| ARCHETYPE ID | openEHR-EHR-OBSERVATION.audiology_speech_test_result_local.v0 |
|---|---|
| Concept | Speech intelligibility test result |
| Description | Record of results from an audiological speech intelligibility test conducted for the purpose of assessing speech recognition, speech discrimination and speech intelligibility. |
| Use | Use to record the results of audiological speech tests carried out to assess the ability of a subject to understand speech in quiet or in noise, i.e. speech recognition, speech discrimination and speech intelligibility. Results can either be speech intelligibility scores for given stimulus levels (fixed SNR), or speech recognition thresholds obtained from adaptive procedures. |
| Misuse | Not to be used for audiological speech testing that is used for phonemic confusions analysis. Not to be used to assess speech production. Not to be used to record audiological speech tests where the presentaton level is not known - for example: unmonitored live voice. |
| Purpose | To record results from an audiological speech test conducted for the purpose of assessing speech recognition, speech discrimination and speech intelligibility. |
| References | Derived from: Audiology Speech Test Result, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2013 Jan 13. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1174_3 (discontinued). Taylor B. Predicting Real World Hearing Aid Benefit with Speech Audiometry: An Evidence-Based Review; 2007 May 07 [cited 2013 Feb 08]. Available from: http://www.audiologyonline.com/articles/predicting-real-world-hearing-aid-946. Madel J, Flexer C. Pediatric Audiology: Diagnosis, Technology, and Management. Thieme Medical Publishers; 2008. Chapter 10, Evaluation of Speech Perception in Infants and Children, p89-105. Gordon-Salant S. Age-related differences in speech recognition performance as a function of test format and paradigm. Ear Hear. 1987 Oct;8(5):277-82. PubMed PMID: 3678641. Nilsson M, Soli S D, Sullivan, J A. Development of the Hearing In Noise Test for the measurement of speech reception thresholds in quiet and in noise. Acoust. Soc. Am. 95, 1085 (1994), DOI:10.1121/1.408469. |
| Copyright | © openEHR Foundation, HiGHmed, Hearing4all, openEHR Foundation |
| Authors | Author name: Mareike Buhl Organisation: Hearing Institute, Institut Pasteur, Paris, France Email: mareike.buhl@pasteur.fr Date originally authored: 2025-12-01 |
| Other Details Language | Author name: Mareike Buhl Organisation: Hearing Institute, Institut Pasteur, Paris, France Email: mareike.buhl@pasteur.fr Date originally authored: 2025-12-01 |
| Other Details (Language Independent) |
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| Keywords | speech test, speech intelligibility, hearing,, audiology |
| Lifecycle | in_development |
| UID | 9cd58f35-4db7-492a-af0e-25c63de3301d |
| Language used | en |
| Citeable Identifier | 1013.1.8125 |
| Revision Number | 0.0.1-alpha |
| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| state | |
| Hearing device during test | Hearing device during test: Information about hearing device use during the speech test. |
| Hearing device | Hearing device: Details of the hearing device used. For example: hearing aid or cochlear implant as type of device. Include: openEHR-EHR-CLUSTER.device.v1 |
| Side of hearing device | Side of hearing device: Identification of the side where the hearing device is worn during the test.
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| Comment | Comment: Additional information about the hearing device that is not captured in "Hearing device" or "Side of hearing device". For example: information about hearing device settings. |
| Confounding factors | Confounding factors: Additional issues or factors that may impact the speech test, not captured in other fields. For example: medication or noise exposure prior to test. |
| Language proficiency of the listener | Language proficiency of the listener: Language proficiency in broad categories. Choice of:
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| data | |
| Tested Side | Tested Side: Identification of the tested ear(s).
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| Measurement | Measurement: The obtained performance result (speech intelligibility in percent) for a test list, sentence or word presented at the given stimulus level. Can be used for any speech intelligibility result in fixed or adaptive measurements. |
| Stimulus level | Stimulus level: The level of the varied stimulus. Corresponds to speech or noise, depending on which level is varied during the measurement. Property: Loudness Units: -50.0..200.0 dB[SPL]{SPL} Limit decimal places: 2 |
| Speech intelligibility | Speech intelligibility: The obtained performance result in percent (speech intelligibility) at a given stimulus level.
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| Number of test list | Number of test list: The number of the used test list. If applicable for the specific test, for example: Matrix sentence test or German monosyllabic speech test. Specify in cluster 'Speech recognition threshold' if one test list is used in an adaptive measurement. |
| Speech recognition threshold | Speech recognition threshold: The speech recognition threshold (or speech reception threshold; SRT) describing a speech level or signal-to-noise ratio required to reach the given target speech intelligibility. |
| Target speech intelligibility | Target speech intelligibility: The target percentage of the speech intelligibility measurement. For example: 50%.
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| Speech level to achieve target | Speech level to achieve target: The level of the speech stimulus required to achieve the target speech intelligibility in a measurement in quiet. Property: Loudness Units: -50.0..200.0 dB[SPL]{SPL} Limit decimal places: 2 |
| Signal-to-noise ratio to achieve target | Signal-to-noise ratio to achieve target: The level difference (signal-to-noise ratio; SNR) between the speech and noise stimulus required to achieve the target speech intelligibility in a measurement in noise. Property: Loudness Units: -50.0..200.0 dB SNR Limit decimal places: 2 |
| SRT calculation method | SRT calculation method: Description of SRT calculation method. For example: mean of a certain numbers of reversals in an adaptive measurement, or psychometric function fit for several 'Measurements' at fixed levels. Include reference if applicable. |
| Number of test list | Number of test list: The number of the used test list. If applicable for the specific test, for example: Matrix sentence test or German monosyllabic speech test. Specify in cluster 'Measurement' if the SRT is calculated from several test lists presented at fixed level or SNR. |
| Overall comment | Overall comment: Additional narrative about the speech intelligibility measurement not captured in other fields. |
| No test result | No test result: Details to explicitly record that this examination was not performed. Include: openEHR-EHR-CLUSTER.exclusion_ |
| Training condition | Training condition: Indicates if the measurement was performed for training or test purposes. Applicable if the speech intelligibility test requires training, for example: Matrix test. |
| protocol | |
| Test name | Test name: The name of the conducted speech test. Use published name (including a reference) if possible. -> Q for review: should a list of coded text options be added? Is it needed or even plausible since many different speech are available? If yes, which tests should be listed? |
| Test language | Test language: The language of the speech stimulus. Choice of:
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| Voice type | Voice type: The voice type (sex) of the speech stimulus.
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| Announcement | Announcement: The type of announcement before presenting the speech stimulus.
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| Fixed stimulus | Fixed stimulus: Indicate for which stimulus (speech or noise) the level is kept constant during the measurement. Only applicable for speech in noise tests.
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| Presentation level of fixed stimulus | Presentation level of fixed stimulus: The presentation level of the stimulus (speech or noise) fixed in level during the measurement. Only applicable for speech in noise tests. Property: Loudness Units: -50.0..200.0 dB[SPL]{SPL} Limit decimal places: 2 |
| Adaptive test procedure details | Adaptive test procedure details: The parameters of the adaptive test procedure. Applicable for adaptive measurements. |
| Starting level of varied stimulus | Starting level of varied stimulus: The initial presentation level of the stimulus varied during the measurement. Speech level for measurements in quiet and varied stimulus level for measurements in noise. Property: Loudness Units: dB Limit decimal places: 0 |
| Starting step size | Starting step size: The initial level stepsize for level changes after a response. Applicable for adaptive tests. Property: Loudness Units: dB Limit decimal places: 0 |
| Final step size | Final step size: The final level stepsize for level changes after a response. Applicable for adaptive tests. Property: Loudness Units: dB Limit decimal places: 0 |
| Type of speech stimulus | Type of speech stimulus: The type of speech stimulus used. Choice of:
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| Type of noise stimulus | Type of noise stimulus: The type of noise stimulus used during speech in noise testing. Further details can be given in 'Noise type details'. Not applicable for speech in quiet tests. Choice of:
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| Noise stimulus details | Noise stimulus details: Details on signals used as noise in 'Type of noise stimulus', e.g., name of established noise, number of talkers included in a babble noise, or other specific characteristics. Not applicable for speech in quiet tests. |
| Test environment | Test environment: The environment in which the speech test is administered. Choice of:
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| Test environment details | Test environment details: Additional details of 'Test environment'. For example: specific audiometric booth or a free text description of the room's sound treatment. Include: openEHR-EHR-CLUSTER.device.v1 |
| Presentation method | Presentation method: The method used to present the test stimuli. Choice of:
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| Presentation method details | Presentation method details: Details of device used to present test stimulus as specified in 'Presentation method'. For example: type of headphone or speaker. Include: openEHR-EHR-CLUSTER.device.v1 |
| Presented sensory modalities | Presented sensory modalities: The method used to present the speech test stimulus. For example: a visual stimulus can be used to test lip reading skills.
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| Response set | Response set: The type of the response set.
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| Response mode | Response mode: The mode used to enter or record the response.
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| Scoring method | Scoring method: The scoring method used.
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| Other contributors | Stephen Chu, NEHTA, Australia Kathy Currie, Northern Territory Health, Australia Sam Heard, Ocean Informatics, Australia (Editor) Anthony Leech, Hearing Health, Australia Kerrie Lee, Ngaanyatjarra Health Service, Australia Heather Leslie, Atomica Informatics, Australia (Editor) Ian McNicoll, Ocean Informatics UK, United Kingdom Kirsten Wagener, Hörzentum Oldenburg, Germany Tahereh Afghah, Hörzentum Oldenburg, Germany Ania Warzybok, University of Oldenburg and Cluster of Excellence Hearing4all, Germany Birger Kollmeier, University of Oldenburg and Cluster of Excellence Hearing4all, Germany Lena Schell-Majoor, University of Oldenburg and Cluster of Excellence Hearing4all, Germany Mareike Buhl, Institut Pasteur, Paris, France |
| Translators |