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Speech tests. To inform on quality of hearing aid fittingTradition of neglectFalls between audiology and habilitationParticularly in Pre School HA User Used more by CI teams . DetectionDiscrimination Word recognitionSpeech understanding. Areas of Interest. One example is the Ling 5 (or 6!!) sounds oo - ah - ee - (mm) - sh
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1. Speech Testing
3.
Detection
Discrimination
Word recognition
Speech understanding Areas of Interest
4. One example is the Ling 5 (or 6!!) sounds
oo - ah - ee - (mm) - sh ss
Gives information across the speech frequency range
Auditory Speech Sound Evaluation (ASSE) Sound Detection
5. These tests should provide information useful for hearing aid fitting and possibly fine tuning
But no research to suggest exactly how fittings might be altered by speech test scores
Examples (Closed set tests)
McCormick Automated Toy Test
CCT (Consonant Cluster Task)
Maltby Speech Perception Test
Manchester Picture Test
FAAF Sound Discrimination
6. Examples
Open set word tests
Manchester Junior words
Cambridge junior words
AB word lists
Word Recognition
8. First wave evaluation study 3 (mild-moderate-severe, age 7-15) used FAAF (Four Alternative Auditory Feature Test developed by Haggard and Foster 1987)
In study 7 (severe/profoundly deaf group) if child was unable to perform on FAAF at above chance levels, The CCT (Consonant Cluster Task further developed by Marriage) was used.
Standardised test conditions through a calibrated system were important
10. Speech Testing Issues Acclimatisation
Familiarity of material
Degree of Hearing Loss (esp Severe/Profound)
Uses Counselling ?
Uses - Fine tuning ?
Uses Changes to HA Provision ?
Further work required (esp Pre School)
Calibration/Test Parameters
First wave ambivalent
11. Auditory Speech Sound Evaluation(ASSE) Test
15. Consonant Cluster Task (CCT) Test(Demo)
16. Further developed by Marriage
The test involves 4 alternative monosyllabic real words represented by pictures. They have the same vowel but different consonants e.g. hen, peg, bed, egg
There are 9 blocks of 6 presentations
The test can be given in quiet or competing noise conditions, and input level can be changed.
There were no significant differences using this or FAAF in Study 7, the children did score better on the DSP hearing aids, but numbers were small so not significant.
22. Four Alternative Auditory Feature (FAAF) Test(Demo & Practical)