Hearing Tests; Home; Human Resources; Hyperacusis; Impaired cognition; Individual; Internet; Knowledge; Legal; Masks; Measures; Modeling; Nature; Noise; Operating System; Participant; Persons; Physicians' Offices; Presbycusis; Primary Care Physician; Procedures; Process; Quality of life; Research; Research Personnel; Schools; Self Administration; Services; Short-Term Memory; Speech; Supervision; Survey Methodology; Surveys; Symptoms; Tablets; Telephone; Testing; Training; Trust; Universities; Validity and Reliability; Validity of Results; Veterans; amplification device; cognitive ability; cognitive testing; design; executive function; hearing impairment; laptop; motor control; newspaper article; performance tests; response; screening; selective attention; smartphone Application; sound; speech in noise; speech recognition; theories; validation studies

Project Summary/Abstract. Untreated age-related hearing loss (ARHL) is the most prevalent cause of reduced quality of life for persons 55 and older in the US. There are 30+ million hearing-impaired adults in this country, many of whom have never had a hearing test. One reason is the lack of convenient, inexpensive and valid hearing tests that are available to both individuals and hearing professionals. The goal of this project is to develop a family of tests of auditory sensitivity and of related cognitive status that together measure functional hearing loss. If such tests were widely available large numbers of those who suspect they may have hearing loss would take them. This was demonstrated by over 3000 calls in a single day to the telephone-administered National Hearing Test (NHT), without commercial promotion, only in response to a few newspaper articles. The identification of spoken three-digit sequences in a noise background, as used in the NHT, has been shown to correlate strongly with traditional pure-tone measures of hearing loss. Digit-in-noise (DIN) tests have recently been shown to be particularly efficient for screening, since they are reliable, convenient, and require neither sound booths nor highly trained personnel for their administration. A family of DIN tests will be designed to help distinguish poor speech recognition due to sensitivity loss from poor recognition that reflects reduced cognitive processing. The tests will be implemented on smartphones, tablets, desktop and laptop computers with Android or iOS operating systems. The NHT developed earlier for landline phones (Watson et al., 2012; Williams et al., 2014), has been taken by nearly 130,000 callers since 2014. Those data, plus audiograms from 700+ adults (veterans) who were given the DIN test together with other standard audiometry, will guide test development. Optional spoken rather than keypad responses will make the test accessible to children and to elderly adults with motor-control problems. Validation studies will test 590 participants in three university hearing centers. DIN sensitivity tests will be validated in relation to pure-tone audiograms, while cognitive-status tests will be compared to established tests of working memory, executive function, and selective attention. Audiogram slope will be estimated by comparing DIN-test performance using low-frequency masking noise, to that with speech-spectrum noise. This new family of tests on a variety of platforms, will be designed for use in the home, in schools, in primary-care physicians’ offices, in hearing clinics and in noisy businesses. Widespread use of this family of screening tests can make personal knowledge of hearing health as accessible as weighing oneself on the bathroom scale.

项目概要/摘要。未治疗的年龄相关性听力损失（ARHL）是最常见的 导致美国55岁及以上人群生活质量下降。有30+百万 听力受损的成年人，他们中的许多人从未做过听力测试。一 原因是缺乏方便，廉价和有效的听力测试， 个人和听力专业人士。该项目的目标是开发一系列测试， 听觉灵敏度和相关的认知状态，共同衡量功能性听力损失。 如果这种测试被广泛使用，大量怀疑自己可能有听力的人 损失会带走他们。一天之内就有3000多个电话打到 电话管理的国家听力测试（NHT），没有商业推广，只有在 对几篇报纸文章的回应。语音三位数序列的识别 噪声背景，如在NHT中使用的，已经被证明与传统的 听力损失的纯音测量。噪声数字（DIN）测试最近已被证明是 特别有效的筛选，因为它们是可靠的，方便，既不需要声音， 也没有训练有素的管理人员。一系列DIN测试将 旨在帮助区分由于灵敏度损失而导致的语音识别能力差， 这反映了认知过程的减少。这些测试将在 智能手机、平板电脑、台式机和笔记本电脑，采用Android或iOS操作系统。 NHT较早为固定电话开发（沃森等人，2012;威廉姆斯等人，2014年）， 自2014年以来，已有近13万人致电。这些数据，加上听力图从700+ 成年人（退伍军人）谁给予DIN测试与其他标准测听，将 指导测试开发。可选的口语而不是键盘反应将使测试 儿童和有运动控制问题的老年人可以使用。验证研究将 在三所大学的听力中心测试了590名参与者。DIN灵敏度测试将在 与纯音听力图的关系，而认知状态测试将与已建立的 工作记忆、执行功能和选择性注意力测试。 听力图斜率 将 通过比较使用低频掩蔽噪声的DIN测试性能与 语音频谱噪声这个新的测试系列在各种平台上，将被设计为 在家庭、学校、初级保健医生办公室、听力诊所和嘈杂环境中使用 商家广泛使用这一系列筛查测试可以使个人了解 听力健康就像在浴室秤上称体重一样容易。