Age-Related Maturation of Antiphasic Arabic Digits-in-Noise Thresholds in Children.

Purpose: Pediatric data in Arabic are largely absent from the digits-in-noise (DIN) literature, representing a critical gap in knowledge. This study aimed to describe the developmental patterns of Arabic antiphasic DIN thresholds in children aged 5–17 years, determine the age at which DIN thresholds...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 69; no. 7; pp. 3466 - 3483
Autores principales: Ewaida, Alaa, Guest, Hannah, Plack, Christopher J., Jaber, Aseel, Jamal, Alaa, Mitwasi, Elissa, Stephan, Lourd, Zaheh, Kefaya, Basem, Feda, Loukieh, Stephanie, Abdulhaq, Nadia, Shehabi, Adnan M.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jul2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
      vid: 69
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      pub: American Speech-Language-Hearing Association
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        10.1044/2026_JSLHR-25-00742
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        atl: Age-Related Maturation of Antiphasic Arabic Digits-in-Noise Thresholds in Children.
      aug:
        au:
          Ewaida, Alaa
          Guest, Hannah
          Plack, Christopher J.
          Jaber, Aseel
          Jamal, Alaa
          Mitwasi, Elissa
          Stephan, Lourd
          Zaheh, Kefaya
          Basem, Feda
          Loukieh, Stephanie
          Abdulhaq, Nadia
          Shehabi, Adnan M.
        affil:
          Division of Psychology Communication and Human Neuroscience, The University of Manchester, United Kingdom.
          Manchester Centre for Audiology and Deafness, The University of Manchester, United Kingdom.
          Department of Psychology, Lancaster University, United Kingdom.
          Department of Audiology and Speech Therapy, Birzeit University, Palestine.
          Communication Development Center for Speech and Hearing, Ramallah, Palestine.
      su:
        Palestine
        Cross-sectional method
        Task performance
        Age distribution
        Child development
        Arabs
        Hearing
        Auditory perception testing
        Research funding
        Noise
        Data analysis
        Descriptive statistics
        Audiometry
        Speech audiometry
        Statistics
        Hearing levels
        Speech perception
        Reaction time
        Comparative studies
        Confidence intervals
        Data analysis software
      sug:
        subj:
          Cross-sectional method
          Task performance
          Age distribution
          Child development
          Arabs
          Hearing
          Palestine
          Auditory perception testing
          Research funding
          Noise
          Data analysis
          Descriptive statistics
          Audiometry
          Speech audiometry
          Statistics
          Hearing levels
          Speech perception
          Reaction time
          Comparative studies
          Confidence intervals
          Data analysis software
      ab: Purpose: Pediatric data in Arabic are largely absent from the digits-in-noise (DIN) literature, representing a critical gap in knowledge. This study aimed to describe the developmental patterns of Arabic antiphasic DIN thresholds in children aged 5–17 years, determine the age at which DIN thresholds converge with adult levels, and characterize age-related changes in task performance metrics, including response time, response time variability, psychometric function slopes, and digit-position effects. Method: Audiometrically normal Arabic-speaking children (n = 65) and adults (n = 33) completed antiphasic DIN testing. Age-related trends were analyzed to identify the onset of adultlike performance, with thresholds beyond this point compared to adults using equivalence testing. Exploratory analyses estimated developmental inflection points via segmented regression and reported effect sizes with confidence intervals. Further supplementary analyses examined age-related trends in response times, response time variability, psychometric slopes, and effects of digit position (1/2/3) on response accuracy. Results: Most 5-year-olds were unable to complete the DIN task, but thresholds approached adultlike levels from the age of 10 years, with evidence of equivalence from the age of 13 years within predefined bounds. Exploratory segmented regression suggested inflection points near the ages of 6 and 10 years, although confidence intervals were wide for the latter. Increasing age was linked to faster and more consistent responses with less consistent evidence for changes in psychometric slope. Response accuracy in the youngest children varied by digit position. Conclusions: Findings indicate rapid maturation of antiphasic Arabic DIN performance, with task acquisition emerging in early school age and near-adult thresholds observed in early adolescence. The observed developmental pattern likely reflects a combination of auditory and task-related cognitive and linguistic factors; however, these processes were not directly assessed in the present study and should be interpreted cautiously. These results provide provisional developmental reference points and require validation and test optimization in children with hearing loss before pediatric hearing screening implementation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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