TY - JOUR
T1 - Testing the Informativeness of Diverse Measures of Auditory Processing for Clinical Audiological Practice in Middle-Aged Adults in Mexico
AU - Lelo De Larrea-Mancera, E. Sebastian
AU - Solís-Vivanco, Rodolfo
AU - Sánchez-Jiménez, Yolanda
AU - Padilla-Bustos, Katia
AU - Correa-Medina, Erick I.
AU - Clamage, David S.
AU - Bologna, William J.
AU - Gallun, Frederick J.
AU - Seitz, Aaron R.
N1 - Publisher Copyright:
© 2024, American Speech-Language-Hearing Association. All rights reserved.
PY - 2024/3
Y1 - 2024/3
N2 - Purpose: Standard clinical audiologic assessment is limited in its ability to capture variance in self-reported hearing difficulty. Additionally, the costs associated with clinical testing in audiology create financial barriers for hearing health care in developing countries like Mexico. This study used an open-source Spanish-language tool called PART (Portable Automated Rapid Testing) to test the hypothesis that a battery of assessments of auditory processing can complement standard clinical audiological assessment to better capture the variance of self-reported hearing difficulty. Method: Forty-three adults between 40 and 69 years of age were tested in Mexico City using a traditional clinical pure-tone audiogram, cognitive screening, and a battery of PART-based auditory processing assessments including a speech-on-speech competition spatial release from masking task. Results were compared to self-reported hearing difficulty, assessed with a Spanish-language adaptation of the Hearing Handicap Inventory for the Elderly–Screening Version (HHIE-S). Results: Several measures from the PART battery exhibited stronger correlations with self-reported hearing difficulties than the pure-tone audiogram. The spatial release from masking task best captured variance in HHIE-S scores and remained significant after controlling for the effects of age, audibility, and cognitive score. Conclusions: The spatial release from masking task can complement traditional clinical measures to better account for patient’s self-reported hearing difficulty. Open-source access to this test in PART supports its implementation for Spanish speakers in clinical settings around the world at low cost.
AB - Purpose: Standard clinical audiologic assessment is limited in its ability to capture variance in self-reported hearing difficulty. Additionally, the costs associated with clinical testing in audiology create financial barriers for hearing health care in developing countries like Mexico. This study used an open-source Spanish-language tool called PART (Portable Automated Rapid Testing) to test the hypothesis that a battery of assessments of auditory processing can complement standard clinical audiological assessment to better capture the variance of self-reported hearing difficulty. Method: Forty-three adults between 40 and 69 years of age were tested in Mexico City using a traditional clinical pure-tone audiogram, cognitive screening, and a battery of PART-based auditory processing assessments including a speech-on-speech competition spatial release from masking task. Results were compared to self-reported hearing difficulty, assessed with a Spanish-language adaptation of the Hearing Handicap Inventory for the Elderly–Screening Version (HHIE-S). Results: Several measures from the PART battery exhibited stronger correlations with self-reported hearing difficulties than the pure-tone audiogram. The spatial release from masking task best captured variance in HHIE-S scores and remained significant after controlling for the effects of age, audibility, and cognitive score. Conclusions: The spatial release from masking task can complement traditional clinical measures to better account for patient’s self-reported hearing difficulty. Open-source access to this test in PART supports its implementation for Spanish speakers in clinical settings around the world at low cost.
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U2 - 10.1044/2023_AJA-23-00135
DO - 10.1044/2023_AJA-23-00135
M3 - Article
AN - SCOPUS:85188734595
SN - 1059-0889
VL - 33
SP - 55
EP - 65
JO - American journal of audiology
JF - American journal of audiology
IS - 1
ER -