The Construction and Validation of CanSRINT

The Construction and Validation of Cantonese Sentence Recognition in Noise Test

An open-set sentence speech recognition in noise test in Cantonese Chinese, which is applicable on children and adults with hearing impairment, is proposed to be developed in this project.

Study Overview

• Status: Completed
• Conditions: Hearing Loss
• Intervention / Treatment: Diagnostic test: Speech recognition in noise

Detailed Description

INTRODUCTION: Speech recognition in noise is an important aspect of human communication. One's speech recognition ability in noise is inevitably affected by any hearing impairment, and may only be quantified with specific language at an appropriate difficulty.

There is a niche among clinically available test materials between word recognition and 10- syllable sentence recognition in noise in Cantonese Chinese. Ten-syllable sentence items are commented to be too challenging to young children and elderly population. An assessment tool for pediatric patients, and the whole spectrum of patients with significant hearing impairment, compromised language or cognitive abilities, is deemed necessary. Both the research and clinical audiology communities need a valid and reliable outcome measurement tool for sentence recognition abilities in noise of the specific population.

An open-set sentence speech recognition in noise test in Cantonese Chinese, which is applicable on children and adults with hearing impairment, is proposed to be developed in this project to bridge the gap.

METHODS: Thirty three participants with typical hearing, from each of the 5 age groups from their 6 years of age to adulthood, will be recruited to contribute to the normative data of the proposed test. One hundred participants with various degree of hearing impairment will be recruited for the validation of the proposed new test as well.

A sentence pool of at least 150 sentence items will be constructed based on the basic sentence syntax in Cantonese Chinese. Each sentence item will be 7 syllables in length on average. The words used in the sentences will be words frequently used in daily life by both persons with typical hearing and hearing impairment. A 4-talker babble in Cantonese Chinese will be generated as the competing noise in this proposed new test.

OUTCOMES: By Rasch modelling, sentence items with high probability of consistently and accurately estimating sentence recognition ability in noise across different participants will be selected and distributed to a few parallel lists.

Rater and test-retest reliability of the test items and lists will be established.

Content-related and construct-related evidence of validity of lists will also be supported by psychometric analyses as well as expert consultation.

APPLICATION: A valid and reliable assessment tool, of sentence recognition ability in noise in Cantonese, applicable to persons with hearing sensitivity ranging from profound impairment to typical, in both the research and clinical audiology fields, will be constructed.

• Study Type: Observational
• Enrollment (Actual): 113

Contacts and Locations

Study Locations

• Hong Kong
  • Hong Kong, Hong Kong, 0000
    • The Chinese University of Hong Kong

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Participants with typical hearing, from each of the 5 age groups from their 6 years of age to adulthood, will be recruited to contribute to the normative data of the proposed test.

One hundred participants with various degree of hearing impairment will be recruited for the validation of the proposed new test.

Description

Inclusion Criteria:

• Native in Catonese

Exclusion Criteria:

• Have overall cognitive and developmental impairment

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Participants with Typical Hearing; From 5 age groups from their 6 years of age to adulthood	Diagnostic test: Speech recognition in noise; Measurement of speech recognition performance in noise
Participants with Hearing Impairment; Participants with various degree of hearing impairment	Diagnostic test: Speech recognition in noise; Measurement of speech recognition performance in noise

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Person Ability of Participants in Sentence Recognition in Noise	In accordance with Item Response Theory, the ability of individual participants in sentence recognition in noise, measured by the proposed new test, is generated through Rasch modelling or other relevant models.	up to 1 month
Item Difficulty of Test Items in Sentence Recognition in Noise	In accordance with Item Response Theory, the difficulty of individual proposed test items in sentence recognition in noise, contributed by all participants, is generated through Rasch modelling or other relevant models.	up to 3 years

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Internal Consistency of Test Items	Cronbach's alpha or other relevant measurements will be used to estimate the consistency of the items on measuring the same dimension.	up to 3 years
Rater Reliability of Test Items	A portion of the test sessions will be scored twice by more than one raters. The intra-class correlation (ICC) or other relevant measurements will be employed to estimate rater reliability.	up to 1 month
Test-Retest Reliability of Test Items	A portion of participants will be tested twice. Pearson's coefficient of correlation or other relevant measurements will be computed to measure the correlation between the first and the second test results.	up to 1 month
Content-related Evidence of Validity of Test Items	Construction of sentence test items with elements from various relevant language corpus, based on the basic sentence syntax in Cantonese Chinese, and evaluated with reference to expert opinions, will be regarded as content-related evidence of the test item validity.	up to 3 years
Construct-related Evidence of Validity of Test Items	Unidimensionality and local independence, or other relevant measurements, in accordance with Item Response Theory, will be regarded as construct-related evidence of the test item validity.	up to 3 years

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
A New Sentence Recognition in Noise Test Tool Titled CanSRINT	A valid and reliable assessment tool, of sentence recognition ability in noise in Cantonese, applicable to persons with hearing sensitivity ranging from profound impairment to typical, in both the research and clinical audiology fields, will be published.	up to 4 years

Collaborators and Investigators

• Sponsor: Chinese University of Hong Kong

Study record dates

Study Major Dates

• Study Start (Actual): June 29, 2019
• Primary Completion (Actual): December 31, 2022
• Study Completion (Actual): December 31, 2022

Study Registration Dates

• First Submitted: July 11, 2019
• First Submitted That Met QC Criteria: July 14, 2019
• First Posted (Actual): July 16, 2019

Study Record Updates

• Last Update Posted (Actual): September 21, 2023
• Last Update Submitted That Met QC Criteria: September 18, 2023
• Last Verified: September 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Neurologic Manifestations; Otorhinolaryngologic Diseases; Ear Diseases; Sensation Disorders; Hearing Disorders; Hearing Loss
• Other Study ID Numbers: ChineseUHK_CREC2018.639

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No