Clinical feasibility of auditory processing tests in Japanese older adults: a pilot study.

Background: Difficulty in listening comprehension is a major audiological complaint of older adults. Behavioural auditory processing tests (APTs) may evaluate it. Aims/Objectives: The aim was to assess the feasibility of administering Japanese APTs to older adults at otolaryngology clinics. Material...

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Publicado en:Acta Oto-Laryngologica Vol. 139; no. 7; pp. 625 - 632
Autores principales: Fujimoto, Shohei, Maeda, Yukihide, Obuchi, Chie, Uchida, Yasue, Harashima, Tsuneo, Nishizaki, Kazunori
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2019
Acceso en línea:Ver este registro en EBSCOhost
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        10.1080/00016489.2019.1612532
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        atl: Clinical feasibility of auditory processing tests in Japanese older adults: a pilot study.
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        au:
          Fujimoto, Shohei
          Maeda, Yukihide
          Obuchi, Chie
          Uchida, Yasue
          Harashima, Tsuneo
          Nishizaki, Kazunori
        affil: Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
      sug:
        subj:
          Auditory Perceptual Disorders
          Hearing Tests Methods
          Japanese Persons
          Dichotic Listening Tests
          Speech Perception
          Aged
          Aged, 80 and Over
          Questionnaires
          Cognition
          Human
          Pilot Studies
          Aged: 65+ years
          Aged, 80 & over
      ab:
        Background: Difficulty in listening comprehension is a major audiological complaint of older adults. Behavioural auditory processing tests (APTs) may evaluate it. Aims/Objectives: The aim was to assess the feasibility of administering Japanese APTs to older adults at otolaryngology clinics. Material and Methods: Using computer programs interfaced with an audiometer, APTs (dichotic listening test; fast speech test, FST; gap detection test, GDT; speech in noise test; rapidly alternating speech perception test) were administered to 20 older adults (65–84 years old; mean 75.3 years) and 20 young adults at the 40 dB sensation level. Monosyllable speech perception (MSP) and the Mini-Mental State Examination (MMSE) were evaluated. Results: APT results except for GDT were significantly correlated with MSP. The performance on each APT was worse in older adults than in young adults (p <.01). The older adults with good MSP ≥ 80% (n = 13) or excellent cognitive function (MMSE ≥ 28; n = 11) also did worse on APTs (p <.05). A ceiling effect was noted in the APT data, with FST showing a minimum ceiling effect and reflecting interindividual variations of data. Conclusions and Significance: It is feasible to administer APTs to older adults who visit otolaryngology clinics. Among our Japanese APTs, FST may be suitable for further large-scale clinical studies.
        背景:听力理解困难是老年人的主要听力问题。行为听觉处理测试(APTS)可以对其进行评估。 目的:评估在耳鼻咽喉科门诊对老年人应用日本APT的可行性。 材料和方法:采用与听力计接口的计算机程序, 对20名老年人(65-84岁, 平均75.3岁)和20名年轻人在40分贝感觉水平上进行APT测试(二分法听力测试;快速语音测试, FST;间隙检测测试, GDT;噪声中语音测试;快速交替语音感知测试)。对单音节语言感知(MSP)和微型精神状态检查(MMSE)进行了评价。 结果:除GDT外, APT结果与MSP显著相关。老年人在每个APT上的表现都比年轻人差(P<.01)。有良好MSP ≥ 80%(n = 13)或极好认知功能(MMSE ≥ 28;n = 11)的老年人在APT测试上也表现较差(p<.05)。在APT数据中注意到了天花板效应。FST显示出最小的天花板效应, 并反映了个体间数据变化。 结论与意义:对耳鼻咽喉科门诊老年患者进行APT测试是可行的。在我们的日本APT中, FST可能适用于进一步的大规模临床研究。
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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