TY - JOUR
T1 - Clinical feasibility of auditory processing tests in Japanese older adults
T2 - a pilot study
AU - Fujimoto, Shohei
AU - Maeda, Yukihide
AU - Obuchi, Chie
AU - Uchida, Yasue
AU - Harashima, Tsuneo
AU - Nishizaki, Kazunori
N1 - Funding Information:
This study was supported by a grant from Japan Agency for Medical Research and Development (grant number: 18dk0310085). The authors express their sincere appreciation to all concerned: the participants of the study, the audiologists (Atsuko Nakagawa, Satomi Tanaka, and Natsumi Hosokawa), and the researchers from the project of the Japan Agency for Medical Research and Development.
Publisher Copyright:
© 2019, © 2019 Acta Oto-Laryngologica AB (Ltd).
PY - 2019/7/3
Y1 - 2019/7/3
N2 - 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.
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.
KW - Auditory processing test
KW - auditory and cognitive ability
KW - clinical feasibility for older adults
KW - dichotic listening test
KW - fast speech test
KW - gap detection test
KW - rapidly alternating speech perception test
KW - speech in noise test
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U2 - 10.1080/00016489.2019.1612532
DO - 10.1080/00016489.2019.1612532
M3 - Article
C2 - 31104553
AN - SCOPUS:85066084204
SN - 0001-6489
VL - 139
SP - 625
EP - 631
JO - Acta Oto-Laryngologica
JF - Acta Oto-Laryngologica
IS - 7
ER -