Adaptation of the STARR test for adult Italian population: A speech test for a realistic estimate in real-life listening conditions

D'Alessandro H., Ballantyne D., De Seta E., Musacchio A., Mancini P.

INTERNATIONAL JOURNAL OF AUDIOLOGY, vol.55, no.4, pp.262-267, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 55 Issue: 4
  • Publication Date: 2016
  • Doi Number: 10.3109/14992027.2015.1124296
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.262-267
  • Keywords: hearing aids, cochlear implants, speech reception threshold (SRT), Speech audiometry, speech perception in noise, COCHLEAR IMPLANTS, NOISE, HEARING
  • Hacettepe University Affiliated: No


Objectives: To introduce the Italian adaptation of the STARR test based on a roving-level adaptive method to mimic challenging real-life listening conditions for use in people with auditory prostheses. Design: Normative data were collected and interlist-variability, as well as learning effects, were investigated using a within-subject design with repeated measures. Study sample: A group of 32 normal-hearing (NH) adults participated in the study. Results: The average speech reception threshold (SRT) for NH subjects was -8.4 dB SNR. The variability of mean SRTs across test lists was relatively small (<= 1 dB for all test lists). The statistically significant differences between lists were eliminated after applying correction factors. On the basis of variability for the corrected SRTs within each subject, a difference of 2.8 dB in SRT was meaningful for outcome comparisons using one test list per condition and 2 dB using two lists per condition. Statistical analysis did not show any significant learning effects. Conclusions: Findings in NH listeners suggested that the Italian STARR test could be a promising supplement to existing speech assessment tools. Further studies in populations with hearing impairment could contribute to cross-language studies.