Development of the Continuous Number Identification Test (CNIT): feasibility of dynamic assessment of speech intelligibility

Int J Audiol. 2020 Jun;59(6):434-442. doi: 10.1080/14992027.2020.1718782. Epub 2020 Jan 31.

Abstract

Objective: The present study was motivated by a need for a speech intelligibility test capable of indexing dynamic changes in the environment and adaptive processing in hearing aids. The Continuous Number Identification Test (CNIT) was developed to meet these aims.Design: From one location in the free field, speech was presented in noise (∼2 words/s) with a 100-ms inter-word interval. On average, every fourth word was a target digit and all other words were monosyllabic words. Non-numeric words had a fixed presentation level such that the dominant signal-to-noise-ratio (SNR) was held at +6 dB SNR relative to background maskers. To prevent ceiling effects, however, targets were presented at a user-specific SNR, determined by an initial adaptive-tracking procedure that estimated the 79.4% speech reception threshold.Study sample: Ten normal-hearing listeners participated.Results: The CNIT showed comparable psychometric qualities of other established speech tests for long time scales (Exp. 1). Target-location changes did not affect performance on the CNIT (Exp. 2), but the test did show high temporal resolution in assessing sudden changes to SNR (Exp. 3).Conclusions: The CNIT is highly customisable, and the initial experiments tested feasibility of its primary features which set it apart from currently available speech-in-noise tests.

Keywords: Speech-in-noise test; hearing aid assessment; spatial hearing; speech recognition.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Feasibility Studies
  • Female
  • Healthy Volunteers
  • Humans
  • Male
  • Noise
  • Perceptual Masking / physiology*
  • Psychometrics
  • Speech Discrimination Tests / methods*
  • Speech Intelligibility / physiology*
  • Speech Reception Threshold Test / methods*
  • Young Adult