Guidelines of the French Society of Otorhinolaryngology-Head and Neck Surgery (SFORL) and the French Society of Audiology (SFA) for Speech-in-Noise Testing in Adults

Joly, Charles-Alexandre; Reynard, Pierre Claude; Mezzi, Karen; Bakhos, D.; Bergeron, François; Bonnard, D.; Borel, Stéphanie; Bouccara, D.; Coëz, Arnaud; Dejean, Françoise; Rio, Matthieu Del; Leclercq, Florence; Henrion, Paul; Marx, Mathieu; Mom, T.; Mosnier, Isabelle; Potier, M.; Rénard, C.; Roy, T.; Sterkers-Artières, F.; Venail, F.; Verheyden, P.; Veuillet, E.; Vincent, C.; Thai‐Van, Hung

doi:10.1016/j.anorl.2021.05.005

Cited by 17 publications

(17 citation statements)

References 19 publications

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“…To remain as close as possible to real-life listening situations, the training assessment was performed using sentences and informational masking noise. Our group previously reported that, among speech-in-noise tests suitable for French-speaking populations, the Fr-matrix provides the lowest intra-subject variability (±0.6 dB for SRT50) [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Herein, following national guidelines for speech-in-noise testing in adults [ 35 ], the target threshold was fixed at 70% (SRT70) on purpose to avoid subjects experiencing a feeling of early failure, and was measured at T1, T2, and T3. To do so, 2 lists of words in a silent condition (20 randomly generated sentences) and 3 other lists with background noise (steady intensity of 60 dB) were played via 2 loudspeakers positioned 1 m in front of the patient in a soundproof booth.…”

Section: Methodsmentioning

confidence: 99%

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Effect of Serious Gaming on Speech-in-Noise Intelligibility in Adult Cochlear Implantees: A Randomized Controlled Study

Reynard

Attina

Idriss

et al. 2022

JCM

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Listening in noise remains challenging for adults with cochlear implants (CI) even after prolonged experience. Personalized auditory training (AT) programs can be proposed to improve specific auditory skills in adults with CI. The objective of this study was to assess serious gaming as a rehabilitation tool to improve speech-in-noise intelligibility in adult CI users. Thirty subjects with bilateral profound hearing loss and at least 9 months of CI experience were randomized to participate in a 5-week serious game-based AT program (n = 15) or a control group (n = 15). All participants were tested at enrolment and at 5 weeks using the sentence recognition-in-noise matrix test to measure the signal-to-noise ratio (SNR) allowing 70% of speech-in-noise understanding (70% speech reception threshold, SRT70). Thirteen subjects completed the AT program and nine of them were re-tested 5 weeks later. The mean SRT70 improved from 15.5 dB to 11.5 dB SNR after 5 weeks of AT (p < 0.001). No significant change in SRT70 was observed in the control group. In the study group, the magnitude of SRT70 improvement was not correlated to the total number of AT hours. A large inter-patient variability was observed for speech-in-noise intelligibility measured once the AT program was completed and at re-test. The results suggest that serious game-based AT may improve speech-in-noise intelligibility in adult CI users. Potential sources of inter-patient variability are discussed. Serious gaming may be considered as a complementary training approach for improving CI outcomes in adults.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effect of Serious Gaming on Speech-in-Noise Intelligibility in Adult Cochlear Implantees: A Randomized Controlled Study

Reynard

Attina

Idriss

et al. 2022

JCM

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“…The test can be performed in a free field (using a single speaker) or with headphones in binaural mode, depending on the equipment available in the office. Although headphones can be used to test each ear separately, one has to keep in mind that the most ecological procedure, as well as the best way to take binaural unmasking into account, is to perform binaural testing in a free field [ 33 ]. Further studies are needed to evaluate the HINT-5 min in free-field conditions with two loudspeakers to deliver the speech signal and noise separately.…”

Section: Discussionmentioning

confidence: 99%

“…In children, a SpIN test has recently been described in Greek as an effective screening tool for abnormal auditory processing abilities [ 31 , 32 ]. For diagnostic purposes, recent guidelines from the French Society of Otorhinolaryngology and the French Society of Audiology have recommended the use of adaptive procedures establishing the 50% speech reception threshold in noise (SRT50) to obtain a rapid and standardized measurement [ 33 ]. This threshold corresponds to the signal-to-noise ratio (SNR, in dB SNR) necessary for the correct repetition of 50% of the speech material [ 33 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is also regularly performed when evaluating the effectiveness of a hearing aid, a particular setting, or simply the contribution of binaurality (binaural unmasking property). A multitude of configurations are possible: mono- or binaural, in quiet, in noise, in a free field, or with headphones [ 26 , 33 , 38 , 39 , 43 ]. The HINT lists, currently used in France by hearing care professionals and otorhinolaryngologists to evaluate intelligibility in noise, are derived from the Canadian French version.…”

Section: Introductionmentioning

confidence: 99%

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Adult Normative Data for the Adaptation of the Hearing in Noise Test in European French (HINT-5 Min)

et al. 2022

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Decreased speech-in-noise (SpIN) understanding is an early marker not only of presbycusis but also of auditory processing disorder. Previous research has shown a strong relationship between hearing disorders and cognitive limitations. It is therefore crucial to allow SpIN testing in subjects who cannot sustain prolonged diagnostic procedures. The objectives of this study were to develop a rapid and reproducible version of the Hearing in Noise Test (HINT-5 min), and to determine its adult normative values in free-field and monaural or binaural headphone conditions. Following an adaptive signal-to-noise ratio (SNR) protocol, the test used a fixed noise level, while the signal level varied to reach the 50% speech reception threshold (SRT50). The speech material consisted of five lists of 20 sentences each, all recorded in European French. The whole semi-automated procedure lasted 5 min and was administered to 83 subjects aged 19 to 49 years with no reported listening difficulties. Fifty-two subjects were retested between 7 and 8 days later. For the binaural free-field condition, the mean SRT50 was −1.0 dB SNR with a standard deviation of 1.3 dB SNR. There was no significant difference between the results obtained at test and retest, nor was there any effect of listening condition, sex, or age on SRT50. The results indicate that the procedure is robust and not affected by any learning phenomenon. The HINT-5 min was found to be both a fast and reliable marker of the ability to understand speech in background noise.

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It is time to change the way we think about hearing evaluation

Iliadou,

Bamiou,

Keith

et al. 2024

Eur Arch Otorhinolaryngol

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Guidelines of the French Society of Otorhinolaryngology-Head and Neck Surgery (SFORL) and the French Society of Audiology (SFA) for Speech-in-Noise Testing in Adults

Cited by 17 publications

References 19 publications

Effect of Serious Gaming on Speech-in-Noise Intelligibility in Adult Cochlear Implantees: A Randomized Controlled Study

Effect of Serious Gaming on Speech-in-Noise Intelligibility in Adult Cochlear Implantees: A Randomized Controlled Study

Adult Normative Data for the Adaptation of the Hearing in Noise Test in European French (HINT-5 Min)

It is time to change the way we think about hearing evaluation

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