The Feasibility and Reliability of a Digits-in-Noise Test in the Clinical Follow-Up of Children With Mild to Profound Hearing Loss

Vroegop, Jantien L; Rodenburg-Vlot, Marian B. A.; Goedegebure, André; Doorduin, Agnes; Homans, Nienke C.; Schroeff, Marc van der

doi:10.1097/aud.0000000000000989

Cited by 2 publications

(3 citation statements)

References 54 publications

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“…The finding that children (both NH and CI users) achieved a higher Hebrew DIN SRTn than adults is supported by previous studies showing that children struggle more than adults in noisy environments and require more favorable SNRs to perform as well as adults [ 19 , 20 ]. Also, the finding that CI users required a higher mean Hebrew DIN SRTn than NH individuals is supported by previous studies [ 12 , 13 , 14 ]. Nevertheless, in more difficult tests, such as sentences in noise (HeBio), the difference in SRTn between CI adult users and their NH peers was much larger (mean of 13–14 dB as opposed to 3–5 dB in the DIN test).…”

Section: Discussionsupporting

confidence: 77%

“…The results of the DIN test have been examined in various languages and populations of CI users and were shown to correlate with the outcomes of other speech perceptions in noise tests [ 12 , 13 , 14 ]. However, it is unclear whether the DIN test, primarily designed as a screening tool, can be sensitive enough to distinguish between different age groups and detect the onset of deafness, making it suitable for inclusion in the speech perception battery for follow-up in CI centers.…”

Section: Introductionmentioning

confidence: 99%

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Hebrew Digits in Noise (DIN) Test in Cochlear Implant Users and Normal Hearing Listeners

Taitelbaum-Swead,

Fostick

2024

Audiology Research

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This study aimed to compare the Hebrew version of the digits-in-noise (DIN) thresholds among cochlear implant (CI) users and their normal-hearing (NH) counterparts, explore the influence of age on these thresholds, examine the effects of early auditory exposure versus its absence on DIN threshold, and assess the correlation between DIN thresholds and other speech perception tests. A total of 13 children with CI (aged 5.5–11 years), 15 pre-lingual CI users (aged 14–30 years), and 15 post-lingual CI users (aged 22–77 years), and their age-matched NH controls (n = 45) participated in the study. Speech perception tasks, including the DIN test, one-syllable word test, and sentence identification tasks in various auditory conditions, served as the main outcome measures. The results indicated that CI users exhibited higher speech reception thresholds in noise across all age groups compared to NH peers, with no significant difference between pre-lingual and post-lingual CI users. Significant differences were also observed in monosyllabic word and sentence accuracy in both quiet and noise conditions between CI and NH groups. Furthermore, correlations were observed between the DIN and other speech perception tests. The study concludes that CI users require a notably higher signal-to-noise ratio to discern digits in noise, underscoring the DIN test’s utility in assessing speech recognition capabilities in CI users while emphasizing the need for a comprehensive test battery to fully gauge their speech perception abilities.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Hebrew Digits in Noise (DIN) Test in Cochlear Implant Users and Normal Hearing Listeners

Taitelbaum-Swead,

Fostick

2024

Audiology Research

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“…Although China does not have a regular program for evaluating children’s hearing, a suitable hearing test is urgently needed to screen children. Previous studies have extended the use of some hearing tests originally designed for adults to children, such as the DIN test (Denys et al 2018; Koopmans et al 2018; Vroegop et al 2021; Wolmarans et al 2021). Alternatively, other studies have developed new tests for hearing screening in children, utilizing ecological sounds (e.g., sounds of dogs, cats, birds, piano, etc.)…”

Section: Discussionmentioning

confidence: 99%

The Chinese Zodiac-in-Noise Test: An Internet-Based Speech-in-Noise Test for Large-Scale Hearing Screening

Zhou,

Meng,

Liu

et al. 2023

Ear &Amp; Hearing

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Objectives: Motivated by the growing need for hearing screening in China, the present study has two objectives. First, to develop and validate a new test, called the Chinese Zodiac-in-noise (ZIN) test, for large-scale hearing screening in China. Second, to conduct a large-scale remote hearing screening in China, using the ZIN test developed. Design: The ZIN test was developed following a similar procedure as the digits-in-noise test but emphasizes the importance of consonant recognition by employing the 12 zodiac animals in traditional Chinese culture as speech materials. It measures the speech reception threshold (SRT) using triplets of Chinese zodiac animals in speech-shaped noise with an adaptive procedure. Results: Normative data of the test were obtained in a group of 140 normal-hearing listeners, and the performance of the test was validated by comparisons with pure-tone audiometry in 116 listeners with various hearing abilities. The ZIN test has a reference SRT of −11.0 ± 1.6 dB in normal-hearing listeners with a test-retest variability of 1.7 dB and can be completed in 3 minutes. The ZIN SRT is highly correlated with the better-ear pure-tone threshold (r = 0.82). With a cutoff value of −7.7 dB, the ZIN test has a sensitivity of 0.85 and a specificity of 0.94 for detecting a hearing loss of 25 dB HL or more at the better ear. A large-scale remote hearing screening involving 30,552 participants was performed using the ZIN test. The large-scale study found a hearing loss proportion of 21.0% across the study sample, with a high proportion of 57.1% in the elderly study sample aged over 60 years. Age and gender were also observed to have associations with hearing loss, with older individuals and males being more likely to have hearing loss. Conclusions: The Chinese ZIN test is a valid and efficient solution for large-scale hearing screening in China. Its remote applications may improve access to hearing screening and enhance public awareness of hearing health.

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The Feasibility and Reliability of a Digits-in-Noise Test in the Clinical Follow-Up of Children With Mild to Profound Hearing Loss

Abstract: Supplemental Digital Content is available in the text.

Cited by 2 publications

References 54 publications

Hebrew Digits in Noise (DIN) Test in Cochlear Implant Users and Normal Hearing Listeners

Hebrew Digits in Noise (DIN) Test in Cochlear Implant Users and Normal Hearing Listeners

The Chinese Zodiac-in-Noise Test: An Internet-Based Speech-in-Noise Test for Large-Scale Hearing Screening

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