| ARCHETYPE ID | openEHR-EHR-OBSERVATION.speech_intelligibility_test.v0 |
|---|---|
| Concept | Speech intelligibility test |
| Description | Record of results from an audiological speech intelligibility test conducted for the purpose of assessing speech recognition, speech discrimination, or 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 presentation 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, or 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, HiGHmed |
| Authors | Author name: Mareike Buhl Organisation: Hearing Institute, Institut Pasteur, Paris, France; University of Oldenburg and Cluster of Excellence Hearing4all, Germany Email: mareike.buhl@uni-oldenburg.de Date originally authored: 2025-12-01 |
| Other Details Language | Author name: Mareike Buhl Organisation: Hearing Institute, Institut Pasteur, Paris, France; University of Oldenburg and Cluster of Excellence Hearing4all, Germany Email: mareike.buhl@uni-oldenburg.de Date originally authored: 2025-12-01 |
| Other Details (Language Independent) |
|
| Keywords | speech test, speech recognition, speech discrimination, hearing, audiology |
| Lifecycle | in_development |
| UID | 0bff2e30-cf81-43c1-9160-24743105b0cc |
| Language used | en |
| Citeable Identifier | 1246.145.3018 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Test name | Test name: The name of the conducted speech test. Use published name (including a reference) if possible. |
| Test language | Test language: The language of the speech stimulus. Add language terminology at template level to include all coded options. |
| Voice type | Voice type: The voice type (sex) of the speech stimulus.
|
| Announcement | Announcement: The type of announcement before presenting the speech stimulus.
|
| Test in background noise | Test in background noise: To describe if the speech intelligibility test is conducted in noise or in quiet.
|
| Fixed stimulus | Fixed stimulus: To indicate for which stimulus (speech or noise) the level is kept constant during the measurement. Only applicable for speech in noise tests measured adaptively.
|
| Level control | Level control: The description of the adaptive level control procedure. Applicable for adaptive measurements. |
| Adaptive procedure name | Adaptive procedure name: The name of the adaptive level control procedure. Choice of:
|
| Step size | Step size: The stepsize of level changes. Property: Loudness Units: dB Limit decimal places: 0 |
| Adaptive procedure details | Adaptive procedure details: Additional details about adaptive level control procedure. |
| Speech stimulus | Speech stimulus: Properties of the speech stimulus. |
| Type of speech stimulus | Type of speech stimulus: The type of speech stimulus used. Choice of:
|
| Azimuth | Azimuth: Azimuth angle of 'Speech stimulus'.
Only applicable if 'Directionality characteristics' is 'Virtual acoustics'. Property: Angle, plane Units: 0.0..360.0 ° |
| Elevation | Elevation: Elevation angle of 'Speech stimulus'. Only applicable if 'Directionality characteristics' is 'Virtual acoustics'. Property: Angle, plane Units: 0.0..360.0 ° Assumed value: 0.0° Limit decimal places: -1 |
| Noise stimulus | Noise stimulus: Properties of the noise stimulus. Can be repeated for several, directional noise stimuli, for example: competing talkers from different azimuth directions. |
| 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:
|
| Azimuth | Azimuth: Azimuth angle of 'Noise stimulus'.
Only applicable if 'Directionality characteristics' is 'Virtual acoustics'. Property: Angle, plane Units: 0.0..360.0 ° |
| Elevation | Elevation: Elevation angle of 'Noise stimulus'. Only applicable if 'Directionality characteristics' is 'Virtual acoustics'. Property: Angle, plane Units: 0.0..360.0 ° Assumed value: 0.0° Limit decimal places: -1 |
| 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. |
| Directionality characteristics | Directionality characteristics: Only applicable for 'Tested side' binaural. Diotic and dichotic: no virtual acoustics.
|
| Masking | Masking: The description of the signal used for masking (at the contralateral ear) if applicable, for example: in case of asymmetric hearing loss and monaural (aided) measurements. |
| Type of masking stimulus | Type of masking stimulus: The type of masking stimulus used during speech in noise testing. Choice of:
|
| Presentation method | Presentation method: The method used to present the test stimuli. Choice of:
|
| 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 |
| Test environment | Test environment: The environment in which the speech test is administered. Choice of:
|
| 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:
|
| 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.
|
| Response set | Response set: The type of the response set.
|
| Response mode | Response mode: The mode used to enter or record the response.
|
| Scoring method | Scoring method: The scoring method used.
|
| 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.
|
| 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:
|
| data | |
| Tested side | Tested side: Identification of the tested ear(s).
|
| Measurement of test list | Measurement of test list: Results obtained with one test list. Applicable to both adaptive and fixed level/SNR measurements. |
| Measurement identifier | Measurement identifier: The identifier to group several 'Measurements of test list' based on which a 'SRT derived' is estimated. Test lists used together can be grouped using 'Related measurements' in 'SRT derived'. |
| Specification of test list | Specification of test list: The name or number of the used test list. If applicable for the specific test, for example: Matrix sentence test or German Freiburg monosyllabic speech test. |
| Speech level at start | Speech level at start: The start level of the presented speech stimulus at the beginning of the test list. Applicable if the presented level at the beginning of a test list is not captured in the levels stored per test list item. Property: Loudness Units: -50.0..200.0 dB[SPL]{SPL} Limit decimal places: 2 |
| SNR at start | SNR at start: The signal-to-noise ratio at the beginning of the test list. Applicable if the presented level at the beginning of a test list is not captured in the levels stored per test list item. Only applicable for measurements in noise. Property: Loudness Units: -50.0..200.0 dB SNR Limit decimal places: 2 |
| Speech intelligibility of test list | Speech intelligibility of test list: The speech intelligibility of the test list. Only applicable for fixed level/SNR measurements (speech and noise level are constant during the complete test list).
|
| Measurement of test list item | Measurement of test list item: To record speech intelligibility results per test list item (for example: word, sentence). |
| Test list item identifier | Test list item identifier: The name, description, or testing order of the test list item. |
| Speech level | Speech level: The level of the presented speech stimulus (test list item). Property: Loudness Units: -50.0..200.0 dB[SPL]{SPL} Limit decimal places: 2 |
| SNR | SNR: The signal-to-noise ratio of the test list item. Property: Loudness Units: -50.0..200.0 dB SNR Limit decimal places: 2 |
| Speech intelligibility of test list item | Speech intelligibility of test list item: The speech intelligibility of the test list item (for example: word, sentence).
|
| Speech recognition threshold adaptive | Speech recognition threshold adaptive: The estimated speech recognition threshold (SRT) resulting from an adaptive measurement. Not applicable for fixed level measurements. |
| Target speech intelligibility | Target speech intelligibility: The target percentage of the speech intelligibility measurement. For example: 50%.
Assumed value: 50.0 |
| Speech level at target | Speech level at target: The level of the speech stimulus required to achieve the target speech intelligibility. Property: Loudness Units: -50.0..200.0 dB[SPL]{SPL} Limit decimal places: 2 |
| SNR at target | SNR at target: The signal-to-noise ratio required to achieve the target speech intelligibility. Only applicable for measurements in noise. Property: Loudness Units: -50.0..200.0 dB SNR Limit decimal places: 2 |
| Slope at target | Slope at target: The slope of the psychometric function at the target intelligibility. Property: null Units: 0.0..100.0 [arb'U]{%}/dB Limit decimal places: 2 |
| Speech recognition threshold derived | Speech recognition threshold derived: The estimated speech recognition threshold (SRT) derived from several 'Measurements of test lists'. Not applicable for adaptive level measurements. |
| Target speech intelligibility | Target speech intelligibility: The target percentage of the speech intelligibility measurement. For example: 50%.
|
| Speech level at target | Speech level at target: The level of the speech stimulus required to achieve the target speech intelligibility. Property: Loudness Units: -50.0..200.0 dB[SPL]{SPL} Limit decimal places: 2 |
| SNR at target | SNR at target: The signal-to-noise ratio required to achieve the target speech intelligibility. Only applicable for measurements in noise. Property: Loudness Units: -50.0..200.0 dB SNR Limit decimal places: 2 |
| Slope at target | Slope at target: The slope of the psychometric function at the target intelligibility. Property: null Units: 0.0..100.0 [arb'U]{%}/dB Limit decimal places: 2 |
| SRT calculation method | SRT calculation method: The description of how the SRT is derived from 'Measurements of test lists'. |
| Related measurements | Related measurements: The identifiers 'Measurements of test lists' from which the SRT is derived, as specified in 'Measurement identifier'. |
| 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. |
| 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. |
| 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 Daniel Berg, University of Oldenburg and Cluster of Excellence Hearing4all, Germany Eugen Kludt, Hannover Medical School and Cluster of Excellence Hearing4all, Germany Antje Wulff, University of Oldenburg and Cluster of Excellence Hearing4all, Germany Pascal Biermann, University of Oldenburg and Cluster of Excellence Hearing4all, Germany |
| Translators |