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...
| Publicado en: | Acta Oto-Laryngologica Vol. 139; no. 7; pp. 625 - 632 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | 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。 |
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