Comparison of Speech Recognition and Subjective Hearing Handicap in Elderly Listeners as a Function of Degree of Hearing Loss
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to compare objective speech recognition and subjective hearing handicap outcomes as a function of a degree of hearing loss. Methods: 120 elderly listeners participated, ranging in age from 60-83 years. Listeners’ degrees of hearing loss were derived corresponding to a newly proposed World Health Organization hearing impairment grading system. As objective outcomes, word and sentence recognition scores (WRS, SRS) in quiet were measured at an individually determined most comfortable level. The SRS in noise were obtained at 0 dB signal-to-noise ratio. The Korean Evaluation Scale for Hearing Handicap questionnaire for non-hearing aid users was used to evaluate the effects of hearing status on social and psychological aspects. Results: Within the same grading of hearing impairment, listeners tended to show a large individual variability in speech-in-noise recognition and subjective hearing handicaps. Listeners with even mild impairment had more reductions in SRS in noise and more handicaps in an interpersonal relationship compared to normal-hearing listeners. Among the listeners with no impairment or mild hearing impairment, listeners who had poorer sentence-in-noise scores actually showed greater hearing handicaps. The sentence-in-noise scores plus WRS explained the subjective hearing handicap by about 40%. Conclusion: The elderly with normal hearing or mild hearing loss can have reduced communication abilities in background noise, resulting in a negative effect on their social and psychological aspects. It is recommended to conduct the sentence-in-noise intelligibility test and the subjective hearing handicap survey as a standard audiometric measures to confirm the functional communication problems for the elderly.
Abstract
Purpose: This study aimed to compare objective speech recognition and subjective hearing handicap outcomes as a function of a degree of hearing loss. Methods: 120 elderly listeners participated, ranging in age from 60-83 years. Listeners’ degrees of hearing loss were derived corresponding to a newly proposed World Health Organization hearing impairment grading system. As objective outcomes, word and sentence recognition scores (WRS, SRS) in quiet were measured at an individually determined most comfortable level. The SRS in noise were obtained at 0 dB signal-to-noise ratio. The Korean Evaluation Scale for Hearing Handicap questionnaire for non-hearing aid users was used to evaluate the effects of hearing status on social and psychological aspects. Results: Within the same grading of hearing impairment, listeners tended to show a large individual variability in speech-in-noise recognition and subjective hearing handicaps. Listeners with even mild impairment had more reductions in SRS in noise and more handicaps in an interpersonal relationship compared to normal-hearing listeners. Among the listeners with no impairment or mild hearing impairment, listeners who had poorer sentence-in-noise scores actually showed greater hearing handicaps. The sentence-in-noise scores plus WRS explained the subjective hearing handicap by about 40%. Conclusion: The elderly with normal hearing or mild hearing loss can have reduced communication abilities in background noise, resulting in a negative effect on their social and psychological aspects. It is recommended to conduct the sentence-in-noise intelligibility test and the subjective hearing handicap survey as a standard audiometric measures to confirm the functional communication problems for the elderly.
참고문헌 (19)
- Gelfand, S. A., "Consonant recognition in quiet and in noise with aging among normal hearing listeners", The Journal of the Acoustical Society of America, 80(6), pp.1589~1598 (1986)
- 한우재, "난청 성인 및 노인용 설문지에 대한 문헌 분석", Audiology and Speech Research, 11(1), pp.3~16 (2015), 한국청각언어재활학회
- 한영권, "A Study on the Korean Conversation Speech Level and Spectrum in Sound-Treated Environment", Audiology and Speech Research, 16(2), pp.133~139 (2020), 한국청각언어재활학회
- Humes, L. E., "The World Health Organization’s hearing-impairment grading system : An evaluation for unaided communication in age-related hearing loss", International Journal of Audiology, 58(1), pp.12~20 (2019)
- International Organization for Standardization, "ISO 8253-1 : 2010. Acoustics-Audiometric Test Methods-Part 1 : Pure-Tone Air and Bone Conduction Audiometry", ISO, ~ (2010)
- Jang, H., "Development of Korean standard sentence lists for sentence recognition tests", Audiology, 4(2), pp.161~177 (2008)
- 구호림, "노인성난청을 위한 청각장애평가지수(KESHH)의 개발", 한국노년학, 30(3), pp.973~992 (2010), 한국노년학회
- 구호림, "청각장애평가지수(KESHH)의 표준화 연구", Audiology and Speech Research, 6(2), pp.128~136 (2010), 한국청각언어재활학회
- Lawson, G. D., "Speech Audiometry" (2011), Plural Publishing, Inc
- 이동영, "Mini-Mental State Examination의 한국 노인 정상규준 연구", 신경정신의학, 41(3), pp.508~525 (2002), 대한신경정신의학회
- Lee, J. H., "Korean Speech Audiometry(KSA)" (2010), Hakjisa
- McRackan, T. R., "Clinical implications of word recognition differences in earphone and aided conditions", Otology and Neurotology, 37(10), pp.1475~1481 (2016)
- Saunders, G. H., "The performance-perceptual test and its relationship to unaided reported handicap", Ear and Hearing, 25(2), pp.117~126 (2004)
- Saunders, G. H., "The performance-perceptual test(PPT)and its relationship to aided reported handicap and hearing aid satisfaction", Ear and Hearing, 27(3), pp.229~242 (2006)
- 신진배, "Effects of the Target Talker Gender and the Number of Competing Talkers on Acceptable Noise Level (ANL) of Korean Normal-Hearing Adults", Audiology and Speech Research, 6(2), pp.146~152 (2010), 한국청각언어재활학회
- Stevens, G., "Global and regional hearing impairment prevalence : An analysis of 42 studies in 29 countries", European Journal of Public Health, 23(1), pp.146~152 (2013)
- Tyler, R. S., "Sentence identification in noise and hearing-handicap questionnaires", Scandinavian Audiology, 12(4), pp.285~292 (1983)
- Woods, D. L., "Age-related changes in consonant and sentence processing", Journal of Rehabilitation Research and Development, 49(8), pp.1277~1291 (2012)
- "Report of the Informal Working Group on Prevention of Deafness and Hearing Impairment Programme Planning" (1991)[URL]