Validation of the Chinese Sound Test: Auditory Performance of Hearing Aid Users.

PURPOSE: The Chinese Sound Test (Hung, Lin, Tsai, & Lee, 2016) has been recently developed as a modified version of the Ling Six-Sound Test (Ling, 2012). By incorporating Chinese speech sounds, this test should be able to estimate whether the listener can hear across the Chinese speech spectrum. To establish the clinical validity of the test, this study examined the relationship between the aided audiometric thresholds and the distance thresholds. METHOD: Sixty children with bilateral hearing aids were recruited. The aided sound-field thresholds at 250, 500, 1000, 2000, 4000, and 6000 Hz were compared with the distance thresholds of six sounds, /u, ə, a, i, tɕʰ, and s/, which encompass the entire Chinese speech frequency range from low to high. RESULTS: Partial correlation and stepwise regression analyses revealed that the Chinese testing sounds are frequency specific and that the audibility of each sound could be predicted by a specific frequency threshold. CONCLUSIONS: The results confirm the validity of the Chinese Sound Test, indicating that the testing sounds can be reliably used to assess the perception of frequency-specific information. Crucially, these data also demonstrate that the Chinese Sound Test is a useful tool to identify red flags of poor auditory access in daily environment to monitor device malfunctions and possible hearing fluctuations.

Vowel production of Mandarin-speaking hearing aid users with different types of hearing loss.

In contrast with previous research focusing on cochlear implants, this study examined the speech performance of hearing aid users with conductive (n = 11), mixed (n = 10), and sensorineural hearing loss (n = 7) and compared it with the speech of hearing control. Speech intelligibility was evaluated by computing the vowel space area defined by the Mandarin Chinese corner vowels /a, u, i/. The acoustic differences between the vowels were assessed using the Euclidean distance. The results revealed that both the conductive and mixed hearing loss groups exhibited a reduced vowel working space, but no significant difference was found between the sensorineural hearing loss and normal hearing groups. An analysis using the Euclidean distance further showed that the compression of vowel space area in conductive hearing loss can be attributed to the substantial lowering of the second formant of /i/. The differences in vowel production between groups are discussed in terms of the occlusion effect and the signal transmission media of various hearing devices.

Multidimensional Approach to the Development of a Mandarin Chinese-Oriented Sound Test.

PURPOSE: Because the Ling six-sound test is based on American English phonemes, it can yield unreliable results when administered to non-English speakers. In this study, we aimed to improve specifically the diagnostic palette for Mandarin Chinese users by developing an adapted version of the Ling six-sound test. METHOD: To determine the set of testing sounds, we performed an exhaustive acoustic and statistical analysis in which we considered not only the general acoustic properties but also the order of acquisition and the inter- and intraspeaker variability. RESULTS: Six phonemes (/u, ə, a, i, tɕh, s/) were selected as the testing items for the Mandarin Chinese sound test because these sounds exhibit a highly compartmentalized frequency specificity, spanning the entire Chinese speech spectrum, as well as a relatively low articulatory variability and can be acquired fairly early. CONCLUSION: Through adopting language-dependent modifications, caregivers and professionals should have a more adequate tool to monitor children's auditory access to the full range of Mandarin speech sounds.