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CC BY-NC-ND 4.0 · Semin Hear 2024; 45(01): 055-082
DOI: 10.1055/s-0043-1770155
Review Article

Speech-in-Noise Testing: An Introduction for Audiologists

Curtis J. Billings
1   Department of Communication Sciences and Disorders, Idaho State University, Pocatello, Idaho
2   VA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, Oregon
,
Tessa M. Olsen
1   Department of Communication Sciences and Disorders, Idaho State University, Pocatello, Idaho
,
Lauren Charney
2   VA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, Oregon
,
Brandon M. Madsen
2   VA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, Oregon
3   Hearing Systems Section, Department of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark
,
Corrie E. Holmes
1   Department of Communication Sciences and Disorders, Idaho State University, Pocatello, Idaho
› Author Affiliations Funding/Acknowledgments This work was supported by the United States (U.S.) National Institutes of Health (NIDCD-R03DC10914) and by the U.S. Department of Veterans Affairs (RR&D-5I01RX003702). The contents do not represent the views of the U.S. Department of Veterans Affairs or the U.S. government. The authors would also like to acknowledge the contributions of Nashrah Maamor, Tina Penman, and Paul Pendergraft.
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Abstract

Speech-in-noise testing has been proposed as a useful part of the audiometric test battery dating back to the earliest years of the field of audiology. Many speech-in-noise tests have been developed and used to varying degrees. However, multiple barriers have prevented speech-in-noise testing from being used widely in the clinic. The purpose of this article is to provide a resource to audiologists and other hearing health professionals who want to know (1) what tests are available for use, (2) the rationale behind specific tests, and (3) important considerations when selecting one or more tests to use clinically. In addition, data are presented for four speech-in-noise tests with the purpose of comparing outcomes as a function of age and hearing status. The four tests (QuickSIN, Words in Noise [WIN], Listening in Spatialized Noise–Sentences [LiSN-S], and Coordinate Response Measure [CRM]) were completed by 30 individuals from three groups: 10 young adults with normal hearing, 10 older adults with normal hearing, and 10 older adults with hearing loss. The results suggest that, despite significant differences in performance between groups, group overlap was present such that some individuals from one group performed similar to some individuals of other groups; therefore, individual performance was more important than associated group. When selecting an appropriate speech-in-noise test to use clinically, audiologists should carefully consider the purpose of their testing and the type of information they desire as an outcome. A quick-resource table and appendix is provided to aid audiologists and other health professionals in their selection of an appropriate speech-in-noise test.

Keywords

speech-in-noise testing - hearing loss - aging - background noise - audiology - audiometry - QuickSIN - Words in Noise - Listening in Spatialized Noise-Sentences - Coordinate Response Measure


Publication History

Article published online:
11 September 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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