Speech Recognition Testing: The Basics Recognition Testing: The Basics Rachel McArdle, Ph.D. Chief,...

76
Speech Recognition Testing: The Basics Rachel McArdle, Ph.D. Chief, Audiology and Speech Pathology Service Research Career Development Awardee, VA RR&D Department of Veterans Affairs Bay Pines VA Healthcare System, Bay Pines, FL Associate Professor, Communication Sciences & Disorders University of South Florida, Tampa, FL

Transcript of Speech Recognition Testing: The Basics Recognition Testing: The Basics Rachel McArdle, Ph.D. Chief,...

  • Speech Recognition Testing: The Basics

    Rachel McArdle, Ph.D. Chief, Audiology and Speech Pathology ServiceResearch Career Development Awardee, VA RR&DDepartment of Veterans AffairsBay Pines VA Healthcare System, Bay Pines, FL

    Associate Professor, Communication Sciences & DisordersUniversity of South Florida, Tampa, FL

  • Bay Pines VA Healthcare System

  • Acknowledgements

    This material is based upon work supported by the Department of Veterans Affairs,

    Veterans Health Administration, and Office of Research and Development,

    Rehabilitation Research and Development Service.

  • Disclaimer

    The contents of this presentation do not represent the views of the Department of

    Veterans Affairs or the United States Government.

  • Two Components of Hearing Loss

    Carhart (1951)Loss of acuityLoss of clarity

    Stephens (1976)Simple attenuationMajor distortions

    Plomp (1978)AudibilityDistortion

  • Normal ImpairedAudibility

    Distortion

    BackgroundNoise

    Speech Speech

    Speech SpeechSpeech

    Speech SpeechSpeech

    SPEECH PERCEPTION EFFECTS OFSENSORINEURAL IMPAIRMENT

    SPEECH PERCEPTION EFFECTS OFSENSORINEURAL IMPAIRMENT

    Boothroyd

  • Audibility measures of speech

    Speech recognition threshold (SRT)PurposeASHA methodRecorded materials

  • Audibility measures of speech

    Speech recognition threshold (SRT)Speech recognition in quiet

    Phonetically-balanced lists

  • -4

    -2

    0

    2

    4

    6

    WORD LISTS

    50%

    PO

    INT

    (dB

    S/N

    )

    PB-50 W-22 NU No. 6 RANDOMLY SELECTED

    The mean 50% points for the individual words calculated with the Spearman-Krber equation are shown for lists 1-4 of the PB-50 (triangles), of the CID W-22 (squares), and of the NU No. 6 (inverted triangles). The 12 randomly compiled lists (circles) are shown in the right half of the figure. The vertical bars indicate one standard deviation.

    Wilson, McArdle, & Roberts, JAAA, 2008

  • Audibility measures of speech

    Speech recognition threshold (SRT)Speech recognition in quiet

    Phonetically-balanced listsMLV vs recorded materials

  • Roeser & Clark, AT, 2008

  • Audibility measures of speech

    Speech recognition threshold (SRT)Speech recognition in quiet

    Phonetically-balanced listsMLV vs recorded materialsSpeaker differences

  • Audibility measures of speech

    Speech recognition threshold (SRT)Speech recognition in quiet

    Phonetically-balanced listsMLV vs recorded materialsSpeaker differencesList differences (NU 6, W-22, PB-50)

    PB-50 harder than the W-22 (Hirsh et al, 1952)NU 6 harder than W-22

  • 0

    20

    40

    60

    80

    100

    0

    20

    40

    60

    80

    100

    CO

    RR

    ECT

    REC

    OG

    NIT

    ION

    (%)

    -7 -2 3 8 -7 -2 3 8SIGNAL-TO-NOISE RATIO (dB)

    PB-50

    LIST 8LIST 9LIST 10LIST 11

    W-22

    LIST 1LIST 2LIST 3LIST 4

    NU No. 6

    LIST 1LIST 2LIST 3LIST 4

    W-22NU No. 6

    PB-50

    MeansSpeaker Diffe

    rences!

    The mean percent correct recognition at four signal-to-noise ratios for the four lists of each of the three monosyllabic words list materials. The mean data for each of the lists are illustrated in the 4th quadrant. The lines with each set of data are the linear regressions used to describe the data. The 50% point for each function and the slope of the function at the 50% point are listed in Table 2. The horizontal line in each panel indicates the 50% point on each function.

    Wilson, McArdle, & Roberts, JAAA, 2008

  • Speech-in-noise testing

    Came about in the late 1960s as a way to quantify the amount of distortion Carhart & Tillman (1970) advocated for speech-in-noise testing to be part of test batteryStrom (2006) surveyed and found that less than half of dispensing professionals use some type of speech-in-noise task

  • SNR loss

    (Killion, Seminars in Hearing, 2002)

  • Predicting Speech Recognition Performance in Noise

    Audibility Linear Easily predicted from pure tones (i.e., AI)

  • COCHLEAR

    #1 #2

    #3

    0

    20

    40

    60

    80

    100

    PER

    CEN

    T C

    OR

    REC

    T R

    ECO

    GN

    ITIO

    N

    #4

    #5ROLL OVER

    RETROCOCHLEAR

    NORMAL

    CONDUCTIVE

    40

    60

    80

    100

    #1

    PRESENTATION LEVEL (dB HL)

    % C

    orre

    ct R

    ecog

    nitio

    n Pe

    rfor

    man

    ce

  • Predicting Speech Recognition Performance in Noise

    Audibility Linear Easily predicted from pure tones (i.e., AI)

    DistortionNon-linearPoor prediction from pure tones

  • 01020304050

    6070

    0 4 8 12 16 20 2450% Point WORDS-IN-NOISE (dB S/B)

    PUR

    E-TO

    NE

    AVE

    RA

    GE

    (dB

    HL)

    500, 1000, 2000 Hz

    1000, 2000, 4000 Hz

    01020304050

    6070

    N = 315

    r = 0.44

    r = 0.65

  • Predicting Speech Recognition Performance in Noise

    Audibility Linear Easily predicted from pure tones (i.e., AI)

    DistortionNon-linearPoor prediction from pure tonesPoor prediction from word recognition performance in quiet

  • 0

    20

    40

    60

    80

    100

    0 4 8 12 16 20 24% C

    OR

    REC

    T R

    ECO

    GN

    ITIO

    N a

    t 80-

    dB H

    L

    50% CORRECT POINT (dB S/B)

    176 (45.5%)

    107 (27.6%)

    104 (26.9%)

    Wilson & McArdle, Journal of Rehabilitation Research and Development, 2005

  • Predicting Speech Recognition Performance in Noise

    Audibility Linear Easily predicted from pure tones (i.e., AI)

    DistortionNon-linearPoor prediction from pure tonesPoor prediction from word recognition performance in quiet

    Speech recognition in noise performance must be

    measured directly!

  • 0

    2

    4

    6

    8

    10

    12

    14

    16

    18

    20

    21 23 1 2 4 6 8 10 12 14 16 18QUICKSIN LIST

    50%

    CO

    RR

    ECT

    POIN

    T (d

    B S

    /N)

    Listeners with Normal Hearing

    McArdle & Wilson, Journal of the American Academy of Audiology, 2006

  • 0

    2

    4

    6

    8

    10

    12

    14

    16

    18

    20

    21 23 1 2 4 6 8 10 12 14 16 18QUICKSIN LIST

    50%

    CO

    RR

    ECT

    POIN

    T (d

    B S

    /N)

    McArdle & Wilson, Journal of the American Academy of Audiology, 2006

    Listeners with Hearing Loss

    HI

    NH

  • McArdle & Wilson, Journal of the American Academy of Audiology, 2006

  • PUR

    E-TO

    NE

    AVE

    RA

    GE

    (dB

    HL)

    (500

    , 100

    0, 2

    000,

    & 4

    000

    Hz)

    20 30 40 50 60 70 80AGE IN YEARS

    50%

    CO

    RR

    ECT

    POIN

    T (d

    B S

    /B)

    0

    10

    20

    30

    40

    50

    60

    -4

    0

    4

    8

    12

    16

    20

    24

    Function of Aging?

    Wilson & Weakley, Journal of the American Academy of Audiology, 2005

  • Why measure speech-in-noise in an audiologic evaluation?

    Addresses common complaint of the patientDifficulty understand speech in background noise

    The data provide insight into the most appropriate amplification strategy

    Directional microphones, FM systemsCounseling, realistic expectations

  • Speech-in-Noise Tests

    Sentence testsSPINHINT QuickSINBKB-SIN

    Monosyllable testsWINSPRINT

  • Speech Perception in Noise Test (SPIN)

    The amount of semantic context leading to the last word of each sentence, which is a monosyllabic target word, is varied

    50 sentences (25 LP, 25 HP)scored as the percentage of LP and HP words correctly perceived

    Examples:Low Predictability (LP)Ruths grandmother discussed the broom

    High Predictability (HP)The girl swept the floor with a broom

    Quiet Noise +6 dB S/N

    Kalikow et al, Journal of the Acoustical Society of America, 1977

  • TimePre Post 6-mo 1-yr

    Prob

    abili

    ty C

    orre

    ct

    40

    60

    80

    100

    HA-alone HP HA-alone LP HA+AR HP HA+AR LP

    HighPredictability

    N = 105

    LowPredictability

  • Hearing in Noise Test (HINT) 10 BKB sentences- 1st grade reading level

    Repeat entire sentence correctly bracketing methodDecrease signal for correct answerIncrease signal for incorrect answer

    Speech spectrum noise - fixedScored in terms of signal-to-noise ratio at the 50% point

    Example:

    Her shoes were very dirty

    Quiet Noise (3 dB S/N)

    Nilsson et al, Journal of the Acoustical Society of America, 1994

  • HINTNoise = 70 dB HL

    # List 1 - practice Level List 1 Level

    1 2

    2 3

    3 4

    4 5

    5 6

    6 7

    7 8

    8 9

    9 10

    (A/The) boy fell from (a/the) window

    (A/The) boy fell from (a/the) window

    (A/The) boy fell from (a/the) window

    (A/The) boy fell from (a/the) window

    (A/The) wife helped her husband

    (A/The) boy fell from (a/the) window

    (A/The) boy fell from (a/the) window

    (A/The) boy fell from (a/the) window

    (A/The) boy fell from (a/the) window

    (A/The) boy fell from (a/the) window

    Big dogs can be dangerousHer shoes (are/were) very dirty(A/The) player lost (a/the) shoeSomebody stole the money(A/The) fire (is/was) very hotShe's drinking from her own cup(A/The) picture came from (a/the) book(A/The) car (is/was) going too fast

    84+82+84+82+80+82+84/7 = 82.6 (signal) 70 dB HL (noise)

    50% point = 12.6 dB S/N

  • BKB Speech-in-Noise Test (BKB-SIN) 10 BKB sentences- 1st grade reading level

    3 target words per sentence Multitalker babbleDescending paradigm +21 to -6 dB S/N

    3 dB decrementsScored in terms of signal-to-noise ratio at the 50% pointGood for CI users, children, and profound hearing loss

    Example:

    The bag fell to the ground

    Quiet Noise (3 dB S/N)

    Etymotic Research, 2005

  • BKB-SIN Test List 4A1. A mouse ran down the hole. 4 +212. The light went out 3 +183. They wanted some potatoes 3 +154. The little girl is shouting 3 +125. The cold milk is in a pitcher 3 + 96. The paint dripped on the ground 3 + 67. Mother stirred her tea 3 + 38. The father is coming home 3 0 dB9. She had her spending money. 3 - 310. He is bringing his raincoat 3 -6

    xx x

    xx xxx x x

    xx x

    4333321000

    19SNR 50%= 23.5 19 = 4.5 dB

  • Spearman-Krber Equation(Finney, 1952)

    50% = i + (d) (d)(# correct)/(w)i = the initial presentation level (dB S/B)d = the attenuation step size (decrement)w = the number of items per decrement.

    BKB Example:Initial starting level 21 dB S/N, 3 dB step size, 3 words per decrement # correct = 15

    50% = 21 + (3) (3)(15)/350% = 21 + 1.5 - 1550% = 22.5 +1* 15 50% = 23.5 15 = 8.5 dB S/N

  • Quick Speech-in-Noise Test (QuickSIN)

    6 IEEE sentences-5 target words per sentenceSyntactic cues but subtle semantic cues

    Multitalker babble Descending paradigm 25-to 0-dB S/N

    5 dB decrementsScored in terms of signal-to-noise ratio at the 50% point (Spearman-Krber equation)

    Quiet Noise (5 dB S/N)Example:

    It is a band of steel 3 inches wide

    Killion et al, Journal of the Acoustical Society of America, 2004

  • QuickSIN List 1A white silk jacket goes with any shoe. S/N 25 The child crawled into the dense grass. S/N 20 Footprints showed the path he took up the beach. S/N 15 A vent near the edge brought in fresh air. S/N 10 It is a band of steel three inches wide. S/N 5 The weight of the package was seen on the high scale. S/N 0

    xxx x

    25.5 Total Correct = SNR Loss

    xxxx

    xx

    SCORE554330

    QuickSIN Example:Initial starting level 25 dB S/N, 5 dB step size, 5 words per decrement # correct = 20

    50% = 25 + (5) (5)(20)/550% = 25 + 2.5 - 2050% = 27.5 20 = 7.5 dB S/NSNR loss 50% = 25.5 20 = 5.5 dB S/N

  • 0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100C

    OR

    REC

    T W

    OR

    D R

    ECO

    GN

    ITIO

    N (%

    )

    25

    21 23 1 2 4 6 8 10 12 14 16 18QUICKSIN LIST

    5

    10

    1520

    Stimulus variability

    Dimes showered down from all sides

    It was done before the boy could see it

    n = 72 listeners with hearing loss

    McArdle & Wilson, Journal of the American Academy of Audiology, 2006

  • -4

    -3

    -2

    -1

    0

    1

    2

    3

    4

    1 2 4 6 8 10 12 14 16 18QUICKSIN LIST

    DEV

    IATI

    ON

    FR

    OM

    MEA

    N 5

    0% P

    OIN

    T (d

    B)

    McArdle & Wilson, Journal of the American Academy of Audiology, 2006

  • -4

    -3

    -2

    -1

    0

    1

    2

    3

    4

    1 2 6 8 10 12 16 17QUICKSIN LIST

    DEV

    IATI

    ON

    FR

    OM

    MEA

    N 5

    0% P

    OIN

    T (d

    B)

    11

    McArdle & Wilson, Journal of the American Academy of Audiology, 2006

  • Words-in-Noise Test (WIN)35 NU No. 6 monosyllabic words (female speaker)

    5 words per signal-to-noise ratio Multitalker babble - fixedDescending paradigm 24-to 0-dB S/N

    4-dB decrementsScored in terms of signal-to-noise ratio at the 50% point (Spearman-Krber equation)

    Example:

    Say the word voice

    Quiet Noise (12 dB S/N)

    Wilson, Journal of the American Academy of Audiology, 2003

  • List 1, Random 2 24-dB S/B 12-dB S/B 0-dB S/B

    1 FOOD 16 RUSH 31 BATH 2 PAIN 17 VOICE 32 DAB 3 LATE 18 TOOL 33 GET 4 DODGE 19 SEARCH 34 READ 5 COOL 20 GOOD 35 LIFE

    20-dB S/B 8-dB S/B 6 DITCH 21 MAKE # Correct 7 KICK 22 SOAP 8 LUCK 23 YOUNG 9 GUN 24 SOUR

    10 SUCH 25 HALF 16-dB S/B 4-dB S/B

    11 WIRE 26 SHEEP 12 TIME 27 MESS 13 HAVE 28 MOOD 14 JUDGE 29 LONG 15 DOG 30 FAR

    x

    x

    x

    xxxxx

    17

  • WIN Example:Initial starting level 24 dB S/N, 4 dB step size, 5 words per decrement # correct = 17

    50% = 24 + (4) (4)(17)/550% = 24 + 2 17(0.8)*50% = 26 13.6 = 12.4 dB S/N

    *The "0.8" is the attenuation step size (4 dB) divided by the number of words per step (5)

  • Name_______________________SS#__________Age__________ Date____________By__________Ear___________Level________

    24-dB S/B 12-dB S/B 0-dB S/B1 pain 16 hate 31 gaze 2 youth 17 shack 32 life 3 wheat 18 tool 33 get 4 dodge 19 voice 34 read 5 cool 20 rush 35 bath

    20-dB S/B 8-dB S/B 6 ditch 21 turn # Correct7 ring 22 young 8 kick 23 bite 9 chair 24 pick

    10 luck 25 half 16-dB S/B 4-dB S/B

    11 base 26 far 12 wire 27 learn 13 red 28 mood 14 time 29 talk 15 judge 30 note

    Threshold (50%) dB S/B

    Track 25, List 1, Random 1

    Ear_________Level______________

    24-dB S/B 12-dB S/B 0-dB S/B1 food 16 good 31 back 2 road 17 search 32 dab 3 juice 18 pass 33 kill 4 late 19 witch 34 nice 5 hire 20 chief 35 calm

    20-dB S/B 8-dB S/B 6 tire 21 sour # Correct7 such 22 doll 8 shawl 23 deep 9 haze 24 soap

    10 gun 25 make 16-dB S/B 4-dB S/B

    11 live 26 beg 12 date 27 mess 13 gas 28 long 14 have 29 mouse 15 dog 30 sheep

    Threshold (50%) dB S/B

    Track 26, List 2, Random 1

    # C

    orre

    ct

    Thre

    shol

    d

    1 25.2 2 24.4

    3 23.6PROFOUND 4 22.8

    5 22.06 21.27 20.48 19.69 18.810 18.0SEVERE11 17.212 16.413 15.614 14.815 14.016 13.2MODERATE17 12.418 11.619 10.820 10.021 9.2

    MILD 22 8.423 7.624 6.825 6.026 5.227 4.428 3.629 2.8

    NORMAL 30 2.0 31 1.2 32 0.4 33 -0.4 34 -1.2 35 -2.0

  • Speech Recognition in Noise Test (SPRINT)

    200 NU No. 6 monosyllabic words (male speaker)6-talker babble Fixed paradigm (9 dB S/N)Scored in terms of # correct out of 200

    Example: Quiet Noise (9 dB S/N)

    Say the word room

    Cord MT, Walden BE, Atack RM, 1992

  • 20

    40

    60

    80

    100

    0 4 8 12 16 20 2450% POINT (dB S/N)--WIN

    PER

    CEN

    T C

    OR

    REC

    T--S

    PRIN

    T

    0

    R=-0.81

    Wilson & Cates, Journal of the American Academy of Audiology, 2008

  • 0

    20

    40

    60

    80

    100

    0 4 8 12 16 20 24SIGNAL-TO-NOISE RATIO (dB)

    PERC

    ENT

    CO

    RRE

    CT

    REC

    OG

    NIT

    ION

    PRESENTATION LEVEL (dB HL)--WIN60 64 68 72 76 80 84

    S

    S

    Wilson & Cates, Journal of the American Academy of Audiology, 2008

  • How do you select a test?

  • Factors to consider when selecting a speech-in-noise test

    Easy to Administer

    HINT

    QuickSIN

    BKB-SIN

    WIN

  • Ease of Administration

    Adaptive protocol (i.e., HINT)Audiologist manually adjusts the signal-to-noise ratioBracketing method

    Use initial sentence to determinestarting levelDecrease the level after a

    correct responseIncrease the level after an incorrect response

    2010

    0

    30

    4050

    60 70

    80

  • Ease of AdministrationDescending Paradigm (i.e., QuickSIN, BKB-SIN, WIN)

    Materials are recorded at multiple signal-to-noise ratios that are presented in a descending mannerDecrement in dB S/N for a particular material is fixedAllows for calculation of the 50% point utilizing the Spearman-Krber equation Allows for stopping rule (i.e., WIN)

  • Factors to consider when selecting a speech-in-noise test

    Ease Test Time

    HINT

    QuickSIN

    BKB-SIN

    WIN

  • Factors to consider when selecting a speech-in-noise test

    Ease Test Time

    HINT 1.5 min*

    QuickSIN

    BKB-SIN

    WIN

  • Factors to consider when selecting a speech-in-noise test

    Ease Test Time

    HINT 1.5 min*

    QuickSIN 1min

    BKB-SIN

    WIN

  • Factors to consider when selecting a speech-in-noise test

    Ease Test Time

    HINT 1.5 min*

    QuickSIN 1min

    BKB-SIN 1.5 min

    WIN

  • Factors to consider when selecting a speech-in-noise test

    Ease Test Time

    HINT 1.5 min*

    QuickSIN 1min

    BKB-SIN 1.5 min

    WIN 2 min

  • Factors to consider when selecting a speech-in-noise test

    Ease Test Time

    Basic Auditory Fx

    1.5 min*

    1min

    1.5 min

    2 min

    Context

    HINT

    QSIN

    BKB-SINWIN

  • Miller, Heise, Lichten, Journal of Experimental Psychology, 1951

  • Words or Sentences?

    Advantages of sentencesMore realistic stimulus-type when examining how fluent speech is perceived High face validityShorten test administration time

    Disadvantages of sentencesAdditional cognitive demands Syntactic and semantic structure of sentence-length stimuli influences performance making it difficult to determine basic auditory function

    Advantages of monosyllablesMinimize the effects of working memory and linguistic context on performanceMost popular stimulus type among audiologists

    Disadvantages of monosyllablesNot representative of everyday speech Lack natural dynamics of real speech such as word stress, co-articulation, and dynamic range

  • 0

    4

    8

    12

    16

    20

    24

    50%

    Poi

    nt W

    IN (d

    B S

    /B)

    0 4 8 12 16 20 2450% Point QuickSIN (dB S/B)

    (29--40%)

    (43--60%)

    Wilson & McArdle, Journal of Rehabilitation Research and Development, 2005

  • Factors to consider when selecting a speech-in-noise test

    Ease Test Time

    Basic Auditory

    Fx

    Context

    1.5 min

    1 min

    1.5 min

    2 min

    HINT

    QSIN

    BKB-SINWIN

  • Ease Test Time

    Basic Auditory

    Fx

    Context

    1.5 min

    1 min

    1.5 min

    2 min

    Best Separation

    HINT

    QSIN

    BKB-SIN

    WIN

    Factors to consider when selecting a speech-in-noise test

  • Mean Recognition performances for the NU No.6 in multitalker babble (WIN test)

    WIN data

    Signal-to-noise ratio (dB)-10 0 10 20 30 40

    Wor

    ds c

    orre

    ct (%

    )

    0

    20

    40

    60

    80

    100

    Normals (n=24)Mild/Moderate Loss (n=72)

  • % C

    OR

    REC

    T R

    ECO

    GN

    ITIO

    N a

    t 104

    -dB

    SPL

    50% CORRECT POINT (dB S/B)

    QuickSIN

    HINT

    -2 2 6 10 14 18 22 -2 2 6 10 14 18 22

    WIN

    0

    20

    40

    60

    80

    100

    0

    20

    40

    60

    80

    100 BKB-SIN

    22% 78% 28% 72%

    10% 90% 1% 99%

    Wilson, McArdle, & Smith, JSLHR, 2007

  • Ease Test Time

    Basic Auditory

    Fx

    Context

    1.5 min

    1 min

    1.5 min

    2 min

    Best Separation

    HINT

    QSIN

    BKB-SIN

    WIN

    Factors to consider when selecting a speech-in-noise test

  • Recognition performance varies as a function of presentation level

  • Presentation Level on Speech in Noise Recognition Performance

    0

    20

    40

    60

    80

    100

    70 80 90 100 110 120 130

    PRESENTATION LEVEL (dB SPL)

    % C

    OR

    REC

    T R

    ECO

    GN

    ITIO

    N

    15-dB S/N

    0-dB S/N

    P&P

    KP&P

    K

    Kryter, Journal of the Acoustical Society of America, 1946Pollack & Pickett, Journal of the Acoustical Society of America, 1958

  • Where to purchase tests

    WIN email [email protected] CD

    QuickSIN/BKB-SIN www.etymotic.comQuickSIN - $160BKB-SIN - $195

    HINT Bio-logic Systems Corp Karen Plude800-323-8326 ext 239sales @ bio-logic.com

    mailto:[email protected]://www.etymotic.com/

  • AcknowledgmentsRichard Wilson, PhD

    James H. Quillen VA, Mountain Home, TNSherri Smith, AuD/PhD

    James H. Quillen VA, Mountain Home, TN

    Bay Pines Auditory Research Lab (past and present)Mitzy Carlo, AuD/PhDMonica Mejia, AuDElizabeth Townsend, AuDJana Wells, AuDCassie Eiffert, AuDLiz Talmage, AuDVicky Williams, BALynette Dornton, BS

  • REFERENCES

    Carhart R. Basic principles of speech audiometry. Acta Otolaryngol. 1951;40:62-71.Cord, Walden, Atack (1992) Unpublished paper. Walter Reed Army Medical Hospital.BKB-SIN Speech-in-Noise Test [compact disk]. Elk Grove Village (IL): Etymotic Research, Inc.;2005.Kalikow DN, Stevens KN, Elliott LL. Development of a test of speech intelligibility in noise using sentence materials with controlled word predictability. J Acoust Soc Am. 1977;61:1337-1351.Killion MC. New thinking on hearing in noise: a generalized articulation index. Sem Hear. 2002;23:57-75.Killion MC, Niquette PA, Gudmundsen GI, Revit LJ, Banerjee S. Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearing-impaired listeners. J Acoust Soc Am. 2004;116(4 Pt 1):2395-2405.Kryter KD. Effects of ear protective devices on the intelligibility of speech in noise. J Acoust Soc Am. 1946;18(2):413-417.McArdle RA, Wilson RH, Burks CA. Speech recognition in multitalker babble using digits, words, and sentences. J Am Acad Audiol. 2005;16:726-739.McArdle, R., & Wilson, R.H. (2006). Homogeneity of the 18 QuickSIN Lists. Journal of the American Academy of Audiology, 17(3), 157-167.Miller GA, Heise GA, Lichten W. The intelligibility of speech as a function of the context of the test materials. J Exp Psychol. 1951;41(5):329-335.Nilsson M, Soli SD, Sullivan JA. Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise. J Acoust Soc Am. 1994(2);95:1085-1099.Plomp R. Auditory handicap of hearing impairment and the limited benefit of hearing aids. J Acoust Soc Am. 1978;63(2):533-549.

  • Pollack I, Pickett JM. Masking of speech by noise at high sound levels. J Acoust Soc Am. 1958;30(2):127-130.Shanks JE, Wilson RH, Larson V, Williams D. Speech recognition performance of patients with sensorineural hearing loss under unaided and aided conditions using linear and compression hearing aids. Ear Hear. 2002;23(4):280-290.Stephens SDG. The input for a damaged cochlea: a brief review. Brit J Audiol. 1976;10:97-101. Wilson RH. J Rehab Res & Dev. 2003Strom KE. The HR 2003 dispenser survey. Hear Rev. 2003;10(6):22-38.Wilson RH. Development of a speech-in-multitalker-babble paradigm to assess word-recognition performance. J Am Acad Audiol. 2003;14(9):453-470.Wilson RH, Burks CA, Weakley DG. Word recognition of digit triplets and monosyllabic words in multitalker babble by listeners with sensorineural hearing loss. J Am Acad Audiol. 2006 17:385-398.Wilson RH, McArdle RA. Speech signals used to evaluate functional status of the auditory system. J Rehab Res & Dev. 2005;42(Suppl 2):79-94.Wilson RH, Weakley DG. The 500 Hz masking-level difference and word recognition in multitalker babble for 40- to 89-year-old listeners with symmetrical sensorineural hearing loss. J Am Acad Audiol. 2005;16(6):367-382.Wilson RH, Weakley DG. The use of digit triplets to evaluate word-recognition abilities in multitalker babble. Seminars in Hearing. 2004;25(1):93-111

    Speech Recognition Testing: The BasicsAcknowledgementsDisclaimerTwo Components of Hearing LossAudibility measures of speechAudibility measures of speechAudibility measures of speechAudibility measures of speechAudibility measures of speechSpeech-in-noise testingPredicting Speech Recognition Performance in NoisePredicting Speech Recognition Performance in NoisePredicting Speech Recognition Performance in NoisePredicting Speech Recognition Performance in NoiseWhy measure speech-in-noise in an audiologic evaluation?Speech-in-Noise TestsSpeech Perception in Noise Test (SPIN)Hearing in Noise Test (HINT)HINTBKB Speech-in-Noise Test (BKB-SIN)Spearman-Krber Equation(Finney, 1952)Quick Speech-in-Noise Test (QuickSIN)QuickSIN List 1Words-in-Noise Test (WIN)Speech Recognition in Noise Test (SPRINT)How do you select a test?Factors to consider when selecting a speech-in-noise testEase of AdministrationEase of AdministrationFactors to consider when selecting a speech-in-noise testFactors to consider when selecting a speech-in-noise testFactors to consider when selecting a speech-in-noise testFactors to consider when selecting a speech-in-noise testFactors to consider when selecting a speech-in-noise testFactors to consider when selecting a speech-in-noise testWords or Sentences?Factors to consider when selecting a speech-in-noise testFactors to consider when selecting a speech-in-noise testFactors to consider when selecting a speech-in-noise testWhere to purchase testsAcknowledgments